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 |
|---|---|---|---|---|
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $272.40 | $454.00 | $28.70 – $171.54 | 11 |
| Iliac revasc add-on 37222 CPT 37222 | $10,123.20 | $16,872.00 | $1,350.83 – $4,270.66 | 3 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | $99.00 | $165.00 | $36.01 – $61.59 | 9 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $198.00 | $330.00 | $229.76 – $725.49 | 3 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $94.80 | $158.00 | $160.53 – $506.41 | 3 |
| Immune complex assay CPT 86332 | $289.20 | $482.00 | $22.10 – $34.50 | 11 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $476.00 | $1,376.98 | $28.61 – $48.93 | 9 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $191.40 | $1,624.83 | $49.75 – $85.10 | 9 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | not published | $2,250.00 | $30.01 – $51.33 | 9 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $141.00 | $235.00 | $18.87 – $26.46 | 11 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $141.00 | $235.00 | $18.87 – $26.46 | 11 |
| Immunoassay tumor qual CPT 86294 | $233.40 | $389.00 | $23.19 – $27.62 | 10 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $72.00 | $120.00 | $8.80 – $12.94 | 11 |
| Immunodiffusion nes CPT 86329 | $129.60 | $216.00 | $12.74 – $19.55 | 11 |
| Immunofixation electrophoresis serum CPT 86334 | $114.00 | $190.00 | $20.26 – $32.20 | 11 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $108.00 | $180.00 | $21.60 – $91.87 | 8 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $108.00 | $180.00 | $17.55 – $171.54 | 11 |
| Immunoglobulin assay CPT 86023 | $144.00 | $240.00 | $11.30 – $17.48 | 11 |
| Immunology procedure CPT 86849 | $43.80 | $73.00 | $8.64 – $21.42 | 2 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $7,867.80 | $13,113.00 | $4,091.18 – $4,091.18 | 1 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $931.26 – $6,757.50 | 9 |
| Implant ureth bulk agent HCPCS L8606 | $1,360.20 | $2,267.00 | $804.45 – $2,073.68 | 2 |
| Impl neurostim electr perc CPT 63650 | $4,795.80 | $7,993.00 | $410.25 – $6,569.79 | 10 |
| Imuglucerase injection HCPCS J1786 | not published | $3,965.00 | $27.27 – $46.65 | 9 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $1,223.40 | $2,039.00 | $25.85 – $1,621.93 | 10 |
| Incision of anal sphincter CPT 46080 | not published | not published | $146.30 – $2,745.27 | 10 |
| Incision of eye CPT 66172 | not published | not published | $1,544.49 – $2,348.35 | 9 |
| Incision of metatarsal CPT 28308 | not published | not published | $1,028.47 – $3,340.82 | 9 |
| Incision of tendon sheath CPT 25000 | not published | not published | $242.55 – $1,602.09 | 10 |
| Incision of tongue fold CPT 41010 | not published | not published | $49.50 – $1,482.83 | 10 |
| Incision of urethra CPT 53020 | not published | not published | $49.50 – $2,050.66 | 10 |
| Incision tendon sheath CPT 26055 | not published | not published | $220.00 – $1,602.09 | 10 |
| Infect ag drug suscept pheno predict CPT 87900 | $764.40 | $1,274.00 | $86.12 – $167.54 | 11 |
| Infect ag genotype na cytomegalovirus CPT 87910 | $1,790.40 | $2,984.00 | $233.48 – $325.56 | 11 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $1,768.80 | $2,948.00 | $90.02 – $166.65 | 11 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $2,065.80 | $3,443.00 | $233.48 – $327.31 | 11 |
| Infect ag if hep delta agent CPT 87380 | $252.60 | $421.00 | $16.65 – $26.09 | 11 |
| Infect ag if legionella pneumophila CPT 87278 | $303.00 | $505.00 | $14.15 – $16.85 | 10 |
| Infect ag if pneumocystis carinii CPT 87281 | $100.20 | $167.00 | $10.86 – $14.01 | 11 |
| Infect ag na herpes simplex quant CPT 87530 | $385.80 | $643.00 | $38.85 – $46.27 | 10 |
| Infect ag na hpv high-risk types CPT 87624 | $284.40 | $474.00 | $31.82 – $43.94 | 11 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $516.60 | $861.00 | $86.88 – $110.17 | 11 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $2,801.40 | $4,669.00 | $377.98 – $527.08 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $108.00 | $180.00 | $10.86 – $12.94 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $100.20 | $167.00 | $12.53 – $14.93 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $76.20 | $127.00 | $10.86 – $14.16 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $88.20 | $147.00 | $13.04 – $15.53 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $76.20 | $127.00 | $9.37 – $16.30 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $93.60 | $156.00 | $9.37 – $13.13 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $268.80 | $448.00 | $21.84 – $31.39 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $74.40 | $124.00 | $10.86 – $12.94 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $108.00 | $180.00 | $10.86 – $12.94 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $99.00 | $165.00 | $10.86 – $14.01 | 11 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $189.00 | $315.00 | $25.51 – $37.90 | 11 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $203.40 | $339.00 | $25.51 – $37.90 | 11 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $547.80 | $913.00 | $33.80 – $46.25 | 11 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $2,298.60 | $3,831.00 | $377.98 – $450.12 | 10 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $306.00 | $510.00 | $31.82 – $37.90 | 10 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $576.00 | $960.00 | $31.82 – $45.11 | 11 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $306.60 | $511.00 | $37.80 – $45.01 | 10 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $198.60 | $331.00 | $25.51 – $37.90 | 11 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $75.00 | $125.00 | $39.04 – $55.41 | 11 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $210.00 | $350.00 | $124.15 – $154.04 | 11 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $568.20 | $947.00 | $31.82 – $37.90 | 10 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $231.00 | $385.00 | $31.82 – $44.05 | 11 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $147.00 | $245.00 | $69.62 – $82.91 | 10 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $454.20 | $757.00 | $377.98 – $450.12 | 10 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $1,008.00 | $1,680.00 | $238.51 – $284.03 | 10 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $385.80 | $643.00 | $38.85 – $46.27 | 10 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $385.80 | $643.00 | $38.85 – $46.27 | 11 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $346.80 | $578.00 | $38.85 – $46.27 | 11 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $754.20 | $1,257.00 | $77.18 – $133.50 | 11 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $951.60 | $1,586.00 | $129.35 – $162.23 | 11 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $380.80 | $1,127.33 | $19.63 – $1,192.76 | 10 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $1,062.00 | $1,770.00 | $12.88 – $22.04 | 9 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $203.20 | $254.00 | $12.62 – $21.59 | 9 |
| Influenza dna amp prob addl CPT 87503 | $342.00 | $570.00 | $25.72 – $31.56 | 11 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | $40.00 | $50.00 | $11.00 – $98.16 | 9 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $377.40 | $629.00 | $34.32 – $203.61 | 10 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $34.00 | $42.50 | $4.59 – $2,189.46 | 10 |
| Inj, adalimumab, 1 mg HCPCS J0139 | $168.80 | $211.00 | $83.19 – $3,534.06 | 9 |
| Inj andexxa, 10 mg HCPCS J7169 | $751.80 | $1,253.00 | $119.15 – $141.89 | 8 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $46.00 | $58.00 | $11.42 – $19.53 | 9 |
| Inj atezolizumb 5mg hya-tqjs HCPCS J9024 | $54.60 | $91.00 | $19.94 – $34.11 | 9 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $11,010.60 | $18,351.00 | $25.15 – $43.02 | 9 |
| Inj., brexanolone, 1 mg HCPCS J1632 | $171.00 | $285.00 | $164.56 – $164.56 | 1 |
| Inj, brixadi, 7 days or less HCPCS J0577 | $814.80 | $1,358.00 | $265.59 – $454.29 | 9 |
| Inj, bupivacaine liposome HCPCS J0666 | $2.40 | $4.00 | $0.93 – $1.51 | 9 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | $43.40 | $54.25 | $3.13 – $8.59 | 5 |
| Inj ceftolozane tazobactam HCPCS J0695 | $19.00 | $342.63 | $5.72 – $9.80 | 9 |
| Inj, clevidipine butyrate HCPCS C9248 | not published | $175.51 | $7.43 – $7.43 | 1 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $162.00 | $270.00 | $168.45 – $420.55 | 3 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | $2.40 | $4.00 | $0.50 – $0.84 | 9 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | $7.20 | $12.00 | $2.61 – $4.46 | 9 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $1,505.40 | $2,509.00 | $251.70 – $713.05 | 9 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $450.00 | $750.00 | $193.61 – $337.70 | 3 |
| Injection, cangrelor HCPCS C9460 | not published | $2,112.40 | $18.12 – $21.58 | 8 |
| Injection, caplacizumab-yhdp HCPCS C9047 | $19,956.00 | $33,260.00 | $993.13 – $993.13 | 1 |
| Injection, daratumumab 10 mg HCPCS J9145 | $682.80 | $6,656.53 | $45.06 – $77.08 | 9 |
| Injection, edaravone, 1 mg HCPCS J1301 | $1,485.00 | $2,475.00 | $13.25 – $22.67 | 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.