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 |
|---|---|---|---|---|
| Sickling rbc CPT 85660 | $54.00 | $90.00 | $3.30 – $5.79 | 11 |
| Sigmoidoscopy and biopsy CPT 45331 | $1,558.20 | $2,597.00 | $70.04 – $912.67 | 10 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | not published | not published | $55.00 – $1,180.32 | 10 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $1,558.80 | $2,598.00 | $134.15 – $1,180.32 | 10 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | $408.60 | $681.00 | $37.38 – $59.46 | 9 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $475.20 | $594.00 | $77.89 – $251.59 | 5 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,533.00 | $2,555.00 | $153.92 – $784.10 | 10 |
| Sinus CT scan (with contrast) CPT 70487 | $1,368.00 | $2,280.00 | $147.40 – $657.55 | 10 |
| Sinus CT scan (without contrast) CPT 70486 | $1,226.40 | $2,044.00 | $91.94 – $556.42 | 10 |
| Sinus X-ray (complete) CPT 70220 | $194.40 | $324.00 | $37.27 – $101.69 | 10 |
| Sinus X-ray (limited) CPT 70210 | $222.00 | $370.00 | $26.74 – $88.15 | 10 |
| Skin Biopsy CPT 11102 | $658.20 | $1,097.00 | $35.45 – $152.64 | 8 |
| Skull X-ray (1 to 3 views) CPT 70250 | $154.80 | $258.00 | $34.97 – $106.45 | 10 |
| Skull X-ray (complete) CPT 70260 | $218.40 | $364.00 | $47.82 – $123.66 | 10 |
| Skyla, 13.5 mg HCPCS J7301 | $1,426.80 | $2,378.00 | $1,419.26 – $1,419.26 | 1 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $91.80 | $153.00 | $48.86 – $48.86 | 1 |
| Sling suprapubic suburetheral HCPCS C1771 | $3,137.40 | $5,229.00 | $2,298.10 – $4,860.92 | 2 |
| Sm-153 lexidron ther HCPCS A9604 | not published | $8,937.50 | $3,913.19 – $4,660.10 | 8 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $268.20 | $447.00 | $41.25 – $178.21 | 10 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $24.00 | $40.00 | $3.30 – $5.66 | 11 |
| Smear gram stain CPT 87205 | $28.80 | $48.00 | $3.87 – $5.17 | 11 |
| Smear nasal eosinophil CPT 89190 | $27.00 | $45.00 | $5.25 – $7.64 | 11 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $33.00 | $55.00 | $4.95 – $6.47 | 11 |
| Smear wet mount CPT 87210 | $33.00 | $55.00 | $5.28 – $6.69 | 11 |
| Sodium 24 hour urine CPT 84300 | $34.80 | $58.00 | $4.59 – $7.73 | 11 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $58.40 | $73.00 | $0.00 – $21.71 | 7 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $40.40 | $50.50 | $0.80 – $18.28 | 5 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $52.20 | $65.25 | $0.41 – $18.67 | 5 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $25.80 | $43.00 | $0.05 – $0.05 | 1 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $61.20 | $76.50 | $1.28 – $24.12 | 5 |
| Sodium serum/plasma/whole blood CPT 84295 | $34.80 | $58.00 | $4.36 – $7.47 | 11 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $788.29 – $1,715.13 | 2 |
| Special physics consult CPT 77370 | $564.00 | $940.00 | $106.15 – $296.21 | 10 |
| Special radiation dosimetry CPT 77331 | $320.40 | $534.00 | $63.59 – $166.15 | 10 |
| Special radiation treatment CPT 77470 | $3,791.40 | $6,319.00 | $40.15 – $1,214.81 | 10 |
| Special teletx port plan CPT 77321 | $1,515.00 | $2,525.00 | $56.98 – $464.85 | 10 |
| Specific gravity body fluid CPT 84315 | $16.80 | $28.00 | $2.94 – $3.54 | 10 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $404.40 | $674.00 | $261.75 – $537.99 | 3 |
| Speech Therapy Session (one-on-one) CPT 92507 | $173.40 | $289.00 | $23.87 – $165.71 | 8 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $79.90 – $984.16 | 2 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,439.40 | $2,399.00 | $80.72 – $693.24 | 10 |
| Spine X-ray (single view, one level) CPT 72020 | $105.00 | $175.00 | $23.54 – $88.15 | 10 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $97.20 | $162.00 | $125.38 – $500.44 | 2 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $404.40 | $674.00 | $131.64 – $316.67 | 3 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $54,766.80 | $91,278.00 | $15,525.75 – $21,313.78 | 9 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $4,290.60 | $7,151.00 | $4,358.61 – $12,894.12 | 2 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $712.20 | $1,187.00 | $1,042.23 – $1,042.23 | 1 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $3,802.20 | $6,337.00 | $2,977.22 – $6,782.80 | 2 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $21,381.00 | $35,635.00 | $5,385.45 – $11,676.82 | 9 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $16,307.40 | $27,179.00 | $3,788.30 – $11,976.81 | 3 |
| Sterile gauze <= 16 sq in HCPCS A6402 | $0.60 | $1.00 | $0.29 – $0.81 | 3 |
| Sterile needle HCPCS A4215 | $256.80 | $428.00 | $548.02 – $548.02 | 1 |
| Sterile water/saline, 10 ml HCPCS A4216 | $36.40 | $45.50 | $0.09 – $3.05 | 3 |
| Sterile water/saline, 500 ml HCPCS A4217 | $24.00 | $40.00 | $21.21 – $21.21 | 1 |
| St evaluate speech sound production CPT 92522 | $404.40 | $674.00 | $126.20 – $438.64 | 3 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $455.40 | $759.00 | $46.55 – $579.11 | 8 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $896.40 | $1,494.00 | $148.49 – $503.77 | 10 |
| Strapping of ankle and/or ft 29540 CPT 29540 | not published | not published | $22.00 – $157.95 | 10 |
| Strep a ag ia CPT 87430 | $106.20 | $177.00 | $6.93 – $17.65 | 11 |
| Strep b dna amp probe CPT 87653 | $505.80 | $843.00 | $31.82 – $45.11 | 11 |
| Streptozocin injection HCPCS J9320 | not published | $783.53 | $414.60 – $414.60 | 1 |
| Stress test pulmonary CPT 94618 | $281.40 | $469.00 | $17.80 – $129.03 | 10 |
| Str markers specimen anal CPT 81265 | $265.20 | $442.00 | $211.37 – $251.72 | 10 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $7.60 | $9.50 | $4.82 – $4.82 | 1 |
| Sugars single quant CPT 84378 | $104.40 | $174.00 | $10.46 – $14.65 | 11 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $14,672.40 | $24,454.00 | $1,010.50 – $1,154.86 | 2 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $0.40 | $0.50 | $0.03 – $0.05 | 4 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $476.80 | $596.00 | $14.60 – $237.16 | 4 |
| Supp non-insulin inf cath/wk HCPCS A4221 | $15.00 | $25.00 | $52.16 – $153.28 | 2 |
| Support clav 29.6-40.5in med HCPCS L3650 | $165.00 | $275.00 | $114.97 – $362.95 | 3 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $168.51 – $2,823.70 | 9 |
| Surgical pathology level 1 gross examination only CPT 88300 | $36.00 | $60.00 | $6.03 – $27.73 | 11 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $67.20 | $112.00 | $9.73 – $65.94 | 11 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $74.40 | $124.00 | $13.54 – $85.16 | 11 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $169.20 | $282.00 | $27.80 – $158.79 | 11 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $360.60 | $601.00 | $36.26 – $360.10 | 11 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $691.20 | $1,152.00 | $54.70 – $817.76 | 11 |
| Susceptibility agar dilution per agent CPT 87181 | $34.80 | $58.00 | $4.31 – $6.90 | 11 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $78.60 | $131.00 | $4.31 – $6.04 | 11 |
| Susceptibility mic per plate CPT 87186 | $42.00 | $70.00 | $7.84 – $9.34 | 11 |
| Suscept studies macrobroth dilution ea CPT 87188 | $115.80 | $193.00 | $6.02 – $7.17 | 11 |
| Swallowing Evaluation (Bedside) CPT 92610 | $463.80 | $773.00 | $42.79 – $579.11 | 8 |
| Swallowing Therapy Session CPT 92526 | $130.20 | $217.00 | $84.21 – $373.98 | 3 |
| Sweat collection by iontophoresis CPT 89230 | $80.40 | $134.00 | $3.28 – $53.49 | 10 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $65.40 | $109.00 | $3.99 – $7.00 | 11 |
| System pacing micra av HCPCS C1786 | $6,175.20 | $10,292.00 | $8,805.02 – $15,838.31 | 2 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $7,169.40 | $11,949.00 | $11,370.59 – $22,349.03 | 2 |
| System sealant biosentry tract HCPCS C2613 | $888.00 | $1,480.00 | $370.00 – $1,258.00 | 11 |
| T3 (triiodothyronine) free CPT 84481 | $85.20 | $142.00 | $15.36 – $26.92 | 11 |
| T3 (triiodothyronine) total CPT 84480 | $70.80 | $118.00 | $8.80 – $14.89 | 11 |
| T4 (thyroxine) free CPT 84439 | $42.00 | $70.00 | $8.18 – $9.74 | 11 |
| T4 (thyroxine) total CPT 84436 | $45.00 | $75.00 | $6.23 – $10.93 | 11 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $42.80 | $53.50 | $0.11 – $14.62 | 7 |
| Tacrolimus therapeutic drug level CPT 80197 | $121.20 | $202.00 | $12.45 – $17.89 | 11 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $28.80 | $48.00 | $9.04 – $15.45 | 9 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $119.40 | $199.00 | $26.99 – $88.15 | 10 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | $123.60 | $206.00 | $45.85 – $78.43 | 9 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | $8.20 | $10.25 | $5.45 – $23.04 | 2 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | $0.60 | $1.00 | $0.72 – $2.51 | 2 |
| Target gsa panel hmtlmph neop CPT 81450 | $7,146.00 | $11,910.00 | $668.38 – $820.29 | 11 |
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.