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 |
|---|---|---|---|---|
| Radiation therapy dose plan CPT 77300 | $425.40 | $709.00 | $40.15 – $194.03 | 10 |
| Radiation treatment aid(s) CPT 77332 | $425.40 | $709.00 | $60.50 – $184.69 | 10 |
| Radiation treatment aid(s) CPT 77333 | $823.20 | $1,372.00 | $64.59 – $270.89 | 10 |
| Radiation treatment aid(s) CPT 77334 | $846.00 | $1,410.00 | $100.65 – $434.32 | 10 |
| Radiation treatment delivery CPT 77402 | $529.20 | $882.00 | $23.65 – $150.59 | 10 |
| Radiation treatment delivery CPT 77412 | $952.80 | $1,588.00 | $48.40 – $263.26 | 10 |
| Radiology port images(s) CPT 77417 | $178.20 | $297.00 | $14.21 – $66.09 | 8 |
| Radiotherapy dose plan imrt CPT 77301 | $2,987.40 | $4,979.00 | $1,120.61 – $2,623.22 | 10 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,936.80 | $3,228.00 | $120.98 – $1,306.85 | 10 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $2,929.80 | $4,883.00 | $300.49 – $1,306.85 | 10 |
| Radphm lcl tumor plr sgl day CPT 78800 | $1,202.40 | $2,004.00 | $94.34 – $427.11 | 10 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $187.20 | $17,332.88 | $46.95 – $80.31 | 9 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $11,391.60 | $18,986.00 | $238.37 – $407.72 | 9 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $56,918.40 | $71,148.00 | $142.13 – $243.12 | 9 |
| Rbc count only automated CPT 85041 | $19.20 | $32.00 | $2.35 – $4.62 | 11 |
| Rbc o2 co2 reduced HCPCS P9027 | $1,285.80 | $2,143.00 | $421.16 – $501.54 | 8 |
| Reconstruction of nose CPT 30420 | not published | not published | $1,845.56 – $6,091.06 | 9 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | $5,023.39 – $18,935.33 | 9 |
| Red blood cells each unit HCPCS P9021 | $1,855.20 | $3,092.00 | $33.00 – $189.29 | 10 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $808.80 | $1,348.00 | $154.23 – $189.29 | 9 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $910.20 | $1,517.00 | $221.17 – $263.38 | 8 |
| Red blood cells washed each unit HCPCS P9022 | $871.80 | $1,453.00 | $343.14 – $548.00 | 9 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $1,285.80 | $2,143.00 | $1.91 – $278.22 | 5 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $17.00 | $1,428.70 | $4.25 – $7.27 | 9 |
| Rem endovas vena cava filter CPT 37193 | $12,835.80 | $21,393.00 | $2,346.68 – $3,240.82 | 9 |
| Remote 30 day ecg tech supp CPT 93229 | $1,414.20 | $2,357.00 | $84.43 – $320.63 | 8 |
| Removal anal seton other marker 46030 CPT 46030 | not published | not published | $79.20 – $1,180.32 | 10 |
| Removal biliary drg cath CPT 47537 | $1,176.00 | $1,960.00 | $89.12 – $938.54 | 10 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $3,504.00 | $5,840.00 | $319.83 – $636.60 | 9 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $3,678.60 | $6,131.00 | $202.50 – $1,555.07 | 10 |
| Removal cerumen impacted (both sides) CPT 69210 | $79.80 | $133.00 | $23.04 – $68.22 | 9 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $179.40 | $299.00 | $29.70 – $58.33 | 7 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | $778.20 | $1,297.00 | $33.55 – $938.54 | 10 |
| Removal foreign body foot subcutaneous right CPT 28190 | $824.40 | $1,374.00 | $33.55 – $704.33 | 10 |
| Removal mamma implant mat 19330 CPT 19330 | $3,262.20 | $5,437.00 | $817.35 – $3,942.82 | 9 |
| Removal of adenoids CPT 42830 | not published | not published | $421.96 – $3,339.23 | 9 |
| Removal of adenoids CPT 42831 | not published | not published | $476.08 – $3,339.23 | 9 |
| Removal of bone lesion CPT 23140 | not published | not published | $191.40 – $3,248.02 | 10 |
| Removal of breast lesion CPT 19120 | not published | not published | $190.30 – $3,833.30 | 10 |
| Removal of hip foreign body 27087 CPT 27087 | $5,009.40 | $8,349.00 | $71.50 – $3,248.02 | 10 |
| Removal of hydrocele CPT 55040 | not published | not published | $1,012.08 – $3,633.70 | 9 |
| Removal of hydroceles CPT 55041 | not published | not published | $1,465.06 – $3,633.70 | 9 |
| Removal of implant deep CPT 20680 | not published | not published | $188.65 – $2,865.05 | 10 |
| Removal of knee cartilage CPT 27332 | not published | not published | $1,536.32 – $3,340.82 | 9 |
| Removal of salivary stone 42335 CPT 42335 | not published | not published | $172.70 – $3,246.47 | 10 |
| Removal of sperm cord lesion CPT 55520 | not published | not published | $856.21 – $3,551.23 | 9 |
| Removal of testis CPT 54520 | not published | not published | $228.80 – $3,452.59 | 10 |
| Removal of thyroid CPT 60240 | not published | not published | $2,578.86 – $6,007.35 | 9 |
| Removal of thyroid CPT 60252 | not published | not published | $3,019.18 – $6,091.06 | 9 |
| Removal/replacement ppm generator dual lead system CPT 33228 | not published | not published | $518.50 – $10,775.64 | 9 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | $628.20 | $1,047.00 | $34.10 – $198.91 | 10 |
| Removal sutr and stapl no anes CPT 15854 | $37.20 | $62.00 | $15.58 – $15.68 | 2 |
| Removal sutr or stapl no anes CPT 15853 | $26.40 | $44.00 | $11.04 – $11.10 | 2 |
| Removal tunnled intprtnl cath CPT 49422 | $3,192.00 | $5,320.00 | $266.92 – $3,150.80 | 10 |
| Remove anal fist complex CPT 46280 | not published | not published | $337.15 – $2,745.27 | 10 |
| Remove anal fist subq CPT 46270 | not published | not published | $233.75 – $2,745.27 | 10 |
| Remove bladder stone CPT 52317 | not published | not published | $281.60 – $3,452.59 | 10 |
| Remove bladder stone CPT 52318 | not published | not published | $299.20 – $3,452.59 | 10 |
| Remove cartilage for graft CPT 20912 | not published | not published | $469.46 – $3,664.82 | 10 |
| Remove epididymis lesion CPT 54830 | not published | not published | $819.86 – $3,551.23 | 9 |
| Remove epididymis lesion CPT 54840 | not published | not published | $1,008.60 – $2,109.25 | 9 |
| Remove eye implant material CPT 67121 | not published | not published | $1,093.95 – $2,348.35 | 9 |
| Remove foreign body from eye CPT 65235 | $4,779.60 | $7,966.00 | $1,085.01 – $2,348.35 | 9 |
| Remove hip/pelvis lesion 27047 CPT 27047 | not published | not published | $59.40 – $2,865.05 | 10 |
| Remove in/ex hem groups 2+ CPT 46260 | not published | not published | $369.60 – $2,745.27 | 10 |
| Remove int/ext hem 1 group CPT 46255 | not published | not published | $288.75 – $2,745.27 | 10 |
| Remove pilonidal cyst compl CPT 11772 | not published | not published | $256.30 – $2,865.05 | 10 |
| Remove pilonidal cyst exten CPT 11771 | not published | not published | $256.30 – $2,865.05 | 10 |
| Remove prostate regrowth CPT 52630 | not published | not published | $1,094.03 – $5,234.35 | 9 |
| Remove renal tube w/fluoro CPT 50389 | $1,830.00 | $3,050.00 | $577.11 – $806.66 | 9 |
| Remove spine lamina 1/2 scrl CPT 63011 | not published | not published | $2,095.42 – $7,355.55 | 9 |
| Remove stent via transureth CPT 50386 | not published | not published | $1,127.68 – $2,109.25 | 9 |
| Remove tonsils and adenoids CPT 42820 | not published | not published | $643.11 – $6,091.06 | 9 |
| Remove tonsils and adenoids CPT 42821 | not published | not published | $774.26 – $3,339.23 | 9 |
| Remove ventilating tube CPT 69424 | not published | not published | $59.25 – $3,246.47 | 10 |
| Renal function panel CPT 80069 | $105.00 | $175.00 | $7.87 – $11.04 | 11 |
| Reopen fallopian tube CPT 58350 | not published | not published | $165.52 – $5,082.81 | 9 |
| Repair achilles tendon CPT 27650 | not published | not published | $460.90 – $7,151.22 | 10 |
| Repair bladder defect CPT 57288 | not published | not published | $2,011.01 – $5,082.81 | 9 |
| Repair blood vessel dir lower extr CPT 35226 | $1,444.80 | $2,408.00 | $553.40 – $1,855.65 | 9 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $5,299.20 | $8,832.00 | $529.26 – $630.28 | 9 |
| Repair dental ellis ii fx CPT 41899 | $288.60 | $481.00 | $35.59 – $239.10 | 8 |
| Repair eardrum structures CPT 69631 | not published | not published | $1,845.67 – $6,091.06 | 9 |
| Repair elbow w/deb open CPT 24358 | not published | not published | $741.48 – $3,340.82 | 9 |
| Repair extns tendon finger without grft ea CPT 26418 | $5,734.80 | $9,558.00 | $254.65 – $1,602.09 | 10 |
| Repair eyelid defect CPT 67904 | not published | not published | $1,535.52 – $2,402.14 | 9 |
| Repair finger/hand tendon CPT 26350 | $3,430.80 | $5,718.00 | $404.25 – $3,248.02 | 10 |
| Repair/graft achilles tendon CPT 27652 | not published | not published | $1,246.20 – $7,355.55 | 9 |
| Repair ing hernia sliding CPT 49525 | not published | not published | $349.25 – $3,532.77 | 10 |
| Repair nasal stenosis CPT 30465 | not published | not published | $1,601.31 – $6,091.06 | 9 |
| Repair of achilles tendon CPT 27654 | not published | not published | $524.70 – $7,151.22 | 10 |
| Repair of nasal septum CPT 30520 | not published | not published | $1,310.52 – $3,339.23 | 9 |
| Repair of ruptured tendon CPT 24342 | not published | not published | $572.00 – $7,151.22 | 10 |
| Repair of thigh muscle CPT 27385 | not published | not published | $535.15 – $7,151.22 | 10 |
| Repair of windpipe defect CPT 31825 | not published | not published | $1,085.46 – $3,339.23 | 9 |
| Repair palate pharynx/uvula CPT 42145 | not published | not published | $1,836.94 – $6,091.06 | 9 |
| Repair rectum & vagina CPT 57250 | not published | not published | $1,252.12 – $5,082.81 | 9 |
| Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252 | $4,620.00 | $7,700.00 | $95.15 – $504.62 | 10 |
| Repair upper arm/elbow tendon/muscle ea CPT 24341 | not published | not published | $1,358.71 – $7,355.55 | 9 |
| Replace duod/jej tube perc CPT 49451 | $2,860.20 | $4,767.00 | $77.36 – $1,219.54 | 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.