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 |
|---|---|---|---|---|
| Injection epidural blood patch or clot CPT 62273 | $1,156.80 | $1,928.00 | $52.80 – $693.24 | 10 |
| Injection for arthrography wrist (both sides) CPT 25246 | $450.00 | $750.00 | $172.72 – $337.70 | 3 |
| Injection for bladder x-ray CPT 51600 | $2,055.60 | $3,426.00 | $35.20 – $1,414.58 | 8 |
| Injection for hip x-ray CPT 27095 | not published | not published | $218.34 – $337.70 | 3 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $450.00 | $750.00 | $134.81 – $337.70 | 3 |
| Injection, fulvestrant HCPCS J9395 | $6,048.60 | $10,081.00 | $4.25 – $7.27 | 9 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $22.80 | $38.00 | $7.78 – $13.31 | 9 |
| Injection, isavuconazonium HCPCS J1833 | $3.20 | $4.00 | $0.92 – $1.09 | 8 |
| Injection,onabotulinumtoxina HCPCS J0585 | $3,445.20 | $5,742.00 | $4.10 – $7.02 | 9 |
| Injection, peramivir HCPCS J2547 | $7.40 | $9.25 | $1.52 – $1.81 | 8 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | not published | not published | $177.58 – $413.75 | 8 |
| Injection, renflexis HCPCS Q5104 | $228.80 | $1,663.70 | $17.05 – $29.16 | 9 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $2,521.20 | $4,202.00 | $598.76 – $713.05 | 8 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $880.80 | $1,468.00 | $67.10 – $693.24 | 10 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $611.40 | $1,019.00 | $23.10 – $693.24 | 10 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $2,674.80 | $4,458.00 | $104.54 – $891.22 | 10 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $1,071.60 | $1,786.00 | $136.51 – $642.91 | 3 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $2,110.80 | $3,518.00 | $268.69 – $916.68 | 9 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $974.40 | $1,624.00 | $123.83 – $577.76 | 3 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $1,885.20 | $3,142.00 | $239.89 – $916.68 | 9 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $4,189.80 | $6,983.00 | $98.12 – $693.24 | 10 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $3,253.20 | $5,422.00 | $89.45 – $693.24 | 10 |
| Injection, siltuximab HCPCS J2860 | $410.40 | $684.00 | $104.71 – $179.10 | 9 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $1,294.20 | $2,157.00 | $35.20 – $295.50 | 10 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $571.20 | $952.00 | $34.17 – $295.50 | 10 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $647.40 | $1,079.00 | $37.92 – $295.50 | 10 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $136.20 | $227.00 | $20.55 – $150.64 | 2 |
| Inject sacroiliac joint CPT 27096 | not published | not published | $163.28 – $999.21 | 3 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $3,711.60 | $6,186.00 | $90.97 – $693.24 | 10 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | not published | not published | $78.27 – $891.22 | 10 |
| Inj, epinephrine (belcher) HCPCS J0173 | not published | $21.37 | $1.21 – $1.21 | 1 |
| Inj, etelcalcetide, 0.1 mg HCPCS J0606 | not published | $355.80 | $6.13 – $6.13 | 1 |
| Inj, factor x, (human), 1iu HCPCS J7175 | $34.20 | $57.00 | $6.17 – $10.56 | 9 |
| Inj, focinvez, 1mg HCPCS J1434 | $5.40 | $9.00 | $1.79 – $3.07 | 9 |
| Inj for ext venography CPT 36005 | $306.60 | $511.00 | $48.02 – $241.22 | 8 |
| Inj., fremanezumab-vfrm 1 mg HCPCS J3031 | $6.00 | $10.00 | $4.25 – $4.25 | 1 |
| Inj., guselkumab, 1 mg HCPCS J1628 | $695.20 | $869.00 | $47.97 – $82.05 | 9 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | $189.60 | $316.00 | $38.79 – $66.36 | 9 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | $5.40 | $9.00 | $1.65 – $2.82 | 9 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | $871.80 | $1,453.00 | $312.89 – $535.19 | 9 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $350.40 | $584.00 | $72.53 – $144.73 | 3 |
| Inj ivig privigen 500 mg HCPCS J1459 | $81.00 | $10,283.48 | $32.04 – $54.80 | 9 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | not published | $17,682.58 | $18.84 – $32.23 | 9 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $494.40 | $618.00 | $14.91 – $164.99 | 5 |
| Inj., lumoxiti, 0.01 mg HCPCS J9313 | not published | $66.21 | $21.21 – $25.26 | 8 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | $108.00 | $180.00 | $98.71 – $104.55 | 2 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | not published | $2,408.98 | $60.55 – $103.57 | 9 |
| Inj., meropenem, vaborbactam HCPCS J2186 | not published | $413.53 | $1.98 – $2.35 | 8 |
| Inj mogamulizumab-kpkc, 1 mg HCPCS J9204 | $691.20 | $864.00 | $156.90 – $268.38 | 9 |
| Inj multihance HCPCS A9577 | $31.80 | $53.00 | $1.10 – $33.58 | 6 |
| Inj naloxone hydrochloride HCPCS J2310 | $71.40 | $119.00 | $16.45 – $16.45 | 1 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $2,092.80 | $3,488.00 | $209.24 – $687.26 | 9 |
| Inj, nithiodote, 3mg / 125mg HCPCS J0211 | $3.60 | $6.00 | $2.02 – $2.41 | 8 |
| Inj nivolumab 2 mg hyaluron HCPCS J9289 | $48.60 | $81.00 | $17.28 – $29.55 | 9 |
| Inj ogivri 10 mg HCPCS Q5114 | $242.40 | $404.00 | $25.44 – $43.51 | 9 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | $1,313.40 | $2,189.00 | $19.15 – $32.75 | 9 |
| Inj. pemetrexed, 10 mg HCPCS J9304 | $156.60 | $261.00 | $29.25 – $50.03 | 9 |
| Inj., plazomicin, 5 mg HCPCS J0291 | $85.80 | $143.00 | $2.21 – $3.78 | 9 |
| Inj proc ankle arthr CPT 27648 | $409.20 | $682.00 | $27.50 – $337.70 | 8 |
| Inj proc elbow arthro CPT 24220 | $450.00 | $750.00 | $160.65 – $337.70 | 3 |
| Inj proc myelogram lumbar CPT 62284 | not published | not published | $87.49 – $868.37 | 8 |
| Inj prohance multipack HCPCS A9576 | $10.80 | $18.00 | $0.89 – $33.19 | 6 |
| Inj retro urethrocysto CPT 51610 | $3,582.00 | $5,970.00 | $37.95 – $1,414.58 | 8 |
| Inj., rolapitant, 0.5 mg HCPCS J2797 | $1.80 | $3.00 | $1.59 – $1.59 | 1 |
| Inj secretin synthetic human HCPCS J2850 | not published | $1,312.50 | $36.75 – $43.76 | 8 |
| Inj secukinumab intrav 1mg HCPCS J3247 | $42.80 | $53.50 | $11.27 – $19.27 | 9 |
| Inj, sutimlimab-jome, 10 mg HCPCS J1302 | not published | $4,700.00 | $11.91 – $20.37 | 9 |
| Inj. tagraxofusp-erzs 10 mcg HCPCS J9269 | $544.80 | $908.00 | $225.37 – $385.48 | 9 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | $768.00 | $1,280.00 | $226.79 – $387.93 | 9 |
| Inj testosterone cypionate HCPCS J1071 | $72.60 | $121.00 | $0.02 – $16.97 | 7 |
| Inj., tildrakizumab, 1 mg HCPCS J3245 | $432.80 | $541.00 | $80.47 – $137.65 | 9 |
| Inj, tislelizumab-jsgr HCPCS J9329 | $103.20 | $172.00 | $36.27 – $62.05 | 9 |
| Inj, tyenne, 1 mg HCPCS Q5135 | $12.80 | $16.00 | $2.79 – $4.77 | 9 |
| Inj w/fluor eval cv device CPT 36598 | $551.40 | $919.00 | $182.17 – $216.94 | 9 |
| Inj zanidatamab-hrii, 2 mg HCPCS J9276 | $44.40 | $74.00 | $15.81 – $27.05 | 9 |
| Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln HCPCS J9229 | $6,358.40 | $9,932.00 | $1,703.55 – $2,913.89 | 9 |
| Ins cath ren art 1st bi CPT 36252 | $12,124.80 | $20,208.00 | $322.01 – $3,150.80 | 10 |
| Insert cath pleura with image CPT 32557 | $2,320.80 | $3,868.00 | $1,283.30 – $1,599.50 | 9 |
| Insert cath pleura without image CPT 32556 | $2,829.00 | $4,715.00 | $791.18 – $1,953.23 | 9 |
| Insert drug delivery implant CPT 11981 | $1,447.80 | $2,413.00 | $83.30 – $217.81 | 10 |
| Insert intrauterine device iud CPT 58300 | $607.20 | $1,012.00 | $18.98 – $241.22 | 7 |
| Insertion catheter bladder non indwelling CPT 51701 | $297.00 | $495.00 | $28.00 – $129.03 | 10 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | $8,501.40 | $14,169.00 | $817.19 – $3,633.70 | 9 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | $1,806.60 | $3,011.00 | $3,235.87 – $5,565.99 | 9 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $1,239.00 | $2,065.00 | $124.53 – $3,150.80 | 10 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $1,239.00 | $2,065.00 | $96.13 – $1,555.07 | 10 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $1,239.00 | $2,065.00 | $76.74 – $1,555.07 | 10 |
| Insertion subcutaneous cardiac rhythm monitor CPT 33285 | not published | not published | $5,097.41 – $8,521.36 | 9 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | not published | not published | $739.44 – $3,240.82 | 9 |
| Insert tunneled cv cath CPT 36563 | not published | not published | $204.75 – $5,411.37 | 10 |
| Insert vad art access left hrt arterial access CPT 33990 | $2,458.80 | $4,098.00 | $626.23 – $970.99 | 2 |
| Insitu hybridization auto CPT 88367 | $1,438.20 | $2,397.00 | $135.28 – $360.10 | 11 |
| Insitu hybridization manual CPT 88368 | $646.80 | $1,078.00 | $89.51 – $360.10 | 11 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $141.00 | $235.00 | $18.25 – $171.54 | 11 |
| Insj biomechanical device 22853 CPT 22853 | not published | not published | $355.07 – $454.11 | 3 |
| Ins picad w subq port 5yr> CPT 36571 | not published | not published | $526.12 – $3,240.82 | 9 |
| Ins pq tunnld ip cath w/img CPT 49418 | $8,416.80 | $14,028.00 | $2,234.51 – $3,633.70 | 9 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | not published | not published | $414.72 – $22,080.22 | 9 |
| Ins subq extnsn pertneal cath CPT 49435 | not published | not published | $167.40 – $2,109.94 | 3 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $1,062.60 | $1,771.00 | $73.63 – $668.17 | 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.