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 |
|---|---|---|---|---|
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $4.95 | $8.25 | $0.85 – $1.22 | 4 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $4.65 | $7.75 | $0.32 – $1.62 | 4 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $1.95 | $3.25 | $0.30 – $0.46 | 4 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $3.75 | $6.25 | $0.81 – $1.10 | 4 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $6.90 | $11.50 | $0.46 – $0.66 | 4 |
| Finasteride, 5 mg HCPCS S0138 | $13.50 | $22.50 | $4.65 – $4.65 | 1 |
| Floxuridine injection HCPCS J9200 | $8,522.40 | $14,204.00 | $217.27 – $4,540.82 | 4 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $2,662.80 | $4,438.00 | $2.26 – $149.55 | 2 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $2,164.80 | $3,608.00 | $68.20 – $192.61 | 4 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $106.20 | $177.00 | $1.99 – $19.03 | 2 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $299.40 | $499.00 | $7.30 – $27.27 | 2 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $1.05 | $1.75 | $0.06 – $0.06 | 1 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $74.40 | $124.00 | $6.78 – $23.21 | 3 |
| Fondaparinux sodium HCPCS J1652 | $60.60 | $101.00 | $0.72 – $15.21 | 2 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $10.20 | $17.00 | $0.10 – $3.20 | 2 |
| Foscarnet sodium injection HCPCS J1455 | $393.00 | $655.00 | $16.08 – $22.27 | 4 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $51.30 | $85.50 | $13.07 – $13.07 | 1 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $0.60 | $1.00 | $0.02 – $0.02 | 1 |
| Gamunex-c/gammaked HCPCS J1561 | $259.20 | $432.00 | $48.96 – $90.62 | 4 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $1,251.60 | $2,086.00 | $39.54 – $63.00 | 2 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $1,333.20 | $2,222.00 | $3.13 – $238.11 | 2 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | $704.40 | $1,174.00 | $130.33 – $260.28 | 4 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $80.40 | $134.00 | $2.21 – $11.36 | 2 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $1,020.00 | $1,700.00 | $274.35 – $274.35 | 1 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $2,251.20 | $3,752.00 | $129.69 – $200.69 | 4 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $11.70 | $19.50 | $0.46 – $0.57 | 4 |
| Granisetron hcl injection HCPCS J1626 | $181.80 | $303.00 | $0.19 – $32.62 | 2 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | $15.00 | $25.00 | $3.37 – $31.24 | 3 |
| Grp adapt bhv tx by tech CPT 97154 | $19.80 | $33.00 | $4.52 – $31.24 | 3 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $715.80 | $1,193.00 | $4.40 – $51.38 | 2 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $421.80 | $703.00 | $0.80 – $11.49 | 2 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | $85.20 | $142.00 | $13.72 – $37.60 | 4 |
| Heparin bolus from bag HCPCS J1644 | $9.60 | $16.00 | $0.21 – $1.56 | 2 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $6.45 | $10.75 | $0.02 – $1.16 | 2 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $355.80 | $593.00 | $134.19 – $280.88 | 4 |
| Hocm 250-299mg/ml iodine,1ml HCPCS Q9961 | $2.70 | $4.50 | $0.18 – $0.24 | 2 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $0.90 | $1.50 | $0.18 – $0.22 | 2 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $2.85 | $4.75 | $0.36 – $0.81 | 2 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $236.40 | $394.00 | $5.60 – $10.87 | 2 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $53.85 | $89.75 | $9.05 – $21.31 | 2 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $12.75 | $21.25 | $0.10 – $0.10 | 1 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $1,343.40 | $2,239.00 | $0.25 – $0.85 | 6 |
| Hydroxyurea 500 mg HCPCS S0176 | $9.00 | $15.00 | $2.24 – $2.24 | 1 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $17.55 | $29.25 | $1.84 – $15.30 | 2 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $150.00 | $250.00 | $100.12 – $100.12 | 1 |
| Icatibant injection HCPCS J1744 | $1,200.00 | $2,000.00 | $140.82 – $217.95 | 3 |
| Idarubicin hcl injection HCPCS J9211 | $3,685.20 | $6,142.00 | $36.67 – $659.10 | 2 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $1,083.60 | $1,806.00 | $25.20 – $193.83 | 2 |
| Iloprost non-comp unit dose HCPCS Q4074 | $161.40 | $269.00 | $129.97 – $158.92 | 2 |
| Imatinib 100 mg tab HCPCS S0088 | $120.60 | $201.00 | $34.39 – $34.39 | 1 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $629.40 | $1,049.00 | $45.31 – $106.19 | 4 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $629.40 | $1,049.00 | $78.80 – $88.23 | 4 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $920.40 | $1,534.00 | $47.52 – $106.56 | 4 |
| Imuglucerase injection HCPCS J1786 | $343.20 | $572.00 | $43.19 – $83.11 | 4 |
| Indigotindisulfonate 8 mg/ml soln 5 ml ampule HCPCS J9220 | $24.00 | $40.00 | $10.76 – $10.96 | 2 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $633.00 | $1,055.00 | $31.09 – $106.78 | 4 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $141.60 | $236.00 | $20.41 – $42.09 | 4 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $202.80 | $338.00 | $19.99 – $65.17 | 4 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | $30.00 | $50.00 | $27.14 – $98.16 | 2 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $19.65 | $32.75 | $3.02 – $8.01 | 4 |
| Inj, adalimumab, 1 mg HCPCS J0139 | $220.20 | $367.00 | $99.07 – $100.90 | 2 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $41.85 | $69.75 | $6.90 – $19.89 | 4 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | $5,248.20 | $8,747.00 | $30.84 – $89.00 | 4 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $576.60 | $961.00 | $109.10 – $181.05 | 4 |
| Inj beta interferon sq 1 mcg HCPCS Q3028 | $35.55 | $59.25 | $14.18 – $14.18 | 1 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $156.00 | $260.00 | $27.18 – $43.81 | 4 |
| Inj, brixadi, 7 days or less HCPCS J0577 | $1,086.00 | $1,810.00 | $420.64 – $462.70 | 3 |
| Inj brixadi, more than 7 day HCPCS J0578 | $4,345.20 | $7,242.00 | $1,682.55 – $1,850.81 | 3 |
| Inj, bupivacaine liposome HCPCS J0666 | $4.35 | $7.25 | $1.47 – $1.54 | 3 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | $44.40 | $74.00 | $2.28 – $2.28 | 1 |
| Inj cefazolin sodium, baxter HCPCS J0689 | $19.65 | $32.75 | $1.05 – $1.30 | 2 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | $85.20 | $142.00 | $3.27 – $4.96 | 2 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | $6.00 | $10.00 | $0.90 – $2.66 | 4 |
| Inj ceftolozane tazobactam HCPCS J0695 | $19.05 | $31.75 | $3.27 – $9.98 | 4 |
| Inj, cipaglucosidase, 5 mg HCPCS J1203 | $229.20 | $382.00 | $91.21 – $100.33 | 3 |
| Inj, clindamycin (baxter) HCPCS J0737 | $8.70 | $14.50 | $1.84 – $2.21 | 2 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | $3.75 | $6.25 | $0.78 – $0.86 | 3 |
| Injection, cangrelor HCPCS C9460 | $61.80 | $103.00 | $10.98 – $21.98 | 3 |
| Injection, caplacizumab-yhdp HCPCS C9047 | $2,418.60 | $4,031.00 | $378.54 – $378.54 | 1 |
| Injection, daratumumab 10 mg HCPCS J9145 | $198.60 | $331.00 | $33.83 – $78.51 | 4 |
| Injection, doxercalciferol HCPCS J1270 | $98.40 | $164.00 | $0.35 – $9.27 | 2 |
| Injection, fulvestrant HCPCS J9395 | $921.60 | $1,536.00 | $6.73 – $164.96 | 4 |
| Injection glatiramer acetate HCPCS J1595 | $775.80 | $1,293.00 | $70.55 – $184.04 | 3 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $53.85 | $89.75 | $5.15 – $13.55 | 4 |
| Injection, isavuconazonium HCPCS J1833 | $2.85 | $4.75 | $0.40 – $1.11 | 3 |
| Injection,onabotulinumtoxina HCPCS J0585 | $41.55 | $69.25 | $6.33 – $7.15 | 4 |
| Injection, pentamidine iseth HCPCS S0080 | $1,222.20 | $2,037.00 | $206.35 – $206.35 | 1 |
| Injection, peramivir HCPCS J2547 | $6.75 | $11.25 | $1.25 – $1.85 | 3 |
| Injection, renflexis HCPCS Q5104 | $229.20 | $382.00 | $27.00 – $51.89 | 4 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | $79.80 | $133.00 | $13.18 – $37.28 | 4 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | $1,929.00 | $3,215.00 | $304.56 – $423.33 | 4 |
| Inj, factor x, (human), 1iu HCPCS J7175 | $20.85 | $34.75 | $5.66 – $10.76 | 4 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | $181.20 | $302.00 | $18.55 – $24.22 | 4 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | $6,717.00 | $11,195.00 | $1,075.73 – $3,044.67 | 4 |
| Inj., guselkumab, 1 mg HCPCS J1628 | $675.00 | $1,125.00 | $64.39 – $83.57 | 4 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | $7.35 | $12.25 | $1.80 – $2.87 | 4 |
| Inj ivig privigen 500 mg HCPCS J1459 | $199.80 | $333.00 | $50.74 – $98.17 | 4 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $1,039.80 | $1,733.00 | $23.61 – $62.89 | 2 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | $6,460.20 | $10,767.00 | $95.90 – $337.03 | 4 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $33.30 | $55.50 | $0.53 – $3.95 | 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.