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 |
|---|---|---|---|---|
| #flow interp 9 - 15 markers CPT 88188 | $303.00 | $505.00 | $46.29 – $405.92 | 8 |
| Flt3 gene CPT 81245 | $1,102.80 | $1,838.00 | $131.40 – $178.75 | 11 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $907.80 | $1,513.00 | $1.43 – $392.36 | 5 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | not published | $216.50 | $43.06 – $73.66 | 9 |
| Fluidotherapy charges pt CPT 97022 | $85.80 | $143.00 | $15.32 – $85.87 | 8 |
| Fluorescent antibody titer dna CPT 86256 | $39.00 | $65.00 | $10.02 – $13.01 | 11 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $511.80 | $853.00 | $55.32 – $196.93 | 8 |
| Fluoroguide needle placement CPT 77002 | $429.60 | $716.00 | $60.93 – $215.12 | 8 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $496.20 | $827.00 | $20.90 – $241.97 | 10 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $49.80 | $83.00 | $1.26 – $26.97 | 5 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $346.20 | $577.00 | $4.61 – $71.54 | 7 |
| Fna bx w/ct gdn 1st les CPT 10009 | $777.00 | $1,295.00 | $102.33 – $704.33 | 10 |
| Folic acid CPT 82746 | $89.40 | $149.00 | $13.20 – $15.88 | 11 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $1.40 | $1.75 | $0.04 – $0.06 | 4 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $80.80 | $1,425.88 | $5.70 – $6.78 | 8 |
| Fondaparinux sodium HCPCS J1652 | $490.80 | $818.00 | $0.46 – $39.90 | 7 |
| Foot X-ray CPT 73630 | $118.20 | $197.00 | $31.25 – $90.67 | 9 |
| Foot X-ray (2 views, both feet) CPT 73620 | $99.00 | $165.00 | $28.75 – $90.67 | 9 |
| Forearm X-ray (both sides) CPT 73090 | $105.00 | $175.00 | $30.88 – $90.67 | 9 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $1,366.80 | $2,278.00 | $0.06 – $5.40 | 5 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $84.60 | $141.00 | $34.30 – $34.30 | 1 |
| _fragile x methylation-sendout CPT 81244 | $475.80 | $793.00 | $22.86 – $95.39 | 11 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | $274.45 – $3,452.59 | 10 |
| Frenectomy 41115 CPT 41115 | not published | not published | $340.06 – $1,525.20 | 9 |
| Frenotomy 40806 CPT 40806 | not published | not published | $440.31 – $524.35 | 8 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $602.40 | $1,004.00 | $33.00 – $71.17 | 9 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $229.20 | $382.00 | $33.00 – $146.41 | 10 |
| Fresh frozen plasma thawing ea un CPT 86927 | $199.80 | $333.00 | $27.47 – $176.44 | 9 |
| Fructosamine glycated protein CPT 82985 | $66.60 | $111.00 | $15.20 – $18.91 | 11 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $218.40 | $364.00 | $51.96 – $106.45 | 10 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $1,093.82 – $1,883.47 | 9 |
| Fundus photography with i&r 92250 CPT 92250 | $169.20 | $282.00 | $58.49 – $129.03 | 10 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $0.40 | $0.50 | $0.01 – $0.27 | 6 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | not published | $3.19 | $0.23 – $5.31 | 3 |
| Fusion of big toe joint CPT 28750 | not published | not published | $306.35 – $7,151.22 | 10 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $19.20 | $32.00 | $0.93 – $12.30 | 6 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $108.60 | $181.00 | $9.30 – $42.89 | 6 |
| Galectin-3 CPT 82777 | $96.00 | $160.00 | $15.66 – $46.46 | 11 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $855.60 | $1,426.00 | $195.39 – $446.10 | 10 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $855.60 | $1,426.00 | $292.63 – $554.23 | 10 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $1,414.39 – $6,007.35 | 9 |
| Gammaglobulin iga CPT 82784 | $80.40 | $134.00 | $8.43 – $14.78 | 11 |
| Gammaglobulin ige CPT 82785 | $80.40 | $134.00 | $14.93 – $20.12 | 11 |
| Gamma glutamyltransferase CPT 82977 | $45.00 | $75.00 | $6.53 – $10.76 | 11 |
| Gamunex-c/gammaked HCPCS J1561 | $345.60 | $2,896.33 | $30.92 – $52.88 | 9 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $415.20 | $692.00 | $24.97 – $165.28 | 5 |
| Gastro/jejuno tube, std HCPCS B4087 | $526.20 | $877.00 | $62.02 – $223.01 | 3 |
| Gauze >16<=48 no w/sal without b HCPCS A6223 | $1,614.60 | $2,691.00 | $5.55 – $16.40 | 3 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $1,180.80 | $1,476.00 | $1.98 – $332.78 | 7 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | $74.40 | $124.00 | $149.40 – $255.55 | 9 |
| Generator barostim neo2 2014 HCPCS C1767 | $42,237.00 | $70,395.00 | $24,823.19 – $50,588.47 | 2 |
| Genetic tstg severe inh cond CPT 81443 | $14,904.00 | $24,840.00 | $2,220.60 – $2,644.44 | 10 |
| Genome sequence analysis CPT 81425 | $4,439.40 | $7,399.00 | $4,562.80 – $5,433.70 | 10 |
| Genome sequence analysis CPT 81426 | $4,439.40 | $7,399.00 | $2,457.65 – $2,926.75 | 10 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $46.00 | $57.50 | $1.39 – $29.81 | 7 |
| Gentamicin peak therapeutic drug level CPT 80170 | $96.00 | $160.00 | $13.20 – $17.69 | 11 |
| Ghs abscess perianal iandd CPT 46050 | $3,449.40 | $5,749.00 | $83.23 – $912.67 | 10 |
| Ghs abscess postoperative iandd complex CPT 10180 | $4,281.00 | $7,135.00 | $169.72 – $2,865.05 | 10 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $147.60 | $246.00 | $15.52 – $18.48 | 10 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $1,687.20 | $2,812.00 | $92.74 – $234.27 | 11 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $574.80 | $958.00 | $21.27 – $129.03 | 10 |
| Ghs antibodies (torch) igm CPT 86694 | $62.40 | $104.00 | $13.05 – $22.80 | 11 |
| Ghs bladder cath - complex-foley CPT 51703 | $605.40 | $1,009.00 | $82.07 – $235.40 | 10 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $1,260.60 | $2,101.00 | $38.50 – $693.24 | 10 |
| Ghs central line insert < age 5, failed CPT 36555 | $3,106.20 | $5,177.00 | $129.62 – $3,150.80 | 10 |
| Ghs change cysto/gastrost CPT 43762 | $1,156.80 | $1,928.00 | $34.21 – $260.42 | 10 |
| Ghs chemo IV push, ea addtl CPT 96411 | $378.00 | $630.00 | $58.18 – $108.14 | 10 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $591.00 | $985.00 | $31.82 – $45.74 | 11 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $280.20 | $467.00 | $40.15 – $306.96 | 10 |
| Ghs closed reduction ankle dislocation CPT 27840 | $3,032.40 | $5,054.00 | $98.45 – $582.60 | 10 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $3,032.40 | $5,054.00 | $818.30 – $1,647.86 | 9 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $1,884.60 | $3,141.00 | $256.85 – $1,602.09 | 10 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $3,396.00 | $5,660.00 | $792.00 – $1,647.86 | 9 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $2,186.40 | $3,644.00 | $1,085.30 – $1,647.86 | 9 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $590.40 | $984.00 | $42.90 – $321.45 | 10 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $166.20 | $277.00 | $86.74 – $132.72 | 9 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $280.20 | $467.00 | $29.15 – $399.46 | 10 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $388.80 | $648.00 | $28.60 – $139.61 | 10 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $240.00 | $400.00 | $13.79 – $24.17 | 11 |
| Ghs dislocation elbow closed treatment CPT 24600 | $3,032.40 | $5,054.00 | $112.75 – $576.76 | 10 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $5,218.20 | $8,697.00 | $85.38 – $938.54 | 10 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $1,439.40 | $2,399.00 | $101.39 – $693.24 | 10 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $586.80 | $978.00 | $135.28 – $230.00 | 9 |
| Ghs excision ingrown nail CPT 11765 | $607.20 | $1,012.00 | $55.00 – $399.94 | 10 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $2,002.80 | $3,338.00 | $167.97 – $307.79 | 9 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $117.60 | $196.00 | $6.33 – $8.34 | 11 |
| Ghs fish cytogen CPT 88271 | $186.00 | $310.00 | $19.43 – $23.13 | 10 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $337.20 | $562.00 | $46.42 – $55.29 | 10 |
| Ghs flow volume loop CPT 94375 | $145.80 | $243.00 | $34.62 – $311.72 | 10 |
| Ghs gastric intub aspiration lavage CPT 43753 | $252.00 | $420.00 | $18.16 – $311.72 | 10 |
| Ghs histoplasma antigen CPT 87385 | $125.40 | $209.00 | $12.02 – $14.31 | 10 |
| Ghs HIV antibody CPT 86703 | $255.60 | $426.00 | $12.43 – $21.50 | 11 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | $424.80 | $708.00 | $96.26 – $114.63 | 11 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $4,869.60 | $8,116.00 | $42.35 – $2,050.66 | 10 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $5,469.60 | $9,116.00 | $119.35 – $1,180.32 | 10 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $388.80 | $648.00 | $39.60 – $704.33 | 10 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $745.20 | $1,242.00 | $45.10 – $243.46 | 10 |
| Ghs inf midline insertion CPT 36140 | $5,299.20 | $8,832.00 | $105.24 – $2,172.24 | 8 |
| Ghs inhibitor screen CPT 85335 | $85.20 | $142.00 | $8.30 – $13.51 | 11 |
| Ghs init tx 1st degree burn CPT 16000 | $282.00 | $470.00 | $19.80 – $198.91 | 10 |
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.