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 |
|---|---|---|---|---|
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $78.40 | $98.00 | $4.34 – $4.34 | 1 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $80.80 | $101.00 | $1.14 – $27.69 | 5 |
| Dextrose 5 % IV bolus HCPCS J7070 | $76.40 | $95.50 | $1.97 – $34.54 | 5 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $111.60 | $186.00 | $20.16 – $24.15 | 11 |
| Diabetes (HbA1c) Test CPT 83036 | $74.40 | $124.00 | $7.70 – $10.49 | 11 |
| Diab manage trn ind/group HCPCS G0109 | $93.00 | $155.00 | $13.28 – $144.73 | 7 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $701.79 – $6,007.35 | 9 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $463.20 | $772.00 | $22.00 – $129.03 | 10 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $1,199.40 | $1,999.00 | $75.90 – $256.84 | 10 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $591.60 | $986.00 | $142.84 – $221.29 | 7 |
| Diagnostic Mammogram (one breast) CPT 77065 | $487.20 | $812.00 | $112.65 – $174.53 | 7 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $0.60 | $1.00 | $0.05 – $0.43 | 5 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $29.40 | $73.77 | $4.64 – $7.35 | 5 |
| Dicyclomine injection HCPCS J0500 | $84.00 | $105.00 | $7.17 – $11.36 | 5 |
| Diffusing capacity CPT 94729 | $145.80 | $243.00 | $43.49 – $94.07 | 8 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $12.80 | $16.00 | $5.72 – $9.05 | 5 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $8,382.60 | $13,971.00 | $3,263.22 – $5,581.69 | 9 |
| Digoxin total therapeutic drug level CPT 80162 | $89.40 | $149.00 | $12.04 – $14.34 | 11 |
| Dilate esophagus 1/mult pass CPT 43450 | $1,558.20 | $2,597.00 | $64.90 – $938.54 | 10 |
| Dilation of salivary duct CPT 42660 | not published | not published | $38.50 – $509.79 | 10 |
| Dilator fascial 10fx20cm HCPCS C2627 | $232.20 | $387.00 | $270.50 – $479.98 | 2 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $313.37 – $3,551.23 | 9 |
| Dimenhydrinate injection HCPCS J1240 | $12.80 | $16.00 | $3.43 – $6.14 | 5 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $208.80 | $1,343.50 | $130.16 – $808.76 | 9 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $9.60 | $16.00 | $0.34 – $0.34 | 1 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $8.60 | $10.75 | $0.48 – $6.32 | 7 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | $24.60 | $41.00 | $11.00 – $25.76 | 7 |
| Disability dlco CPT 94727 | $190.20 | $317.00 | $34.72 – $156.63 | 10 |
| Disaccharidases CPT 82657 | $163.80 | $273.00 | $20.11 – $23.94 | 10 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $117.57 – $1,775.61 | 9 |
| Dna antibody native/double stranded CPT 86225 | $60.00 | $100.00 | $12.46 – $16.68 | 11 |
| Dna gardnerella CPT 87510 | $175.80 | $293.00 | $17.64 – $21.65 | 11 |
| Dna trichomonas CPT 87660 | $183.60 | $306.00 | $13.96 – $25.78 | 11 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $297.00 | $495.00 | $4.47 – $43.80 | 5 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $94.40 | $149.00 | $0.40 – $63.83 | 5 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $28.20 | $47.00 | $0.53 – $1.98 | 5 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $1,242.60 | $2,071.00 | $492.27 – $719.26 | 3 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $425.40 | $709.00 | $100.70 – $386.31 | 8 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $339.60 | $566.00 | $53.67 – $341.27 | 10 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | $90.16 | $4.20 – $4.20 | 1 |
| Dornase alfa non-comp unit HCPCS J7639 | $104.80 | $131.00 | $29.19 – $61.88 | 7 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $565.80 | $943.00 | $153.88 – $263.21 | 9 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $358.40 | $486.03 | $1.91 – $154.52 | 5 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $1,812.00 | $3,020.00 | $68.49 – $117.15 | 9 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $0.60 | $0.75 | $0.07 – $0.11 | 4 |
| Dpyd gene common variants CPT 81232 | $2,524.20 | $4,207.00 | $158.54 – $188.79 | 10 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $824.40 | $1,374.00 | $29.15 – $704.33 | 10 |
| Drainage external ear simple 69000 CPT 69000 | $1,134.60 | $1,891.00 | $47.30 – $704.33 | 10 |
| Drainage of arm bursa 23931 CPT 23931 | $2,183.40 | $3,639.00 | $43.45 – $1,621.93 | 10 |
| Drainage of kidney lesion CPT 50390 | $2,056.80 | $3,428.00 | $100.70 – $704.33 | 10 |
| Drainage of mouth lesion CPT 41008 | $3,430.80 | $5,718.00 | $25.85 – $3,246.47 | 10 |
| Drainage of mouth lesion CPT 41017 | $3,379.20 | $5,632.00 | $25.85 – $3,246.47 | 10 |
| Drain blood from under nail 11740 CPT 11740 | $276.00 | $460.00 | $26.40 – $129.03 | 10 |
| Drain cath image guided visceral pq CPT 49405 | $7,281.60 | $12,136.00 | $190.71 – $1,621.93 | 10 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $3,449.40 | $5,749.00 | $40.70 – $693.24 | 10 |
| Drain finger abscess;simple 26010 CPT 26010 | $194.40 | $324.00 | $29.15 – $198.91 | 10 |
| Drain lower leg lesion 27603 CPT 27603 | not published | not published | $97.35 – $2,865.05 | 10 |
| Drain thigh/knee lesion 27301 CPT 27301 | $5,469.60 | $9,116.00 | $97.35 – $2,865.05 | 10 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $866.40 | $1,444.00 | $110.61 – $215.97 | 10 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $529.20 | $882.00 | $22.00 – $198.91 | 10 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $3,570.00 | $5,950.00 | $126.59 – $399.94 | 10 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $139.15 – $3,248.02 | 10 |
| Drng of eyelid abscess 67700 CPT 67700 | $7,063.80 | $11,773.00 | $167.13 – $307.79 | 9 |
| Drng of finger abscess comp 26011 CPT 26011 | $3,017.40 | $5,029.00 | $88.00 – $1,621.93 | 10 |
| Drng of scrotum abscess 55100 CPT 55100 | $2,486.40 | $4,144.00 | $38.50 – $1,621.93 | 10 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $22.80 | $28.50 | $4.82 – $12.30 | 5 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $2,118.60 | $3,531.00 | $340.06 – $478.62 | 2 |
| Drug assay vedolizumab CPT 80280 | $126.60 | $211.00 | $34.98 – $41.66 | 10 |
| Drug asy hydroxychloroquine CPT 80220 | $57.60 | $96.00 | $16.90 – $20.13 | 10 |
| Drug test def 1-7 classes HCPCS G0480 | $239.40 | $399.00 | $70.34 – $120.15 | 9 |
| Drug test def 8-14 classes HCPCS G0481 | $239.40 | $399.00 | $108.23 – $167.68 | 9 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $239.40 | $399.00 | $56.35 – $73.43 | 11 |
| Drvvt confirm - quest CPT 85597 | $163.80 | $273.00 | $16.31 – $28.57 | 11 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $1,400.40 | $2,334.00 | $480.33 – $2,010.67 | 9 |
| Duplex scan bilateral study 93985 CPT 93985 | $1,662.00 | $2,770.00 | $209.00 – $310.56 | 10 |
| Duplex scan unilateral study 93986 CPT 93986 | $831.00 | $1,385.00 | $91.94 – $157.82 | 10 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $498.00 | $830.00 | $91.94 – $349.68 | 10 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $490.20 | $817.00 | $155.72 – $389.47 | 10 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $200.40 | $2,161.20 | $53.74 – $91.93 | 9 |
| Dxa bone density axl vrt fx CPT 77085 | $151.80 | $253.00 | $67.06 – $109.49 | 9 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $148.66 – $1,726.28 | 10 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $4,661.40 | $7,769.00 | $103.91 – $1,726.28 | 10 |
| Dx bronchoscope/wash 31622 CPT 31622 | $1,558.20 | $2,597.00 | $147.25 – $1,726.28 | 10 |
| Ear irrigation 69209 CPT 69209 | $79.80 | $133.00 | $16.06 – $61.16 | 9 |
| Ecg < 30 days transmission & analysis CPT 93271 | $855.60 | $1,426.00 | $79.36 – $203.30 | 10 |
| Ecg external < 48 hours recording CPT 93225 | $235.80 | $393.00 | $20.07 – $129.03 | 10 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $404.40 | $674.00 | $43.74 – $187.07 | 10 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $66.00 | $110.00 | $10.01 – $39.29 | 10 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $63.00 | $105.00 | $9.61 – $39.29 | 10 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,820.40 | $3,034.00 | $155.12 – $548.88 | 10 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $691.20 | $1,152.00 | $40.15 – $276.08 | 10 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,820.40 | $3,034.00 | $683.10 – $813.49 | 8 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $691.20 | $1,152.00 | $308.78 – $367.72 | 8 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $324.00 | $540.00 | $31.13 – $169.14 | 8 |
| Echograp trans r pros study CPT 76873 | $576.60 | $961.00 | $91.94 – $302.57 | 9 |
| Echo guidance radiotherapy CPT 76965 | $3,656.40 | $6,094.00 | $728.51 – $1,617.54 | 3 |
| Echo stress CPT 93350 | $626.40 | $1,044.00 | $84.15 – $937.61 | 10 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,641.60 | $2,736.00 | $263.44 – $991.96 | 10 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $1,025.40 | $1,709.00 | $154.42 – $634.66 | 10 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | $1,554.60 | $2,591.00 | $483.60 – $612.69 | 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.