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 |
|---|---|---|---|---|
| Measurement post void urine by ultrasound CPT 51798 | $256.80 | $428.00 | $15.48 – $59.46 | 10 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $213.60 | $356.00 | $0.82 – $0.82 | 1 |
| Megestrol 20 mg tabs 100 each bottle HCPCS S0179 | $6.20 | $7.75 | $1.93 – $5.35 | 2 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $9.80 | $13.84 | $4.82 – $15.69 | 5 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $108.00 | $135.00 | $19.74 – $33.77 | 9 |
| Mercaptopurine 50 mg HCPCS S0108 | not published | $2.54 | $1.22 – $10.85 | 3 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $77.20 | $96.50 | $0.27 – $25.18 | 7 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $1,001.60 | $1,252.00 | $1.17 – $155.29 | 5 |
| Metabolic Blood Panel (Basic) CPT 80048 | $84.60 | $141.00 | $7.67 – $10.76 | 11 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $126.60 | $211.00 | $9.58 – $13.44 | 11 |
| Metered dose inhaler drug HCPCS J3535 | $1,111.20 | $1,389.00 | $2.86 – $12.88 | 3 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | $255.60 | $426.00 | $1.11 – $2.27 | 5 |
| Methadone oral 5mg HCPCS S0109 | $0.80 | $1.00 | $0.48 – $4.88 | 2 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $29.80 | $37.25 | $0.12 – $12.93 | 7 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $279.20 | $349.00 | $1.40 – $16.06 | 7 |
| Methotrexate therapeutic drug level CPT 80204 | $139.80 | $233.00 | $34.98 – $41.66 | 10 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $2.60 | $3.25 | $1.40 – $9.43 | 8 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $20.20 | $25.25 | $10.37 – $20.72 | 5 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $1.40 | $313.60 | $1.30 – $1.30 | 1 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $22.00 | $27.50 | $0.07 – $2.46 | 5 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $0.60 | $0.75 | $0.08 – $8.61 | 10 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $2.20 | $94.95 | $0.13 – $6.54 | 10 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $11.00 | $13.75 | $0.60 – $5.21 | 7 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $1.20 | $2.00 | $0.08 – $0.12 | 4 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $4.80 | $6.00 | $0.02 – $0.05 | 5 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $7.00 | $109.23 | $0.16 – $10.28 | 5 |
| Microdissection manual CPT 88381 | $604.20 | $1,007.00 | $66.25 – $700.39 | 3 |
| Microsatellite instability CPT 81301 | $1,154.40 | $1,924.00 | $285.59 – $376.44 | 11 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $11.00 | $69.92 | $0.10 – $7.19 | 7 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $398.40 | $498.00 | $0.92 – $249.75 | 5 |
| Minocycline hydrochloride HCPCS J2265 | $1.00 | $451.45 | $2.03 – $2.88 | 8 |
| Minoxidil, 10 mg HCPCS S0139 | $12.80 | $16.00 | $0.10 – $10.03 | 4 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | $131.40 | $219.00 | $43.87 – $75.05 | 9 |
| Misoprostol, oral, 200 mcg HCPCS S0191 | $46.00 | $57.50 | $6.03 – $53.65 | 2 |
| Mitochondrial gene CPT 81440 | $4,943.40 | $8,239.00 | $3,014.54 – $3,589.92 | 10 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $1,169.60 | $3,159.90 | $12.85 – $21.98 | 9 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | not published | $302.75 | $15.08 – $25.79 | 9 |
| Mlh1 gene CPT 81288 | $1,123.80 | $1,873.00 | $174.42 – $207.71 | 10 |
| Mlh1 gene full seq CPT 81292 | $399.00 | $665.00 | $568.69 – $729.43 | 11 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $102.00 | $170.00 | $10.60 – $39.62 | 11 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $15,190.20 | $25,317.00 | $6,122.28 – $18,874.31 | 2 |
| Mopath procedure level 1 CPT 81400 | $837.60 | $1,396.00 | $58.01 – $69.08 | 10 |
| Mopath procedure level 3 CPT 81402 | $2,046.60 | $3,411.00 | $101.16 – $162.36 | 10 |
| Mopath procedure level 5 CPT 81404 | $3,109.80 | $5,183.00 | $176.77 – $296.82 | 10 |
| Mopath procedure level 6 CPT 81405 | $5,299.80 | $8,833.00 | $255.72 – $325.46 | 10 |
| Mopath procedure level 7 CPT 81406 | $8,476.80 | $14,128.00 | $256.54 – $305.51 | 10 |
| Mopath procedure level 8 CPT 81407 | $1,687.80 | $2,813.00 | $767.48 – $913.97 | 10 |
| Mopath procedure level 9 CPT 81408 | $3,327.60 | $5,546.00 | $1,813.80 – $2,160.00 | 10 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $19.80 | $33.00 | $1.38 – $5.11 | 7 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $12.80 | $630.00 | $7.61 – $16.21 | 5 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $616.20 | $1,027.00 | $148.16 – $265.77 | 11 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $665.40 | $1,109.00 | $105.76 – $360.10 | 11 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $459.60 | $766.00 | $91.69 – $190.58 | 11 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | $924.00 | $1,540.00 | $413.33 – $707.00 | 9 |
| M/phmtrc alys ishquant/semiq CPT 88373 | $152.40 | $254.00 | $50.40 – $78.53 | 8 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $646.80 | $1,078.00 | $148.16 – $279.34 | 11 |
| M/phmtrc alysishquant/semiq CPT 88369 | $646.80 | $1,078.00 | $61.44 – $96.27 | 8 |
| Mpl gene analysis common variants CPT 81338 | $1,227.60 | $2,046.00 | $136.33 – $162.36 | 10 |
| Mpsv4 vaccine subq CPT 90733 | $82.20 | $137.00 | $347.40 – $347.40 | 1 |
| MRA w/cont, abd HCPCS C8900 | $3,815.40 | $6,359.00 | $308.78 – $367.72 | 8 |
| MRA without cont, abd HCPCS C8901 | $3,815.40 | $6,359.00 | $209.00 – $248.89 | 8 |
| MRA without fol w/cont, abd HCPCS C8902 | $3,815.40 | $6,359.00 | $308.78 – $367.72 | 8 |
| MRI breast without cont bi CPT 77047 | $2,913.60 | $4,856.00 | $209.00 – $299.52 | 10 |
| MRI chest without contrast CPT 71550 | $2,205.00 | $3,675.00 | $209.00 – $1,158.68 | 10 |
| MRI chest without & w/contrast CPT 71552 | $3,815.40 | $6,359.00 | $308.78 – $1,997.73 | 10 |
| MRI loex nonjt w IV cont CPT 73719 | $2,332.80 | $3,888.00 | $308.78 – $1,109.81 | 9 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $2,205.00 | $3,675.00 | $209.00 – $926.26 | 9 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $3,815.40 | $6,359.00 | $308.78 – $1,142.59 | 9 |
| MRI orbit fac&nck w IV cont CPT 70542 | $3,493.20 | $5,822.00 | $308.78 – $1,109.81 | 10 |
| MRI tmj CPT 70336 | $2,332.20 | $3,887.00 | $209.00 – $1,112.98 | 10 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $2,205.00 | $3,675.00 | $209.00 – $926.26 | 9 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $3,815.40 | $6,359.00 | $308.78 – $1,142.59 | 9 |
| MRI upper extremity w/dye CPT 73219 | $3,166.80 | $5,278.00 | $308.78 – $1,109.81 | 9 |
| MRI without fol w/cont, breast HCPCS C8908 | $2,913.60 | $4,856.00 | $308.78 – $367.72 | 8 |
| Mr safety determination physician/other qhp CPT 76016 | $161.40 | $269.00 | $37.24 – $90.67 | 9 |
| Mr safety implant elec prepj CPT 76018 | $168.60 | $281.00 | $65.71 – $101.97 | 9 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $18.60 | $31.00 | $43.52 – $46.33 | 2 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $45.00 | $75.00 | $9.02 – $25.22 | 9 |
| Mr sfty med physics xm cstmz CPT 76017 | $444.00 | $740.00 | $156.65 – $248.89 | 9 |
| Msh2 gene full seq CPT 81295 | $399.00 | $665.00 | $133.51 – $400.79 | 11 |
| Msh6 gene full seq CPT 81298 | $399.00 | $665.00 | $253.29 – $673.94 | 11 |
| Mthfr gene analy common variants CPT 81291 | $357.60 | $596.00 | $51.82 – $70.57 | 10 |
| Mucopolysaccharides CPT 83864 | $223.80 | $373.00 | $19.80 – $30.68 | 11 |
| Mumps antibody igg CPT 86735 | $108.00 | $180.00 | $11.84 – $14.09 | 10 |
| Muscle test cran nerv unilat CPT 95867 | $297.00 | $495.00 | $27.50 – $311.72 | 10 |
| Muscle test larynx CPT 95865 | $1,132.80 | $1,888.00 | $91.40 – $188.68 | 10 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $34.40 | $43.00 | $0.10 – $10.32 | 5 |
| Mycophenolic acid HCPCS J7518 | $21.60 | $27.00 | $0.21 – $12.88 | 5 |
| Mycoplasma antibody igm CPT 86738 | $60.00 | $100.00 | $12.01 – $20.95 | 11 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $1,379.40 | $2,299.00 | $159.07 – $189.43 | 10 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $1,324.80 | $2,208.00 | $114.50 – $790.89 | 10 |
| Myelography via inj w/s&i cervical CPT 62302 | $1,324.80 | $2,208.00 | $111.12 – $790.89 | 10 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $1,324.80 | $2,208.00 | $109.28 – $790.89 | 10 |
| Myelography via inj w/s&i thoracic CPT 62303 | $1,324.80 | $2,208.00 | $112.58 – $790.89 | 10 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $96.60 | $161.00 | $10.46 – $12.45 | 10 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $22.20 | $37.00 | $2.34 – $5.21 | 5 |
| Nasal/sinus endo spendt remove tiss 31288 CPT 31288 | not published | not published | $1,092.71 – $7,127.72 | 9 |
| Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 | not published | not published | $716.75 – $1,775.61 | 9 |
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | not published | not published | $1,027.58 – $7,127.72 | 9 |
| Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255 | not published | not published | $1,836.89 – $7,127.72 | 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.