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 |
|---|---|---|---|---|
| Replace g/c tube perc CPT 49450 | $2,695.80 | $4,493.00 | $56.21 – $1,150.09 | 10 |
| Replace g-j tube perc CPT 49452 | $3,504.00 | $5,840.00 | $120.76 – $1,493.82 | 10 |
| Replace tissue expander w/perm prost 11970 CPT 11970 | not published | not published | $560.43 – $7,151.22 | 10 |
| Reptilase test CPT 85635 | $83.40 | $139.00 | $6.60 – $10.34 | 11 |
| Resect inferior turbinate CPT 30140 | not published | not published | $284.90 – $3,246.47 | 10 |
| Resect metatarsal tumor CPT 28173 | not published | not published | $1,246.33 – $3,340.82 | 9 |
| Reslizumab 10 mg/ml intravenous solution HCPCS J2786 | $34.40 | $43.00 | $6.91 – $11.83 | 9 |
| Resp virus 6-11 targets CPT 87632 | $1,575.00 | $2,625.00 | $187.18 – $269.90 | 11 |
| Reticulocyte automated CPT 85045 | $33.00 | $55.00 | $3.62 – $5.17 | 11 |
| Revefenacin inh non-com 1mcg HCPCS J7677 | $7.80 | $9.75 | $0.12 – $19.92 | 7 |
| Revise hip joint replacement CPT 27134 | not published | not published | $6,511.72 – $8,905.42 | 2 |
| Revise spermatic cord veins CPT 55530 | not published | not published | $1,025.76 – $3,551.23 | 9 |
| Revise spermatic cord veins CPT 55535 | not published | not published | $1,101.14 – $6,424.76 | 9 |
| Revision of bladder neck CPT 52500 | not published | not published | $1,253.95 – $3,551.23 | 9 |
| Revision of calf tendon CPT 27687 | not published | not published | $358.05 – $3,248.02 | 10 |
| Revision of eyelid CPT 67880 | not published | not published | $752.84 – $2,402.14 | 9 |
| Revision of eyelid CPT 67950 | not published | not published | $1,085.94 – $2,402.14 | 9 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $1,544.44 – $5,565.99 | 9 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $3,989.40 | $6,649.00 | $587.87 – $2,010.67 | 9 |
| Rheumatoid factor qualitative CPT 86430 | $37.80 | $63.00 | $5.57 – $8.05 | 11 |
| Rheumatoid factor quantitative CPT 86431 | $54.00 | $90.00 | $5.14 – $8.89 | 11 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $172.80 | $216.00 | $3.07 – $56.15 | 5 |
| Rho(d) immune globulin h, sd HCPCS J2792 | not published | $2,872.40 | $16.07 – $27.50 | 9 |
| Rho d immune globulin inj HCPCS J2790 | $622.40 | $778.00 | $52.14 – $205.90 | 5 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $216.00 | $360.00 | $29.15 – $106.45 | 10 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $235.80 | $393.00 | $30.25 – $119.78 | 10 |
| Rib X-ray (3 views, both sides) CPT 71110 | $204.00 | $340.00 | $30.25 – $106.45 | 10 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $0.20 | $0.25 | $0.09 – $0.14 | 4 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $27.00 | $33.75 | $9.43 – $16.14 | 9 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $1,370.40 | $2,284.00 | $6.93 – $1,301.34 | 10 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $274.40 | $12,419.00 | $47.49 – $81.24 | 9 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $320.40 | $8,286.40 | $18.55 – $31.73 | 9 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $207.60 | $346.00 | $16.74 – $28.63 | 9 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $7,826.40 | $13,044.00 | $17.58 – $30.08 | 9 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $623.04 – $1,647.86 | 9 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $42.35 – $1,180.32 | 10 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $2,026.20 | $3,377.00 | $272.28 – $636.60 | 9 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | not published | not published | $199.10 – $200.35 | 2 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | $87.60 | $146.00 | $19.43 – $33.24 | 9 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $34.60 | $43.25 | $6.95 – $11.89 | 9 |
| Romiplostim injection HCPCS J2796 | $259.20 | $5,961.83 | not published | 0 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $7,324.20 | $12,207.00 | $7.62 – $13.04 | 9 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $114.60 | $191.00 | $0.03 – $0.43 | 5 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $2,025.00 | $3,375.00 | $547.03 – $1,599.50 | 9 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $3,075.00 | $5,125.00 | $71.65 – $1,555.07 | 10 |
| Rpl tun-cvad w subq port CPT 36582 | not published | not published | $301.63 – $3,150.80 | 10 |
| Rpl tun cvc wo subq port CPT 36581 | $4,692.00 | $7,820.00 | $204.48 – $3,150.80 | 10 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | not published | not published | $775.87 – $6,424.76 | 9 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | not published | not published | $751.37 – $6,007.35 | 9 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | not published | not published | $577.00 – $6,424.76 | 9 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | not published | not published | $344.03 – $3,633.70 | 9 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | not published | not published | $478.93 – $6,007.35 | 9 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | not published | not published | $643.86 – $6,424.76 | 9 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | not published | not published | $575.68 – $6,007.35 | 9 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | not published | not published | $424.13 – $3,633.70 | 9 |
| Rpr parastomal hernia rdc 49621 CPT 49621 | not published | not published | $747.73 – $752.54 | 2 |
| Rubella antibody igg CPT 86762 | $67.20 | $112.00 | $13.05 – $22.59 | 11 |
| Rubeola antibody igg CPT 86765 | $67.20 | $112.00 | $11.68 – $13.91 | 11 |
| Russell viper venom diluted CPT 85613 | $119.40 | $199.00 | $8.69 – $13.43 | 11 |
| Rx metab gen seq alys pnl 6 CPT 81418 | $2,427.00 | $4,045.00 | $831.70 – $990.45 | 10 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $5,043.00 | $8,405.00 | $22.90 – $39.18 | 9 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $154.80 | $258.00 | $27.83 – $106.45 | 10 |
| Sarscov coronavirus ag ia CPT 87426 | $34.80 | $58.00 | $32.04 – $40.18 | 11 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $464.40 | $774.00 | $134.15 – $416.51 | 10 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $308.40 | $514.00 | $91.94 – $364.91 | 10 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $490.20 | $817.00 | $91.94 – $542.16 | 10 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $339.60 | $566.00 | $91.94 – $366.61 | 10 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $429.60 | $716.00 | $91.94 – $358.16 | 10 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $416.40 | $694.00 | $91.94 – $349.68 | 10 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $84.00 | $140.00 | $24.02 – $28.61 | 8 |
| Screen cerv/vag thin layer HCPCS G0123 | $61.20 | $102.00 | $18.37 – $21.88 | 8 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $788.29 – $938.75 | 8 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $788.29 – $938.75 | 8 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | $70.20 | $117.00 | $20.90 – $30.53 | 9 |
| Screening Mammogram CPT 77067 | $205.20 | $342.00 | $115.17 – $178.43 | 7 |
| Screening prostate cancer PSA HCPCS G0103 | $96.00 | $160.00 | $17.51 – $20.85 | 8 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $7,264.20 | $12,107.00 | $456.28 – $1,035.45 | 2 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $490.20 | $817.00 | $81.40 – $219.64 | 10 |
| Sedimentation rate erythrocyte automated CPT 85652 | $33.00 | $55.00 | $2.45 – $3.45 | 11 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $64.80 | $108.00 | $42.61 – $102.94 | 3 |
| Semen analysis w/count CPT 89310 | $55.80 | $93.00 | $7.81 – $9.30 | 10 |
| Sept9 promoter methylation analysis CPT 81327 | $627.00 | $1,045.00 | $140.82 – $207.36 | 10 |
| Serpina1 gene CPT 81332 | $345.60 | $576.00 | $39.59 – $54.71 | 11 |
| Set radiation therapy field CPT 77280 | $794.40 | $1,324.00 | $66.00 – $386.23 | 10 |
| Set radiation therapy field CPT 77290 | $1,485.60 | $2,476.00 | $133.65 – $754.76 | 10 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $1,295.17 – $7,355.55 | 9 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $846.09 – $7,151.22 | 10 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $561.93 – $3,248.02 | 10 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | $867.11 – $7,151.22 | 10 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $597.85 – $3,248.02 | 10 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $121.20 | $202.00 | $13.97 – $71.24 | 10 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $154.80 | $258.00 | $31.37 – $88.15 | 10 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $1,701.81 – $7,355.55 | 9 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $118.20 | $197.00 | $31.98 – $109.49 | 9 |
| Shoulder MRI (with and without contrast) CPT 73223 | $3,815.40 | $6,359.00 | $308.78 – $1,992.24 | 9 |
| Shoulder MRI (with contrast) CPT 73222 | $2,449.80 | $4,083.00 | $441.81 – $1,109.81 | 9 |
| Shoulder MRI (without contrast) CPT 73221 | $2,205.00 | $3,675.00 | $209.00 – $1,112.98 | 9 |
| Shoulder X-ray CPT 73030 | $118.20 | $197.00 | $28.59 – $90.67 | 9 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $96.00 | $160.00 | $28.38 – $90.67 | 9 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $4,636.80 | $7,728.00 | $1,257.60 – $6,999.24 | 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.