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 |
|---|---|---|---|---|
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $2,712.00 | $4,520.00 | $208.06 – $289.46 | 4 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | $175.20 | $292.00 | $72.62 – $79.88 | 3 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | $48.60 | $81.00 | $3.33 – $3.33 | 1 |
| Tcranial magn stim tx deli CPT 90868 | $478.80 | $798.00 | $210.67 – $326.57 | 3 |
| Tcranial magn stim tx plan CPT 90867 | $639.00 | $1,065.00 | $320.63 – $446.75 | 3 |
| Tcran magn stim redetemine CPT 90869 | $512.40 | $854.00 | $320.63 – $546.44 | 3 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $539.40 | $899.00 | $26.71 – $96.65 | 4 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $211.80 | $353.00 | $105.00 – $189.44 | 4 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $33.90 | $56.50 | $3.16 – $7.39 | 2 |
| Teriparatide injection HCPCS J3110 | $36.75 | $61.25 | $14.66 – $14.66 | 1 |
| Tetanus immune globulin inj HCPCS J1670 | $1,524.00 | $2,540.00 | $183.88 – $652.30 | 4 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $47.25 | $78.75 | $7.78 – $19.81 | 4 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $64.80 | $108.00 | $0.50 – $1.82 | 2 |
| Tigecycline injection HCPCS J3243 | $34.65 | $57.75 | $0.39 – $1.91 | 2 |
| Tobramycin comp unit HCPCS J7685 | $1,426.80 | $2,378.00 | $119.52 – $119.52 | 1 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $84.60 | $141.00 | $2.37 – $12.39 | 2 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $17.70 | $29.50 | $5.71 – $6.95 | 4 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $130.80 | $218.00 | $2.54 – $55.11 | 2 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | $1,172.40 | $1,954.00 | $197.47 – $430.18 | 4 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | $198.00 | $330.00 | $27.99 – $67.98 | 4 |
| Treprostinil injection HCPCS J3285 | $1,570.80 | $2,618.00 | $54.71 – $113.55 | 4 |
| Treprostinil, non-comp unit HCPCS J7686 | $2,920.80 | $4,868.00 | $796.09 – $878.74 | 2 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $16.80 | $28.00 | $0.84 – $1.69 | 2 |
| Triamcinolone a inj prs-free HCPCS J3300 | $21.15 | $35.25 | $6.49 – $26.95 | 4 |
| Trimethobenzamide hcl inj HCPCS J3250 | $98.40 | $164.00 | $4.16 – $57.51 | 2 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $52.50 | $87.50 | $8.81 – $14.29 | 4 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $340.20 | $567.00 | $161.65 – $303.75 | 2 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $81.00 | $135.00 | $73.79 – $109.32 | 2 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $117.60 | $196.00 | $173.58 – $173.58 | 1 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $64.80 | $108.00 | $70.38 – $102.99 | 2 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $126.60 | $211.00 | $79.20 – $177.56 | 2 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $18.00 | $30.00 | $15.08 – $49.49 | 2 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $82.20 | $137.00 | $126.58 – $126.58 | 1 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $91.80 | $153.00 | $171.89 – $171.89 | 1 |
| Vaccine mmr live subcutaneous CPT 90707 | $48.60 | $81.00 | $25.43 – $25.43 | 1 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $144.00 | $240.00 | $111.34 – $312.90 | 2 |
| Vaccine rabies im CPT 90675 | $600.00 | $1,000.00 | $252.84 – $345.05 | 4 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $1,195.80 | $1,993.00 | $1,201.47 – $1,201.47 | 1 |
| Vaccine tdap >=7 years im CPT 90715 | $31.80 | $53.00 | $39.81 – $73.11 | 2 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $55.80 | $93.00 | $37.37 – $38.36 | 2 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $7.95 | $13.25 | $0.93 – $1.71 | 2 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $73.80 | $123.00 | $11.38 – $23.44 | 4 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | $141.00 | $235.00 | $5.30 – $28.48 | 2 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | $306.00 | $510.00 | $8.22 – $54.91 | 2 |
| Vinorelbine 10 mg/ml intravenous solution (wrapper) HCPCS J9390 | $1,020.60 | $1,701.00 | $7.68 – $182.56 | 2 |
| Visit esketamine, > 56m HCPCS G2083 | $3,001.20 | $5,002.00 | not published | 0 |
| Visit esketamine 56m or less HCPCS G2082 | $2,053.80 | $3,423.00 | not published | 0 |
| Vonvendi inj 1 iu vwf:rco HCPCS J7179 | $10.80 | $18.00 | $1.45 – $2.04 | 4 |
| Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr HCPCS J3465 | $137.40 | $229.00 | $0.77 – $9.18 | 2 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | $403.20 | $672.00 | $2.35 – $2.35 | 1 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $295.80 | $493.00 | $6.83 – $38.23 | 2 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $802.20 | $1,337.00 | $5.06 – $155.53 | 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.