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 |
|---|---|---|---|---|
| PSA (Prostate) Test CPT 84153 | $131.40 | $219.00 | $17.09 – $35.90 | 12 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | $183.60 | $306.00 | $21.96 – $135.18 | 12 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $91.20 | $152.00 | $20.59 – $104.02 | 4 |
| Pt/caregiver traing home inr CPT 93792 | $513.00 | $855.00 | $33.05 – $76.69 | 3 |
| Pten gene dup/delet variant CPT 81323 | $357.00 | $595.00 | $51.62 – $344.76 | 11 |
| Pten gene full sequence CPT 81321 | $400.80 | $668.00 | $270.44 – $689.53 | 11 |
| Pten gene known fam variant CPT 81322 | $40.80 | $68.00 | $37.74 – $53.56 | 11 |
| Pt prgrm for implt neurostim HCPCS L8681 | $3,354.00 | $5,590.00 | $1,623.47 – $7,522.84 | 4 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $478.20 | $797.00 | $74.76 – $153.59 | 2 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $110.40 | $184.00 | $20.44 – $106.29 | 2 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $110.40 | $184.00 | $18.43 – $42.72 | 8 |
| Pt wheelchair management each 15 minutes CPT 97542 | $121.20 | $202.00 | $25.73 – $100.68 | 4 |
| Pulmonary vent imaging CPT 78579 | $748.80 | $1,248.00 | $141.88 – $421.41 | 12 |
| Pulse ox continuous overnight monitoring CPT 94762 | $532.20 | $887.00 | $31.90 – $164.09 | 11 |
| Pulse ox multiple CPT 94761 | $416.40 | $694.00 | $4.25 – $50.62 | 8 |
| Pulse ox single CPT 94760 | $201.00 | $335.00 | $2.18 – $23.82 | 8 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $58.80 | $98.00 | $14.30 – $135.18 | 12 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $287.40 | $479.00 | $26.40 – $418.99 | 12 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,230.60 | $2,051.00 | $46.20 – $726.25 | 12 |
| Puraply 1 sq cm HCPCS Q4195 | $3,953.40 | $6,589.00 | $46.78 – $120.47 | 3 |
| Pvb thoracic 2nd+ inj site CPT 64462 | $2,976.60 | $4,961.00 | $48.60 – $128.41 | 8 |
| Pvb thoracic cont infusion CPT 64463 | $2,976.60 | $4,961.00 | $111.16 – $726.25 | 11 |
| Pvb thoracic single inj site CPT 64461 | $2,976.60 | $4,961.00 | $77.09 – $726.25 | 12 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $58.80 | $98.00 | $0.92 – $6.05 | 5 |
| Pyruvate CPT 84210 | $298.20 | $497.00 | $8.80 – $29.54 | 12 |
| Pyruvate kinase CPT 84220 | $130.80 | $218.00 | $8.77 – $25.90 | 12 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $2,655.60 | $4,426.00 | $245.43 – $564.50 | 12 |
| Quant diff pulm perf w/imaging CPT 78597 | $1,798.20 | $2,997.00 | $160.27 – $421.41 | 12 |
| Quest t3 uptake CPT 84479 | $255.60 | $426.00 | $6.01 – $12.63 | 12 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | $4,032.00 | $6,720.00 | $11.00 – $382.05 | 10 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $6,998.40 | $11,664.00 | $11.00 – $331.48 | 10 |
| Racepinephrine hcl soln nebu 2.25% (base equivalent) HCPCS J7699 | $5.55 | $9.25 | $1.46 – $1.46 | 1 |
| Radiation physics consult CPT 77336 | $495.00 | $825.00 | $53.90 – $318.05 | 12 |
| Radiation therapy dose plan CPT 77300 | $595.80 | $993.00 | $40.15 – $241.62 | 12 |
| Radiation treatment aid(s) CPT 77332 | $1,024.80 | $1,708.00 | $60.50 – $230.35 | 12 |
| Radiation treatment aid(s) CPT 77334 | $1,772.40 | $2,954.00 | $100.65 – $541.49 | 12 |
| Radiation treatment delivery CPT 77402 | $1,024.80 | $1,708.00 | $23.65 – $189.88 | 12 |
| Radiation treatment delivery CPT 77412 | $1,953.60 | $3,256.00 | $48.40 – $275.79 | 12 |
| Radiology port images(s) CPT 77417 | $142.20 | $237.00 | $14.21 – $63.77 | 8 |
| Radiotherapy dose plan imrt CPT 77301 | $12,731.40 | $21,219.00 | $914.88 – $3,050.25 | 12 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $2,646.00 | $4,410.00 | $120.98 – $1,369.08 | 12 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $4,002.60 | $6,671.00 | $235.01 – $1,369.08 | 12 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $2,764.20 | $4,607.00 | $341.35 – $1,369.08 | 12 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $2,929.80 | $4,883.00 | $300.49 – $1,369.08 | 12 |
| Radphm lcl tumor plr sgl day CPT 78800 | $1,082.40 | $1,804.00 | $94.34 – $509.38 | 12 |
| Radphm quant measure sgl area add-on CPT 78835 | $2,764.20 | $4,607.00 | $44.15 – $141.89 | 8 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $186.00 | $310.00 | $36.84 – $81.80 | 9 |
| Ranibizumab injection HCPCS J2778 | $844.80 | $1,408.00 | $54.54 – $869.06 | 9 |
| Rapid Strep Test CPT 87880 | $62.40 | $104.00 | $6.93 – $19.00 | 12 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $12,075.00 | $20,125.00 | $238.37 – $664.06 | 9 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $71,857.80 | $119,763.00 | $137.53 – $247.62 | 9 |
| Rbc count only automated CPT 85041 | $22.80 | $38.00 | $2.35 – $5.87 | 12 |
| Rbc deglycerolized each unit HCPCS P9039 | $1,321.80 | $2,203.00 | $562.95 – $685.59 | 9 |
| Rbc irradiated each unit HCPCS P9038 | $510.60 | $851.00 | $132.20 – $231.75 | 9 |
| Rbc osmotic fragility CPT 85555 | $56.40 | $94.00 | $3.30 – $13.23 | 12 |
| Rbc serum pretx incubj drugs CPT 86975 | $192.60 | $321.00 | $43.11 – $418.48 | 9 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $1,825.67 – $6,203.86 | 11 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $1,786.78 – $19,285.98 | 11 |
| Reconstruction of nose CPT 30420 | not published | not published | $1,244.42 – $6,203.86 | 11 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | $2,642.84 – $19,285.98 | 11 |
| Red blood cells each unit HCPCS P9021 | $384.00 | $640.00 | $33.00 – $220.10 | 12 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $1,432.80 | $2,388.00 | $161.25 – $398.57 | 11 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $677.40 | $1,129.00 | $226.63 – $288.04 | 9 |
| Red blood cells washed each unit HCPCS P9022 | $665.40 | $1,109.00 | $155.90 – $637.21 | 11 |
| Reduction of procidentia 45900 CPT 45900 | $2,571.60 | $4,286.00 | $388.83 – $956.13 | 11 |
| Re-exploration of chest 32120 CPT 32120 | $7,017.00 | $11,695.00 | $1,372.08 – $2,515.90 | 3 |
| Refill maint impl spine pump CPT 95991 | $425.40 | $709.00 | $63.14 – $309.57 | 11 |
| Refill/maint pump/resvr syst CPT 96522 | $423.60 | $706.00 | $95.53 – $220.96 | 12 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $2,544.60 | $4,241.00 | $1.91 – $108.22 | 5 |
| Release palm/finger tendon CPT 26440 | not published | not published | $196.90 – $1,678.38 | 12 |
| Relocation skin pocket aicd CPT 33223 | $3,986.40 | $6,644.00 | $704.38 – $1,918.35 | 11 |
| Relocation skin pocket pm CPT 33222 | $2,504.40 | $4,174.00 | $364.32 – $1,918.35 | 12 |
| Rem/biv cast full arm/leg CPT 29705 | $441.00 | $735.00 | $93.83 – $278.52 | 9 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $16.80 | $28.00 | $2.38 – $7.40 | 9 |
| Rem endovas vena cava filter CPT 37193 | $11,923.20 | $19,872.00 | $2,046.60 – $3,300.84 | 11 |
| Rem interrog dev eval icpms CPT 93297 | $190.20 | $317.00 | $33.04 – $51.68 | 12 |
| Rem interrog dev eval scrms CPT 93298 | $190.20 | $317.00 | $33.04 – $86.32 | 12 |
| Rem interrog evl pm/ids CPT 93296 | $223.80 | $373.00 | $21.99 – $63.33 | 12 |
| Rem mntr physiol 1st dev supply ea 30 days CPT 99454 | $250.80 | $418.00 | $33.04 – $84.62 | 10 |
| Rem mntr physiol 1st set up pt educaj eqp CPT 99453 | $76.20 | $127.00 | $11.26 – $135.15 | 10 |
| Remote 30 day ecg tech supp CPT 93229 | $3,361.80 | $5,603.00 | $32.84 – $326.57 | 9 |
| Removal anal seton other marker 46030 CPT 46030 | $2,500.80 | $4,168.00 | $79.20 – $1,236.52 | 12 |
| Removal biliary drg cath CPT 47537 | $9,786.00 | $16,310.00 | $89.12 – $983.24 | 12 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $3,171.60 | $5,286.00 | $319.83 – $648.38 | 11 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $1,685.40 | $2,809.00 | $202.50 – $1,629.12 | 12 |
| Removal cerclage w/anes CPT 59871 | $7,680.00 | $12,800.00 | $331.31 – $3,334.43 | 11 |
| Removal cerumen impacted (both sides) CPT 69210 | $145.80 | $243.00 | $18.77 – $88.81 | 11 |
| Removal clot in graft oth/thn 35875 CPT 35875 | not published | not published | $629.48 – $5,669.06 | 12 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $146.40 | $244.00 | $22.69 – $208.38 | 10 |
| Removal duct glbldr calculi CPT 47544 | $5,320.20 | $8,867.00 | $193.54 – $1,220.23 | 8 |
| Removal foreign body foot subcutaneous right CPT 28190 | $726.60 | $1,211.00 | $33.55 – $737.87 | 12 |
| Removal implant superficial separate procedure CPT 20670 | $2,854.80 | $4,758.00 | $102.85 – $1,699.17 | 12 |
| Removal mamma implant mat 19330 CPT 19330 | $3,040.80 | $5,068.00 | $550.23 – $4,015.84 | 11 |
| Removal of bone for graft CPT 20900 | not published | not published | $270.90 – $7,491.76 | 12 |
| Removal of external ear CPT 69120 | $3,769.20 | $6,282.00 | $383.31 – $6,203.86 | 12 |
| Removal of gallbladder 47600 CPT 47600 | not published | not published | $1,646.97 – $2,880.34 | 4 |
| Removal of hip foreign body 27087 CPT 27087 | $4,669.80 | $7,783.00 | $71.50 – $3,402.68 | 12 |
| Removal of implant deep CPT 20680 | not published | not published | $188.65 – $3,001.48 | 12 |
| Removal of ovary/tube(s) CPT 58720 | not published | not published | $1,260.84 – $3,478.49 | 4 |
| Removal of testis CPT 54520 | not published | not published | $228.80 – $3,617.00 | 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.