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 |
|---|---|---|---|---|
| Cyp2c9 gene com variants CPT 81227 | $1,870.20 | $3,117.00 | $158.54 – $188.79 | 10 |
| Cyp2d6 gene com variants CPT 81226 | $269.40 | $449.00 | $408.93 – $486.98 | 10 |
| Cystatin c CPT 82610 | $119.40 | $199.00 | $16.72 – $20.00 | 11 |
| Cystine urine quantitative CPT 82131 | $125.40 | $209.00 | $20.84 – $26.67 | 11 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $1,166.69 – $3,551.23 | 9 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $269.40 | $449.00 | $40.15 – $357.50 | 10 |
| Cysto impl 4 or more HCPCS C9740 | not published | not published | $7,995.28 – $9,521.33 | 8 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $199.65 – $3,452.59 | 10 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $168.85 – $3,452.59 | 10 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $237.60 – $3,452.59 | 10 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $297.01 – $3,452.59 | 10 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $495.55 – $5,088.95 | 10 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $102.30 – $2,050.66 | 10 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $59.95 – $2,050.66 | 10 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $272.61 – $2,050.66 | 10 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $149.05 – $2,050.66 | 10 |
| Cystoscopy and treatment CPT 52310 | $4,368.00 | $7,280.00 | $141.90 – $2,050.66 | 10 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $214.50 – $2,050.66 | 10 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $254.29 – $3,452.59 | 10 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $233.20 – $3,452.59 | 10 |
| Cystoscopy (Bladder Scope) CPT 52000 | $3,031.80 | $5,053.00 | $82.50 – $668.17 | 10 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $143.81 – $2,050.66 | 10 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $888.36 – $3,551.23 | 9 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | not published | not published | $3,294.42 – $5,234.35 | 8 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $250.91 – $3,452.59 | 10 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $332.13 – $5,088.95 | 10 |
| Cystoscopy & ureter catheter CPT 52005 | $4,281.00 | $7,135.00 | $127.60 – $2,050.66 | 10 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $6,051.00 | $10,085.00 | $289.60 – $2,050.66 | 10 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $667.07 – $3,551.23 | 9 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $836.61 – $5,234.35 | 9 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $585.08 – $5,234.35 | 9 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $954.79 – $5,234.35 | 9 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $649.82 – $3,551.23 | 9 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | not published | not published | $118.25 – $2,050.66 | 10 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | $4,869.60 | $8,116.00 | $135.85 – $2,050.66 | 10 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $43.45 – $1,561.10 | 8 |
| Cystourethro w/implant CPT 52441 | not published | not published | $180.56 – $2,055.59 | 8 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $654.34 – $3,551.23 | 9 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $66.20 | $82.75 | $0.52 – $36.28 | 5 |
| Cytogenetics 25-99 CPT 88274 | $292.80 | $488.00 | $38.43 – $45.77 | 10 |
| Cytogenomic neo microra alys CPT 81277 | $1,343.40 | $2,239.00 | $1,052.00 – $1,252.80 | 10 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $71.40 | $119.00 | $13.05 – $22.80 | 11 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $85.20 | $142.00 | $15.28 – $26.77 | 11 |
| Cyto/molecular report CPT 88291 | $186.00 | $310.00 | $6.05 – $27.59 | 3 |
| Cytopath c/v manual CPT 88150 | $30.60 | $51.00 | $6.82 – $19.10 | 11 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $316.20 | $527.00 | $39.63 – $218.54 | 11 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $78.00 | $130.00 | $24.13 – $33.98 | 11 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $61.20 | $102.00 | $17.60 – $21.88 | 11 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $96.60 | $161.00 | $8.61 – $77.93 | 11 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $68.40 | $114.00 | $6.75 – $102.95 | 11 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $75.60 | $126.00 | $5.35 – $41.79 | 3 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $51.00 | $85.00 | $13.62 – $176.44 | 10 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $85.20 | $142.00 | $22.17 – $141.99 | 10 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $93.00 | $155.00 | $2.18 – $54.47 | 5 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $64.40 | $85.00 | $9.86 – $16.86 | 9 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $711.60 | $1,186.00 | $0.02 – $29.13 | 7 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $109.20 | $19,744.65 | $35.09 – $60.02 | 9 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $32.20 | $4,868.28 | $1.85 – $468.63 | 10 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | not published | $224.84 | $13.70 – $23.44 | 9 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $474.36 – $3,273.80 | 9 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $551.58 – $3,273.80 | 9 |
| Dch validity tests CPT 81002 | $18.60 | $31.00 | $3.16 – $4.11 | 11 |
| Deamidated gliadin antibody iga CPT 86258 | $96.60 | $161.00 | $10.93 – $13.01 | 10 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $544.20 | $907.00 | $32.23 – $612.77 | 10 |
| Debridement (>20 cm) charge pt CPT 97598 | $341.40 | $569.00 | $12.72 – $283.91 | 8 |
| Debridement bone <= 20 sq cm CPT 11044 | $2,359.20 | $3,932.00 | $36.30 – $1,621.93 | 10 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $1,632.00 | $2,720.00 | $80.89 – $255.74 | 3 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $1,062.60 | $1,771.00 | $133.38 – $736.66 | 3 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $2,116.20 | $3,527.00 | $36.30 – $399.94 | 10 |
| Debride nail1-5 11720 CPT 11720 | $274.20 | $457.00 | $17.13 – $59.46 | 10 |
| Debride nail6 or more 11721 CPT 11721 | $413.40 | $689.00 | $22.00 – $99.88 | 10 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $1,588.80 | $2,648.00 | $46.42 – $235.18 | 3 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $2,350.20 | $3,917.00 | $608.34 – $769.79 | 9 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $2,446.20 | $4,077.00 | $36.30 – $612.77 | 10 |
| Decalcification CPT 88311 | $102.00 | $170.00 | $18.39 – $141.30 | 8 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $184.80 | $231.00 | $0.77 – $92.05 | 5 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $381.60 | $636.00 | $27.57 – $332.04 | 10 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | not published | $56.68 | $5.69 – $49.93 | 5 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $25.80 | $43.00 | $2.81 – $4.81 | 9 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $84.60 | $141.00 | $13.00 – $203.61 | 10 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $68.00 | $85.00 | $18.55 – $1,899.65 | 10 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $1,632.60 | $2,721.00 | $25.85 – $129.03 | 9 |
| Design mlc device for imrt CPT 77338 | $1,254.00 | $2,090.00 | $316.51 – $702.81 | 9 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $39.40 | $745.25 | $2.23 – $19.02 | 10 |
| Desoxycorticosterone CPT 82633 | $285.60 | $476.00 | $28.10 – $49.23 | 11 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $4,080.60 | $6,801.00 | $629.15 – $2,010.67 | 9 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $4,080.60 | $6,801.00 | $60.74 – $1,521.39 | 8 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $128.15 – $1,831.15 | 10 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $4,393.20 | $7,322.00 | $52.82 – $1,611.51 | 8 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $4,350.00 | $7,250.00 | $618.25 – $2,010.67 | 9 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $77.00 – $3,182.86 | 10 |
| Device ablt adv novasure HCPCS C1886 | $4,733.40 | $7,889.00 | $5,554.97 – $5,554.97 | 1 |
| Device intraute mirena HCPCS J7298 | $3,052.80 | $3,816.00 | $1,675.77 – $1,675.77 | 1 |
| Device tiss remov myosure reach HCPCS C1782 | $2,842.20 | $4,737.00 | $825.39 – $1,648.65 | 2 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $121.20 | $202.00 | $30.23 – $88.15 | 10 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | $505.60 | $632.00 | $64.99 – $105.99 | 9 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $9.00 | $15.00 | $0.01 – $0.29 | 7 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $7.60 | $9.50 | $0.06 – $2.51 | 7 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $307.20 | $828.85 | $39.82 – $68.10 | 9 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $75.60 | $126.00 | $0.89 – $19.78 | 5 |
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.