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 |
|---|---|---|---|---|
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | $153.00 | $255.00 | $31.13 – $93.03 | 9 |
| Skin barrier with flange HCPCS A4373 | $1.80 | $3.00 | $11.24 – $50.95 | 4 |
| Skin Biopsy CPT 11102 | $823.80 | $1,373.00 | $35.45 – $208.38 | 12 |
| Skull X-ray (1 to 3 views) CPT 70250 | $419.40 | $699.00 | $34.97 – $129.61 | 12 |
| Skull X-ray (complete) CPT 70260 | $666.60 | $1,111.00 | $47.82 – $155.78 | 12 |
| Skyla, 13.5 mg HCPCS J7301 | $2,343.60 | $3,906.00 | $552.05 – $1,098.07 | 2 |
| Sleep Study (Polysomnography) CPT 95810 | $8,373.60 | $13,956.00 | $381.22 – $1,243.10 | 12 |
| Sleep study unattended CPT 95806 | $1,375.80 | $2,293.00 | $138.62 – $851.47 | 11 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $197.40 | $329.00 | $17.83 – $58.59 | 2 |
| Sling suprapubic suburetheral HCPCS C1771 | $7,586.40 | $12,644.00 | $893.89 – $5,829.16 | 2 |
| Slitting of prepuce CPT 54001 | $3,058.80 | $5,098.00 | $52.80 – $2,148.31 | 12 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $804.00 | $1,340.00 | $41.25 – $216.57 | 12 |
| Small bowel endoscopy CPT 44360 | $2,451.00 | $4,085.00 | $149.01 – $1,989.40 | 12 |
| Small bowel endoscopy CPT 44364 | $2,012.40 | $3,354.00 | $210.00 – $1,989.40 | 12 |
| Small bowel endoscopy CPT 44366 | $2,240.40 | $3,734.00 | $228.25 – $1,989.40 | 12 |
| Small bowel endoscopy CPT 44369 | $2,203.80 | $3,673.00 | $228.25 – $1,989.40 | 12 |
| Small bowel endoscopy CPT 44382 | $2,280.00 | $3,800.00 | $76.74 – $983.24 | 12 |
| Small bowel endoscopy/biopsy CPT 44361 | $2,214.00 | $3,690.00 | $164.24 – $1,989.40 | 12 |
| Small bowel endoscopy br/wa CPT 44380 | $1,895.40 | $3,159.00 | $64.44 – $983.24 | 12 |
| Small bowel endoscopy br/wa CPT 44381 | $2,798.40 | $4,664.00 | $109.10 – $1,989.40 | 9 |
| Small bowel endoscopy/stent 44370 CPT 44370 | $26,215.20 | $43,692.00 | $460.56 – $6,242.82 | 11 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $31.80 | $53.00 | $3.30 – $8.39 | 12 |
| Smear gram stain CPT 87205 | $108.60 | $181.00 | $3.97 – $8.33 | 12 |
| Smear nasal eosinophil CPT 89190 | $89.40 | $149.00 | $5.38 – $9.25 | 12 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $43.20 | $72.00 | $4.95 – $11.69 | 12 |
| Smear wet mount CPT 87210 | $102.60 | $171.00 | $5.41 – $11.71 | 12 |
| Smpd1 gene common variants CPT 81330 | $1,260.60 | $2,101.00 | $43.68 – $274.83 | 12 |
| Sodium 24 hour urine CPT 84300 | $126.60 | $211.00 | $4.70 – $9.50 | 12 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $76.80 | $128.00 | $0.00 – $15.24 | 6 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $76.20 | $127.00 | $0.80 – $13.29 | 5 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $76.20 | $127.00 | $0.03 – $13.29 | 6 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $13.20 | $22.00 | $0.02 – $0.02 | 1 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $374.40 | $624.00 | $1.28 – $15.33 | 5 |
| Sodium serum/plasma/whole blood CPT 84295 | $102.60 | $171.00 | $4.47 – $9.34 | 12 |
| Somatropin injection HCPCS J2941 | $1,973.40 | $3,289.00 | $45.46 – $74.87 | 9 |
| Spacer bag/reservoir HCPCS A4627 | $189.60 | $316.00 | $40.34 – $394.61 | 2 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $306.62 – $1,326.30 | 2 |
| Special casting material HCPCS A4590 | $286.20 | $477.00 | $72.25 – $93.21 | 2 |
| Special physics consult CPT 77370 | $833.40 | $1,389.00 | $106.15 – $373.24 | 12 |
| Special radiation dosimetry CPT 77331 | $942.00 | $1,570.00 | $63.59 – $202.64 | 12 |
| Special radiation treatment CPT 77470 | $1,986.00 | $3,310.00 | $40.15 – $1,521.52 | 12 |
| Special supplies phys/qhp CPT 99070 | $648.60 | $1,081.00 | $25.82 – $101.17 | 2 |
| Special teletx port plan CPT 77321 | $1,286.40 | $2,144.00 | $56.98 – $581.22 | 12 |
| Specific gravity body fluid CPT 84315 | $25.80 | $43.00 | $2.94 – $6.89 | 11 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $429.60 | $716.00 | $138.75 – $645.15 | 4 |
| Speech Therapy Session (one-on-one) CPT 92507 | $203.40 | $339.00 | $23.87 – $92.19 | 8 |
| Sperm antibody test CPT 89325 | $73.80 | $123.00 | $9.92 – $20.81 | 11 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $213.38 – $961.24 | 4 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $61.79 – $382.81 | 2 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,525.80 | $2,543.00 | $80.72 – $726.25 | 12 |
| Spine X-ray (single view, one level) CPT 72020 | $419.40 | $699.00 | $23.54 – $92.34 | 12 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $2,893.80 | $4,823.00 | $263.62 – $841.14 | 4 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $448.80 | $748.00 | $64.30 – $321.88 | 4 |
| Splint finger 4 prong foam sm HCPCS A4570 | $607.80 | $1,013.00 | $20.92 – $138.55 | 2 |
| Splint fing stax assort 1-7in HCPCS Q4049 | $18.00 | $30.00 | $2.91 – $12.60 | 2 |
| Splint func pos polyflex ii med HCPCS L3999 | $121.20 | $202.00 | $111.25 – $111.25 | 1 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $137.40 | $229.00 | $48.77 – $600.13 | 2 |
| Split blood or products CPT 86985 | $226.20 | $377.00 | $80.04 – $179.71 | 9 |
| Srs linear based CPT 77372 | $7,146.60 | $11,911.00 | $694.74 – $8,016.91 | 12 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $429.60 | $716.00 | $69.79 – $379.74 | 4 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $67,511.40 | $112,519.00 | $13,343.80 – $26,210.26 | 11 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $44,044.80 | $73,408.00 | $1,695.36 – $15,462.48 | 2 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $810.00 | $1,350.00 | $1,249.82 – $1,249.82 | 1 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $33,109.80 | $55,183.00 | $1,158.04 – $8,133.86 | 2 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $10,323.00 | $17,205.00 | $962.68 – $9,135.91 | 2 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $33,589.20 | $55,982.00 | $5,152.97 – $11,893.06 | 11 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $18,360.00 | $30,600.00 | $3,788.30 – $4,658.60 | 4 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $34,695.00 | $57,825.00 | $12,299.12 – $18,831.54 | 11 |
| Sterile gauze <= 16 sq in HCPCS A6402 | $0.60 | $1.00 | $0.23 – $0.98 | 4 |
| Sterile needle HCPCS A4215 | $649.80 | $1,083.00 | $0.15 – $657.17 | 2 |
| Sterile water/saline, 10 ml HCPCS A4216 | $35.55 | $59.25 | $0.07 – $3.66 | 3 |
| Sterile water/saline, 500 ml HCPCS A4217 | $32.55 | $54.25 | $4.50 – $25.44 | 2 |
| St evaluate speech sound production CPT 92522 | $429.60 | $716.00 | $66.90 – $526.02 | 4 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $638.40 | $1,064.00 | $46.55 – $225.26 | 8 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $2,111.40 | $3,519.00 | $148.49 – $607.79 | 12 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $792.00 | $1,320.00 | $22.00 – $165.47 | 12 |
| Strapping of elbow or wrist 29260 CPT 29260 | $453.00 | $755.00 | $34.52 – $93.83 | 12 |
| Strapping of knee CPT 29530 | $764.40 | $1,274.00 | $28.05 – $135.18 | 12 |
| Strep a ag ia CPT 87430 | $89.40 | $149.00 | $6.93 – $19.32 | 12 |
| Streptozocin injection HCPCS J9320 | $1,416.00 | $2,360.00 | $133.72 – $133.72 | 1 |
| Stress test pulmonary CPT 94618 | $41.40 | $69.00 | $6.92 – $135.18 | 12 |
| Stress tte complete CPT 93351 | $2,775.00 | $4,625.00 | $204.09 – $575.01 | 12 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $53.40 | $89.00 | $1.88 – $1.88 | 1 |
| Sugars single quant CPT 84378 | $114.60 | $191.00 | $10.71 – $30.87 | 12 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $83,609.40 | $139,349.00 | $229.26 – $229.26 | 1 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $0.60 | $1.00 | $0.03 – $0.05 | 4 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $1,520.40 | $2,534.00 | $73.05 – $233.39 | 3 |
| Support clav 29.6-40.5in med HCPCS L3650 | $137.40 | $229.00 | $81.33 – $435.24 | 4 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $168.51 – $2,875.99 | 11 |
| Surgical pathology level 1 gross examination only CPT 88300 | $67.80 | $113.00 | $6.03 – $31.98 | 12 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $154.80 | $258.00 | $9.73 – $81.67 | 12 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $236.40 | $394.00 | $13.54 – $110.18 | 12 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $345.00 | $575.00 | $27.79 – $196.21 | 12 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $440.40 | $734.00 | $36.24 – $377.25 | 12 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $610.80 | $1,018.00 | $54.67 – $856.70 | 12 |
| Surgical trays HCPCS A4550 | $72.00 | $120.00 | $83.29 – $97.49 | 3 |
| Susceptibility agar dilution per agent CPT 87181 | $96.60 | $161.00 | $4.41 – $13.02 | 12 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $68.40 | $114.00 | $4.41 – $12.72 | 12 |
| Susceptibility mic per plate CPT 87186 | $168.60 | $281.00 | $8.04 – $16.87 | 12 |
| Suscept studies macrobroth dilution ea CPT 87188 | $71.40 | $119.00 | $6.17 – $17.75 | 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.