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 |
|---|---|---|---|---|
| Tympanic membrane repair CPT 69610 | $8,426.40 | $14,044.00 | $91.30 – $1,646.97 | 12 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | $2,813.40 | $4,689.00 | $83.05 – $550.23 | 12 |
| Tyms gene com variants CPT 81346 | $1,070.40 | $1,784.00 | $111.91 – $200.90 | 11 |
| Ua w/micro/comp poc CPT 81000 | $28.20 | $47.00 | $2.25 – $6.15 | 12 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | $133.20 | $222.00 | $28.17 – $77.83 | 9 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $894.00 | $1,490.00 | $34.92 – $134.96 | 11 |
| Ultrasound dx ophth b-scan CPT 76512 | $600.60 | $1,001.00 | $94.21 – $273.67 | 11 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $464.40 | $774.00 | $94.21 – $211.01 | 12 |
| Ultrasound Guidance for a Needle Procedure CPT 76942 | $2,769.60 | $4,616.00 | $79.20 – $275.05 | 8 |
| Ultrasound guidance for vascular access CPT 76937 | $381.60 | $636.00 | $28.08 – $70.48 | 8 |
| Ultrasound joint complete left CPT 76881 | $965.40 | $1,609.00 | $94.21 – $197.74 | 11 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $1,759.20 | $2,932.00 | $81.52 – $760.36 | 8 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $169.20 | $282.00 | $43.05 – $154.99 | 8 |
| Ultrasound prostate/transrectal CPT 76872 | $1,384.20 | $2,307.00 | $94.21 – $275.53 | 12 |
| Unlisted CT procedure CPT 76497 | $624.00 | $1,040.00 | $22.36 – $92.34 | 9 |
| Unlisted fluoroscopic px CPT 76496 | not published | not published | $37.44 – $92.34 | 9 |
| Unlisted hematology&coagj px CPT 85999 | $41.40 | $69.00 | $6.93 – $11.71 | 2 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | not published | $70.22 – $6,118.60 | 8 |
| Unlisted mr procedure CPT 76498 | $942.00 | $1,570.00 | $66.24 – $92.34 | 9 |
| Unlisted procedure colon CPT 45399 | $2,595.60 | $4,326.00 | $807.76 – $956.13 | 8 |
| Unlisted procedure esophagus CPT 43499 | $152.40 | $254.00 | $18.77 – $983.24 | 9 |
| Unlisted procedure larynx CPT 31599 | $104.40 | $174.00 | $18.77 – $243.53 | 9 |
| Unlisted procedure microbiology CPT 87999 | $312.00 | $520.00 | $70.39 – $93.04 | 2 |
| Unlisted procedure rectum CPT 45999 | $845.40 | $1,409.00 | $18.77 – $956.13 | 9 |
| Unlisted px ant segment eye CPT 66999 | $89.40 | $149.00 | $18.77 – $2,391.84 | 9 |
| Unlisted px casting/strpg CPT 29799 | $93.00 | $155.00 | $18.77 – $165.47 | 9 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $18.77 – $251.57 | 9 |
| Unlisted px male genital sys CPT 55899 | $90.60 | $151.00 | $18.77 – $255.06 | 9 |
| Unlisted px posterior segmnt CPT 67299 | $4,036.20 | $6,727.00 | $628.32 – $2,391.84 | 8 |
| Unlisted px salivry glnd/dux CPT 42699 | $93.60 | $156.00 | $18.77 – $243.53 | 9 |
| Unlisted px small intestine CPT 44799 | $2,995.80 | $4,993.00 | $18.77 – $983.24 | 9 |
| Unlisted px tongue flr mouth CPT 41599 | $103.20 | $172.00 | $18.77 – $243.53 | 9 |
| Unlisted transfusion med px CPT 86999 | $306.00 | $510.00 | $6.76 – $25.68 | 9 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $1,560.60 | $2,601.00 | $121.97 – $733.81 | 9 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $419.40 | $699.00 | $28.00 – $92.34 | 11 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | $2,654.40 | $4,424.00 | $157.72 – $947.50 | 12 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $1,795.80 | $2,993.00 | $94.21 – $815.23 | 12 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $5,999.40 | $9,999.00 | $316.41 – $3,066.99 | 13 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $4,621.20 | $7,702.00 | $316.41 – $1,742.06 | 13 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $3,801.60 | $6,336.00 | $214.16 – $1,584.44 | 13 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $419.40 | $699.00 | $34.03 – $111.52 | 12 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $419.40 | $699.00 | $34.68 – $113.60 | 12 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $1,895.40 | $3,159.00 | $137.74 – $983.24 | 12 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $2,214.00 | $3,690.00 | $163.44 – $983.24 | 12 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $699.00 | $1,165.00 | $73.15 – $291.08 | 12 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $699.00 | $1,165.00 | $71.50 – $272.29 | 12 |
| Uppr gi scope w/submuc inj CPT 43236 | $1,876.80 | $3,128.00 | $166.71 – $983.24 | 12 |
| Urea nitrogen CPT 84520 | $89.40 | $149.00 | $3.67 – $7.69 | 12 |
| Urea nitrogen 24 hour urine CPT 84540 | $89.40 | $149.00 | $5.17 – $12.76 | 11 |
| Urea nitrogen clearance CPT 84545 | $72.00 | $120.00 | $5.50 – $17.75 | 12 |
| Ureteral embolization/occl CPT 50705 | $9,301.80 | $15,503.00 | $1,145.02 – $2,526.01 | 3 |
| Urethrocystography void s&i CPT 74455 | $1,624.80 | $2,708.00 | $46.75 – $253.50 | 12 |
| Uric acid blood CPT 84550 | $115.80 | $193.00 | $4.20 – $8.82 | 12 |
| Uric acid urine CPT 84560 | $126.60 | $211.00 | $2.24 – $6.23 | 12 |
| Urinalysis microscopic only CPT 81015 | $58.80 | $98.00 | $2.83 – $8.33 | 12 |
| Urinalysis (with microscopy) CPT 81001 | $131.40 | $219.00 | $2.95 – $8.48 | 12 |
| Urinalysis (without microscopy) CPT 81003 | $71.40 | $119.00 | $2.09 – $6.17 | 12 |
| Urinary pouch on barr w/flng HCPCS A5073 | $165.00 | $275.00 | $5.31 – $25.84 | 4 |
| Urine Culture Test CPT 87086 | $255.60 | $426.00 | $7.50 – $15.54 | 12 |
| Urine pregnancy test CPT 81025 | $49.20 | $82.00 | $4.40 – $17.36 | 12 |
| Urography, antegrade CPT 74425 | $1,624.80 | $2,708.00 | $41.25 – $374.53 | 12 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $55.80 | $93.00 | $8.20 – $14.29 | 9 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $746.40 | $1,244.00 | $138.84 – $232.54 | 9 |
| Vaccine Administration (one shot) CPT 90471 | $12.00 | $20.00 | $1.71 – $74.64 | 9 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $340.20 | $567.00 | $44.00 – $309.98 | 6 |
| Vaccine dtap < 7 years im CPT 90700 | $34.20 | $57.00 | $11.00 – $20.68 | 6 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $31.20 | $52.00 | $11.00 – $34.83 | 6 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $91.20 | $152.00 | $11.00 – $111.56 | 6 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $117.60 | $196.00 | $11.00 – $177.14 | 6 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $72.60 | $121.00 | $11.00 – $166.58 | 8 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $881.40 | $1,469.00 | $11.00 – $177.56 | 6 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $49.80 | $83.00 | $11.00 – $63.26 | 8 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | $186.00 | $310.00 | $176.91 – $256.71 | 2 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | $12.00 | $20.00 | $11.00 – $17.04 | 6 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $12.60 | $21.00 | $11.00 – $31.69 | 8 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | $15.00 | $25.00 | $11.00 – $17.36 | 6 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | $57.00 | $95.00 | $11.00 – $68.80 | 8 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $18.00 | $30.00 | $11.00 – $49.49 | 6 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $82.20 | $137.00 | $11.00 – $129.18 | 6 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $97.80 | $163.00 | $11.00 – $79.85 | 6 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $91.80 | $153.00 | $11.00 – $175.42 | 6 |
| Vaccine mmr live subcutaneous CPT 90707 | $48.60 | $81.00 | $11.00 – $25.95 | 6 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $75.00 | $125.00 | $11.00 – $133.47 | 8 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $144.00 | $240.00 | $11.00 – $257.99 | 6 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $144.00 | $240.00 | $11.00 – $312.90 | 6 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $40.20 | $67.00 | $9.53 – $17.04 | 6 |
| Vaccine rabies im CPT 90675 | $600.00 | $1,000.00 | $11.00 – $345.05 | 10 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | $504.00 | $840.00 | $11.00 – $730.71 | 6 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $1,195.80 | $1,993.00 | $11.00 – $1,226.11 | 6 |
| Vaccine tdap >=7 years im CPT 90715 | $31.80 | $53.00 | $11.00 – $74.61 | 6 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $66.60 | $111.00 | $11.00 – $39.14 | 6 |
| Vaccine typhoid vicps im CPT 90691 | $46.80 | $78.00 | $11.00 – $71.55 | 6 |
| Vacuum drain bottle/tube kit HCPCS A7048 | $360.60 | $601.00 | $31.28 – $126.04 | 4 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $1,764.04 – $5,176.94 | 11 |
| Vag hyst including t/o CPT 58262 | not published | not published | $1,631.13 – $5,176.94 | 11 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $1,585.25 – $2,366.89 | 3 |
| Valproic acid total therapeutic drug level CPT 80164 | $304.80 | $508.00 | $12.58 – $26.20 | 12 |
| Valvuloplasty aortic CPT 92986 | $6,420.60 | $10,701.00 | $990.14 – $5,979.29 | 9 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $1.20 | $2.00 | $0.02 – $0.03 | 4 |
| Vancomycin hcl injection HCPCS J3370 | $280.20 | $467.00 | $14.64 – $14.64 | 1 |
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.