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 |
|---|---|---|---|---|
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $38.85 | $64.75 | $13.28 – $16.62 | 4 |
| Palonosetron hcl HCPCS J2469 | $332.40 | $554.00 | $0.36 – $59.43 | 2 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $2,325.00 | $3,875.00 | $9.64 – $392.12 | 2 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $165.00 | $275.00 | $68.75 – $233.75 | 6 |
| Papaverin hcl injection HCPCS J2440 | $61.20 | $102.00 | $2.65 – $2.65 | 1 |
| Parenteral 50% dextrose solu HCPCS B4164 | $228.60 | $381.00 | $26.35 – $26.35 | 1 |
| Paricalcitol HCPCS J2501 | $192.00 | $320.00 | $0.95 – $9.23 | 2 |
| Pcv21 vaccine im CPT 90684 | $189.60 | $316.00 | $327.89 – $327.89 | 1 |
| Pegaspargase injection HCPCS J9266 | $19,415.40 | $32,359.00 | $2,430.25 – $31,266.47 | 4 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $2,401.80 | $4,003.00 | $89.34 – $255.74 | 4 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $1,189.20 | $1,982.00 | $106.33 – $219.64 | 4 |
| Peg interferon alfa-2a/180 HCPCS S0145 | $4,833.00 | $8,055.00 | $706.15 – $706.15 | 1 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | $526.20 | $877.00 | $87.07 – $250.98 | 4 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $154.80 | $258.00 | $30.60 – $66.32 | 4 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $476.40 | $794.00 | $4.36 – $85.15 | 4 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $68.40 | $114.00 | $9.67 – $33.01 | 4 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $16.20 | $27.00 | $0.79 – $2.67 | 2 |
| Pentamidine non-comp unit HCPCS J2545 | $1,311.00 | $2,185.00 | $69.73 – $172.50 | 2 |
| Pentobarbital sodium inj HCPCS J2515 | $63.60 | $106.00 | $3.29 – $3.29 | 1 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $1,422.60 | $2,371.00 | $40.65 – $136.26 | 2 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $42.15 | $70.25 | $3.40 – $30.17 | 2 |
| Phentolaine mesylate inj HCPCS J2760 | $1,032.60 | $1,721.00 | $47.39 – $475.22 | 4 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $0.14 | $0.23 | $0.00 – $0.00 | 1 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $44.25 | $73.75 | $0.45 – $11.93 | 2 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $52.65 | $87.75 | $2.73 – $8.83 | 2 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $165.60 | $276.00 | $1.07 – $9.58 | 2 |
| Plerixafor injection HCPCS J2562 | $1,570.80 | $2,618.00 | $25.33 – $545.88 | 4 |
| Pn soln nos 10 grams lipids HCPCS B4185 | $264.60 | $441.00 | $20.02 – $20.02 | 1 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $369.00 | $615.00 | $51.23 – $150.34 | 4 |
| Porfimer sodium injection HCPCS J9600 | $105,045.60 | $175,076.00 | $4,732.02 – $26,651.26 | 3 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $11.40 | $19.00 | $0.11 – $0.18 | 2 |
| Pralatrexate injection HCPCS J9307 | $723.60 | $1,206.00 | $327.55 – $431.89 | 4 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | $11.40 | $19.00 | $3.35 – $41.16 | 3 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $4.05 | $6.75 | $0.15 – $0.23 | 2 |
| Prednisone 1 mg tablet HCPCS J7512 | $0.60 | $1.00 | $0.01 – $0.04 | 2 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $1,276.20 | $2,127.00 | $165.43 – $303.40 | 3 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $1,831.20 | $3,052.00 | $132.69 – $186.99 | 3 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $1,295.40 | $2,159.00 | $132.39 – $135.15 | 3 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $225.00 | $375.00 | $24.47 – $324.16 | 4 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $30.30 | $50.50 | $1.81 – $5.11 | 2 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $162.00 | $270.00 | $7.74 – $7.74 | 1 |
| Promethazine hcl injection HCPCS J2550 | $39.75 | $66.25 | $1.84 – $2.95 | 2 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $21.45 | $35.75 | $0.09 – $0.22 | 2 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $197.40 | $329.00 | $11.49 – $11.49 | 1 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $6.15 | $10.25 | $1.53 – $1.75 | 2 |
| Prothrombin complex kcentra HCPCS J7168 | $8.25 | $13.75 | $1.31 – $2.35 | 3 |
| Psychotherapy group therapy CPT 90853 | $46.80 | $78.00 | $95.25 – $106.45 | 3 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $168.00 | $280.00 | $117.68 – $168.50 | 3 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $287.40 | $479.00 | $165.43 – $173.77 | 3 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $254.40 | $424.00 | $165.43 – $253.75 | 3 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | $559.80 | $933.00 | $71.03 – $326.57 | 3 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | $559.80 | $933.00 | $54.02 – $54.02 | 1 |
| Psychthrp grp 45-50min mcr HCPCS G0410 | $46.80 | $78.00 | $19.50 – $66.30 | 6 |
| Psycl/nrpsyc tech 1st CPT 96138 | $857.40 | $1,429.00 | $22.03 – $22.03 | 1 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | $433.80 | $723.00 | $27.93 – $135.18 | 3 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | $857.40 | $1,429.00 | $25.74 – $25.74 | 1 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | $857.40 | $1,429.00 | $22.03 – $22.03 | 1 |
| Psytx complex interactive CPT 90785 | $89.40 | $149.00 | $9.19 – $9.19 | 1 |
| Psytx pt w/e&m 16-37 min CPT 90833 | $178.20 | $297.00 | $79.07 – $79.07 | 1 |
| Psytx pt w/e&m 38-52 min CPT 90836 | $287.40 | $479.00 | $127.80 – $127.80 | 1 |
| Psytx pt w/e&m 53+ min CPT 90838 | $324.00 | $540.00 | $205.03 – $205.03 | 1 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $58.80 | $98.00 | $0.90 – $6.05 | 2 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $880.20 | $1,467.00 | $279.85 – $324.82 | 4 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $4,959.00 | $8,265.00 | $377.52 – $650.71 | 4 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $71,857.80 | $119,763.00 | $134.77 – $247.62 | 4 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $310.20 | $517.00 | $3.02 – $106.04 | 2 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $16.80 | $28.00 | $2.34 – $7.40 | 4 |
| Reslizumab 10 mg/ml intravenous solution HCPCS J2786 | $34.05 | $56.75 | $6.10 – $12.04 | 4 |
| Revefenacin inh non-com 1mcg HCPCS J7677 | $7.65 | $12.75 | $0.13 – $0.19 | 2 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | $26.25 | $43.75 | $4.10 – $11.69 | 4 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $224.40 | $374.00 | $4.86 – $21.40 | 2 |
| Rho(d) immune globulin h, sd HCPCS J2792 | $223.20 | $372.00 | $25.46 – $39.77 | 4 |
| Rho d immune globulin inj HCPCS J2790 | $822.00 | $1,370.00 | $78.48 – $82.58 | 2 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $4.20 | $7.00 | $0.14 – $0.14 | 1 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $20.25 | $33.75 | $6.84 – $16.43 | 4 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $64.20 | $107.00 | $9.54 – $12.08 | 4 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $432.00 | $720.00 | $64.71 – $82.74 | 4 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $537.60 | $896.00 | $29.38 – $53.38 | 4 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $210.00 | $350.00 | $27.84 – $60.35 | 4 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | $127.20 | $212.00 | $15.30 – $33.86 | 4 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $25.95 | $43.25 | $11.01 – $12.11 | 3 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $2.70 | $4.50 | $0.05 – $0.17 | 2 |
| Sarscov coronavirus ag ia CPT 87426 | $34.80 | $58.00 | $35.33 – $83.17 | 4 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $134.40 | $224.00 | $31.88 – $74.64 | 3 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $753.00 | $1,255.00 | $95.89 – $123.36 | 2 |
| Sirolimus, oral HCPCS J7520 | $300.00 | $500.00 | $0.87 – $11.97 | 2 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $55.65 | $92.75 | $1.95 – $14.93 | 2 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $76.20 | $127.00 | $1.26 – $13.02 | 2 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $76.20 | $127.00 | $0.65 – $13.02 | 2 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $0.60 | $1.00 | $0.02 – $0.02 | 1 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $89.40 | $149.00 | $2.02 – $15.02 | 2 |
| Spacer bag/reservoir HCPCS A4627 | $189.60 | $316.00 | $39.53 – $39.53 | 1 |
| Sterile water/saline, 10 ml HCPCS A4216 | $35.55 | $59.25 | $1.84 – $1.84 | 1 |
| Sterile water/saline, 500 ml HCPCS A4217 | $32.55 | $54.25 | $4.41 – $4.41 | 1 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $6.75 | $11.25 | $1.84 – $1.84 | 1 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $0.60 | $1.00 | $0.05 – $0.05 | 1 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $1,520.40 | $2,534.00 | $90.40 – $90.40 | 1 |
| Tacrol astagraf ex rel oral HCPCS J7508 | $3.15 | $5.25 | $0.33 – $0.59 | 2 |
| Tacrol envarsus ex rel oral HCPCS J7503 | $3.45 | $5.75 | $0.77 – $1.83 | 2 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $91.80 | $153.00 | $0.17 – $5.57 | 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.