UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
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 |
|---|---|---|---|---|
| 17-hydroxypregnenolone CPT 84143 | $325.20 | $542.00 | $20.69 – $36.27 | 11 |
| 17-ketosteroids CPT 83586 | $58.80 | $98.00 | $11.61 – $20.34 | 11 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $1,641.60 | $2,736.00 | $683.10 – $813.49 | 8 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $2,071.20 | $3,452.00 | $683.10 – $813.49 | 8 |
| 2nd order venous cath CPT 36012 | $9,776.40 | $16,294.00 | $125.95 – $4,234.19 | 8 |
| 3-d radiotherapy plan CPT 77295 | $3,859.80 | $6,433.00 | $603.72 – $2,749.13 | 10 |
| 5% dextrose and 0.45% saline HCPCS S5010 | $74.40 | $93.00 | $33.58 – $82.33 | 2 |
| 5% dextrose with potassium HCPCS S5012 | $94.40 | $118.00 | $45.93 – $63.63 | 2 |
| 5' nucleotidase - sendout CPT 83915 | $58.80 | $98.00 | $10.11 – $17.72 | 11 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $141.60 | $236.00 | $19.64 – $74.03 | 8 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $96.80 | $2,979.05 | $27.85 – $47.64 | 9 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $112.80 | $188.00 | $10.89 – $19.09 | 11 |
| Abd/low ext cath 1st CPT 36245 | $5,015.40 | $8,359.00 | $726.45 – $2,172.24 | 3 |
| Abd/low ext cath 2nd CPT 36246 | $6,644.40 | $11,074.00 | $756.89 – $2,877.12 | 3 |
| Abd/low ext cath 3rd CPT 36247 | $7,387.20 | $12,312.00 | $901.71 – $3,199.28 | 3 |
| Abd/low ext cath addl CPT 36248 | $1,287.00 | $2,145.00 | $53.44 – $530.67 | 8 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $1,210.80 | $2,018.00 | $200.69 – $544.47 | 10 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $808.80 | $1,348.00 | $91.94 – $428.10 | 10 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,533.00 | $2,555.00 | $153.92 – $901.55 | 10 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,368.00 | $2,280.00 | $153.92 – $743.85 | 10 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,226.40 | $2,044.00 | $91.94 – $633.57 | 10 |
| Abdominal MRI (with and without contrast) CPT 74183 | $3,815.40 | $6,359.00 | $308.78 – $2,009.77 | 10 |
| Abdominal MRI (with contrast) CPT 74182 | $2,449.80 | $4,083.00 | $308.78 – $1,125.45 | 10 |
| Abdominal MRI (without contrast) CPT 74181 | $2,205.00 | $3,675.00 | $209.00 – $1,158.68 | 10 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,898.40 | $3,164.00 | $92.76 – $938.54 | 10 |
| Abdominal Ultrasound (complete) CPT 76700 | $564.00 | $940.00 | $91.94 – $280.32 | 10 |
| Abdominal Ultrasound (limited) CPT 76705 | $315.00 | $525.00 | $68.75 – $203.90 | 10 |
| Abdominal X-ray (2 views) CPT 74019 | $186.00 | $310.00 | $28.40 – $106.45 | 10 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $345.60 | $576.00 | $42.59 – $106.84 | 10 |
| Abdominal X-ray (single view) CPT 74018 | $119.40 | $199.00 | $23.25 – $88.15 | 10 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,550.40 | $2,584.00 | $52.38 – $938.54 | 10 |
| Abl1 gene CPT 81170 | $1,282.20 | $2,137.00 | $272.07 – $324.00 | 11 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $41.80 – $1,482.83 | 10 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $41.80 – $1,482.83 | 10 |
| Ablation of upper extremity nerves rf CPT 64999 | not published | not published | $34.99 – $303.94 | 8 |
| Abobotulinumtoxina HCPCS J0586 | $64.60 | $80.75 | $5.53 – $9.45 | 9 |
| Abscess drain retroperitoneal surg code CPT 49406 | $7,281.60 | $12,136.00 | $190.99 – $1,621.93 | 10 |
| Absorpt drg >16<=48 in w/bdr HCPCS A6255 | $0.60 | $1.00 | $7.02 – $20.53 | 3 |
| Absorpt drg <=16 sq in w/bdr HCPCS A6254 | $0.60 | $1.00 | $2.80 – $8.20 | 3 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $504.00 | $840.00 | $170.65 – $218.35 | 2 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $0.80 | $18.62 | $0.04 – $0.39 | 5 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $195.20 | $244.00 | $12.53 – $131.32 | 5 |
| Acetone qualitative CPT 82009 | $34.80 | $58.00 | $4.10 – $6.06 | 11 |
| Acetylcholine receptor modulating antibody CPT 86043 | $108.00 | $180.00 | $10.60 – $13.01 | 11 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $478.80 | $798.00 | $0.24 – $10.13 | 5 |
| Acetylcysteine non-comp unit HCPCS J7608 | $107.20 | $134.00 | $0.71 – $47.23 | 4 |
| Acute hepatitis panel CPT 80074 | $306.00 | $510.00 | $43.20 – $60.56 | 11 |
| Acyclovir 400 mg tablet HCPCS J8499 | not published | $195.38 | $0.04 – $0.05 | 2 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $427.20 | $712.00 | $0.02 – $3.62 | 5 |
| #acylcarnitineprfl CPT 82017 | $144.60 | $241.00 | $15.30 – $18.22 | 10 |
| Adapter b 8 channel 10cm HCPCS C1883 | $1,725.60 | $2,876.00 | $2,094.52 – $6,064.43 | 2 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $117.00 | $195.00 | $0.35 – $4.34 | 5 |
| Adenovirus ag ia CPT 87301 | $187.80 | $313.00 | $10.86 – $12.94 | 10 |
| Adenovirus antibody,serum - quest CPT 86603 | $84.60 | $141.00 | $11.67 – $20.46 | 11 |
| Adh-sendout CPT 84588 | $236.40 | $394.00 | $30.78 – $41.40 | 11 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $450.00 | $750.00 | $1.64 – $2.88 | 3 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $210.00 | $350.00 | $31.11 – $71.24 | 10 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $449.40 | $749.00 | $61.53 – $128.83 | 10 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $912.00 | $1,520.00 | $137.28 – $332.04 | 10 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $652.20 | $1,087.00 | $101.42 – $332.04 | 10 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $243.00 | $405.00 | $34.94 – $71.24 | 10 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $388.80 | $648.00 | $55.25 – $101.67 | 10 |
| Administration immunization each additional vaccine CPT 90472 | $12.00 | $20.00 | $0.68 – $9.65 | 2 |
| Administration vaccine hepatitis b HCPCS G0010 | $12.00 | $20.00 | $10.18 – $47.51 | 8 |
| Administration vaccine influenza virus HCPCS G0008 | $12.00 | $20.00 | $11.00 – $46.19 | 9 |
| Administration vaccine pneumococcal HCPCS G0009 | $12.00 | $20.00 | $11.00 – $46.19 | 9 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $108.60 | $13,185.75 | $26.62 – $45.53 | 9 |
| Adrenalin epinephrine inject HCPCS J0171 | $79.80 | $133.00 | $89.88 – $89.88 | 1 |
| Afamelanotide implant, 1 mg HCPCS J7352 | $6,529.20 | $10,882.00 | $2,669.39 – $3,178.89 | 8 |
| _afb id by dna probe rflx ast CPT 87149 | $315.00 | $525.00 | $18.18 – $25.50 | 11 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $1,823.40 | $3,039.00 | $51.36 – $152.01 | 11 |
| Air injection into abdomen 49400 CPT 49400 | $6,051.00 | $10,085.00 | $52.80 – $1,414.58 | 8 |
| Albumin body fluid quantitative each specimen CPT 82042 | $15.00 | $25.00 | $0.67 – $8.40 | 10 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $952.80 | $1,588.00 | $33.51 – $412.48 | 5 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $717.60 | $897.00 | $33.51 – $57.33 | 9 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | $183.60 | $306.00 | $6.70 – $144.97 | 5 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $33.00 | $55.00 | $5.24 – $9.20 | 11 |
| Albumin serum plasma or whole blood CPT 82040 | $33.00 | $55.00 | $4.01 – $5.35 | 11 |
| Albuterol ipratrop non-comp HCPCS J7620 | $11.60 | $14.50 | $0.09 – $3.86 | 4 |
| Albuterol non-comp con HCPCS J7611 | $5.40 | $6.75 | $0.11 – $3.81 | 7 |
| Albuterol non-comp unit HCPCS J7613 | $8.40 | $10.50 | $0.05 – $3.81 | 4 |
| Aldesleukin injection HCPCS J9015 | not published | $8,017.43 | $2,945.86 – $5,725.36 | 8 |
| Alginate dressing <=16 sq in HCPCS A6196 | $78.60 | $131.00 | $16.91 – $49.81 | 3 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | $96.00 | $160.00 | $37.91 – $111.20 | 3 |
| Alkaline phosphatase CPT 84075 | $34.80 | $58.00 | $4.70 – $7.33 | 11 |
| Allergen alpha lactalbumin ige CPT 86008 | $39.00 | $65.00 | $16.26 – $20.37 | 11 |
| Allergen egg white ige CPT 86003 | $39.00 | $65.00 | $4.73 – $8.29 | 11 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $40.40 | $50.50 | $3.45 – $5.90 | 9 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $570.00 | $950.00 | $58.41 – $81.44 | 11 |
| Alpha-fetoprotein amniotic CPT 82106 | $193.80 | $323.00 | $15.42 – $23.00 | 11 |
| Alpha-fetoprotein tumor marker CPT 82105 | $102.00 | $170.00 | $15.21 – $23.00 | 11 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $189.60 | $20,518.05 | $59.63 – $186.38 | 10 |
| Alt/sgpt CPT 84460 | $37.20 | $62.00 | $4.81 – $8.28 | 11 |
| Aluminum - quest CPT 82108 | $168.00 | $280.00 | $23.11 – $40.50 | 11 |
| Amifostine HCPCS J0207 | $7,807.80 | $13,013.00 | $1,116.01 – $1,116.01 | 1 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $11.60 | $26.23 | $0.40 – $6.37 | 7 |
| Amino acids quant 2-5 CPT 82136 | $229.20 | $382.00 | $17.78 – $26.80 | 11 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $13.00 | $16.25 | $1.08 – $1.71 | 4 |
| Aminolevulinic acid delta CPT 82135 | $108.60 | $181.00 | $13.20 – $17.77 | 11 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $58.40 | $73.00 | $5.31 – $10.34 | 5 |
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.