UPMC Western Psychiatric
3811 Ohara St, Pittsburgh, PA · UPMC · · NPI 1174962435
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 |
|---|---|---|---|---|
| 5% dextrose and 0.45% saline HCPCS S5010 | $96.60 | $161.00 | $24.60 – $24.60 | 1 |
| 5% dextrose with potassium HCPCS S5012 | $85.20 | $142.00 | $33.65 – $33.65 | 1 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $213.00 | $355.00 | $37.73 – $48.52 | 4 |
| Abobotulinumtoxina HCPCS J0586 | $51.15 | $85.25 | $8.75 – $14.88 | 4 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $0.60 | $1.00 | $0.06 – $0.15 | 2 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $1,307.40 | $2,179.00 | $19.84 – $50.05 | 2 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $81.60 | $136.00 | $0.39 – $3.86 | 2 |
| Acetylcysteine non-comp unit HCPCS J7608 | $81.60 | $136.00 | $18.00 – $18.00 | 1 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $20.25 | $33.75 | $0.04 – $1.38 | 2 |
| Adapt behavior tx phys/qhp CPT 97155 | $114.00 | $190.00 | $14.32 – $168.50 | 3 |
| Adaptive behavior tx by tech CPT 97153 | $114.00 | $190.00 | $14.32 – $97.01 | 3 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $214.80 | $358.00 | $0.56 – $1.65 | 2 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $3,000.00 | $5,000.00 | $0.63 – $0.63 | 1 |
| Afamelanotide implant, 1 mg HCPCS J7352 | $140,689.80 | $234,483.00 | $1,350.12 – $3,237.76 | 3 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | $955.20 | $1,592.00 | $230.15 – $253.16 | 4 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $1,577.40 | $2,629.00 | $53.08 – $157.22 | 2 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $609.00 | $1,015.00 | $53.08 – $152.86 | 4 |
| Albuterol comp unit HCPCS J7609 | $1.20 | $2.00 | $1.49 – $1.49 | 1 |
| Albuterol ipratrop non-comp HCPCS J7620 | $5.85 | $9.75 | $1.47 – $1.47 | 1 |
| Albuterol non-comp con HCPCS J7611 | $3.60 | $6.00 | $0.17 – $1.45 | 2 |
| Albuterol non-comp unit HCPCS J7613 | $7.20 | $12.00 | $1.45 – $1.45 | 1 |
| Aldesleukin injection HCPCS J9015 | $8,184.00 | $13,640.00 | $1,285.69 – $5,831.39 | 3 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | $55.50 | $92.50 | $1,297.02 – $2,672.88 | 4 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $59.40 | $99.00 | $5.46 – $7.17 | 4 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $285.00 | $475.00 | $48.05 – $103.89 | 4 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $44.55 | $74.25 | $0.63 – $2.43 | 2 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $9.15 | $15.25 | $1.71 – $1.71 | 1 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $11.40 | $19.00 | $2.02 – $10.34 | 2 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $102.60 | $171.00 | $0.43 – $30.36 | 2 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $175.20 | $292.00 | $43.41 – $45.97 | 2 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $592.80 | $988.00 | $21.48 – $65.83 | 4 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $93.60 | $156.00 | $0.55 – $25.39 | 2 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $246.60 | $411.00 | $1.39 – $15.08 | 2 |
| Anastrozole 1 mg HCPCS S0170 | $53.10 | $88.50 | $11.86 – $11.86 | 1 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $8,383.20 | $13,972.00 | $1.89 – $1.89 | 1 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $30.60 | $51.00 | $1.49 – $1.75 | 4 |
| Anti-inhibitor HCPCS J7198 | $8.70 | $14.50 | $2.41 – $2.65 | 4 |
| Antithrombin iii injection HCPCS J7197 | $70.20 | $117.00 | $1.51 – $4.51 | 4 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | $3,726.60 | $6,211.00 | $533.82 – $5,648.60 | 4 |
| Antithymocyte globuln rabbit HCPCS J7511 | $4,183.80 | $6,973.00 | $462.92 – $1,099.31 | 4 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | $10.20 | $17.00 | $1.64 – $1.80 | 4 |
| Arformoterol non-comp unit HCPCS J7605 | $24.00 | $40.00 | $0.71 – $9.65 | 2 |
| Argatroban nonesrd use 1mg HCPCS J0883 | $25.50 | $42.50 | $0.80 – $3.35 | 4 |
| Aripiprazole 441 mg/1.6 ml inj HCPCS J1944 | $9.60 | $16.00 | $1.86 – $3.69 | 4 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | $268.80 | $448.00 | $8.15 – $48.05 | 4 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $273.60 | $456.00 | $48.56 – $100.47 | 4 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $2.70 | $4.50 | $0.10 – $0.11 | 2 |
| Azacitidine injection HCPCS J9025 | $19.20 | $32.00 | $0.57 – $8.64 | 2 |
| Azathioprine 50 mg tablet HCPCS J7500 | $29.25 | $48.75 | $0.06 – $2.41 | 2 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $1,063.80 | $1,773.00 | $2.04 – $41.41 | 2 |
| Azithromycin dihydrate, oral HCPCS Q0144 | $202.80 | $338.00 | $38.96 – $38.96 | 1 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $34.20 | $57.00 | $1.25 – $2.53 | 2 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $1,320.00 | $2,200.00 | $181.22 – $423.84 | 4 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | $420.00 | $700.00 | $49.95 – $143.43 | 2 |
| Basiliximab HCPCS J0480 | $7,420.80 | $12,368.00 | $2,970.29 – $5,155.53 | 4 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | $20.25 | $33.75 | $3.55 – $4.28 | 4 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | $87.00 | $145.00 | $13.49 – $17.01 | 4 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $126.60 | $211.00 | $11.42 – $15.32 | 2 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $160.80 | $268.00 | $6.96 – $9.16 | 2 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $671.40 | $1,119.00 | $73.20 – $120.09 | 4 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $459.00 | $765.00 | $27.86 – $42.77 | 4 |
| Bhv id assmt by phys/qhp CPT 97151 | $114.00 | $190.00 | $15.56 – $97.01 | 3 |
| Bhv id suprt assmt by 1 tech CPT 97152 | $114.00 | $190.00 | $15.06 – $97.01 | 3 |
| Bivalirudin HCPCS J0583 | $12.90 | $21.50 | $0.17 – $3.20 | 2 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $2,601.60 | $4,336.00 | $21.52 – $465.84 | 2 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | $417.00 | $695.00 | $71.57 – $180.68 | 4 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $320.40 | $534.00 | $2.79 – $57.32 | 2 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $513.60 | $856.00 | $89.59 – $284.50 | 4 |
| Budesonide non-comp con HCPCS J7633 | $604.80 | $1,008.00 | $231.25 – $231.25 | 1 |
| Budesonide non-comp unit HCPCS J7626 | $1,843.20 | $3,072.00 | $1.35 – $216.37 | 2 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $58.80 | $98.00 | $0.37 – $2.24 | 4 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $1.95 | $3.25 | $0.01 – $0.01 | 1 |
| Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572 | $20.25 | $33.75 | $3.55 – $3.55 | 1 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | $36.60 | $61.00 | $6.36 – $6.36 | 1 |
| Buprenorphine hydrochloride HCPCS J0592 | $29.85 | $49.75 | $1.77 – $4.17 | 2 |
| Buprenorphine X-ray over 100 mg HCPCS Q9992 | $11,436.60 | $19,061.00 | $1,088.20 – $2,218.06 | 4 |
| Busulfan injection HCPCS J0594 | $40.80 | $68.00 | $0.88 – $17.58 | 4 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $90.60 | $151.00 | $6.43 – $14.73 | 2 |
| C-1 esterase, berinert HCPCS J0597 | $168.60 | $281.00 | $75.86 – $83.45 | 4 |
| Cabergoline, oral 0.25mg HCPCS J8515 | $70.80 | $118.00 | $32.25 – $32.25 | 1 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $22.95 | $38.25 | $5.63 – $5.63 | 1 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $9,436.20 | $15,727.00 | $81.96 – $533.47 | 3 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $0.60 | $1.00 | $0.04 – $0.09 | 2 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $0.60 | $1.00 | $0.09 – $0.09 | 2 |
| Capsaicin 8% patch HCPCS J7336 | $9.75 | $16.25 | $3.42 – $551.16 | 4 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $1,600.20 | $2,667.00 | $2.47 – $286.21 | 2 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $149.40 | $249.00 | $22.98 – $61.22 | 4 |
| Carmustine 100 mg intravenous powder for solution HCPCS J9050 | $2,713.80 | $4,523.00 | $238.46 – $278.39 | 4 |
| Caspofungin acetate HCPCS J0637 | $240.00 | $400.00 | $3.54 – $60.40 | 2 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $19.65 | $32.75 | $0.80 – $2.63 | 2 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $85.20 | $142.00 | $1.22 – $14.47 | 2 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $216.60 | $361.00 | $4.78 – $26.70 | 2 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $13.80 | $23.00 | $1.23 – $4.65 | 4 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $115.20 | $192.00 | $1.57 – $13.07 | 2 |
| Ceftazidime and avibactam HCPCS J0714 | $312.00 | $520.00 | $50.97 – $115.20 | 4 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $257.40 | $429.00 | $0.43 – $43.47 | 2 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | $93.60 | $156.00 | $1.85 – $11.18 | 2 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | $34.80 | $58.00 | $3.91 – $5.76 | 4 |
| Chloroprocaine hcl injection HCPCS J2401 | $1.80 | $3.00 | $0.02 – $0.04 | 2 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $2,846.40 | $4,744.00 | $14.80 – $39.45 | 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.