UPMC Somerset
225 South Center Avenue, Somerset, PA · UPMC · · NPI 1912900168
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 |
|---|---|---|---|---|
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $0.60 | $1.00 | $0.83 – $26.50 | 5 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $81.00 | $135.00 | $14.22 – $27.56 | 8 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $94.20 | $157.00 | $16.65 – $32.36 | 8 |
| Cyto/molecular report CPT 88291 | $57.60 | $96.00 | $10.52 – $22.82 | 4 |
| Cytopath c/v index add-on CPT 88155 | $34.20 | $57.00 | $7.15 – $14.65 | 8 |
| Cytopath fl nongyn filter CPT 88106 | $91.20 | $152.00 | $2.88 – $72.39 | 8 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $265.20 | $442.00 | $47.45 – $218.54 | 8 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $110.40 | $184.00 | $26.30 – $41.07 | 8 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $115.20 | $192.00 | $17.60 – $22.24 | 8 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $85.80 | $143.00 | $4.60 – $77.31 | 8 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $78.60 | $131.00 | $7.47 – $91.11 | 8 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $132.00 | $220.00 | $5.70 – $41.79 | 4 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $337.20 | $562.00 | $19.98 – $176.42 | 7 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $223.80 | $373.00 | $25.06 – $130.00 | 7 |
| Cytopath smear other source CPT 88160 | $54.60 | $91.00 | $2.88 – $72.74 | 8 |
| Cytopath smear other source CPT 88162 | $116.40 | $194.00 | $5.46 – $113.31 | 8 |
| Cytopath smear oth prep screen & interp CPT 88161 | $54.60 | $91.00 | $10.12 – $70.68 | 9 |
| Cytopath tbs c/v manual CPT 88164 | $36.60 | $61.00 | $7.87 – $18.19 | 8 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $19.20 | $32.00 | $3.45 – $35.64 | 5 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $1,624.80 | $2,708.00 | $25.10 – $328.34 | 6 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $1,067.40 | $1,779.00 | $11.76 – $15.61 | 6 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $267.00 | $445.00 | $0.03 – $0.59 | 5 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $387.60 | $646.00 | $32.40 – $55.57 | 6 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $2,322.00 | $3,870.00 | $2.90 – $2.93 | 6 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $19.80 | $33.00 | $21.48 – $21.70 | 6 |
| Dch glucoscan CPT 82948 | $19.80 | $33.00 | $2.20 – $5.04 | 8 |
| Dch pulmonary stress test CPT 94621 | $650.40 | $1,084.00 | $68.89 – $296.88 | 8 |
| Dch validity tests CPT 81002 | $25.20 | $42.00 | $3.44 – $4.96 | 8 |
| Deamidated gliadin antibody iga CPT 86258 | $58.80 | $98.00 | $4.84 – $13.01 | 7 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $1,488.00 | $2,480.00 | $32.23 – $696.90 | 8 |
| Debridement (>20 cm) charge pt CPT 97598 | $483.60 | $806.00 | $12.72 – $108.42 | 7 |
| Debridement bone <= 20 sq cm CPT 11044 | $2,320.80 | $3,868.00 | $36.30 – $1,544.70 | 8 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $147.00 | $245.00 | $51.00 – $55.07 | 2 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | not published | not published | $60.95 – $934.04 | 4 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $1,580.40 | $2,634.00 | $36.30 – $696.90 | 8 |
| Debride nail1-5 11720 CPT 11720 | $232.20 | $387.00 | $17.13 – $59.26 | 8 |
| Debride skin bone at fx site CPT 11012 | $3,515.40 | $5,859.00 | $777.16 – $2,946.64 | 7 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | $1,539.00 | $2,565.00 | $532.42 – $574.96 | 2 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | $2,073.00 | $3,455.00 | $723.67 – $781.49 | 2 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $1,965.00 | $3,275.00 | $36.30 – $696.90 | 8 |
| Decalcification CPT 88311 | $124.80 | $208.00 | $7.12 – $141.08 | 8 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $1,026.60 | $1,711.00 | $1.22 – $52.44 | 5 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $740.40 | $1,234.00 | $27.57 – $316.23 | 8 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $321.20 – $1,861.73 | 8 |
| Decompress small bowel CPT 44021 | $3,899.40 | $6,499.00 | $920.12 – $993.64 | 2 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $20.40 | $34.00 | $9.01 – $19.04 | 5 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $457.20 | $762.00 | $4.41 – $4.45 | 6 |
| Delivery of placenta 59414 CPT 59414 | $3,786.60 | $6,311.00 | $93.96 – $3,031.30 | 8 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | $8,864.40 | $14,774.00 | $440.18 – $901.41 | 3 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $1,127.40 | $1,879.00 | $19.76 – $29.38 | 6 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $734.40 | $1,224.00 | $25.85 – $711.85 | 7 |
| Design mlc device for imrt CPT 77338 | $1,479.60 | $2,466.00 | $251.64 – $702.81 | 7 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $49.20 | $82.00 | $3.48 – $3.52 | 6 |
| Desoxycorticosterone CPT 82633 | $67.20 | $112.00 | $30.62 – $59.50 | 8 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | $9,807.60 | $16,346.00 | $1,150.00 – $2,837.02 | 3 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $2,606.40 | $4,344.00 | $629.15 – $2,010.48 | 7 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $2,099.40 | $3,499.00 | $60.74 – $580.26 | 7 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | $1,522.80 | $2,538.00 | $90.63 – $1,124.11 | 8 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $520.80 | $868.00 | $22.00 – $1,061.45 | 8 |
| Destruction 2-14 lesions 17003 CPT 17003 | $72.60 | $121.00 | $4.67 – $22.58 | 7 |
| Destruction benign lesions < 14 lesions CPT 17110 | not published | not published | $53.90 – $741.75 | 8 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $2,224.80 | $3,708.00 | $52.82 – $614.63 | 7 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $2,908.20 | $4,847.00 | $614.63 – $2,010.48 | 7 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $532.80 | $888.00 | $128.03 – $407.64 | 8 |
| Device intraute mirena HCPCS J7298 | $693.60 | $1,156.00 | $583.30 – $1,018.67 | 3 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $188.40 | $314.00 | $20.33 – $83.95 | 8 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | $354.00 | $590.00 | $85.10 – $102.94 | 6 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $0.60 | $1.00 | $0.02 – $0.17 | 5 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $4.20 | $7.00 | $0.09 – $1.84 | 5 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $328.80 | $548.00 | $62.43 – $63.06 | 6 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $113.40 | $189.00 | $21.00 – $29.19 | 9 |
| Diabetes (HbA1c) Test CPT 83036 | $49.20 | $82.00 | $7.00 – $9.73 | 10 |
| Diab manage trn ind/group HCPCS G0109 | $16.80 | $28.00 | $13.28 – $55.20 | 6 |
| Diag laparo separate proc 49320 CPT 49320 | $853.80 | $1,423.00 | $312.81 – $337.80 | 2 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $432.60 | $721.00 | $22.00 – $122.89 | 8 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $432.60 | $721.00 | $90.23 – $199.88 | 7 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $956.40 | $1,594.00 | $75.90 – $892.40 | 8 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $310.20 | $517.00 | $72.86 – $180.48 | 6 |
| Diagnostic Mammogram (one breast) CPT 77065 | $349.80 | $583.00 | $57.13 – $142.34 | 6 |
| Diagnostic radio unlisted proc CPT 76499 | $170.40 | $284.00 | $48.69 – $90.66 | 6 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $2,160.60 | $3,601.00 | $160.23 – $2,450.86 | 7 |
| Dialysis one evaluation CPT 90945 | $970.80 | $1,618.00 | $40.25 – $438.41 | 7 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $9.60 | $16.00 | $1.95 – $7.35 | 5 |
| Dicyclomine injection HCPCS J0500 | $25.20 | $42.00 | $3.31 – $28.97 | 5 |
| Diffusing capacity CPT 94729 | $970.20 | $1,617.00 | $35.88 – $72.88 | 7 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $85.80 | $143.00 | $3.09 – $10.92 | 5 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $2,869.80 | $4,783.00 | $1,272.38 – $5,168.23 | 6 |
| Digoxin total therapeutic drug level CPT 80162 | $96.00 | $160.00 | $11.00 – $15.29 | 9 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $89.40 | $149.00 | $15.40 – $60.00 | 5 |
| Dilate biliary duct/ampulla CPT 47542 | $2,304.60 | $3,841.00 | $120.24 – $664.57 | 7 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | $1,269.00 | $2,115.00 | $233.91 – $695.04 | 2 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | $1,269.00 | $2,115.00 | $116.97 – $347.48 | 2 |
| Dilate ic vasospasm init CPT 61640 | $3,609.60 | $6,016.00 | $333.04 – $988.32 | 2 |
| Dilate urethra stricture CPT 53600 | $534.00 | $890.00 | $22.00 – $892.40 | 8 |
| Dilat xst trc ndurlgc px CPT 50436 | $9,487.80 | $15,813.00 | $93.56 – $3,550.91 | 7 |
| Dilat xst trc new access rcs CPT 50437 | $11,311.20 | $18,852.00 | $156.38 – $3,550.91 | 7 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $12.60 | $21.00 | $0.03 – $0.03 | 3 |
| Dimenhydrinate injection HCPCS J1240 | $6.60 | $11.00 | $1.31 – $10.39 | 5 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $7.80 | $13.00 | $49.64 – $748.85 | 6 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $0.60 | $1.00 | $0.24 – $0.24 | 1 |
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.