UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
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 |
|---|---|---|---|---|
| Fna bx w/ct gdn ea addl CPT 10010 | $1,085.40 | $1,809.00 | $74.79 – $433.21 | 11 |
| Fna bx w/mr gdn 1st les CPT 10011 | $1,085.40 | $1,809.00 | $76.81 – $737.87 | 12 |
| Foam drg >16<=48 sq in w/bdr HCPCS A6213 | $34.20 | $57.00 | $13.92 – $65.91 | 3 |
| Foam drg >16<=48 sq in without b HCPCS A6210 | $102.00 | $170.00 | $21.53 – $180.18 | 5 |
| Foam drg <=16 sq in w/border HCPCS A6212 | $81.00 | $135.00 | $10.49 – $87.74 | 5 |
| Foam drg > 48 sq in without brdr HCPCS A6211 | $58.20 | $97.00 | $31.75 – $265.65 | 5 |
| Foam drsg <=16 sq in without bdr HCPCS A6209 | $28.20 | $47.00 | $8.10 – $67.63 | 5 |
| Folic acid CPT 82746 | $1,187.40 | $1,979.00 | $12.00 – $28.69 | 14 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $1.05 | $1.75 | $0.04 – $0.06 | 5 |
| Follow-up angiography CPT 75898 | $5,260.20 | $8,767.00 | $154.34 – $3,300.84 | 11 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $472.57 – $2,446.62 | 14 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $7,431.60 | $12,386.00 | $6.66 – $23.68 | 8 |
| Fondaparinux sodium HCPCS J1652 | $1,206.60 | $2,011.00 | $0.46 – $26.50 | 7 |
| Foot plate molded stirrup at HCPCS L2250 | $1,242.60 | $2,071.00 | $270.00 – $2,808.07 | 5 |
| Foot X-ray CPT 73630 | $686.40 | $1,144.00 | $13.80 – $92.34 | 11 |
| Foot X-ray (2 views, both feet) CPT 73620 | $686.40 | $1,144.00 | $12.00 – $92.34 | 11 |
| Forearm X-ray (both sides) CPT 73090 | $686.40 | $1,144.00 | $13.80 – $92.34 | 11 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $903.55 – $3,839.33 | 12 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $6,114.60 | $10,191.00 | $157.28 – $652.51 | 12 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $1,537.20 | $2,562.00 | $0.06 – $3.27 | 6 |
| Foscarnet sodium injection HCPCS J1455 | $2,358.00 | $3,930.00 | $10.15 – $22.72 | 10 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $516.00 | $860.00 | $13.34 – $13.34 | 1 |
| Fracture assessment via dxa CPT 77086 | $198.60 | $331.00 | $17.02 – $92.34 | 11 |
| _fragile x methylation-sendout CPT 81244 | $1,007.40 | $1,679.00 | $24.11 – $385.73 | 14 |
| Fragmenting of kidney stone CPT 50590 | $9,055.80 | $15,093.00 | $274.45 – $3,617.00 | 14 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $1,694.40 | $2,824.00 | $33.00 – $170.24 | 14 |
| Fresh frozen plasma thawing ea un CPT 86927 | $93.60 | $156.00 | $28.98 – $179.71 | 10 |
| Frozen cell preparation CPT 88241 | $138.00 | $230.00 | $8.84 – $27.08 | 12 |
| Fructosamine glycated protein CPT 82985 | $282.60 | $471.00 | $16.44 – $26.20 | 14 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $1,154.40 | $1,924.00 | $30.29 – $111.52 | 14 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $736.75 – $2,112.63 | 12 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $736.75 – $1,918.35 | 12 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $6,063.00 | $10,105.00 | $844.93 – $1,918.35 | 12 |
| Functional brain mapping CPT 96020 | $2,565.00 | $4,275.00 | $337.77 – $337.77 | 1 |
| Fundus photography with i&r 92250 CPT 92250 | $178.20 | $297.00 | $24.75 – $135.18 | 14 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $0.60 | $1.00 | $0.01 – $0.22 | 6 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | $12.00 | $20.00 | $2.06 – $2.06 | 1 |
| Fuse esophagus & stomach CPT 43320 | $17,967.60 | $29,946.00 | $990.60 – $4,216.59 | 4 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $638.55 – $13,493.67 | 14 |
| Fusion of big toe joint CPT 28750 | not published | not published | $306.35 – $7,491.76 | 14 |
| Fusion of big toe joint CPT 28755 | not published | not published | $234.85 – $7,491.76 | 14 |
| Fusion of finger joint CPT 26860 | not published | not published | $844.93 – $3,402.68 | 12 |
| Fusion of knuckle CPT 26850 | not published | not published | $288.75 – $7,491.76 | 14 |
| Fxn gene detc abnor alleles CPT 81284 | $283.80 | $473.00 | $84.46 – $157.44 | 11 |
| G6pd full gene sequence CPT 81249 | $3,029.40 | $5,049.00 | $384.14 – $689.53 | 11 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $1,032.60 | $1,721.00 | $60.10 – $484.04 | 2 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $286.80 | $478.00 | $46.99 – $167.05 | 9 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $10.80 | $18.00 | $0.17 – $1.22 | 6 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $282.00 | $470.00 | $0.93 – $4.82 | 8 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $0.60 | $1.00 | $0.07 – $0.17 | 6 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $90.60 | $151.00 | $9.30 – $24.34 | 8 |
| Galectin-3 CPT 82777 | $83.40 | $139.00 | $14.24 – $50.85 | 14 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $4,581.00 | $7,635.00 | $210.15 – $596.70 | 14 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $4,581.00 | $7,635.00 | $210.15 – $609.25 | 14 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $931.20 – $6,118.60 | 12 |
| Gallium illuccix 1 millicure HCPCS A9596 | $2,848.80 | $4,748.00 | $431.18 – $562.71 | 8 |
| Gamma globulin 1 cc inj HCPCS J1460 | $106.20 | $177.00 | $3.90 – $53.93 | 10 |
| Gammaglobulin iga CPT 82784 | $404.40 | $674.00 | $9.19 – $20.00 | 14 |
| Gammaglobulin ige CPT 82785 | $678.60 | $1,131.00 | $16.27 – $32.13 | 14 |
| Gamma glutamyltransferase CPT 82977 | $282.60 | $471.00 | $7.12 – $14.57 | 14 |
| Gammagraft HCPCS Q4111 | $4,537.80 | $7,563.00 | $9.68 – $14.19 | 2 |
| Gamunex-c/gammaked HCPCS J1561 | $260.40 | $434.00 | $30.92 – $92.47 | 10 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $1,251.60 | $2,086.00 | $24.97 – $64.29 | 6 |
| Gardner vag dna quant CPT 87512 | $483.00 | $805.00 | $30.56 – $111.86 | 12 |
| Gastroesophageal reflux test CPT 91034 | $1,531.20 | $2,552.00 | $135.50 – $556.89 | 14 |
| Gastro/jejuno tube, std HCPCS B4087 | $2,332.20 | $3,887.00 | $36.70 – $297.97 | 5 |
| Gauze >16<=48 no w/sal without b HCPCS A6223 | $2,152.80 | $3,588.00 | $2.60 – $21.91 | 5 |
| Gauze <=16 in no w/sal without b HCPCS A6222 | $2.40 | $4.00 | $2.29 – $19.29 | 5 |
| Gauze > 48 in no w/sal without b HCPCS A6224 | $13.80 | $23.00 | $3.90 – $32.69 | 5 |
| Gba gene CPT 81251 | $1,191.60 | $1,986.00 | $34.58 – $274.83 | 11 |
| Gc stocking thighlngth 18-30 HCPCS A6533 | $23.40 | $39.00 | $48.42 – $195.84 | 3 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $13,330.80 | $22,218.00 | $1.98 – $242.99 | 7 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | $31,680.60 | $52,801.00 | $133.01 – $260.28 | 10 |
| Generator barostim neo2 2014 HCPCS C1767 | $115,299.00 | $192,165.00 | $9,655.44 – $67,592.14 | 2 |
| Generator emblem MRI sicd subq HCPCS C1722 | $128,662.20 | $214,437.00 | $16,776.34 – $111,052.84 | 2 |
| Genetic tstg severe inh cond CPT 81443 | $18,150.60 | $30,251.00 | $1,509.63 – $6,305.54 | 12 |
| Genome sequence analysis CPT 81425 | $7,352.40 | $12,254.00 | $3,101.93 – $5,781.91 | 11 |
| Genome sequence analysis CPT 81426 | $4,439.40 | $7,399.00 | $1,670.80 – $3,114.30 | 11 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $1,068.60 | $1,781.00 | $1.39 – $11.60 | 7 |
| Gentamicin peak therapeutic drug level CPT 80170 | $919.20 | $1,532.00 | $12.00 – $31.98 | 14 |
| G-esoph reflx tst w/electrod CPT 91035 | $1,296.60 | $2,161.00 | $281.61 – $1,099.98 | 14 |
| Ghs abscess perianal iandd CPT 46050 | $3,560.40 | $5,934.00 | $83.23 – $956.13 | 14 |
| Ghs abscess postoperative iandd complex CPT 10180 | $4,322.40 | $7,204.00 | $169.72 – $3,001.48 | 14 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $2,878.80 | $4,798.00 | $12.53 – $44.10 | 12 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $1,687.20 | $2,812.00 | $101.06 – $317.12 | 14 |
| Ghs antibodies (torch) igm CPT 86694 | $513.00 | $855.00 | $14.22 – $30.87 | 14 |
| Ghs aspiration bladder - needle CPT 51100 | $915.00 | $1,525.00 | $32.98 – $255.06 | 14 |
| Ghs bladder cath - complex-foley CPT 51703 | $1,717.20 | $2,862.00 | $82.07 – $931.20 | 14 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $1,647.60 | $2,746.00 | $38.50 – $931.20 | 14 |
| Ghs central line insert < age 5, failed CPT 36555 | $3,606.00 | $6,010.00 | $129.62 – $3,300.84 | 14 |
| Ghs change cysto/gastrost CPT 43762 | $2,815.20 | $4,692.00 | $34.21 – $343.78 | 14 |
| Ghs chemo >8 hrs CPT 96416 | $3,246.60 | $5,411.00 | $148.68 – $400.32 | 14 |
| Ghs chemo IV push, ea addtl CPT 96411 | $554.40 | $924.00 | $58.18 – $152.60 | 14 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $652.20 | $1,087.00 | $34.68 – $91.01 | 14 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $609.00 | $1,015.00 | $40.15 – $380.04 | 14 |
| Ghs closed reduction ankle dislocation CPT 27840 | $3,560.40 | $5,934.00 | $98.45 – $718.51 | 14 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $3,560.40 | $5,934.00 | $550.23 – $1,678.38 | 12 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $3,964.20 | $6,607.00 | $114.40 – $931.20 | 14 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $3,560.40 | $5,934.00 | $256.85 – $1,678.38 | 14 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | not published | not published | $268.40 – $1,918.35 | 14 |
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.