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 |
|---|---|---|---|---|
| Ghs ot sensory integrative tech/15min CPT 97533 | $159.60 | $266.00 | $47.49 – $70.53 | 5 |
| Ghs pacing - transcutaneous CPT 92953 | $1,393.20 | $2,322.00 | $137.99 – $1,434.46 | 12 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $3,157.80 | $5,263.00 | $59.52 – $519.57 | 5 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $2,703.60 | $4,506.00 | $50.89 – $446.13 | 5 |
| Ghs peritonsillar abscess i andd CPT 42700 | $3,560.40 | $5,934.00 | $68.20 – $931.20 | 14 |
| Ghs phenylketonurid CPT 84030 | $249.60 | $416.00 | $5.44 – $15.11 | 14 |
| Ghs picc line insert < 5 CPT 36568 | $4,480.80 | $7,468.00 | $97.24 – $1,629.12 | 14 |
| Ghs plngl fx pm cl CPT 26725 | $852.60 | $1,421.00 | $84.70 – $877.20 | 14 |
| Ghs plt ct-manual CPT 85032 | $147.00 | $245.00 | $3.00 – $11.65 | 14 |
| Ghs pos nystagmus CPT 92542 | $591.00 | $985.00 | $11.26 – $135.18 | 14 |
| Ghs ppd (tb intradermal) CPT 86580 | $51.00 | $85.00 | $5.50 – $27.87 | 14 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $87.60 | $146.00 | $9.55 – $18.88 | 14 |
| Ghs protoporphyrins fract CPT 84202 | $147.00 | $245.00 | $14.19 – $39.39 | 14 |
| Ghs pr without cont pulse ox CPT 94625 | $181.80 | $303.00 | $26.85 – $199.37 | 12 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $799.80 | $1,333.00 | $7.00 – $29.54 | 14 |
| Ghs quinidine CPT 80194 | $126.60 | $211.00 | $14.43 – $28.49 | 14 |
| Ghs removal intranasal foreign body CPT 30300 | $529.20 | $882.00 | $24.75 – $931.20 | 14 |
| Ghs removal pharyngeal foreign body CPT 42809 | $316.20 | $527.00 | $56.30 – $931.20 | 14 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $168.60 | $281.00 | $15.71 – $35.33 | 14 |
| Ghs reticulocyte count CPT 85044 | $429.60 | $716.00 | $4.00 – $8.39 | 14 |
| Ghs sedimentation rate CPT 85651 | $283.20 | $472.00 | $3.00 – $6.92 | 14 |
| Ghs sensitivity (per antimicro) CPT 87184 | $520.80 | $868.00 | $7.39 – $13.45 | 14 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $4,765.20 | $7,942.00 | $101.20 – $931.20 | 14 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $4,765.20 | $7,942.00 | $101.20 – $931.20 | 14 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $8,408.40 | $14,014.00 | $101.20 – $931.20 | 14 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $4,144.20 | $6,907.00 | $101.20 – $931.20 | 14 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $1,341.60 | $2,236.00 | $52.25 – $931.20 | 14 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $1,341.60 | $2,236.00 | $53.35 – $885.60 | 14 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $1,341.60 | $2,236.00 | $67.65 – $658.80 | 14 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $4,765.20 | $7,942.00 | $101.20 – $931.20 | 14 |
| Ghs sleep study unattended CPT 95800 | $2,205.60 | $3,676.00 | $110.44 – $392.62 | 14 |
| Ghs somatosensory testing lower extremit CPT 95926 | $753.00 | $1,255.00 | $38.95 – $326.57 | 14 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $1,048.20 | $1,747.00 | $221.27 – $556.45 | 14 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $189.00 | $315.00 | $35.98 – $69.54 | 5 |
| Ghs sphenopalatine ganglion block CPT 64505 | $1,002.60 | $1,671.00 | $59.95 – $309.57 | 14 |
| Ghs spont nystagmus CPT 92541 | $378.00 | $630.00 | $9.53 – $135.18 | 14 |
| Ghs st - eval for alt comm CPT 92567 | $173.40 | $289.00 | $13.20 – $75.67 | 14 |
| Ghs st - re-eval for alt comm CPT 92597 | $1,321.80 | $2,203.00 | $53.09 – $232.49 | 5 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $3,560.40 | $5,934.00 | $103.40 – $931.20 | 14 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $3,063.60 | $5,106.00 | $129.80 – $931.20 | 14 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $5,776.80 | $9,628.00 | $225.73 – $1,553.44 | 14 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $852.60 | $1,421.00 | $80.30 – $931.20 | 14 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $4,030.20 | $6,717.00 | $241.78 – $931.20 | 14 |
| Ghs urine, hydroxproline total CPT 83505 | $251.40 | $419.00 | $24.02 – $66.71 | 14 |
| Ghs urine, porphyrins quant CPT 84120 | $961.20 | $1,602.00 | $7.50 – $22.69 | 14 |
| Ghs vaginal delivery only CPT 59409 | $11,280.60 | $18,801.00 | $630.14 – $3,334.43 | 12 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $2,811.60 | $4,686.00 | $546.33 – $1,245.36 | 12 |
| Giardia lamblia antibody CPT 86674 | $138.00 | $230.00 | $10.78 – $28.37 | 12 |
| Gi inhouse confirmation CPT 87045 | $649.80 | $1,083.00 | $6.90 – $18.41 | 14 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $2,521.80 | $4,203.00 | $632.99 – $2,219.33 | 14 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $325.74 – $1,266.12 | 11 |
| Gi trc img intral esophagus CPT 91111 | $6,183.60 | $10,306.00 | $590.79 – $1,519.62 | 12 |
| Gi wireless capsule measure CPT 91112 | $5,499.60 | $9,166.00 | $604.27 – $2,084.15 | 11 |
| Gjb2 gene full sequence CPT 81252 | $571.80 | $953.00 | $74.02 – $116.21 | 11 |
| Gjb2 gene known fam variants CPT 81253 | $706.80 | $1,178.00 | $45.04 – $70.70 | 11 |
| Gjb6 gene com variants CPT 81254 | $571.80 | $953.00 | $23.87 – $40.22 | 11 |
| Glassia injection HCPCS J0257 | $41.40 | $69.00 | $3.56 – $6.72 | 10 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $2,251.20 | $3,752.00 | $115.20 – $200.69 | 10 |
| Glucagon plasma - sendout CPT 82943 | $316.20 | $527.00 | $14.12 – $39.20 | 14 |
| Glucose 1 hr post dose CPT 82950 | $90.60 | $151.00 | $4.70 – $10.17 | 14 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $71.40 | $119.00 | $2.00 – $7.13 | 14 |
| Glucose blood quantitative CPT 82947 | $202.80 | $338.00 | $3.89 – $7.67 | 14 |
| Glucose body fluid CPT 82945 | $156.00 | $260.00 | $3.89 – $10.51 | 14 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $255.60 | $426.00 | $33.72 – $90.09 | 14 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $138.00 | $230.00 | $12.50 – $25.13 | 14 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $25.20 | $42.00 | $3.27 – $5.20 | 14 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $11.70 | $19.50 | $0.29 – $1.51 | 11 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $826.20 | $1,377.00 | $17.50 – $36.25 | 14 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $793.80 | $1,323.00 | $17.00 – $36.12 | 14 |
| Goniotomy CPT 65820 | not published | not published | $432.85 – $4,218.84 | 14 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $1,779.00 | $2,965.00 | $463.24 – $807.04 | 10 |
| Graft axiofill 1000mg HCPCS J3590 | $4,590.60 | $7,651.00 | $1,377.18 – $6,503.35 | 16 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $37,447.20 | $62,412.00 | $60.78 – $115.62 | 2 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $45,505.20 | $75,842.00 | $602.38 – $7,422.72 | 2 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $55,935.00 | $93,225.00 | $642.53 – $2,665.92 | 2 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $313.80 | $523.00 | $64.31 – $80.45 | 2 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $11,093.40 | $18,489.00 | $17.23 – $64.88 | 2 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $53,576.40 | $89,294.00 | $3,429.00 – $21,679.25 | 18 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $118,942.80 | $198,238.00 | $211.31 – $2,092.52 | 2 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $3,166.80 | $5,278.00 | $1,966.75 – $1,966.75 | 1 |
| Granisetron hcl injection HCPCS J1626 | $1,821.60 | $3,036.00 | $0.12 – $33.29 | 6 |
| Granulocyte pheresis ea unit HCPCS P9050 | $11,250.60 | $18,751.00 | $1,125.90 – $1,125.90 | 1 |
| Great toe with reduction 28495 CPT 28495 | $5,289.00 | $8,815.00 | $83.05 – $931.20 | 14 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $325.46 – $3,839.33 | 12 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $103.17 – $283.68 | 5 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $931.20 – $2,421.53 | 12 |
| G-tube reposition CPT 43761 | $6,670.20 | $11,117.00 | $103.87 – $736.75 | 14 |
| Gu dilat ureter/urethra s&i CPT 74485 | $10,866.00 | $18,110.00 | $93.32 – $2,148.31 | 14 |
| Guided cath fluid drainage 10030 CPT 10030 | $1,753.80 | $2,923.00 | $137.81 – $1,381.89 | 14 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $34,584.60 | $57,641.00 | $543.53 – $5,314.27 | 2 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $10,604.40 | $17,674.00 | $61.72 – $765.99 | 2 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $5,545.80 | $9,243.00 | $55.77 – $816.06 | 2 |
| Guid loc target vol rad tx CPT 77387 | $1,322.40 | $2,204.00 | $16.04 – $135.55 | 9 |
| Gw stiffened micro access kit HCPCS C1894 | $15,680.40 | $26,134.00 | $48.36 – $676.98 | 2 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $3,586.80 | $5,978.00 | $2.78 – $52.43 | 7 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $421.80 | $703.00 | $0.51 – $11.73 | 7 |
| Hand-held pefr meter a4614 HCPCS A4614 | $25.80 | $43.00 | $22.80 – $215.13 | 5 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $146.40 | $244.00 | $23.13 – $59.42 | 11 |
| Hand X-ray CPT 73130 | $686.40 | $1,144.00 | $13.80 – $92.34 | 11 |
| Hand X-ray (2 views, both hands) CPT 73120 | $686.40 | $1,144.00 | $12.00 – $111.52 | 11 |
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.