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 |
|---|---|---|---|---|
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | $1,958.40 | $3,264.00 | $533.42 – $773.87 | 2 |
| Ecp ciliary body destruction CPT 66711 | not published | not published | $885.10 – $2,348.35 | 9 |
| Edetate disodium per 150 mg HCPCS J3520 | $28.80 | $48.00 | $1.98 – $1.98 | 1 |
| Eeg during surgery CPT 95955 | $604.80 | $1,008.00 | $131.28 – $472.14 | 8 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $584.40 | $974.00 | $24.75 – $311.72 | 10 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $627.00 | $1,045.00 | $128.56 – $316.33 | 10 |
| Eeg phy/qhp>36<60 hr without vid CPT 95721 | $1,762.20 | $2,937.00 | $184.10 – $309.86 | 8 |
| Eeg phys/qhp 2-12 hr w/veeg CPT 95718 | $586.80 | $978.00 | $118.51 – $198.62 | 8 |
| Eeg recording awake and asleep CPT 95819 | $584.40 | $974.00 | $24.75 – $311.72 | 10 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | $589.20 | $982.00 | $269.24 – $478.40 | 9 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | $586.20 | $977.00 | $88.00 – $311.72 | 9 |
| Eeg without vid ea 12-26hr cont CPT 95710 | $1,126.20 | $1,877.00 | $458.76 – $955.88 | 9 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | $1,126.20 | $1,877.00 | $458.76 – $764.52 | 9 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | $586.80 | $978.00 | $269.24 – $382.72 | 9 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | $1,126.20 | $1,877.00 | $132.00 – $531.15 | 9 |
| E equine encephalitis igg CPT 86652 | $122.40 | $204.00 | $11.96 – $20.95 | 11 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | $67.20 | $112.00 | $20.30 – $34.72 | 9 |
| Egd control bleeding any CPT 43255 | $2,132.40 | $3,554.00 | $255.75 – $1,898.98 | 10 |
| Egd lesion ablation CPT 43270 | $2,448.60 | $4,081.00 | $973.70 – $1,953.23 | 9 |
| Egd remove foreign body CPT 43247 | $2,132.40 | $3,554.00 | $191.43 – $938.54 | 10 |
| Egd remove lesion snare CPT 43251 | $2,132.40 | $3,554.00 | $208.28 – $1,898.98 | 10 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | $4,283.40 | $7,139.00 | $1,093.66 – $1,953.23 | 9 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $189.00 | $315.00 | $30.88 – $37.90 | 11 |
| EKG (Tracing Only) CPT 93005 | $147.60 | $246.00 | $11.51 – $69.31 | 10 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $105.00 | $175.00 | $25.58 – $90.67 | 9 |
| Elbow X-ray (3 or more views, both sides) CPT 73080 | $129.60 | $216.00 | $27.96 – $90.67 | 9 |
| Electrical Stimulation Therapy (each 15 minutes) CPT 97032 | $76.20 | $127.00 | $34.30 – $105.24 | 3 |
| Electrolyte panel CPT 80051 | $51.00 | $85.00 | $6.36 – $8.05 | 11 |
| Electron microscopy diagnostic CPT 88348 | $1,386.00 | $2,310.00 | $75.90 – $817.76 | 11 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | not published | $6,377.50 | $4.98 – $8.52 | 9 |
| Emb without cervical dilation 58100 CPT 58100 | $2,193.00 | $3,655.00 | $56.10 – $201.38 | 10 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $464.40 | $774.00 | $41.25 – $312.08 | 10 |
| Emg cranial nerve bilateral CPT 95868 | $496.80 | $828.00 | $62.11 – $311.72 | 10 |
| Emg thor paraspinal without t1/t2 CPT 95869 | $152.40 | $254.00 | $23.97 – $311.72 | 10 |
| Encephalitis, california igg/igm CPT 86651 | $122.40 | $204.00 | $11.96 – $20.95 | 11 |
| Encephalitis, st louis igg/igm CPT 86653 | $122.40 | $204.00 | $11.96 – $20.95 | 11 |
| Encephalitis, western equine igg/igm CPT 86654 | $122.40 | $204.00 | $11.96 – $20.95 | 11 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | not published | not published | $2,721.39 – $3,749.62 | 9 |
| Endome abla/them without hystero guide 58353 CPT 58353 | not published | not published | $440.89 – $5,082.81 | 9 |
| Endoscopic injection/implant CPT 51715 | not published | not published | $204.26 – $3,452.59 | 10 |
| Endoscopy maxillary sinus CPT 31267 | not published | not published | $923.44 – $7,127.72 | 9 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | not published | not published | $482.27 – $1,775.61 | 9 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $67.20 | $112.00 | $23.20 – $39.68 | 9 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $77.00 | $96.25 | $0.37 – $25.67 | 7 |
| Enzyme histochemistry CPT 88319 | $573.60 | $956.00 | $79.68 – $817.76 | 11 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | $102.00 | $170.00 | $35.26 – $60.31 | 9 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $1,897.80 | $3,163.00 | $65.56 – $1,521.39 | 8 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $106.40 | $133.00 | $0.30 – $17.08 | 6 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | not published | $69.68 | $1.33 – $70.82 | 5 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $2,236.20 | $3,727.00 | $321.36 – $3,273.80 | 9 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | not published | $342.68 | $0.54 – $311.77 | 4 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $918.00 | $1,530.00 | $4.96 – $22.47 | 10 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $111.20 | $139.00 | $5.39 – $109.17 | 10 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $389.40 | $649.00 | $10.23 – $77.24 | 5 |
| Epstein barr early antigen antibody CPT 86663 | $76.20 | $127.00 | $11.90 – $20.85 | 11 |
| Epstein barr nuclear antigen antibody CPT 86664 | $102.00 | $170.00 | $13.87 – $24.31 | 11 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $105.00 | $175.00 | $16.45 – $28.83 | 11 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $88.80 | $130.83 | $37.20 – $60.64 | 2 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $3,637.20 | $6,062.00 | $12.61 – $21.57 | 9 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $345.60 | $2,824.90 | $56.41 – $96.49 | 9 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $227.20 | $284.00 | $6.23 – $114.53 | 7 |
| ER Visit (level 1, minor) CPT 99281 | $213.00 | $355.00 | $51.26 – $90.67 | 9 |
| ER Visit (level 2) CPT 99282 | $265.20 | $442.00 | $36.28 – $163.04 | 10 |
| ER Visit (level 3) CPT 99283 | $336.60 | $561.00 | $62.31 – $285.07 | 10 |
| ER Visit (level 4) CPT 99284 | $570.00 | $950.00 | $104.86 – $426.27 | 10 |
| ER Visit (level 5, high severity) CPT 99285 | $703.20 | $1,172.00 | $152.61 – $613.75 | 10 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $9.60 | $16.00 | $0.14 – $0.68 | 5 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $102.82 – $938.54 | 10 |
| Esoph egd dilation <30 mm CPT 43249 | $2,132.40 | $3,554.00 | $606.94 – $1,953.23 | 9 |
| Established Patient Office Visit (level 1) CPT 99211 | $129.60 | $216.00 | $22.00 – $56.73 | 8 |
| Established Patient Office Visit (level 2) CPT 99212 | $145.80 | $243.00 | $28.60 – $71.93 | 8 |
| Established Patient Office Visit (level 3) CPT 99213 | $186.60 | $311.00 | $38.50 – $92.67 | 8 |
| Established Patient Office Visit (level 4) CPT 99214 | $201.60 | $336.00 | $59.86 – $122.03 | 8 |
| Established Patient Office Visit (level 5) CPT 99215 | $291.00 | $485.00 | $85.86 – $189.08 | 8 |
| Estradiol total CPT 82670 | $137.40 | $229.00 | $23.65 – $30.18 | 11 |
| Estrogens total-sendout CPT 82672 | $292.80 | $488.00 | $15.31 – $23.44 | 11 |
| Ethylene glycol -sendout CPT 82693 | $104.40 | $174.00 | $13.51 – $16.09 | 10 |
| Etonogestrel implant system HCPCS J7307 | $3,428.00 | $4,285.00 | $1,536.64 – $1,536.64 | 1 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $1,867.20 | $3,112.00 | $0.59 – $10.71 | 5 |
| Euglobulin lysis CPT 85360 | $61.80 | $103.00 | $5.50 – $8.83 | 11 |
| Evaluation of speech fluency 92521 CPT 92521 | $404.40 | $674.00 | $155.06 – $211.35 | 2 |
| Event monitor CPT 93270 | $228.60 | $381.00 | $16.17 – $104.69 | 10 |
| Evoked potentials upper limbs CPT 95925 | $490.20 | $817.00 | $30.25 – $311.72 | 10 |
| Evoked potential visual not glaucoma CPT 95930 | $699.00 | $1,165.00 | $81.69 – $311.72 | 10 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $89.90 – $304.51 | 10 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $645.96 – $2,946.91 | 9 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | not published | not published | $59.40 – $1,621.93 | 10 |
| Exc back les sbq <3 cm 21930 CPT 21930 | not published | not published | $138.60 – $1,621.93 | 10 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | $3,430.80 | $5,718.00 | $128.70 – $1,414.58 | 8 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | not published | not published | $95.15 – $1,621.93 | 10 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | not published | not published | $41.25 – $704.33 | 10 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | not published | not published | $86.35 – $704.33 | 10 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | not published | not published | $46.75 – $704.33 | 10 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | not published | not published | $39.60 – $1,621.93 | 10 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | not published | not published | $133.10 – $2,865.05 | 10 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | not published | not published | $51.15 – $399.94 | 10 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | not published | not published | $71.50 – $704.33 | 10 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | not published | not published | $210.28 – $1,621.93 | 10 |
| Exc foot/toe tum dep 1.5cm/> CPT 28041 | not published | not published | $656.76 – $2,946.91 | 9 |
| Exc forearm les sc 3 cm/> CPT 25071 | not published | not published | $622.59 – $1,668.28 | 9 |
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.