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 |
|---|---|---|---|---|
| Intubation endotracheal emergency procedure CPT 31500 | $1,547.40 | $2,579.00 | $79.20 – $550.23 | 12 |
| Ionm in operatng room 15 min CPT 95940 | $191.40 | $319.00 | $35.26 – $217.95 | 4 |
| Ionm remote/>1 pt or per hr CPT 95941 | $3,504.00 | $5,840.00 | $141.06 – $141.06 | 1 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $173.40 | $289.00 | $0.28 – $1.65 | 5 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $2,178.60 | $3,631.00 | $0.10 – $2.14 | 5 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $440.40 | $734.00 | $115.85 – $201.83 | 9 |
| Ipratropium bromide non-comp HCPCS J7644 | $49.35 | $82.25 | $0.10 – $6.27 | 6 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $1,572.00 | $2,620.00 | $1.11 – $286.88 | 5 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $115.20 | $192.00 | $28.11 – $72.60 | 9 |
| Iron CPT 83540 | $159.00 | $265.00 | $6.01 – $12.65 | 12 |
| Iron binding capacity CPT 83550 | $138.60 | $231.00 | $5.50 – $17.19 | 12 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $239.40 | $399.00 | $11.43 – $33.61 | 10 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $574.80 | $958.00 | $0.14 – $12.82 | 6 |
| Irradiation of blood product each unit reference CPT 86945 | $165.00 | $275.00 | $28.22 – $41.16 | 9 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $124.20 | $207.00 | $21.43 – $62.29 | 12 |
| Irrigation tray HCPCS A4320 | $1.80 | $3.00 | $8.31 – $40.88 | 4 |
| Ivc venogram s&i CPT 75825 | $6,448.20 | $10,747.00 | $41.25 – $3,300.84 | 12 |
| IV Fluids (each additional hour) CPT 96361 | $298.20 | $497.00 | $9.90 – $48.39 | 12 |
| IV Fluids (first hour) CPT 96360 | $422.40 | $704.00 | $34.79 – $220.96 | 12 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $422.40 | $704.00 | $12.57 – $42.62 | 8 |
| IV Medicine Infusion (additional drug) CPT 96367 | $298.20 | $497.00 | $21.16 – $74.64 | 12 |
| IV Medicine Infusion (each additional hour) CPT 96366 | $298.20 | $497.00 | $13.52 – $48.39 | 12 |
| IV Medicine Infusion (first hour) CPT 96365 | $422.40 | $704.00 | $43.23 – $220.96 | 12 |
| IV Push Injection (each additional drug) CPT 96375 | $298.20 | $497.00 | $14.31 – $48.39 | 12 |
| IV Push Injection (first drug) CPT 96374 | $422.40 | $704.00 | $34.12 – $220.96 | 12 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $399.60 | $666.00 | $87.90 – $153.13 | 9 |
| Jak2 targeted sequence analysis CPT 81279 | $1,227.60 | $2,046.00 | $139.57 – $212.84 | 12 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $419.40 | $699.00 | $30.25 – $128.36 | 12 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $419.40 | $699.00 | $30.25 – $111.61 | 12 |
| John cunningham antibody CPT 86711 | $62.40 | $104.00 | $15.70 – $19.41 | 12 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $201.60 | $336.00 | $5.50 – $12.97 | 12 |
| Ketorolac (Toradol) Pain Shot, 15 mg HCPCS J1885 | $126.60 | $211.00 | $0.19 – $15.46 | 10 |
| Kidney imag w/bld flow multi CPT 78709 | $1,750.80 | $2,918.00 | $249.69 – $582.72 | 12 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,903.20 | $3,172.00 | $124.75 – $564.50 | 12 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $1,469.40 | $2,449.00 | $89.65 – $332.00 | 12 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $528.00 | $880.00 | $83.73 – $280.19 | 12 |
| Kit case 4.2mm spinejack HCPCS C1062 | $7,833.60 | $13,056.00 | $2,872.32 – $11,097.60 | 12 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $12,000.60 | $20,001.00 | $5,000.25 – $17,000.85 | 11 |
| Kit gene analys d816 variant CPT 81273 | $1,303.80 | $2,173.00 | $88.08 – $143.50 | 12 |
| Kit hfx iq ipg bundle HCPCS C1822 | $56,811.60 | $94,686.00 | $18,009.42 – $69,581.85 | 13 |
| Kit ipg optimizer smart HCPCS C1824 | $55,402.80 | $92,338.00 | $20,314.36 – $78,487.30 | 13 |
| Kit lead specify 5-6-5 HCPCS C1778 | $17,425.20 | $29,042.00 | $2,174.09 – $19,112.65 | 2 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $1,965.60 | $3,276.00 | $785.73 – $1,891.88 | 2 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | $8,362.80 | $13,938.00 | $3,530.95 – $18,254.51 | 4 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $3,676.80 | $6,128.00 | $178.31 – $863.83 | 2 |
| Knee MRI (with and without contrast) CPT 73723 | $5,999.40 | $9,999.00 | $316.41 – $2,316.56 | 12 |
| Knee MRI (with contrast) CPT 73722 | $4,621.20 | $7,702.00 | $354.83 – $1,290.48 | 12 |
| Knee MRI (without contrast) CPT 73721 | $3,801.60 | $6,336.00 | $214.16 – $1,367.96 | 12 |
| Knee X-ray CPT 73564 | $419.40 | $699.00 | $37.53 – $111.52 | 11 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $419.40 | $699.00 | $30.17 – $92.34 | 11 |
| Knee X-ray (3 views, both knees) CPT 73562 | $419.40 | $699.00 | $33.76 – $92.34 | 11 |
| Knee X-ray (standing, both knees) CPT 73565 | $419.40 | $699.00 | $24.66 – $92.34 | 12 |
| Kras gene addl variants CPT 81276 | $1,930.80 | $3,218.00 | $139.10 – $222.08 | 12 |
| Kras gene variants exon 2 CPT 81275 | $1,353.60 | $2,256.00 | $131.10 – $315.03 | 12 |
| Kyleena, 19.5 mg HCPCS J7296 | $2,036.40 | $3,394.00 | $626.47 – $1,318.74 | 2 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $4.50 | $7.50 | $0.11 – $0.34 | 5 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $171.00 | $285.00 | $0.25 – $0.85 | 13 |
| Lactate dehydrogenase (ldh) CPT 83615 | $102.60 | $171.00 | $5.61 – $11.75 | 12 |
| Lactated ringers intravenous solution HCPCS J7120 | $108.00 | $180.00 | $0.00 – $18.63 | 6 |
| Lactic acid CPT 83605 | $159.00 | $265.00 | $8.80 – $29.29 | 12 |
| Lactoferrin fecal qualitative CPT 83630 | $119.40 | $199.00 | $13.54 – $29.84 | 12 |
| Lactoferrin fecal quant CPT 83631 | $194.40 | $324.00 | $18.24 – $51.45 | 12 |
| Lam facetec & foramot crv CPT 63045 | not published | not published | $2,069.14 – $7,491.76 | 11 |
| Lam facetec & foramot lumbar CPT 63047 | not published | not published | $1,862.37 – $7,491.76 | 11 |
| Laminotomy single lumbar CPT 63042 | not published | not published | $1,646.97 – $7,491.76 | 11 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $215.40 | $359.00 | $21.50 – $58.30 | 9 |
| Laparo ablate liver tumor rf CPT 47370 | not published | not published | $790.44 – $10,918.43 | 12 |
| Laparo cholecystectomy/explr CPT 47564 | not published | not published | $1,228.24 – $10,918.43 | 11 |
| Laparoscopy biopsy CPT 49321 | not published | not published | $747.98 – $6,118.60 | 11 |
| Laparoscopye procstom 43659 CPT 43659 | not published | not published | $1,646.97 – $6,118.60 | 9 |
| Laparoscopy excise lesions CPT 58662 | not published | not published | $1,244.42 – $6,118.60 | 11 |
| Lap ing hernia repair init CPT 49650 | not published | not published | $818.32 – $6,118.60 | 11 |
| Lap paraesophag hern repair CPT 43281 | not published | not published | $2,164.36 – $10,918.43 | 11 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $361.80 | $603.00 | $18.77 – $309.57 | 12 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | $3,769.20 | $6,282.00 | $344.04 – $941.33 | 11 |
| Laryngoscopy and dilation CPT 31528 | $3,769.20 | $6,282.00 | $517.24 – $3,866.57 | 11 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $2,632.20 | $4,387.00 | $129.80 – $1,808.49 | 12 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | $3,716.40 | $6,194.00 | $77.00 – $550.23 | 12 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $13,576.80 | $22,628.00 | $2,344.46 – $17,437.74 | 2 |
| Lead capillary CPT 83655 | $67.20 | $112.00 | $11.00 – $23.61 | 12 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $4,132.20 | $6,887.00 | $772.52 – $7,112.63 | 2 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $13,024.20 | $21,707.00 | $3,929.20 – $24,493.72 | 2 |
| Left compres band >=3" <5"/yd HCPCS A6449 | $3.60 | $6.00 | $3.28 – $14.22 | 4 |
| Left compres band <3"/yd HCPCS A6448 | $1.20 | $2.00 | $2.18 – $9.43 | 4 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $1,940.40 | $3,234.00 | $143.68 – $514.59 | 12 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $2,654.40 | $4,424.00 | $157.72 – $815.23 | 11 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $1,795.80 | $2,993.00 | $94.21 – $702.33 | 11 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $2,092.20 | $3,487.00 | $159.46 – $535.87 | 12 |
| Leishmania antibody CPT 86717 | $159.00 | $265.00 | $11.38 – $35.33 | 11 |
| Lens, intraocular (new tech) HCPCS C1780 | $739.20 | $1,232.00 | $811.41 – $811.41 | 1 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $609.00 | $1,015.00 | $1,015.79 – $1,015.79 | 1 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $1,429.20 | $2,382.00 | $281.48 – $1,288.59 | 2 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $2,022.60 | $3,371.00 | $281.48 – $1,288.42 | 2 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $117.60 | $196.00 | $2.03 – $20.87 | 5 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $2,967.00 | $4,945.00 | $111.41 – $2,169.89 | 10 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $3,559.80 | $5,933.00 | $954.16 – $5,467.08 | 10 |
| Levalbuterol non-comp con HCPCS J7612 | $27.00 | $45.00 | $0.17 – $2.87 | 5 |
| Levalbuterol non-comp unit HCPCS J7614 | $66.00 | $110.00 | $0.06 – $2.87 | 5 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $300.00 | $500.00 | $0.03 – $1.39 | 5 |
| Levetiracetam therapeutic drug level CPT 80177 | $72.00 | $120.00 | $12.31 – $16.64 | 12 |
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.