UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
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 |
|---|---|---|---|---|
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $405.00 | $675.00 | $30.24 – $92.34 | 7 |
| Knee X-ray (3 views, both knees) CPT 73562 | $405.00 | $675.00 | $33.84 – $92.34 | 7 |
| Knee X-ray (standing, both knees) CPT 73565 | $405.00 | $675.00 | $24.72 – $92.34 | 9 |
| Kras gene addl variants CPT 81276 | $454.20 | $757.00 | $139.10 – $246.26 | 9 |
| Kras gene variants exon 2 CPT 81275 | $361.80 | $603.00 | $131.42 – $315.03 | 9 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $171.00 | $285.00 | $0.25 – $0.85 | 11 |
| Lactate dehydrogenase (ldh) CPT 83615 | $66.60 | $111.00 | $5.21 – $11.75 | 9 |
| Lactated ringers intravenous solution HCPCS J7120 | $76.20 | $95.25 | $0.00 – $18.63 | 5 |
| Lactic acid CPT 83605 | $88.20 | $147.00 | $8.80 – $29.29 | 9 |
| Lactoferrin fecal qualitative CPT 83630 | $127.20 | $212.00 | $13.54 – $29.84 | 9 |
| Lactoferrin fecal quant CPT 83631 | $181.80 | $303.00 | $16.95 – $51.45 | 9 |
| Lam facetec & foramot lumbar CPT 63047 | not published | not published | $1,862.37 – $7,491.76 | 7 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | not published | $23,905.00 | $21.50 – $58.30 | 7 |
| Laparo cholecystectomy/graph CPT 47563 | not published | not published | $1,521.52 – $6,118.60 | 7 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | not published | not published | $1,646.97 – $6,118.60 | 6 |
| Lap ing hernia repair recur CPT 49651 | not published | not published | $1,049.82 – $6,118.60 | 7 |
| Lap insert tunnel ip cath CPT 49324 | not published | not published | $526.46 – $6,118.60 | 7 |
| Lap revision perm ip cath CPT 49325 | not published | not published | $566.81 – $6,118.60 | 7 |
| Lap w/omentopexy add-on 49326 CPT 49326 | not published | not published | $260.40 – $757.48 | 3 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $337.20 | $562.00 | $18.77 – $309.57 | 9 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | $2,712.00 | $4,520.00 | $77.00 – $550.23 | 9 |
| Lead capillary CPT 83655 | $146.40 | $244.00 | $10.46 – $23.61 | 9 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $7,220.40 | $12,034.00 | $3,929.20 – $20,711.90 | 2 |
| Left compres band >=3" <5"/yd HCPCS A6449 | $3.60 | $6.00 | $3.28 – $12.03 | 3 |
| Left compres band <3"/yd HCPCS A6448 | $1.20 | $2.00 | $2.18 – $7.97 | 3 |
| Left compres band >=5"/yd HCPCS A6450 | $3.60 | $6.00 | $2.96 – $17.80 | 2 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $1,340.40 | $2,234.00 | $143.68 – $442.55 | 9 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $2,722.80 | $4,538.00 | $146.54 – $701.10 | 7 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $1,740.00 | $2,900.00 | $87.53 – $604.00 | 7 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $985.80 | $1,643.00 | $159.46 – $460.85 | 9 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $789.00 | $1,315.00 | $858.95 – $858.95 | 1 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $1,898.40 | $3,164.00 | $281.48 – $1,089.63 | 2 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $2,022.60 | $3,371.00 | $281.48 – $1,089.49 | 2 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $168.80 | $211.00 | $2.03 – $20.87 | 4 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $5,001.00 | $12,937.45 | $111.41 – $2,273.22 | 8 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $4,568.40 | $10,160.35 | $954.16 – $1,912.52 | 8 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $428.40 | $714.00 | $0.03 – $1.39 | 4 |
| Levetiracetam therapeutic drug level CPT 80177 | $298.80 | $498.00 | $11.44 – $22.59 | 9 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $559.20 | $932.00 | $1.60 – $37.15 | 4 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $19.80 | $33.00 | $4.34 – $12.32 | 4 |
| Liberta rc ipg HCPCS C1820 | $41,431.80 | $69,053.00 | $67,217.30 – $67,217.30 | 1 |
| Lidocaine injection HCPCS J2001 | not published | $11.04 | $0.83 – $0.83 | 1 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $0.40 | $0.50 | $0.00 – $0.00 | 3 |
| Lidocaine therapeutic drug level CPT 80176 | $142.20 | $237.00 | $12.68 – $38.24 | 9 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $136.40 – $1,699.17 | 9 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $504.00 | $630.00 | $2.25 – $56.16 | 4 |
| Lipase CPT 83690 | $242.40 | $404.00 | $5.50 – $13.42 | 9 |
| Lipoprotein blood quant CPT 83704 | $285.00 | $475.00 | $29.52 – $82.72 | 7 |
| Lipoprotein direct measurement hdl CPT 83718 | $52.80 | $88.00 | $7.07 – $15.97 | 9 |
| Lipoprotein direct measurement ldl CPT 83721 | $117.00 | $195.00 | $9.07 – $18.73 | 9 |
| Lithium therapeutic drug level CPT 80178 | $128.40 | $214.00 | $5.71 – $12.89 | 9 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $972.60 | $1,621.00 | $66.41 – $497.52 | 9 |
| Liver Function Test CPT 80076 | $215.40 | $359.00 | $7.05 – $21.90 | 9 |
| Liver/spleen imag static only CPT 78215 | $1,060.80 | $1,768.00 | $76.19 – $421.41 | 9 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $3.00 | $5.00 | $0.61 – $1.46 | 4 |
| Loop ostmy bridg ster HCPCS A4421 | $88.20 | $147.00 | $36.75 – $124.95 | 10 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $529.20 | $882.00 | $0.87 – $16.61 | 5 |
| Low back disk surgery CPT 63030 | not published | not published | $1,646.97 – $7,491.76 | 7 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $536.40 | $894.00 | $69.13 – $179.51 | 9 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $3,029.40 | $5,049.00 | $146.54 – $985.16 | 9 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,722.80 | $4,538.00 | $165.60 – $814.85 | 9 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,740.00 | $2,900.00 | $87.53 – $701.10 | 9 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $5,810.40 | $9,684.00 | $293.97 – $2,610.88 | 10 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $4,742.40 | $7,904.00 | $293.97 – $1,479.38 | 10 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $3,682.80 | $6,138.00 | $198.97 – $1,345.46 | 10 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $405.00 | $675.00 | $34.37 – $111.52 | 9 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $682.20 | $1,137.00 | $40.28 – $127.53 | 9 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $682.20 | $1,137.00 | $38.50 – $157.52 | 9 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $405.00 | $675.00 | $26.55 – $92.34 | 7 |
| Lubricant per ounce HCPCS A4402 | $21.60 | $27.00 | $2.27 – $9.62 | 3 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $930.60 – $19,285.98 | 7 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $664.20 | $1,107.00 | $20.90 – $326.57 | 9 |
| Lung function test (mbc/mvv) CPT 94200 | $69.60 | $116.00 | $9.90 – $67.73 | 9 |
| Lung Function Test (Spirometry) CPT 94010 | $171.60 | $286.00 | $16.50 – $164.09 | 9 |
| Lung perfusion imaging CPT 78580 | $621.00 | $1,035.00 | $86.90 – $421.41 | 9 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | $489.38 | $84.16 – $227.84 | 7 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | $93.13 | $26.51 – $46.18 | 7 |
| Lymphatics/lymph node imaging CPT 78195 | $2,635.80 | $4,393.00 | $198.00 – $564.50 | 9 |
| Lymphocyte transformation mitogen CPT 86353 | $491.40 | $819.00 | $42.33 – $134.51 | 9 |
| Macroscopic exam arthropod CPT 87168 | $46.20 | $77.00 | $3.69 – $11.45 | 7 |
| Macroscopic exam parasite CPT 87169 | $52.20 | $87.00 | $3.72 – $11.45 | 7 |
| Magnesium CPT 83735 | $91.20 | $152.00 | $5.78 – $12.99 | 9 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $85.20 | $142.00 | $0.30 – $0.58 | 4 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $171.00 | $285.00 | $5.16 – $5.16 | 1 |
| Manual diff wbc count b-coat CPT 85009 | $41.40 | $69.00 | $4.38 – $10.21 | 9 |
| Marker biop eviva buckle ss HCPCS A4648 | $429.60 | $716.00 | $238.51 – $238.51 | 1 |
| Mastectomy partial CPT 19301 | not published | not published | $552.76 – $4,015.84 | 7 |
| Mastoids complete CPT 70130 | $405.00 | $675.00 | $45.24 – $119.93 | 7 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $3,305.40 | $5,509.00 | $7.00 – $24.56 | 3 |
| M.avium-intra dna amp prob CPT 87561 | $384.60 | $641.00 | $30.30 – $91.01 | 7 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $253.80 | $423.00 | $12.48 – $28.20 | 9 |
| Mayo aathr protein s free CPT 85306 | $142.20 | $237.00 | $13.23 – $42.05 | 9 |
| Mayo activated protein c resistance assay CPT 85307 | $646.80 | $1,078.00 | $13.23 – $41.08 | 9 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $298.80 | $498.00 | $21.80 – $42.43 | 7 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $156.60 | $261.00 | $12.76 – $28.86 | 7 |
| Mayo alpha 1 antitrypsin CPT 82103 | $205.80 | $343.00 | $11.60 – $26.54 | 9 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $237.00 | $395.00 | $12.10 – $41.36 | 9 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $876.00 | $1,460.00 | $105.02 – $133.79 | 7 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $1,702.80 | $2,838.00 | $45.48 – $156.19 | 9 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $2,547.60 | $4,246.00 | $84.46 – $171.10 | 9 |
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.