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 |
|---|---|---|---|---|
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $384.00 | $640.00 | $48.75 – $377.25 | 12 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $384.00 | $640.00 | $28.69 – $179.71 | 12 |
| Ikbkap gene CPT 81260 | $600.60 | $1,001.00 | $36.53 – $137.24 | 12 |
| Iloprost non-comp unit dose HCPCS Q4074 | $161.40 | $269.00 | $100.34 – $158.92 | 5 |
| Imatinib 100 mg tab HCPCS S0088 | $679.20 | $1,132.00 | $35.09 – $35.09 | 1 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | $99.00 | $165.00 | $36.01 – $62.73 | 9 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $376.80 | $628.00 | $162.49 – $870.00 | 4 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $499.80 | $833.00 | $113.47 – $607.28 | 4 |
| Immune complex assay CPT 86332 | $192.60 | $321.00 | $22.65 – $47.55 | 12 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $14,005.20 | $23,342.00 | $28.61 – $108.37 | 9 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $6,606.00 | $11,010.00 | $49.75 – $90.03 | 9 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $920.40 | $1,534.00 | $30.01 – $108.74 | 9 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $400.80 | $668.00 | $19.34 – $55.77 | 12 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $400.80 | $668.00 | $19.34 – $55.77 | 12 |
| Immunoassay tumor qual CPT 86294 | $167.40 | $279.00 | $23.76 – $37.77 | 11 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $483.00 | $805.00 | $8.80 – $23.38 | 12 |
| Immunodiffusion nes CPT 86329 | $129.60 | $216.00 | $13.06 – $38.66 | 12 |
| Immunofixation electrophoresis serum CPT 86334 | $168.60 | $281.00 | $20.76 – $43.57 | 12 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $96.00 | $160.00 | $21.60 – $106.83 | 8 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $96.00 | $160.00 | $17.55 – $179.71 | 12 |
| Immunoglobulin assay CPT 86023 | $81.00 | $135.00 | $11.58 – $20.96 | 12 |
| Immunology procedure CPT 86849 | $34.20 | $57.00 | $8.33 – $8.64 | 2 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $17,191.20 | $28,652.00 | $4,906.09 – $4,906.09 | 1 |
| Implant cochlear osia osi300 HCPCS L8690 | $9,325.80 | $15,543.00 | $7,528.14 – $32,566.47 | 2 |
| Implant single ventricular device 33975 CPT 33975 | $12,058.80 | $20,098.00 | $2,071.75 – $2,071.75 | 1 |
| Implant ureth bulk agent HCPCS L8606 | $2,887.20 | $4,812.00 | $312.91 – $2,486.73 | 2 |
| Impl neurostim electr perc CPT 63650 | $6,504.60 | $10,841.00 | $410.25 – $6,882.63 | 12 |
| Imp neurosti pls gn any type HCPCS L8679 | $34,927.80 | $58,213.00 | $5,753.78 – $17,379.07 | 4 |
| Imported lipodox inj HCPCS Q2049 | $4,018.20 | $6,697.00 | $470.68 – $581.75 | 9 |
| Imuglucerase injection HCPCS J1786 | $343.20 | $572.00 | $27.27 – $84.82 | 9 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $1,305.00 | $2,175.00 | $547.21 – $849.90 | 9 |
| In-111 pentetreotide HCPCS A9572 | $11,244.60 | $18,741.00 | $1,779.25 – $5,348.02 | 9 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $1,386.00 | $2,310.00 | $25.85 – $1,699.17 | 12 |
| Incision of breast lesion CPT 19020 | $3,825.00 | $6,375.00 | $80.30 – $1,699.17 | 12 |
| Incision of eardrum CPT 69420 | $2,611.20 | $4,352.00 | $81.95 – $844.93 | 12 |
| Incision tendon sheath CPT 26055 | $3,771.00 | $6,285.00 | $220.00 – $1,678.38 | 12 |
| Incisn of toe tndn CPT 28010 | $1,815.00 | $3,025.00 | $144.10 – $1,678.38 | 12 |
| Incisn windpipe CPT 31600 | $4,334.40 | $7,224.00 | $736.75 – $3,401.07 | 11 |
| Incobotulinumtoxin a HCPCS J0588 | $1,317.00 | $2,195.00 | $3.52 – $6.23 | 9 |
| Indigotindisulfonate 8 mg/ml soln 5 ml ampule HCPCS J9220 | $24.00 | $40.00 | $9.26 – $10.96 | 8 |
| Infect ag drug suscept pheno predict CPT 87900 | $607.20 | $1,012.00 | $86.08 – $341.73 | 12 |
| Infect ag eia influenza a or b ea CPT 87400 | $54.60 | $91.00 | $6.70 – $16.24 | 12 |
| Infect ag genotype na cytomegalovirus CPT 87910 | $1,215.60 | $2,026.00 | $239.25 – $325.56 | 12 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $831.00 | $1,385.00 | $239.25 – $325.56 | 12 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $1,109.40 | $1,849.00 | $89.98 – $339.91 | 12 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $2,655.60 | $4,426.00 | $239.25 – $689.88 | 12 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | $55.80 | $93.00 | $5.56 – $14.75 | 12 |
| Infect ag if hep delta agent CPT 87380 | $155.40 | $259.00 | $17.06 – $42.58 | 12 |
| Infect ag if pneumocystis carinii CPT 87281 | $79.80 | $133.00 | $11.13 – $29.52 | 12 |
| Infect ag if varicella zoster CPT 87290 | $115.20 | $192.00 | $12.47 – $31.66 | 11 |
| Infect ag na hep b amp CPT 87516 | $374.40 | $624.00 | $32.61 – $91.01 | 11 |
| Infect ag na herpes simplex quant CPT 87530 | $441.60 | $736.00 | $39.81 – $114.79 | 11 |
| Infect ag na hpv high-risk types CPT 87624 | $255.60 | $426.00 | $32.59 – $43.94 | 12 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $595.80 | $993.00 | $89.03 – $224.71 | 12 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $372.00 | $620.00 | $0.02 – $56.44 | 10 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $2,970.00 | $4,950.00 | $387.31 – $527.08 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $125.40 | $209.00 | $11.13 – $31.73 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $67.80 | $113.00 | $12.84 – $16.06 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $192.00 | $320.00 | $11.13 – $29.84 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $99.00 | $165.00 | $13.36 – $25.90 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $174.00 | $290.00 | $9.60 – $26.78 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $57.60 | $96.00 | $9.60 – $27.68 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $168.60 | $281.00 | $22.38 – $43.87 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $118.20 | $197.00 | $11.13 – $29.52 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $115.80 | $193.00 | $11.13 – $31.66 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $108.00 | $180.00 | $11.13 – $29.52 | 12 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $372.00 | $620.00 | $25.51 – $91.01 | 12 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $257.40 | $429.00 | $25.51 – $91.01 | 12 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $386.40 | $644.00 | $34.64 – $94.33 | 12 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $1,493.40 | $2,489.00 | $374.29 – $478.97 | 11 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $355.80 | $593.00 | $32.61 – $91.01 | 11 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $398.40 | $664.00 | $32.61 – $92.02 | 12 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $385.80 | $643.00 | $38.73 – $91.01 | 11 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $257.40 | $429.00 | $25.51 – $91.01 | 12 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $75.00 | $125.00 | $39.04 – $96.32 | 12 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $210.00 | $350.00 | $109.95 – $267.65 | 12 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $477.00 | $795.00 | $32.61 – $44.05 | 12 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $334.20 | $557.00 | $47.35 – $86.75 | 11 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $481.80 | $803.00 | $387.03 – $478.97 | 11 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $848.40 | $1,414.00 | $198.20 – $302.23 | 11 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $483.00 | $805.00 | $39.81 – $114.79 | 11 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $602.40 | $1,004.00 | $39.81 – $114.79 | 12 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $411.00 | $685.00 | $39.81 – $114.79 | 12 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $606.00 | $1,010.00 | $79.08 – $228.01 | 12 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $657.60 | $1,096.00 | $132.55 – $163.91 | 12 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $3,930.00 | $6,550.00 | $19.63 – $1,192.76 | 10 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $1,125.60 | $1,876.00 | $12.88 – $42.95 | 9 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $1,432.80 | $2,388.00 | $12.62 – $66.50 | 9 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | $30.00 | $50.00 | $11.00 – $98.16 | 8 |
| Inf lwr xtr fscl pln blk uni w/wo image CPT 64474 | $135.00 | $225.00 | $200.76 – $233.44 | 3 |
| Inf thrc fascial pln blk bi w/wo image CPT 64469 | $147.00 | $245.00 | $308.59 – $358.83 | 3 |
| Inf thrc fascial pln blk uni w/wo image CPT 64467 | $139.80 | $233.00 | $203.23 – $236.31 | 3 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $345.00 | $575.00 | $34.32 – $213.30 | 12 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $21.00 | $35.00 | $3.08 – $991.14 | 10 |
| Inj, adalimumab, 1 mg HCPCS J0139 | $220.20 | $367.00 | $85.24 – $3,533.24 | 9 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | $25.80 | $43.00 | $3.77 – $6.58 | 9 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | $155.40 | $259.00 | $2.93 – $5.19 | 9 |
| Inj andexxa, 10 mg HCPCS J7169 | $14,184.60 | $23,641.00 | $122.09 – $236.25 | 9 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $11,192.40 | $18,654.00 | $7.04 – $19.89 | 9 |
| Inj, aponvie, 1 mg HCPCS C9145 | $3.00 | $5.00 | $1.77 – $2.10 | 8 |
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.