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 |
|---|---|---|---|---|
| Ghs inj neurolytic other perph nerve CPT 64640 | $1,343.40 | $2,239.00 | $80.85 – $891.22 | 10 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $1,972.80 | $3,288.00 | $77.37 – $1,521.39 | 8 |
| Ghs insertion of needle - bone CPT 36680 | $678.60 | $1,131.00 | $54.45 – $399.46 | 10 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $2,183.40 | $3,639.00 | $101.20 – $506.21 | 10 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $3,562.20 | $5,937.00 | $210.28 – $587.62 | 9 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $145.80 | $243.00 | $19.79 – $46.19 | 9 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | $1,020.00 | $1,700.00 | $338.72 – $613.51 | 8 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $1,020.00 | $1,700.00 | $338.72 – $719.79 | 8 |
| Ghs IV infusion sotrovimab HCPCS M0247 | $1,020.00 | $1,700.00 | $396.00 – $2,170.93 | 8 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $1,635.60 | $2,726.00 | $286.79 – $642.37 | 9 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $4,779.60 | $7,966.00 | $34.65 – $399.46 | 10 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $388.80 | $648.00 | $26.95 – $399.94 | 10 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $388.80 | $648.00 | $26.95 – $399.94 | 10 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $388.80 | $648.00 | $34.65 – $399.94 | 10 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $388.80 | $648.00 | $52.25 – $399.94 | 10 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $610.80 | $1,018.00 | $39.05 – $399.94 | 10 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $695.40 | $1,159.00 | $52.25 – $408.14 | 10 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $2,183.40 | $3,639.00 | $51.15 – $411.45 | 10 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $4,779.60 | $7,966.00 | $53.35 – $612.77 | 10 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | not published | not published | $67.65 – $571.63 | 10 |
| Ghs low level laser therapy CPT 97039 | $159.60 | $266.00 | $47.34 – $85.18 | 3 |
| Ghs mbp CPT 83873 | $112.80 | $188.00 | $15.60 – $18.58 | 11 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $189.00 | $315.00 | $9.16 – $14.20 | 7 |
| Ghs musc test done w/n test comp CPT 95886 | $274.80 | $458.00 | $72.92 – $122.20 | 8 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $260.40 | $434.00 | $45.88 – $115.30 | 8 |
| Ghs myocardial strain img spckl track CPT 93356 | $838.80 | $1,398.00 | $46.89 – $68.10 | 3 |
| Ghs nailbed repair/nail removal CPT 11760 | $1,632.60 | $2,721.00 | $25.30 – $612.77 | 10 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $1,540.80 | $2,568.00 | $47.85 – $891.22 | 10 |
| Ghs nerve block brachial plexus CPT 64415 | not published | not published | $38.50 – $891.22 | 10 |
| Ghs nerve block interscaline CPT 64510 | $3,582.00 | $5,970.00 | $59.95 – $891.22 | 10 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $3,570.00 | $5,950.00 | $59.40 – $891.22 | 10 |
| Ghs nerve block sciatic nerve CPT 64445 | not published | not published | $25.85 – $693.24 | 10 |
| Ghs ng placement w fluoro guidance CPT 43752 | $334.20 | $557.00 | $197.94 – $410.88 | 8 |
| Ghs opcc repair cvp without subq port CPT 36575 | $4,956.00 | $8,260.00 | $41.04 – $618.91 | 10 |
| Ghs ot group caregiver training CPT 97552 | $44.40 | $74.00 | $20.26 – $20.55 | 2 |
| Ghs ot prosthetic training/15 min CPT 97761 | $225.60 | $376.00 | $45.72 – $131.41 | 3 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $146.40 | $244.00 | $50.35 – $122.10 | 3 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $1,897.80 | $3,163.00 | $138.06 – $645.13 | 3 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $985.80 | $1,643.00 | $125.37 – $553.95 | 3 |
| Ghs peritonsillar abscess i andd CPT 42700 | $1,632.60 | $2,721.00 | $68.20 – $232.46 | 10 |
| Ghs phenylketonurid CPT 84030 | $37.80 | $63.00 | $4.99 – $8.12 | 11 |
| Ghs plngl fx pm cl CPT 26725 | $723.00 | $1,205.00 | $84.70 – $414.04 | 10 |
| Ghs ppd (tb intradermal) CPT 86580 | $57.00 | $95.00 | $6.05 – $24.52 | 11 |
| Ghs protoporphyrins fract CPT 84202 | $99.00 | $165.00 | $13.01 – $22.82 | 11 |
| Ghs removal intranasal foreign body CPT 30300 | $276.00 | $460.00 | $24.75 – $139.23 | 10 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $187.80 | $313.00 | $12.61 – $15.02 | 10 |
| Ghs sensitivity (per antimicro) CPT 87184 | $34.80 | $58.00 | $6.78 – $9.20 | 11 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $2,183.40 | $3,639.00 | $101.20 – $419.93 | 10 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $4,548.00 | $7,580.00 | $101.20 – $599.14 | 10 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $4,620.00 | $7,700.00 | $101.20 – $479.30 | 10 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $4,594.20 | $7,657.00 | $101.20 – $711.95 | 10 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $610.80 | $1,018.00 | $52.25 – $300.42 | 10 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $610.80 | $1,018.00 | $53.35 – $327.02 | 10 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $610.80 | $1,018.00 | $67.65 – $419.77 | 10 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $4,795.80 | $7,993.00 | $101.20 – $556.24 | 10 |
| Ghs somatosensory testing lower extremit CPT 95926 | $490.20 | $817.00 | $64.27 – $311.72 | 10 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $1,858.80 | $3,098.00 | $240.33 – $531.15 | 10 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $378.00 | $630.00 | $106.42 – $272.19 | 3 |
| Ghs st - re-eval for alt comm CPT 92597 | $991.80 | $1,653.00 | $143.59 – $440.36 | 3 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $3,112.80 | $5,188.00 | $103.40 – $612.77 | 10 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $3,197.40 | $5,329.00 | $129.80 – $456.06 | 10 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $824.40 | $1,374.00 | $80.30 – $346.51 | 10 |
| Ghs urine, porphyrins quant CPT 84120 | $80.40 | $134.00 | $8.25 – $15.45 | 11 |
| Giardia lamblia antibody CPT 86674 | $186.00 | $310.00 | $13.35 – $15.90 | 10 |
| Gi inhouse confirmation CPT 87045 | $84.60 | $141.00 | $7.59 – $10.20 | 11 |
| Glaucoma surgery CPT 66170 | not published | not published | $663.30 – $2,283.12 | 10 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $522.40 | $653.00 | $115.20 – $197.05 | 9 |
| Glucagon plasma - sendout CPT 82943 | $131.40 | $219.00 | $12.96 – $22.71 | 11 |
| Glucose 1 hr post dose CPT 82950 | $54.00 | $90.00 | $4.31 – $7.51 | 11 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $32.40 | $54.00 | $2.20 – $3.44 | 11 |
| Glucose blood quantitative CPT 82947 | $34.80 | $58.00 | $3.56 – $4.60 | 11 |
| Glucose body fluid CPT 82945 | $34.80 | $58.00 | $3.56 – $4.99 | 11 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $96.60 | $161.00 | $11.67 – $14.38 | 11 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $34.80 | $58.00 | $3.56 – $4.23 | 11 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $11.60 | $14.50 | $0.29 – $0.50 | 9 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $108.00 | $135.00 | $6.97 – $11.92 | 9 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $89.40 | $149.00 | $16.85 – $20.12 | 11 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $84.60 | $141.00 | $16.80 – $20.00 | 11 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $1,886.40 | $3,815.05 | $463.24 – $792.36 | 9 |
| Graft axiofill 1000mg HCPCS J3590 | $3,442.80 | $5,738.00 | $17.32 – $58.89 | 12 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $5,283.60 | $8,806.00 | $1,548.65 – $5,555.44 | 2 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $2,249.40 | $3,749.00 | $1,651.89 – $1,995.27 | 2 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $394.20 | $657.00 | $87.60 – $221.05 | 2 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $5,533.20 | $9,222.00 | $33.31 – $44.29 | 2 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $3,613.80 | $6,023.00 | $543.26 – $1,566.12 | 2 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $255.00 | $425.00 | $1,471.99 – $1,471.99 | 1 |
| Granisetron hcl injection HCPCS J1626 | $728.40 | $1,214.00 | $0.12 – $46.84 | 5 |
| Great toe with reduction 28495 CPT 28495 | $4,620.00 | $7,700.00 | $83.05 – $263.54 | 10 |
| Growth hormone antibody CPT 86277 | $145.80 | $243.00 | $8.80 – $16.53 | 11 |
| G-tube reposition CPT 43761 | not published | not published | $103.87 – $284.23 | 10 |
| Guided cath fluid drainage 10030 CPT 10030 | $1,473.60 | $2,456.00 | $137.81 – $1,036.64 | 10 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $1,821.00 | $3,035.00 | $1,397.36 – $3,977.40 | 2 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $2,001.60 | $3,336.00 | $158.67 – $573.29 | 2 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $141.00 | $235.00 | $143.38 – $610.77 | 2 |
| Guid loc target vol rad tx CPT 77387 | $1,214.40 | $2,024.00 | $41.25 – $135.55 | 7 |
| Gw stiffened micro access kit HCPCS C1894 | $496.80 | $828.00 | $124.32 – $506.68 | 2 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $1,022.40 | $1,704.00 | $2.78 – $134.79 | 5 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $46.40 | $58.00 | $0.51 – $30.15 | 7 |
| Hand-held pefr meter a4614 HCPCS A4614 | $26.40 | $44.00 | $48.63 – $161.01 | 2 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $60.00 | $100.00 | $23.13 – $62.72 | 8 |
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.