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 |
|---|---|---|---|---|
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | $803.88 – $7,491.76 | 14 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $597.85 – $3,402.68 | 14 |
| Shoe post-op mens m HCPCS L3260 | $315.60 | $526.00 | $69.99 – $431.60 | 2 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $134.40 | $224.00 | $13.97 – $74.64 | 14 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $686.40 | $1,144.00 | $22.80 – $104.68 | 14 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $931.20 – $7,491.76 | 12 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $686.40 | $1,144.00 | $19.80 – $111.52 | 11 |
| Shoulder MRI (with and without contrast) CPT 73223 | $9,808.20 | $16,347.00 | $367.72 – $2,730.06 | 12 |
| Shoulder MRI (with contrast) CPT 73222 | $8,004.00 | $13,340.00 | $369.30 – $1,516.92 | 12 |
| Shoulder MRI (without contrast) CPT 73221 | $6,214.20 | $10,357.00 | $248.89 – $1,371.64 | 12 |
| Shoulder X-ray CPT 73030 | $686.40 | $1,144.00 | $19.80 – $92.34 | 11 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $686.40 | $1,144.00 | $17.41 – $92.34 | 11 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $10,690.80 | $17,818.00 | $489.17 – $9,351.81 | 2 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $355.80 | $593.00 | $33.83 – $159.81 | 14 |
| Sialidase enzyme assay CPT 87905 | $145.80 | $243.00 | $12.07 – $33.48 | 14 |
| Sialography s&i CPT 70390 | $3,618.60 | $6,031.00 | $25.20 – $255.77 | 14 |
| Sickling rbc CPT 85660 | $405.00 | $675.00 | $3.00 – $9.25 | 14 |
| Sigmoidoscopy and biopsy CPT 45331 | $3,235.80 | $5,393.00 | $70.04 – $956.13 | 14 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | $8,428.80 | $14,048.00 | $135.27 – $956.13 | 14 |
| Sigmoidoscopy for bleeding CPT 45334 | $8,947.80 | $14,913.00 | $123.20 – $1,236.52 | 14 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | $3,480.00 | $5,800.00 | $86.52 – $956.13 | 14 |
| Sigmoidoscopy w/ablation CPT 45346 | $8,947.80 | $14,913.00 | $220.66 – $1,236.52 | 9 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | $4,095.60 | $6,826.00 | $55.00 – $1,236.52 | 14 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | $9,549.00 | $15,915.00 | $112.93 – $6,242.82 | 9 |
| Sigmoidoscopy w/resection CPT 45349 | $3,417.60 | $5,696.00 | $112.93 – $2,875.99 | 9 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $3,235.80 | $5,393.00 | $134.15 – $1,236.52 | 14 |
| Sigmoidoscopy w/ultrasound CPT 45341 | $1,215.60 | $2,026.00 | $147.92 – $956.13 | 14 |
| Sigmoidoscopy w/us guide bx CPT 45342 | $1,741.80 | $2,903.00 | $219.74 – $1,236.52 | 14 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | $3,596.40 | $5,994.00 | $104.10 – $956.13 | 14 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | $505.20 | $842.00 | $25.84 – $62.75 | 12 |
| Sig w/tndsc balloon dilation CPT 45340 | $9,642.00 | $16,070.00 | $109.36 – $1,236.52 | 14 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $753.00 | $1,255.00 | $77.89 – $123.36 | 6 |
| Sinus CT scan (with and without contrast) CPT 70488 | $5,112.00 | $8,520.00 | $120.00 – $998.86 | 14 |
| Sinus CT scan (with contrast) CPT 70487 | $4,599.60 | $7,666.00 | $96.00 – $825.00 | 14 |
| Sinus CT scan (without contrast) CPT 70486 | $2,937.00 | $4,895.00 | $93.00 – $697.71 | 14 |
| Sinus/juglr venogram s&i CPT 75860 | $9,229.80 | $15,383.00 | $18.00 – $3,300.84 | 14 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $424.05 – $6,203.86 | 14 |
| Sinus X-ray (complete) CPT 70220 | $686.40 | $1,144.00 | $27.00 – $127.35 | 14 |
| Sinus X-ray (limited) CPT 70210 | $686.40 | $1,144.00 | $19.80 – $95.40 | 14 |
| Sirolimus, oral HCPCS J7520 | $1,122.00 | $1,870.00 | $0.55 – $12.22 | 7 |
| Skin Biopsy CPT 11102 | $1,055.40 | $1,759.00 | $35.45 – $931.20 | 14 |
| Skin full graft add-on 15241 CPT 15241 | not published | not published | $120.74 – $1,524.01 | 5 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $844.93 – $3,874.97 | 12 |
| Skin test unlisted antigen ea CPT 86486 | $53.40 | $89.00 | $9.83 – $25.68 | 11 |
| Skull X-ray (1 to 3 views) CPT 70250 | $686.40 | $1,144.00 | $25.20 – $129.80 | 14 |
| Skull X-ray (complete) CPT 70260 | $1,154.40 | $1,924.00 | $32.99 – $152.60 | 14 |
| Skyla, 13.5 mg HCPCS J7301 | $3,186.00 | $5,310.00 | $552.05 – $1,152.98 | 3 |
| Sleep Study (Polysomnography) CPT 95810 | $7,861.80 | $13,103.00 | $324.38 – $1,164.47 | 14 |
| Sleep study unattended CPT 95806 | $2,213.40 | $3,689.00 | $106.45 – $2,046.97 | 12 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $215.40 | $359.00 | $8.71 – $65.28 | 3 |
| Sling suprapubic suburetheral HCPCS C1771 | $21,560.40 | $35,934.00 | $893.89 – $6,494.76 | 2 |
| Slp pure tone screening CPT 92551 | $93.00 | $155.00 | $8.80 – $17.00 | 9 |
| Sm-153 lexidron ther HCPCS A9604 | $31,245.00 | $52,075.00 | $4,660.10 – $42,804.45 | 9 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $1,312.80 | $2,188.00 | $27.00 – $217.08 | 14 |
| Small bowel endoscopy CPT 44360 | $4,330.80 | $7,218.00 | $149.01 – $1,989.40 | 14 |
| Small bowel endoscopy CPT 44364 | $6,099.00 | $10,165.00 | $210.00 – $1,989.40 | 14 |
| Small bowel endoscopy CPT 44366 | $8,934.60 | $14,891.00 | $228.25 – $1,989.40 | 14 |
| Small bowel endoscopy CPT 44369 | $11,984.40 | $19,974.00 | $228.25 – $1,989.40 | 14 |
| Small bowel endoscopy CPT 44376 | not published | not published | $291.29 – $1,989.40 | 14 |
| Small bowel endoscopy CPT 44382 | $8,947.80 | $14,913.00 | $76.74 – $983.24 | 14 |
| Small bowel endoscopy CPT 44384 | $1,967.40 | $3,279.00 | $109.10 – $1,989.40 | 9 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | $5,407.20 | $9,012.00 | $197.48 – $1,989.40 | 14 |
| Small bowel endoscopy/biopsy CPT 44361 | $4,330.80 | $7,218.00 | $164.24 – $1,989.40 | 14 |
| Small bowel endoscopy br/wa CPT 44380 | $8,947.80 | $14,913.00 | $64.44 – $983.24 | 14 |
| Small bowel endoscopy br/wa CPT 44381 | $3,523.20 | $5,872.00 | $109.10 – $1,989.40 | 9 |
| Small bowel endoscopy/stent 44370 CPT 44370 | $13,989.00 | $23,315.00 | $503.64 – $6,242.82 | 11 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | $614.40 | $1,024.00 | $0.01 – $15.57 | 12 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $507.60 | $846.00 | $3.00 – $8.39 | 14 |
| Smear gram stain CPT 87205 | $686.40 | $1,144.00 | $4.22 – $8.33 | 14 |
| Smear nasal eosinophil CPT 89190 | $492.00 | $820.00 | $5.72 – $10.34 | 14 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $840.60 | $1,401.00 | $4.50 – $11.69 | 14 |
| Smear wet mount CPT 87210 | $165.00 | $275.00 | $5.75 – $11.71 | 14 |
| Sodium 24 hour urine CPT 84300 | $508.20 | $847.00 | $5.01 – $10.46 | 14 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $55.65 | $92.75 | $0.00 – $15.24 | 7 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $76.20 | $127.00 | $0.80 – $13.29 | 6 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $76.20 | $127.00 | $0.03 – $13.29 | 7 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $80.40 | $134.00 | $0.02 – $0.02 | 1 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $89.40 | $149.00 | $1.28 – $15.33 | 6 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $2,860.80 | $4,768.00 | $45.16 – $272.22 | 6 |
| Sodium serum/plasma/whole blood CPT 84295 | $215.40 | $359.00 | $4.76 – $10.12 | 14 |
| Solid skin barrier HCPCS A4362 | $7.80 | $13.00 | $4.44 – $31.33 | 5 |
| Solid skin barrier 6x6 HCPCS A5121 | $17.40 | $29.00 | $7.85 – $59.12 | 5 |
| Somatosensory testing CPT 95927 | $760.80 | $1,268.00 | $39.19 – $326.57 | 14 |
| Somatropin injection HCPCS J2941 | $2,111.40 | $3,519.00 | $51.86 – $74.87 | 8 |
| So neo gsap dna/dna&rna CPT 81459 | $4,153.80 | $6,923.00 | $1,061.95 – $3,723.44 | 11 |
| Spacer bag/reservoir HCPCS A4627 | $189.60 | $316.00 | $21.60 – $439.67 | 3 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $306.62 – $1,348.69 | 2 |
| Special physics consult CPT 77370 | $1,254.00 | $2,090.00 | $106.15 – $383.12 | 14 |
| Special radiation dosimetry CPT 77331 | $1,048.20 | $1,747.00 | $20.95 – $203.51 | 14 |
| Special radiation treatment CPT 77470 | $4,554.00 | $7,590.00 | $25.80 – $1,547.47 | 14 |
| Special teletx port plan CPT 77321 | $1,078.80 | $1,798.00 | $37.80 – $590.88 | 14 |
| Specific gravity body fluid CPT 84315 | $209.40 | $349.00 | $2.40 – $6.89 | 12 |
| Specimen fat stain CPT 89125 | $357.00 | $595.00 | $5.80 – $11.84 | 14 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $393.00 | $655.00 | $138.75 – $718.81 | 5 |
| Speech audiometry complete CPT 92556 | $122.40 | $204.00 | $16.50 – $78.62 | 14 |
| Speech evaluation complex CPT 70371 | $1,349.40 | $2,249.00 | $58.10 – $364.55 | 14 |
| Speech Therapy Session (one-on-one) CPT 92507 | $235.80 | $393.00 | $23.87 – $90.75 | 11 |
| Sperm antibody test CPT 89325 | $239.40 | $399.00 | $7.81 – $20.81 | 12 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $81.61 – $977.47 | 5 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $62.83 – $382.81 | 2 |
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.