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 |
|---|---|---|---|---|
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | $5,882.40 | $9,804.00 | $709.95 – $5,565.99 | 9 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $2,386.20 | $3,977.00 | $854.83 – $3,240.82 | 9 |
| Insulin total CPT 83525 | $57.00 | $95.00 | $10.37 – $12.65 | 11 |
| Interdiscal perq aspir dx CPT 62267 | $2,792.40 | $4,654.00 | $360.05 – $724.45 | 9 |
| Interferon alfa-2b inj HCPCS J9214 | $108.00 | $3,303.48 | $39.41 – $39.41 | 1 |
| Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper) HCPCS Q3027 | $3,403.20 | $5,672.00 | $53.42 – $63.61 | 8 |
| Interferon beta-1a inj HCPCS J1826 | $4,373.40 | $7,289.00 | $1,998.03 – $2,379.39 | 8 |
| Intrinsic factor antibody CPT 86340 | $96.00 | $160.00 | $13.68 – $23.95 | 11 |
| Intro cath dialysis circuit CPT 36901 | $3,175.20 | $5,292.00 | $131.16 – $1,555.07 | 10 |
| Intro cath dialysis circuit w/pta CPT 36902 | $8,154.60 | $13,591.00 | $195.43 – $5,707.51 | 10 |
| Intro catheter aorta CPT 36200 | $3,157.20 | $5,262.00 | $122.10 – $2,172.24 | 8 |
| Intubation endotracheal emergency procedure CPT 31500 | $1,051.80 | $1,753.00 | $79.20 – $309.74 | 10 |
| Ionm in operatng room 15 min CPT 95940 | $191.40 | $319.00 | $44.53 – $181.75 | 3 |
| Ionm remote/>1 pt or per hr CPT 95941 | $1,587.60 | $2,646.00 | $362.64 – $362.64 | 1 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $5.40 | $9.00 | $0.28 – $4.25 | 5 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $16.40 | $20.50 | $0.10 – $5.50 | 5 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $495.00 | $825.00 | $115.85 – $198.16 | 9 |
| Ipratropium bromide non-comp HCPCS J7644 | $24.20 | $30.25 | $0.10 – $16.11 | 7 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $719.20 | $953.00 | $1.11 – $377.45 | 5 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $115.80 | $193.00 | $41.67 – $71.28 | 9 |
| Iron CPT 83540 | $60.00 | $100.00 | $5.87 – $9.72 | 11 |
| Iron binding capacity CPT 83550 | $58.80 | $98.00 | $5.50 – $9.18 | 11 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $99.00 | $165.00 | $11.43 – $19.56 | 9 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $315.00 | $525.00 | $0.14 – $14.65 | 7 |
| Irradiation of blood product each unit reference CPT 86945 | $63.60 | $106.00 | $28.24 – $40.41 | 9 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $147.60 | $246.00 | $21.43 – $59.46 | 10 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | $156.60 | $261.00 | $51.71 – $88.45 | 9 |
| Island pedicle flap graft CPT 15740 | not published | not published | $264.00 – $3,357.17 | 10 |
| IV Fluids (each additional hour) CPT 96361 | $105.00 | $175.00 | $9.90 – $46.19 | 10 |
| IV Fluids (first hour) CPT 96360 | $388.20 | $647.00 | $34.79 – $210.91 | 10 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $133.20 | $222.00 | $12.57 – $109.56 | 8 |
| IV Medicine Infusion (additional drug) CPT 96367 | $228.60 | $381.00 | $21.16 – $71.24 | 10 |
| IV Medicine Infusion (each additional hour) CPT 96366 | $138.00 | $230.00 | $13.52 – $46.19 | 10 |
| IV Medicine Infusion (first hour) CPT 96365 | $411.60 | $686.00 | $43.23 – $210.91 | 10 |
| IV Push Injection (each additional drug) CPT 96375 | $144.60 | $241.00 | $14.31 – $46.19 | 10 |
| IV Push Injection (first drug) CPT 96374 | $306.00 | $510.00 | $34.12 – $210.91 | 10 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $680.40 | $3,438.95 | $87.90 – $150.35 | 9 |
| Jak2 targeted sequence analysis CPT 81279 | $1,227.60 | $2,046.00 | $162.98 – $200.02 | 11 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $194.40 | $324.00 | $30.25 – $104.54 | 10 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $198.00 | $330.00 | $30.25 – $106.45 | 10 |
| John cunningham antibody CPT 86711 | $98.40 | $164.00 | $15.32 – $18.24 | 11 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $43.80 | $73.00 | $5.50 – $8.58 | 11 |
| Ketorolac (Toradol) Pain Shot, 15 mg HCPCS J1885 | $62.00 | $77.50 | $0.19 – $0.31 | 10 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $797.40 | $1,329.00 | $124.75 – $538.84 | 10 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $639.00 | $1,065.00 | $89.65 – $270.89 | 10 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $306.00 | $510.00 | $83.73 – $203.12 | 10 |
| Kit gene analys d816 variant CPT 81273 | $1,229.40 | $2,049.00 | $109.89 – $134.86 | 11 |
| Kit lead specify 5-6-5 HCPCS C1778 | $7,816.20 | $13,027.00 | $5,589.39 – $15,937.99 | 2 |
| Knee Arthroscopy (Cartilage Smoothing) CPT 29877 | not published | not published | $1,536.42 – $3,340.82 | 9 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $869.66 – $3,340.82 | 9 |
| Knee Arthroscopy (Meniscus Trimming) CPT 29881 | not published | not published | $597.85 – $3,248.02 | 10 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $1,543.75 – $3,340.82 | 9 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $1,535.92 – $3,340.82 | 9 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $1,254.53 – $3,340.82 | 9 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $1,544.41 – $3,340.82 | 9 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $597.85 – $3,248.02 | 10 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $1,254.18 – $7,355.55 | 9 |
| Knee MRI (with and without contrast) CPT 73723 | $3,815.40 | $6,359.00 | $308.78 – $1,992.24 | 9 |
| Knee MRI (with contrast) CPT 73722 | $2,449.80 | $4,083.00 | $354.99 – $1,109.81 | 9 |
| Knee MRI (without contrast) CPT 73721 | $2,205.00 | $3,675.00 | $209.00 – $1,112.98 | 9 |
| Knee X-ray CPT 73564 | $162.00 | $270.00 | $37.55 – $109.49 | 9 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $119.40 | $199.00 | $30.18 – $90.67 | 9 |
| Knee X-ray (3 views, both knees) CPT 73562 | $162.00 | $270.00 | $33.77 – $90.67 | 9 |
| Knee X-ray (standing, both knees) CPT 73565 | $136.20 | $227.00 | $24.67 – $88.15 | 10 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | not published | $133.36 | $33.34 – $113.36 | 12 |
| Lactate dehydrogenase (ldh) CPT 83615 | $36.00 | $60.00 | $5.48 – $8.27 | 11 |
| Lactated ringers intravenous solution HCPCS J7120 | $67.00 | $83.75 | $0.00 – $29.33 | 7 |
| Lactic acid CPT 83605 | $91.20 | $152.00 | $8.80 – $12.50 | 11 |
| Lactoferrin fecal qualitative CPT 83630 | $198.00 | $330.00 | $13.54 – $20.98 | 11 |
| Lactoferrin fecal quant CPT 83631 | $284.40 | $474.00 | $17.80 – $25.23 | 11 |
| Lam facetec & foramot lumbar CPT 63047 | not published | not published | $3,548.06 – $7,355.55 | 9 |
| Laminotomy single lumbar CPT 63042 | not published | not published | $3,712.15 – $7,355.55 | 9 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $195.20 | $23,905.00 | $21.50 – $36.77 | 9 |
| Laparo cholecystectomy/graph CPT 47563 | not published | not published | $1,521.52 – $6,007.35 | 9 |
| Laparoscopy aspiration CPT 49322 | not published | not published | $777.81 – $6,007.35 | 9 |
| Laparoscopy biopsy CPT 49321 | not published | not published | $747.98 – $6,007.35 | 9 |
| Laparoscopy excise lesions CPT 58662 | not published | not published | $1,370.62 – $6,007.35 | 9 |
| Laparoscopy lysis CPT 58660 | not published | not published | $1,343.38 – $6,007.35 | 9 |
| Laparoscopy remove adnexa CPT 58661 | not published | not published | $1,365.27 – $6,007.35 | 9 |
| Laparo-vag hyst incl t/o CPT 58552 | not published | not published | $1,582.65 – $10,719.92 | 9 |
| Lap ing hernia repair init CPT 49650 | not published | not published | $818.32 – $6,007.35 | 9 |
| Lap ing hernia repair recur CPT 49651 | not published | not published | $1,049.82 – $6,007.35 | 9 |
| Lap insert tunnel ip cath CPT 49324 | not published | not published | $526.46 – $6,007.35 | 9 |
| Lap radical hyst CPT 58548 | not published | not published | $2,562.55 – $7,788.21 | 3 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $366.60 | $611.00 | $25.85 – $295.50 | 10 |
| Laryngoscop w/vc inj + scope CPT 31571 | not published | not published | $207.90 – $3,690.81 | 10 |
| Laryngoscopy w/bx & op scope CPT 31536 | not published | not published | $215.67 – $3,690.81 | 10 |
| Larynscop w/tumr exc + scope CPT 31541 | not published | not published | $270.89 – $3,690.81 | 10 |
| Laser surgery of prostate CPT 52648 | not published | not published | $2,348.16 – $5,234.35 | 9 |
| Lead capillary CPT 83655 | $85.20 | $142.00 | $10.98 – $13.08 | 11 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $1,296.60 | $2,161.00 | $1,986.07 – $5,931.20 | 2 |
| Left compres band >=5"/yd HCPCS A6450 | $12.60 | $21.00 | $7.62 – $17.55 | 2 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $539.40 | $899.00 | $161.49 – $405.54 | 10 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $1,176.00 | $1,960.00 | $153.92 – $650.82 | 9 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $989.40 | $1,649.00 | $91.94 – $568.09 | 9 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $505.80 | $843.00 | $161.33 – $422.38 | 10 |
| Leishmania antibody CPT 86717 | $209.40 | $349.00 | $11.11 – $13.23 | 10 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $609.00 | $1,015.00 | $847.06 – $847.06 | 1 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $561.00 | $935.00 | $723.64 – $1,074.55 | 2 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $322.20 | $537.00 | $723.64 – $1,074.41 | 2 |
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.