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 |
|---|---|---|---|---|
| Cholesterol body fluid CPT 84999 | $6,841.20 | $11,402.00 | $0.78 – $6.85 | 2 |
| Cholesterol (Lipid) Test CPT 80061 | $133.20 | $222.00 | $12.14 – $16.10 | 11 |
| Chrom analysis CPT 88273 | $228.60 | $381.00 | $31.57 – $37.59 | 10 |
| Chromatography CPT 83021 | $163.80 | $273.00 | $16.38 – $22.97 | 11 |
| Chromogenic substrate assay CPT 85130 | $188.40 | $314.00 | $10.78 – $12.84 | 10 |
| Chromo high res and frag x - sendout CPT 81243 | $3,739.80 | $6,233.00 | $50.19 – $61.60 | 11 |
| Chromosome analysis 100 CPT 88249 | $3,003.60 | $5,006.00 | $157.05 – $220.18 | 11 |
| Chromosome analysis 15-20 cell count CPT 88262 | $817.80 | $1,363.00 | $113.81 – $198.09 | 11 |
| Chromosome analysis 5 CPT 88261 | $2,955.60 | $4,926.00 | $239.73 – $285.49 | 11 |
| Chromosome study additional CPT 88289 | $590.40 | $984.00 | $31.22 – $46.63 | 11 |
| Chronic urticaria - sendout CPT 86343 | $114.60 | $191.00 | $11.30 – $13.46 | 10 |
| Chylomicron screen, bf - sendout CPT 82664 | $526.20 | $877.00 | $55.77 – $66.42 | 10 |
| Cilastatin sodium injection HCPCS J0743 | not published | $25.35 | $6.47 – $64.11 | 2 |
| Ciliary transsleral therapy CPT 66710 | $4,594.20 | $7,657.00 | $1,070.14 – $2,402.14 | 9 |
| Cinacalcet 30 mg tablet HCPCS J0604 | not published | $195.63 | $0.38 – $1.69 | 3 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $101.60 | $127.00 | $1.83 – $66.00 | 5 |
| Ciprofloxacin otic susp 6 mg HCPCS J7342 | $128.80 | $161.00 | $7.64 – $543.41 | 3 |
| Circum 28 days or older CPT 54161 | not published | not published | $140.80 – $2,050.66 | 10 |
| Circumcision (newborn) CPT 54150 | $2,149.20 | $3,582.00 | $86.90 – $2,050.66 | 9 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $700.00 | $875.00 | $1.45 – $183.03 | 5 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $4,054.80 | $6,758.00 | $289.97 – $355.87 | 11 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $329.60 | $412.00 | $6.74 – $11.53 | 9 |
| Claviculectomy partial CPT 23120 | not published | not published | $302.50 – $3,248.02 | 10 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $76.20 | $95.25 | $0.74 – $1.83 | 7 |
| Clip ligating vesolock lg HCPCS C1760 | $699.00 | $1,165.00 | $611.19 – $1,679.28 | 2 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $2,860.80 | $4,768.00 | $179.30 – $1,602.09 | 10 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | not published | not published | $260.70 – $1,602.09 | 10 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $388.80 | $648.00 | $34.65 – $232.46 | 10 |
| Clos txnose fx without stablz 21315 CPT 21315 | $4,779.60 | $7,966.00 | $131.45 – $1,482.83 | 10 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $1,038.16 – $3,340.30 | 3 |
| Clot factor fletcher fact CPT 85292 | $109.80 | $183.00 | $17.17 – $30.10 | 11 |
| Clot factor viii reltd antgn CPT 85244 | $343.80 | $573.00 | $18.52 – $32.45 | 11 |
| Clot factor wght kininogen CPT 85293 | $320.40 | $534.00 | $17.17 – $30.10 | 11 |
| Clot factor xii hageman CPT 85280 | $131.40 | $219.00 | $14.30 – $20.90 | 11 |
| Clot factor xiii fibrin stab CPT 85290 | $69.60 | $116.00 | $8.80 – $17.16 | 11 |
| Clozapine, 25 mg HCPCS S0136 | $17.40 | $21.75 | $0.28 – $6.71 | 4 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $1,632.60 | $2,721.00 | $108.90 – $516.86 | 10 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $315.00 | $525.00 | $23.09 – $423.38 | 10 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $3,017.40 | $5,029.00 | $174.90 – $734.61 | 10 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $280.20 | $467.00 | $58.30 – $240.13 | 10 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $4,281.00 | $7,135.00 | $434.50 – $1,719.07 | 10 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $556.80 | $928.00 | $73.15 – $258.05 | 10 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $2,509.80 | $4,183.00 | $182.60 – $1,602.09 | 10 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $2,186.40 | $3,644.00 | $220.55 – $1,602.09 | 10 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $1,632.60 | $2,721.00 | $207.41 – $877.01 | 10 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $4,633.20 | $7,722.00 | $229.63 – $362.17 | 9 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $4,165.80 | $6,943.00 | $116.60 – $482.80 | 10 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $4,795.80 | $7,993.00 | $129.80 – $490.87 | 10 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $4,594.20 | $7,657.00 | $132.84 – $3,246.47 | 10 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $4,497.60 | $7,496.00 | $159.50 – $1,602.09 | 10 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $1,632.60 | $2,721.00 | $112.20 – $506.14 | 10 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $3,570.00 | $5,950.00 | $216.70 – $1,602.09 | 10 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $3,449.40 | $5,749.00 | $130.35 – $1,602.09 | 10 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $2,186.40 | $3,644.00 | $172.70 – $1,602.09 | 10 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $2,186.40 | $3,644.00 | $165.55 – $1,602.09 | 10 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $1,632.60 | $2,721.00 | $152.90 – $1,602.09 | 10 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $3,032.40 | $5,054.00 | $31.88 – $240.13 | 10 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $763.20 | $1,272.00 | $53.35 – $240.13 | 10 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,632.60 | $2,721.00 | $262.90 – $1,602.09 | 10 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $810.00 | $1,350.00 | $160.60 – $627.08 | 10 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $3,379.20 | $5,632.00 | $123.20 – $1,602.09 | 10 |
| C motor evoked uppr limbs CPT 95928 | $400.80 | $668.00 | $144.69 – $1,018.46 | 10 |
| C motor evoked upr&lwr limbs CPT 95939 | $2,663.40 | $4,439.00 | $378.73 – $1,018.46 | 10 |
| #cmvcul-virus inoculation shell CPT 87254 | $83.40 | $139.00 | $5.95 – $20.54 | 11 |
| Cmv pcr-sendout CPT 87496 | $306.60 | $511.00 | $31.82 – $45.74 | 11 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $8.20 | $10,019.00 | $1.68 – $2.87 | 9 |
| Cold agglutinin titer CPT 86157 | $39.00 | $65.00 | $7.31 – $12.81 | 11 |
| Colistimethate sodium inj HCPCS J0770 | not published | $25.68 | $8.25 – $118.92 | 2 |
| Collagen imp urinary 2.5 ml HCPCS L8603 | $2,143.80 | $3,573.00 | $551.88 – $1,466.59 | 3 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $118.20 | $197.00 | $30.35 – $90.67 | 9 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $223.20 | $372.00 | $48.29 – $152.67 | 3 |
| Collar cerv ascend 172 reg HCPCS L0172 | $236.40 | $394.00 | $241.85 – $763.24 | 3 |
| Collar cerv patriot adlt HCPCS L0150 | $316.80 | $528.00 | $207.45 – $654.47 | 3 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $72.00 | $120.00 | $31.08 – $132.72 | 9 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $240.00 | $400.00 | $38.42 – $132.72 | 9 |
| Colonoscopy (diagnostic) CPT 45378 | $1,500.00 | $2,500.00 | $198.55 – $912.67 | 10 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | $2,132.40 | $3,554.00 | $261.22 – $1,180.32 | 10 |
| Colonoscopy & polypectomy 44392 CPT 44392 | $3,379.20 | $5,632.00 | $212.64 – $1,180.32 | 10 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | $3,373.80 | $5,623.00 | $809.52 – $1,214.04 | 9 |
| Colonoscopy submucous njx CPT 45381 | $4,867.20 | $8,112.00 | $117.67 – $1,180.32 | 10 |
| Colonoscopy thru stoma spx CPT 44388 | $3,380.40 | $5,634.00 | $160.08 – $912.67 | 10 |
| Colonoscopy w/injection CPT 44404 | $2,448.60 | $4,081.00 | $457.34 – $1,214.04 | 8 |
| Colonoscopy (with biopsy) CPT 45380 | $2,132.40 | $3,554.00 | $247.96 – $1,180.32 | 10 |
| Colonoscopy with biopsy CPT 44389 | $1,555.20 | $2,592.00 | $177.36 – $1,180.32 | 10 |
| Colonoscopy (with polyp removal) CPT 45385 | $2,132.40 | $3,554.00 | $294.89 – $1,180.32 | 10 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | not published | not published | $190.88 – $3,182.86 | 10 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $179.40 | $299.00 | $23.10 – $171.54 | 11 |
| Compatibility test each unit immediate spin technique CPT 86920 | $89.40 | $149.00 | $23.10 – $171.54 | 11 |
| Complement antigen each component c3 CPT 86160 | $54.00 | $90.00 | $10.88 – $19.08 | 11 |
| Complement fixation each CPT 86171 | $122.40 | $204.00 | $7.70 – $10.81 | 11 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $4,060.20 | $6,767.00 | $66.00 – $612.77 | 10 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $4,909.80 | $8,183.00 | $194.70 – $662.27 | 10 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $4,655.40 | $7,759.00 | $529.26 – $1,104.02 | 9 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $2,186.40 | $3,644.00 | $78.10 – $479.78 | 10 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $5,469.60 | $9,116.00 | $529.26 – $762.27 | 9 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $1,718.40 | $2,864.00 | $262.09 – $704.93 | 3 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $1,128.00 | $1,880.00 | $176.83 – $618.31 | 3 |
| Composite drsg >16<=48 sq in HCPCS A6204 | $42.60 | $71.00 | $14.32 – $42.15 | 3 |
| Composite drsg <= 16 sq in HCPCS A6203 | $3.00 | $5.00 | $7.72 – $22.70 | 3 |
| Concentration infection agents any type CPT 87015 | $44.40 | $74.00 | $6.06 – $8.62 | 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.