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 |
|---|---|---|---|---|
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,918.80 | $3,198.00 | $80.72 – $931.20 | 14 |
| Spine X-ray (single view, one level) CPT 72020 | $686.40 | $1,144.00 | $17.35 – $92.34 | 14 |
| Spleen imaging CPT 78185 | $992.40 | $1,654.00 | $46.80 – $421.41 | 14 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $4,211.40 | $7,019.00 | $293.72 – $841.14 | 5 |
| Splint finger 4 prong foam sm HCPCS A4570 | $4,609.20 | $7,682.00 | $20.92 – $154.37 | 2 |
| Splint func pos polyflex ii med HCPCS L3999 | $1,043.40 | $1,739.00 | $123.95 – $123.95 | 1 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $133.20 | $222.00 | $24.95 – $668.65 | 3 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $678.00 – $3,839.33 | 12 |
| Split blood or products CPT 86985 | $330.00 | $550.00 | $84.45 – $179.71 | 10 |
| Srs cranial lesion simple CPT 61796 | $11,250.60 | $18,751.00 | $533.70 – $1,493.72 | 11 |
| Srs cran les simple addl CPT 61797 | not published | not published | $123.74 – $405.17 | 11 |
| Srs linear based CPT 77372 | $19,575.60 | $32,626.00 | $694.74 – $8,016.91 | 14 |
| Srs multisource CPT 77371 | $33,912.60 | $56,521.00 | $915.42 – $8,016.91 | 14 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $393.00 | $655.00 | $69.79 – $423.10 | 5 |
| Stem cells total count CPT 86367 | $1,216.20 | $2,027.00 | $42.16 – $98.89 | 14 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $55,112.40 | $91,854.00 | $690.34 – $28,009.83 | 11 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $58,726.80 | $97,878.00 | $1,695.36 – $17,228.06 | 2 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $3,092.40 | $5,154.00 | $1,392.54 – $1,392.54 | 1 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $46,683.00 | $77,805.00 | $1,158.04 – $9,062.62 | 2 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $22,262.40 | $37,104.00 | $962.68 – $10,179.09 | 2 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $32,172.60 | $53,621.00 | $468.05 – $11,893.06 | 14 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $24,101.40 | $40,169.00 | $198.55 – $4,973.39 | 11 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $40,886.40 | $68,144.00 | $644.90 – $16,144.07 | 11 |
| Sterile gauze <= 16 sq in HCPCS A6402 | $2.40 | $4.00 | $0.14 – $1.09 | 5 |
| Sterile needle HCPCS A4215 | $6,580.20 | $10,967.00 | $0.15 – $732.21 | 3 |
| Sterile water/saline, 10 ml HCPCS A4216 | $35.55 | $59.25 | $0.07 – $4.07 | 4 |
| Sterile water/saline, 500 ml HCPCS A4217 | $39.60 | $66.00 | $3.00 – $28.34 | 3 |
| St evaluate speech sound production CPT 92522 | $393.00 | $655.00 | $66.90 – $586.08 | 5 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $827.40 | $1,379.00 | $46.55 – $225.26 | 11 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $2,901.00 | $4,835.00 | $118.80 – $611.76 | 14 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $996.60 | $1,661.00 | $22.00 – $165.47 | 14 |
| Strep a ag ia CPT 87430 | $48.60 | $81.00 | $6.30 – $19.32 | 14 |
| Strep b dna amp probe CPT 87653 | $443.40 | $739.00 | $34.68 – $92.02 | 14 |
| Streptozocin injection HCPCS J9320 | $2,809.80 | $4,683.00 | $133.72 – $133.72 | 1 |
| Stress test pulmonary CPT 94618 | $478.20 | $797.00 | $6.92 – $135.18 | 14 |
| Stress tte complete CPT 93351 | $3,415.80 | $5,693.00 | $143.05 – $575.01 | 14 |
| Str markers spec anal addl CPT 81266 | $1,683.00 | $2,805.00 | $194.50 – $350.30 | 11 |
| Str markers specimen anal CPT 81265 | $2,521.20 | $4,202.00 | $170.60 – $548.20 | 12 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $718.20 – $3,408.20 | 4 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $67.80 | $113.00 | $1.88 – $1.88 | 1 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | $1,646.97 – $3,839.33 | 10 |
| Sugars single quant CPT 84378 | $156.60 | $261.00 | $11.39 – $30.87 | 14 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $4,538,400.00 | $7,564,000.00 | $218.34 – $218.34 | 1 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $0.60 | $1.00 | $0.03 – $0.05 | 5 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $1,520.40 | $2,534.00 | $69.57 – $260.04 | 3 |
| Supp non-insulin inf cath/wk HCPCS A4221 | $24.00 | $40.00 | $21.74 – $204.81 | 5 |
| Support clav 29.6-40.5in med HCPCS L3650 | $133.20 | $222.00 | $60.07 – $484.94 | 5 |
| Surgical opening of throat CPT 42955 | not published | not published | $411.95 – $1,553.44 | 14 |
| Surgical pathology level 1 gross examination only CPT 88300 | $330.00 | $550.00 | $1.80 – $32.48 | 14 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $440.40 | $734.00 | $6.00 – $83.79 | 14 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $542.40 | $904.00 | $7.80 – $109.61 | 14 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $826.20 | $1,377.00 | $10.80 – $198.94 | 14 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $1,323.60 | $2,206.00 | $13.80 – $377.25 | 14 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $1,452.60 | $2,421.00 | $21.00 – $856.70 | 14 |
| Surgical trays HCPCS A4550 | $674.40 | $1,124.00 | $83.84 – $97.49 | 3 |
| Susceptibility agar dilution per agent CPT 87181 | $606.60 | $1,011.00 | $4.70 – $13.02 | 14 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $64.80 | $108.00 | $4.70 – $12.72 | 14 |
| Susceptibility mic per plate CPT 87186 | $88.20 | $147.00 | $8.00 – $16.87 | 14 |
| Suscept studies macrobroth dilution ea CPT 87188 | $3,450.60 | $5,751.00 | $6.00 – $17.75 | 14 |
| Svc venogram s&i CPT 75827 | $9,229.80 | $15,383.00 | $27.00 – $1,629.12 | 14 |
| Swallowing Evaluation (Bedside) CPT 92610 | $453.00 | $755.00 | $42.79 – $225.26 | 11 |
| Swallowing Therapy Session CPT 92526 | $335.40 | $559.00 | $57.29 – $424.73 | 5 |
| Sweat collection by iontophoresis CPT 89230 | $4,935.00 | $8,225.00 | $2.98 – $56.03 | 12 |
| Synvisc or synvisc-one HCPCS J7325 | $198.00 | $330.00 | $5.02 – $33.61 | 10 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $60.00 | $100.00 | $4.34 – $12.08 | 14 |
| System cardiomems hosp electronics HCPCS C2624 | $92,408.40 | $154,014.00 | $18,481.68 – $130,911.90 | 17 |
| System pacing micra av HCPCS C1786 | $45,109.20 | $75,182.00 | $3,424.88 – $21,161.84 | 2 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $33,284.40 | $55,474.00 | $4,422.80 – $29,860.93 | 2 |
| System recell skin grafting/harvesting HCPCS C1832 | $16,981.20 | $28,302.00 | $5,094.36 – $24,056.70 | 15 |
| T3 (triiodothyronine) free CPT 84481 | $349.80 | $583.00 | $16.74 – $36.44 | 14 |
| T3 (triiodothyronine) total CPT 84480 | $265.20 | $442.00 | $8.00 – $27.66 | 14 |
| T4 (thyroxine) free CPT 84439 | $609.00 | $1,015.00 | $8.00 – $17.60 | 14 |
| T4 (thyroxine) total CPT 84436 | $240.00 | $400.00 | $6.79 – $14.79 | 14 |
| Tacrol astagraf ex rel oral HCPCS J7508 | $3.15 | $5.25 | $0.34 – $5.51 | 7 |
| Tacrol envarsus ex rel oral HCPCS J7503 | $42.60 | $71.00 | $0.79 – $1.83 | 6 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $91.80 | $153.00 | $0.11 – $5.69 | 7 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $2,712.00 | $4,520.00 | $166.15 – $289.46 | 10 |
| Tacrolimus therapeutic drug level CPT 80197 | $798.00 | $1,330.00 | $13.56 – $36.78 | 14 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $686.40 | $1,144.00 | $19.80 – $94.54 | 14 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | $175.20 | $292.00 | $27.19 – $79.88 | 10 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | $48.60 | $81.00 | $0.28 – $30.78 | 3 |
| Tap block bilat cont infusion 64489 CPT 64489 | $1,647.60 | $2,746.00 | $85.99 – $366.47 | 4 |
| Tap block uni by cont infusion 64487 CPT 64487 | $1,647.60 | $2,746.00 | $70.15 – $261.72 | 4 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | $10.20 | $17.00 | $0.35 – $3.35 | 5 |
| Target gsa panel hmtlmph neop CPT 81450 | $3,169.80 | $5,283.00 | $457.42 – $945.88 | 14 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $9,920.40 | $16,534.00 | $1,869.20 – $3,635.95 | 14 |
| Target gsa panel organ neop CPT 81445 | $3,915.00 | $6,525.00 | $421.80 – $744.62 | 14 |
| Tas congenital car anomal CPT 33741 | $4,667.40 | $7,779.00 | $563.96 – $1,101.54 | 4 |
| Tavr perq femoral CPT 33361 | $15,259.80 | $25,433.00 | $1,161.38 – $2,491.97 | 4 |
| Tbp gene detc abnor alleles CPT 81344 | $283.80 | $473.00 | $84.46 – $157.44 | 11 |
| Tbs techl calculation only CPT 77091 | $93.60 | $156.00 | $5.19 – $92.34 | 11 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $785.40 | $1,309.00 | $69.78 – $163.67 | 14 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $763.20 | $1,272.00 | $61.26 – $162.49 | 14 |
| Tc-99m bicisate HCPCS A9557 | $2,040.00 | $3,400.00 | $738.50 – $2,517.07 | 9 |
| Tc-99m exametazime diag HCPCS A9521 | $8,173.20 | $13,622.00 | $866.53 – $5,288.01 | 9 |
| Tc-99m labeled rbc HCPCS A9560 | $2,449.80 | $4,083.00 | $144.19 – $1,084.51 | 2 |
| Tc-99m maa HCPCS A9540 | $720.00 | $1,200.00 | $41.19 – $459.86 | 2 |
| Tc-99m mebrofenin HCPCS A9537 | $1,143.60 | $1,906.00 | $101.07 – $486.48 | 2 |
| Tc-99m medronate HCPCS A9503 | $358.80 | $598.00 | $83.56 – $339.99 | 2 |
| Tc-99m mertiatide HCPCS A9562 | $2,142.00 | $3,570.00 | $836.00 – $2,344.31 | 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.