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 |
|---|---|---|---|---|
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $1.80 | $3.00 | $0.76 – $2.41 | 5 |
| Disability dlco CPT 94727 | $886.80 | $1,478.00 | $25.23 – $149.17 | 8 |
| Disaccharidases CPT 82657 | $112.80 | $188.00 | $15.55 – $23.94 | 7 |
| Discography cerv/thor spine CPT 72285 | $4,030.20 | $6,717.00 | $41.40 – $1,861.73 | 8 |
| Dissolve clot heart vessel CPT 92975 | $1,274.40 | $2,124.00 | $290.39 – $2,048.08 | 3 |
| Dist revas ligation hemo CPT 36838 | $9,842.40 | $16,404.00 | $892.40 – $5,565.47 | 7 |
| Dna antibody native/double stranded CPT 86225 | $76.80 | $128.00 | $13.58 – $20.15 | 8 |
| Dna gardnerella CPT 87510 | $112.20 | $187.00 | $17.64 – $22.29 | 8 |
| Dna probe chlamydia CPT 87490 | $82.20 | $137.00 | $22.49 – $31.58 | 8 |
| Dna probe gc CPT 87590 | $97.20 | $162.00 | $18.86 – $29.03 | 7 |
| Dna trichomonas CPT 87660 | $112.20 | $187.00 | $19.82 – $31.16 | 8 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $2.40 | $4.00 | $7.08 – $16.71 | 5 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $35.40 | $59.00 | $0.63 – $40.61 | 5 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $1.20 | $2.00 | $0.75 – $0.90 | 5 |
| Doppler echo complete CPT 93320 | $471.00 | $785.00 | $47.60 – $203.12 | 7 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $3,046.80 | $5,078.00 | $187.75 – $541.32 | 3 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $1,091.40 | $1,819.00 | $77.06 – $192.77 | 8 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $547.20 | $912.00 | $40.82 – $122.89 | 8 |
| Dornase alfa non-comp unit HCPCS J7639 | $30.60 | $51.00 | $11.13 – $60.43 | 5 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $679.80 | $1,133.00 | $99.23 – $243.71 | 6 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $157.80 | $263.00 | $3.02 – $112.85 | 5 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $255.00 | $425.00 | $99.19 – $108.47 | 6 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $15.60 | $26.00 | $0.11 – $0.11 | 3 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $924.60 | $1,541.00 | $29.15 – $892.40 | 8 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $2,184.60 | $3,641.00 | $38.50 – $892.40 | 8 |
| Drainage external ear complex 69005 CPT 69005 | $4,498.20 | $7,497.00 | $151.23 – $1,544.70 | 8 |
| Drainage external ear simple 69000 CPT 69000 | $924.60 | $1,541.00 | $47.30 – $892.40 | 8 |
| Drainage mouth roof lesion CPT 42000 | $837.00 | $1,395.00 | $22.00 – $892.40 | 8 |
| Drainage of arm bursa 23931 CPT 23931 | $2,080.80 | $3,468.00 | $43.45 – $1,544.70 | 8 |
| Drainage of kidney lesion CPT 50390 | $2,461.20 | $4,102.00 | $100.70 – $892.40 | 8 |
| Drainage of mouth lesion CPT 41008 | $3,971.40 | $6,619.00 | $25.85 – $3,091.88 | 8 |
| Drainage of nose lesion int 30000 CPT 30000 | $649.80 | $1,083.00 | $56.10 – $892.40 | 8 |
| Drainage of nose lesion sept 30020 CPT 30020 | $1,624.20 | $2,707.00 | $80.85 – $916.55 | 8 |
| Drainage of rectal abscess CPT 45005 | $1,522.80 | $2,538.00 | $103.40 – $1,124.11 | 8 |
| Drainage of urethra abscess 53060 CPT 53060 | $2,685.60 | $4,476.00 | $42.35 – $1,953.01 | 8 |
| Drain blood from under nail 11740 CPT 11740 | $370.80 | $618.00 | $26.40 – $892.40 | 8 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $2,253.00 | $3,755.00 | $203.36 – $1,544.70 | 8 |
| Drain cath image guided visceral pq CPT 49405 | $3,637.20 | $6,062.00 | $190.71 – $1,544.70 | 8 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $1,951.80 | $3,253.00 | $40.70 – $892.40 | 8 |
| Drain finger abscess;simple 26010 CPT 26010 | $265.20 | $442.00 | $29.15 – $892.40 | 8 |
| Drain lower leg lesion 27603 CPT 27603 | not published | not published | $97.35 – $2,728.62 | 8 |
| Drain neck/chest lesion 21501 CPT 21501 | $5,874.00 | $9,790.00 | $97.35 – $2,728.62 | 8 |
| Drain thigh/knee lesion 27301 CPT 27301 | $7,173.60 | $11,956.00 | $97.35 – $2,728.62 | 8 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $528.60 | $881.00 | $92.00 – $213.73 | 8 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $408.60 | $681.00 | $22.00 – $189.44 | 8 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $1,324.20 | $2,207.00 | $126.59 – $380.90 | 8 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $1,723.80 | $2,873.00 | $332.56 – $1,073.56 | 3 |
| Drng hand tendon sheath 26020 CPT 26020 | $4,150.20 | $6,917.00 | $139.15 – $3,093.35 | 8 |
| Drng of eyelid abscess 67700 CPT 67700 | $770.40 | $1,284.00 | $165.27 – $957.95 | 7 |
| Drng of finger abscess comp 26011 CPT 26011 | $2,080.80 | $3,468.00 | $88.00 – $1,544.70 | 8 |
| Drng of scrotum abscess 55100 CPT 55100 | $2,080.80 | $3,468.00 | $38.50 – $1,544.70 | 8 |
| Drng salivary gland simple 42300 CPT 42300 | $3,678.60 | $6,131.00 | $56.10 – $1,412.22 | 8 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $2.40 | $4.00 | $4.69 – $7.63 | 4 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $640.80 | $1,068.00 | $129.70 – $236.91 | 2 |
| Drug admin & hemodynmic meas CPT 93463 | $2,304.60 | $3,841.00 | $68.23 – $199.20 | 4 |
| Drug assay caffeine CPT 80155 | $99.00 | $165.00 | $14.09 – $38.57 | 8 |
| Drug assay posaconazole CPT 80187 | $57.00 | $95.00 | $15.01 – $30.15 | 8 |
| Drug assay vedolizumab CPT 80280 | $83.40 | $139.00 | $21.38 – $41.65 | 7 |
| Drug assay voriconazole CPT 80285 | $190.80 | $318.00 | $15.01 – $30.15 | 8 |
| Drug of abuse screen urine CPT 80305 | $32.40 | $54.00 | $10.29 – $16.64 | 8 |
| Drug test def 15-21 classes HCPCS G0482 | $436.80 | $728.00 | $114.85 – $198.74 | 8 |
| Drug test def 1-7 classes HCPCS G0480 | $294.00 | $490.00 | $55.29 – $114.43 | 8 |
| Drug test def 22+ classes HCPCS G0483 | $634.20 | $1,057.00 | $148.87 – $246.92 | 7 |
| Drug test def 8-14 classes HCPCS G0481 | $345.00 | $575.00 | $85.08 – $156.59 | 8 |
| Drug test prsmv instrmnt CPT 80306 | $44.40 | $74.00 | $13.71 – $22.18 | 8 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $212.40 | $354.00 | $51.23 – $88.75 | 9 |
| Drvvt confirm - quest CPT 85597 | $91.80 | $153.00 | $17.78 – $34.53 | 8 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $5,661.00 | $9,435.00 | $220.06 – $2,010.48 | 7 |
| Ductogram sgl duct CPT 77053 | $547.80 | $913.00 | $44.83 – $147.68 | 7 |
| Duplex scan bilateral study 93985 CPT 93985 | $692.40 | $1,154.00 | $120.50 – $310.56 | 8 |
| Duplex scan unilateral study 93986 CPT 93986 | $375.60 | $626.00 | $75.75 – $165.68 | 8 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $375.60 | $626.00 | $88.14 – $344.49 | 8 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $797.40 | $1,329.00 | $88.08 – $351.03 | 8 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $819.60 | $1,366.00 | $137.24 – $383.80 | 8 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $241.20 | $402.00 | $46.20 – $85.12 | 6 |
| Dxa bone density axl vrt fx CPT 77085 | $239.40 | $399.00 | $25.58 – $109.48 | 7 |
| Dx bronchoscope/brush 31623 CPT 31623 | $2,168.40 | $3,614.00 | $148.66 – $1,644.08 | 8 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $2,168.40 | $3,614.00 | $148.66 – $1,644.08 | 8 |
| Dx bronchoscope/wash 31622 CPT 31622 | $2,168.40 | $3,614.00 | $147.25 – $1,644.08 | 8 |
| Dx gastr intub w/asp spec CPT 43754 | $861.60 | $1,436.00 | $116.50 – $892.40 | 7 |
| Ear irrigation 69209 CPT 69209 | $214.80 | $358.00 | $8.30 – $892.40 | 7 |
| Ecg external < 48 hours recording CPT 93225 | $752.40 | $1,254.00 | $20.07 – $122.89 | 8 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $259.20 | $432.00 | $43.74 – $192.86 | 9 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $72.00 | $120.00 | $10.01 – $37.42 | 8 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $72.00 | $120.00 | $9.61 – $40.32 | 8 |
| Ecg/review interpret only CPT 93272 | $52.80 | $88.00 | $22.52 – $24.32 | 2 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,311.20 | $3,852.00 | $112.86 – $522.74 | 8 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $841.20 | $1,402.00 | $24.73 – $270.02 | 8 |
| Echocardiography doppler color flow mapping CPT 93325 | $418.20 | $697.00 | $18.54 – $242.77 | 7 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $2,457.00 | $4,095.00 | $428.08 – $813.41 | 6 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $1,378.20 | $2,297.00 | $258.45 – $367.68 | 6 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $303.60 | $506.00 | $23.63 – $129.33 | 7 |
| Echo exam of eye CPT 76529 | $197.40 | $329.00 | $41.20 – $192.13 | 8 |
| Echo exam of fetal heart CPT 76825 | $1,823.40 | $3,039.00 | $21.85 – $522.74 | 8 |
| Echo exam of fetal heart CPT 76826 | $875.40 | $1,459.00 | $29.67 – $230.45 | 8 |
| Echo exam of fetal heart CPT 76827 | $424.80 | $708.00 | $42.03 – $299.67 | 8 |
| Echo exam of fetal heart CPT 76828 | $424.80 | $708.00 | $23.62 – $167.50 | 8 |
| Echo exam uterus 76831- CPT 76831 | $819.60 | $1,366.00 | $100.41 – $248.86 | 7 |
| Echo guide cardiocentesis CPT 76930 | $448.80 | $748.00 | $249.23 – $249.23 | 1 |
| Echo guide for amniocentesis CPT 76946 | $295.80 | $493.00 | $21.39 – $176.59 | 7 |
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.