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 |
|---|---|---|---|---|
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $167.20 | $209.00 | $0.27 – $79.65 | 5 |
| Ammonia CPT 82140 | $80.40 | $134.00 | $5.50 – $15.30 | 11 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $155.20 | $195.00 | $27.41 – $120.61 | 5 |
| Amphotericin b lipid complex HCPCS J0287 | not published | $200.75 | $6.50 – $11.12 | 9 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $235.20 | $392.00 | $13.56 – $23.20 | 9 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $111.20 | $139.00 | $0.34 – $66.62 | 5 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $61.20 | $76.50 | $0.88 – $39.56 | 5 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $340.20 | $567.00 | $238.51 – $284.03 | 10 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | $252.45 – $3,248.02 | 10 |
| Amputation toe interphalangeal joint CPT 28825 | not published | not published | $542.09 – $3,340.82 | 9 |
| Amputation toe metatarsophalangeal joint CPT 28820 | not published | not published | $603.90 – $3,340.82 | 9 |
| Amylase CPT 82150 | $40.80 | $68.00 | $5.50 – $7.00 | 11 |
| Analysis gene f2 20210g>a variant CPT 81240 | $2,503.20 | $4,172.00 | $29.09 – $70.95 | 11 |
| Analysis gene f5 leiden variant CPT 81241 | $1,251.60 | $2,086.00 | $29.09 – $79.24 | 11 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | $670.80 | $1,118.00 | $39.13 – $91.89 | 10 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $189.00 | $315.00 | $30.88 – $37.90 | 11 |
| Anastrozole 1 mg HCPCS S0170 | $48.20 | $60.25 | $0.15 – $56.45 | 4 |
| Anca screen with reflex to titer -quest CPT 86021 | $42.00 | $70.00 | $5.50 – $15.80 | 11 |
| An cholangiogram percutaneous compl CPT 47531 | $3,342.00 | $5,570.00 | $85.71 – $3,532.77 | 10 |
| Androstanediol CPT 82154 | $489.00 | $815.00 | $26.15 – $45.83 | 11 |
| An fluoro guide for cvp CPT 77001 | $429.60 | $716.00 | $66.41 – $278.94 | 8 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $11,788.80 | $19,648.00 | $112.62 – $1,172.35 | 8 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $21,742.80 | $36,238.00 | $4,929.65 – $5,870.58 | 9 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $20,309.40 | $33,849.00 | $4,666.70 – $5,870.58 | 9 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $27,920.40 | $46,534.00 | $1,795.89 – $5,677.77 | 3 |
| Angiotensin ii CPT 82163 | $147.60 | $246.00 | $15.95 – $22.16 | 11 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $22,037.40 | $39,550.50 | $0.15 – $4.97 | 3 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $37,266.60 | $62,111.00 | $7,969.78 – $11,676.82 | 9 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $9,692.40 | $16,154.00 | $159.14 – $1,398.85 | 8 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $9,692.40 | $16,154.00 | $320.94 – $5,707.51 | 10 |
| Ankle X-ray CPT 73610 | $119.40 | $199.00 | $26.26 – $90.67 | 9 |
| Ankle X-ray (2 views, both ankles) CPT 73600 | $99.00 | $165.00 | $24.81 – $90.67 | 9 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | not published | not published | $1,280.69 – $5,082.81 | 9 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $119.40 | $199.00 | $11.68 – $13.91 | 10 |
| Antibody elution rbc reference CPT 86860 | $54.00 | $90.00 | $9.29 – $171.54 | 11 |
| Antibody htlv-i CPT 86687 | $76.20 | $127.00 | $8.24 – $13.34 | 11 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $360.60 | $601.00 | $5.50 – $19.29 | 11 |
| Antibody id rbc panel CPT 86870 | $129.60 | $216.00 | $9.29 – $360.10 | 11 |
| Antibody influenza virus CPT 86710 | $158.40 | $264.00 | $12.29 – $14.63 | 10 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $146.40 | $244.00 | $11.67 – $20.46 | 11 |
| Antibody screen rbc CPT 86850 | $54.00 | $90.00 | $8.86 – $10.55 | 11 |
| Antibody tetanus CPT 86774 | $97.20 | $162.00 | $13.42 – $15.98 | 10 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $15.20 | $19.00 | $0.94 – $1.61 | 9 |
| Anti mog serum - sendout CPT 86362 | $102.00 | $170.00 | $10.60 – $13.01 | 11 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $42.00 | $70.00 | $10.60 – $13.01 | 11 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $42.00 | $70.00 | $10.60 – $13.01 | 11 |
| Ant instr 2-3 vert segm 22845 CPT 22845 | not published | not published | $1,063.34 – $3,606.26 | 3 |
| Antinuclear antibodies CPT 86038 | $62.40 | $104.00 | $10.96 – $17.25 | 11 |
| Antinuclear antibodies titer CPT 86039 | $102.60 | $171.00 | $10.12 – $17.25 | 11 |
| Antiphosphatidylserine antibody CPT 86148 | $204.00 | $340.00 | $14.57 – $17.36 | 10 |
| Antistreptolysin o screen CPT 86063 | $37.20 | $62.00 | $5.23 – $8.05 | 11 |
| Antistreptolysin o titer CPT 86060 | $45.00 | $75.00 | $6.62 – $8.05 | 11 |
| Antithrombin iii activity CPT 85300 | $89.40 | $149.00 | $10.15 – $12.80 | 11 |
| Antithymocyte globuln rabbit HCPCS J7511 | not published | $1,886.35 | $631.00 – $1,079.32 | 9 |
| Aortic Aneurysm Screening Ultrasound CPT 76706 | $248.40 | $414.00 | $79.64 – $119.09 | 10 |
| Apc gene dup/delet variants CPT 81203 | $2,299.20 | $3,832.00 | $181.38 – $520.57 | 11 |
| Apl(pml-rara) quant - sendout CPT 81315 | $2,235.60 | $3,726.00 | $188.01 – $260.20 | 11 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $1,067.82 – $6,007.35 | 9 |
| Application finger splntstatic 29130 CPT 29130 | $159.60 | $266.00 | $78.41 – $132.72 | 9 |
| Application long leg splint 29505 CPT 29505 | $1,002.00 | $1,670.00 | $40.70 – $157.95 | 10 |
| Application lower leg splint 29515 CPT 29515 | $388.80 | $648.00 | $38.50 – $157.95 | 10 |
| Application multi layer compression below knee (both sides) CPT 29581 | $338.40 | $564.00 | $27.80 – $395.21 | 8 |
| Application of long arm cast 29065 CPT 29065 | $1,343.40 | $2,239.00 | $46.75 – $269.52 | 10 |
| Application of paste boot 29580 CPT 29580 | $336.00 | $560.00 | $90.51 – $337.70 | 3 |
| Application short leg cast 29405 CPT 29405 | $366.60 | $611.00 | $55.55 – $265.86 | 10 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $2,992.20 | $4,987.00 | $219.71 – $1,401.85 | 3 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $3,460.20 | $5,767.00 | $203.45 – $1,401.85 | 3 |
| Appl multlay comprs arm/hand CPT 29584 | $514.80 | $858.00 | $95.55 – $214.25 | 2 |
| Apply forearm splintdynamic 29126 CPT 29126 | $366.60 | $611.00 | $28.60 – $129.03 | 10 |
| Apply of finger splint 29131 CPT 29131 | $610.80 | $1,018.00 | $30.48 – $163.93 | 10 |
| Apply rigid leg cast 29445 CPT 29445 | $1,426.80 | $2,378.00 | $111.62 – $665.17 | 8 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | $7.80 | $9.75 | $1.04 – $1.77 | 9 |
| #aptt mix-1:1 incubated CPT 87532 | $562.20 | $937.00 | $31.82 – $37.90 | 10 |
| Aquaporin-4 antibody cba each CPT 86052 | $102.00 | $170.00 | $10.60 – $13.01 | 11 |
| Aquaporin-4 antibody elisa CPT 86051 | $102.00 | $170.00 | $10.14 – $12.45 | 11 |
| Aquatic exercise - group charge CPT 97150 | $80.40 | $134.00 | $41.76 – $104.15 | 3 |
| Arformoterol non-comp unit HCPCS J7605 | $28.60 | $35.75 | $0.45 – $25.33 | 5 |
| Argatroban esrd dialysis 1mg HCPCS J0884 | not published | $538.05 | $0.50 – $8.78 | 5 |
| Argatroban nonesrd use 1mg HCPCS J0883 | $627.00 | $1,045.00 | $0.50 – $0.86 | 9 |
| Arm CT Scan (with contrast, both arms) CPT 73201 | $1,368.00 | $2,280.00 | $280.73 – $650.82 | 9 |
| Arm CT Scan (without contrast, both arms) CPT 73200 | $1,068.00 | $1,780.00 | $91.94 – $568.09 | 9 |
| Arm or Leg Ultrasound (limited, left side) CPT 76882 | $557.40 | $929.00 | $45.40 – $109.49 | 9 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | $292.80 | $370.00 | $5.15 – $8.80 | 9 |
| Arterial blood draw/perc 36620 CPT 36620 | $607.20 | $1,012.00 | $52.34 – $241.22 | 8 |
| Artery-vein nonautograft CPT 36830 | not published | not published | $687.28 – $5,411.37 | 10 |
| Artery xray of abdomen 75726-26 CPT 75726 | $3,805.80 | $6,343.00 | $41.25 – $5,411.37 | 10 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $2,833.20 | $4,722.00 | $41.25 – $3,150.80 | 10 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $2,833.20 | $4,722.00 | $41.25 – $3,150.80 | 10 |
| Arthrd ant ntrbdy cervical CPT 22551 | not published | not published | $2,101.82 – $13,248.33 | 9 |
| Arthrd cmbn 1ntrspc lumbar CPT 22633 | not published | not published | $2,708.93 – $18,935.33 | 9 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $271.20 | $452.00 | $23.65 – $295.50 | 10 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $336.60 | $561.00 | $46.59 – $693.24 | 10 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $708.00 | $1,180.00 | $54.80 – $295.50 | 10 |
| Arthrodes/ant/cerv below c2 ea add 22552 CPT 22552 | not published | not published | $619.41 – $3,039.21 | 3 |
| Arthrodesis subtalar CPT 28725 | not published | not published | $803.41 – $12,880.32 | 10 |
| Arthrodesis triple CPT 28715 | not published | not published | $669.90 – $12,880.32 | 10 |
| Arthro, loose body + chondro HCPCS G0289 | not published | not published | $441.42 – $4,997.40 | 2 |
| Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 | not published | not published | $517.29 – $3,248.02 | 10 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | not published | not published | $1,254.48 – $2,378.87 | 3 |
| Asp core fat pad CPT 17999 | $103.20 | $172.00 | $47.46 – $204.60 | 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.