UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Ghs protoporphyrins fract CPT 84202 | $336.60 | $561.00 | $13.34 – $39.39 | 12 |
| Ghs pr without cont pulse ox CPT 94625 | $186.00 | $310.00 | $26.85 – $76.95 | 11 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $78.60 | $131.00 | $7.70 – $29.54 | 12 |
| Ghs refill of implantable pump CPT 95990 | $253.20 | $422.00 | $42.41 – $347.85 | 12 |
| Ghs removal intranasal foreign body CPT 30300 | $478.20 | $797.00 | $24.75 – $169.20 | 12 |
| Ghs removal pharyngeal foreign body CPT 42809 | $263.40 | $439.00 | $56.30 – $418.48 | 12 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $177.60 | $296.00 | $14.77 – $35.33 | 12 |
| Ghs reticulocyte count CPT 85044 | $81.00 | $135.00 | $4.01 – $8.39 | 12 |
| Ghs sedimentation rate CPT 85651 | $30.60 | $51.00 | $3.30 – $6.92 | 12 |
| Ghs sensitivity (per antimicro) CPT 87184 | $68.40 | $114.00 | $6.95 – $13.45 | 12 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $2,199.00 | $3,665.00 | $101.20 – $736.75 | 12 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $2,199.00 | $3,665.00 | $101.20 – $784.02 | 12 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $2,199.00 | $3,665.00 | $101.20 – $736.75 | 12 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $3,706.20 | $6,177.00 | $101.20 – $1,022.44 | 12 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $1,070.40 | $1,784.00 | $52.25 – $340.93 | 12 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $1,070.40 | $1,784.00 | $53.35 – $387.88 | 12 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $1,294.80 | $2,158.00 | $67.65 – $518.82 | 12 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $2,199.00 | $3,665.00 | $101.20 – $736.75 | 12 |
| Ghs sleep study unattended CPT 95800 | $1,719.00 | $2,865.00 | $137.07 – $352.51 | 12 |
| Ghs somatosensory testing lower extremit CPT 95926 | $1,864.80 | $3,108.00 | $64.27 – $326.57 | 12 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $855.60 | $1,426.00 | $240.33 – $556.45 | 12 |
| Ghs sphenopalatine ganglion block CPT 64505 | $928.20 | $1,547.00 | $59.95 – $309.57 | 12 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $428.40 | $714.00 | $105.87 – $253.62 | 4 |
| Ghs strapping shoulder - 29240 CPT 29240 | $460.20 | $767.00 | $21.45 – $135.18 | 12 |
| Ghs st - re-eval for alt comm CPT 92597 | $1,070.40 | $1,784.00 | $171.29 – $223.32 | 4 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $1,101.60 | $1,836.00 | $103.40 – $641.95 | 12 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $1,463.40 | $2,439.00 | $129.80 – $584.20 | 12 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $774.00 | $1,290.00 | $80.30 – $420.08 | 12 |
| Ghs urine, hydroxproline total CPT 83505 | $264.60 | $441.00 | $22.58 – $66.71 | 12 |
| Ghs urine, porphyrins quant CPT 84120 | $249.60 | $416.00 | $8.25 – $22.69 | 12 |
| Ghs vaginal delivery only CPT 59409 | $7,320.60 | $12,201.00 | $619.68 – $3,334.43 | 11 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $1,990.20 | $3,317.00 | $470.10 – $920.00 | 10 |
| Giardia lamblia antibody CPT 86674 | $100.20 | $167.00 | $13.68 – $28.37 | 11 |
| Gi inhouse confirmation CPT 87045 | $67.80 | $113.00 | $7.59 – $18.41 | 12 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $4,451.40 | $7,419.00 | $651.78 – $1,924.01 | 12 |
| Gi trc img intral esophagus CPT 91111 | $6,253.20 | $10,422.00 | $530.24 – $1,251.17 | 11 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $2,251.20 | $3,752.00 | $115.20 – $200.69 | 9 |
| Glucagon plasma - sendout CPT 82943 | $144.60 | $241.00 | $13.28 – $39.20 | 12 |
| Glucose 1 hr post dose CPT 82950 | $144.60 | $241.00 | $4.41 – $9.25 | 12 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $40.80 | $68.00 | $2.20 – $7.13 | 12 |
| Glucose blood quantitative CPT 82947 | $123.00 | $205.00 | $3.65 – $7.67 | 12 |
| Glucose body fluid CPT 82945 | $123.00 | $205.00 | $3.65 – $10.51 | 12 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $303.00 | $505.00 | $11.96 – $25.13 | 12 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $20.40 | $34.00 | $3.60 – $5.20 | 12 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $11.70 | $19.50 | $0.29 – $1.59 | 10 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $81.00 | $135.00 | $6.97 – $33.91 | 9 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $359.40 | $599.00 | $17.27 – $36.25 | 12 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $387.60 | $646.00 | $17.21 – $36.12 | 12 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $1,810.80 | $3,018.00 | $463.24 – $807.04 | 9 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $74.40 | $124.00 | $30.23 – $58.90 | 3 |
| Graft axiofill 1000mg HCPCS J3590 | $3,597.00 | $5,995.00 | $13.25 – $45.05 | 13 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $3,463.20 | $5,772.00 | $34.21 – $67.27 | 5 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $28,358.40 | $47,264.00 | $60.78 – $103.77 | 2 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $23,563.20 | $39,272.00 | $602.38 – $6,662.02 | 2 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $39,576.60 | $65,961.00 | $642.53 – $2,392.71 | 2 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $3,645.60 | $6,076.00 | $64.31 – $80.45 | 3 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $38,730.60 | $64,551.00 | $36.87 – $124.27 | 3 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $3,681.60 | $6,136.00 | $85.98 – $170.65 | 3 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $7,849.80 | $13,083.00 | $17.23 – $64.88 | 3 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $48,211.20 | $80,352.00 | $4,546.96 – $17,567.80 | 13 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $3,681.60 | $6,136.00 | $105.03 – $131.24 | 3 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $63,333.60 | $105,556.00 | $211.31 – $1,878.07 | 2 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $3,260.40 | $5,434.00 | $1,765.19 – $1,765.19 | 1 |
| Granisetron 1 mg tab HCPCS Q0166 | $168.60 | $281.00 | $84.16 – $84.16 | 1 |
| Granisetron hcl injection HCPCS J1626 | $1,036.20 | $1,727.00 | $0.12 – $33.29 | 5 |
| Great toe with reduction 28495 CPT 28495 | $3,058.80 | $5,098.00 | $83.05 – $736.75 | 12 |
| Growth stimulation gene 2 CPT 83006 | $237.60 | $396.00 | $20.42 – $86.88 | 12 |
| G-tube reposition CPT 43761 | $3,960.60 | $6,601.00 | $103.87 – $736.75 | 12 |
| Guided cath fluid drainage 10030 CPT 10030 | $1,252.80 | $2,088.00 | $137.81 – $1,205.40 | 12 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $24,470.40 | $40,784.00 | $543.53 – $4,769.65 | 2 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $7,078.80 | $11,798.00 | $61.72 – $687.48 | 2 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $1,166.40 | $1,944.00 | $55.77 – $732.42 | 2 |
| Guid loc target vol rad tx CPT 77387 | $823.20 | $1,372.00 | $16.04 – $135.55 | 6 |
| Gw stiffened micro access kit HCPCS C1894 | $12,466.20 | $20,777.00 | $48.36 – $607.60 | 2 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $525.60 | $876.00 | $2.78 – $52.43 | 6 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $421.80 | $703.00 | $0.51 – $11.73 | 6 |
| Hand-held pefr meter a4614 HCPCS A4614 | $26.40 | $44.00 | $31.90 – $193.08 | 4 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $110.40 | $184.00 | $23.13 – $54.47 | 8 |
| Hand X-ray CPT 73130 | $621.60 | $1,036.00 | $26.76 – $92.34 | 11 |
| Hand X-ray (2 views, both hands) CPT 73120 | $419.40 | $699.00 | $29.76 – $111.52 | 11 |
| Haptoglobin quantitative CPT 83010 | $186.00 | $310.00 | $11.69 – $24.54 | 12 |
| Harvest auto stem cells CPT 38206 | $1,788.00 | $2,980.00 | $81.41 – $1,719.15 | 12 |
| Hbb full gene sequence CPT 81364 | $2,080.80 | $3,468.00 | $207.80 – $373.02 | 11 |
| Hbot, full body chamber, 30m HCPCS G0277 | $1,117.80 | $1,863.00 | $29.95 – $144.62 | 10 |
| Hcg qualitative CPT 84703 | $42.00 | $70.00 | $6.99 – $14.66 | 12 |
| Hcg quantitative CPT 84702 | $386.40 | $644.00 | $13.99 – $26.18 | 12 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $733.80 | $1,223.00 | $309.27 – $636.78 | 2 |
| Hc nm fusion spect CT unlisted CPT 78999 | $679.20 | $1,132.00 | $122.97 – $421.41 | 9 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $7,995.60 | $13,326.00 | $145.77 – $727.61 | 12 |
| Head CT scan (with and without contrast) CPT 70470 | $2,953.20 | $4,922.00 | $157.72 – $957.15 | 12 |
| Head CT scan (with contrast) CPT 70460 | $2,654.40 | $4,424.00 | $147.40 – $785.33 | 12 |
| Head CT scan (without contrast) CPT 70450 | $1,795.80 | $2,993.00 | $94.21 – $661.04 | 12 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $419.40 | $699.00 | $28.64 – $92.34 | 11 |
| Helicobacter pylori antibody igm CPT 86677 | $250.80 | $418.00 | $15.66 – $29.05 | 12 |
| Hematocrit CPT 85014 | $55.80 | $93.00 | $2.20 – $4.60 | 12 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | $85.20 | $142.00 | $14.00 – $37.60 | 9 |
| Hemodialysis one evaluation CPT 90935 | $1,389.00 | $2,315.00 | $286.45 – $733.81 | 11 |
| Hemoglobin CPT 85018 | $55.80 | $93.00 | $2.20 – $4.60 | 12 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $201.60 | $336.00 | $3.30 – $11.97 | 12 |
| Hemoglobin-oxygen affinity CPT 82820 | $686.40 | $1,144.00 | $12.40 – $27.55 | 11 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.