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 |
|---|---|---|---|---|
| Target gsa panel organ/hmtlmph neop CPT 81455 | $5,739.00 | $9,565.00 | $2,569.25 – $3,153.17 | 11 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | $2,828.40 | $4,714.00 | $987.91 – $1,689.81 | 9 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $3.60 | $6.00 | $0.18 – $0.30 | 9 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $785.40 | $1,309.00 | $76.76 – $108.00 | 11 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $547.20 | $912.00 | $56.21 – $81.67 | 11 |
| Tc-99m exametazime diag HCPCS A9521 | $1,750.20 | $2,917.00 | $727.64 – $866.53 | 8 |
| Tc-99m maa HCPCS A9540 | $292.80 | $488.00 | $105.89 – $344.18 | 2 |
| Tc-99m mebrofenin HCPCS A9537 | $327.00 | $545.00 | $259.84 – $364.10 | 2 |
| Tc-99m medronate HCPCS A9503 | $189.60 | $316.00 | $214.83 – $254.46 | 2 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $15.00 | $25.00 | $9.07 – $10.80 | 8 |
| Tc-99m pentetate dtpa HCPCS A9539 | $209.40 | $349.00 | $78.39 – $238.13 | 2 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $218.40 | $364.00 | $78.39 – $94.46 | 2 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $93.60 | $156.00 | $158.43 – $223.96 | 2 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $725.40 | $1,209.00 | $587.12 – $808.98 | 2 |
| Tc-99m sulfur colloid HCPCS A9541 | $186.00 | $310.00 | $310.11 – $507.70 | 2 |
| Tc-99m tilmanocept diag HCPCS A9520 | $72.60 | $121.00 | $2,470.67 – $2,470.67 | 1 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $428.40 | $714.00 | $42.61 – $73.88 | 11 |
| T cells absolute cd 4 count CPT 86361 | $380.40 | $634.00 | $24.29 – $34.42 | 11 |
| T cells total count CPT 86359 | $325.20 | $542.00 | $34.22 – $57.50 | 11 |
| Telavancin injection HCPCS J3095 | $7.20 | $12.00 | $4.49 – $7.68 | 9 |
| Telethx isodose plan cplx CPT 77307 | $2,237.40 | $3,729.00 | $219.22 – $371.43 | 10 |
| Telethx isodose plan simple CPT 77306 | $1,855.20 | $3,092.00 | $119.50 – $366.45 | 10 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | $162.30 | $16.87 – $28.85 | 9 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $9,993.00 | $17,512.30 | $108.74 – $186.00 | 9 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $156.00 | $195.00 | $4.67 – $8.30 | 5 |
| Teriparatide injection HCPCS J3110 | $53.80 | $67.25 | $38.45 – $2,217.72 | 3 |
| Test stress cardiovascular tracing only CPT 93017 | $665.40 | $1,109.00 | $51.15 – $311.72 | 10 |
| Tetanus immune globulin inj HCPCS J1670 | $1,378.40 | $1,723.00 | $374.42 – $640.44 | 9 |
| Theophylline therapeutic drug level CPT 80198 | $81.00 | $135.00 | $12.10 – $15.27 | 11 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $63.60 | $106.00 | $14.30 – $60.41 | 8 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $105.00 | $175.00 | $9.22 – $66.14 | 8 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $27.00 | $45.00 | $31.99 – $33.67 | 2 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $20.40 | $34.00 | $21.96 – $33.67 | 2 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $38.20 | $47.75 | $1.15 – $3.28 | 7 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $129.60 | $216.00 | $38.64 – $90.67 | 9 |
| Thiotepa injection HCPCS J9340 | not published | $1,965.80 | $681.63 – $681.63 | 1 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,509.00 | $2,515.00 | $534.56 – $863.16 | 9 |
| Three-Phase Bone Scan (Nuclear Medicine) CPT 78315 | $663.60 | $1,106.00 | $183.01 – $623.39 | 10 |
| Thrombin time CPT 85670 | $39.00 | $65.00 | $5.23 – $9.19 | 11 |
| Thromboplastin inhibition CPT 85705 | $133.80 | $223.00 | $8.25 – $10.40 | 11 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $96.60 | $161.00 | $5.87 – $8.36 | 11 |
| Thromboxane urine CPT 84431 | $228.60 | $381.00 | $16.31 – $36.87 | 11 |
| Thyroglobulin antibody CPT 86800 | $223.20 | $372.00 | $14.43 – $21.22 | 11 |
| Thyroidectomy inc substrnl split/trans approch 60270 CPT 60270 | not published | not published | $3,008.17 – $5,786.51 | 2 |
| Thyroid (TSH) Test CPT 84443 | $89.40 | $149.00 | $15.24 – $26.69 | 11 |
| Thyroid Ultrasound CPT 76536 | $315.00 | $525.00 | $83.98 – $199.86 | 10 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | not published | $4,581.80 | $1,178.91 – $2,285.63 | 9 |
| Thyroxine binding globulin (tbg) CPT 84442 | $96.60 | $161.00 | $11.00 – $15.96 | 11 |
| Tigecycline injection HCPCS J3243 | $6.00 | $122.17 | $0.24 – $5.02 | 5 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | $334.80 | $558.00 | $119.18 – $203.86 | 9 |
| Tissue culture skin/biopsy CPT 88233 | $1,296.60 | $2,161.00 | $127.63 – $217.35 | 11 |
| Tissue exam koh skin/hair/nails CPT 87220 | $33.00 | $55.00 | $3.87 – $4.61 | 11 |
| Tissue transglutaminase iga CPT 86364 | $96.60 | $161.00 | $10.46 – $12.45 | 10 |
| Tixagev and cilgav inj HCPCS M0220 | $1,020.00 | $1,700.00 | $88.04 – $205.19 | 8 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $771.93 – $10,719.92 | 9 |
| Tlh uterus over 250 g CPT 58572 | not published | not published | $1,649.27 – $10,719.92 | 9 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $1,452.61 – $10,719.92 | 9 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $1,858.20 – $10,719.92 | 9 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $64.80 | $81.00 | $0.85 – $32.52 | 7 |
| Tobramycin peak therapeutic drug level CPT 80200 | $112.80 | $188.00 | $14.63 – $20.12 | 11 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $5,467.80 | $9,113.00 | $3.60 – $6.17 | 9 |
| Toe X-ray (both feet) CPT 73660 | $93.60 | $156.00 | $20.13 – $90.67 | 9 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $123.00 | $205.00 | $42.02 – $74.15 | 7 |
| Tomosynthesis breast screen bilateral CPT 77063 | $45.00 | $75.00 | $42.02 – $75.04 | 8 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $679.92 – $3,339.23 | 9 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $564.15 – $6,091.06 | 9 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $96.00 | $160.00 | $1.60 – $76.37 | 5 |
| Total Hip Replacement CPT 27130 | not published | not published | $5,007.31 – $13,248.33 | 9 |
| Total Knee Replacement CPT 27447 | not published | not published | $5,733.59 – $13,248.33 | 9 |
| Total tau CPT 84394 | $67.20 | $112.00 | $28.00 – $95.20 | 11 |
| Toxoplasma antibody igg CPT 86777 | $89.40 | $149.00 | $13.05 – $22.80 | 11 |
| Toxoplasma antibody igm CPT 86778 | $97.20 | $162.00 | $13.07 – $22.89 | 11 |
| Tpmt gene com vrnts CPT 81335 | $477.00 | $795.00 | $158.54 – $188.79 | 10 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | not published | not published | $4,395.40 – $5,234.35 | 9 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | $879.00 | $1,465.00 | $246.92 – $422.36 | 9 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $121.20 | $202.00 | $23.55 – $164.03 | 7 |
| Transferrin CPT 84466 | $56.40 | $94.00 | $11.57 – $19.55 | 11 |
| Transparent film >16<=48 in HCPCS A6258 | $2.40 | $4.00 | $9.93 – $29.21 | 3 |
| Transvaginal Pelvic Ultrasound (not pregnancy) CPT 76830 | $354.00 | $590.00 | $84.15 – $227.72 | 10 |
| Transvaginal Pregnancy Ultrasound CPT 76817 | $441.60 | $736.00 | $91.94 – $175.50 | 10 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $276.00 | $460.00 | $47.37 – $81.03 | 9 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | not published | $2,937.75 | $30.02 – $51.35 | 9 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | $205.20 | $3,633.30 | $17.67 – $30.23 | 9 |
| Tray bonemarrw oncontrol 102mm HCPCS C1830 | $553.80 | $923.00 | $230.75 – $784.55 | 11 |
| Treat ankle dislocation CPT 27842 | $3,430.80 | $5,718.00 | $130.35 – $1,602.09 | 10 |
| Treat ectopic pregnancy CPT 59151 | not published | not published | $1,499.84 – $6,007.35 | 9 |
| Treat elbow dislocation CPT 24605 | $4,490.40 | $7,484.00 | $173.25 – $1,602.09 | 10 |
| Treat finger fracture each CPT 26742 | $2,186.40 | $3,644.00 | $80.85 – $1,602.09 | 10 |
| Treat fracture of radius CPT 25505 | $1,632.60 | $2,721.00 | $159.50 – $1,602.09 | 10 |
| Treat fracture of ulna CPT 25535 | $3,636.60 | $6,061.00 | $176.55 – $824.27 | 10 |
| Treat hip dislocation CPT 27252 | $4,620.00 | $7,700.00 | $309.65 – $1,602.09 | 10 |
| Treat hip dislocation CPT 27257 | $5,989.80 | $9,983.00 | $260.70 – $1,602.09 | 10 |
| Treat humerus fracture CPT 24535 | $2,848.80 | $4,748.00 | $226.60 – $1,602.09 | 10 |
| Treat kneecap dislocation CPT 27562 | $3,197.40 | $5,329.00 | $147.95 – $1,041.47 | 10 |
| Treat kneecap fracture CPT 27524 | not published | not published | $446.60 – $7,151.22 | 10 |
| Treat knee dislocation CPT 27552 | $3,582.00 | $5,970.00 | $172.70 – $1,602.09 | 10 |
| Treat lower leg joint CPT 27829 | not published | not published | $1,094.48 – $7,355.55 | 9 |
| Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah) CPT 25608 | not published | not published | $1,105.17 – $7,355.55 | 9 |
| Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah) CPT 25609 | not published | not published | $1,410.18 – $7,355.55 | 9 |
| Treatment fx radial distal open w/internal fixation left (restricted method ii cah) CPT 25607 | not published | not published | $966.67 – $7,355.55 | 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.