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 |
|---|---|---|---|---|
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $660.00 | $1,100.00 | $101.20 – $1,000.63 | 8 |
| Ghs somatosensory testing lower extremit CPT 95926 | $720.60 | $1,201.00 | $37.33 – $296.88 | 8 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $1,077.00 | $1,795.00 | $212.05 – $505.86 | 8 |
| Ghs sphenopalatine ganglion block CPT 64505 | $2,380.80 | $3,968.00 | $59.95 – $281.43 | 8 |
| Ghs strapping shoulder - 29240 CPT 29240 | $346.20 | $577.00 | $21.45 – $122.89 | 8 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $147.60 | $246.00 | $9.82 – $43.99 | 8 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $522.00 | $870.00 | $47.63 – $218.22 | 8 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $759.00 | $1,265.00 | $103.40 – $892.40 | 8 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $1,272.60 | $2,121.00 | $129.80 – $892.40 | 8 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $5,073.00 | $8,455.00 | $225.73 – $1,412.22 | 8 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $415.80 | $693.00 | $80.30 – $892.40 | 8 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $1,961.40 | $3,269.00 | $226.41 – $892.40 | 8 |
| Ghs urine, porphyrins quant CPT 84120 | $75.00 | $125.00 | $8.25 – $14.71 | 8 |
| Ghs vaginal delivery only CPT 59409 | $4,464.60 | $7,441.00 | $50.26 – $3,273.50 | 7 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $1,773.60 | $2,956.00 | $500.80 – $1,111.92 | 7 |
| Giardia ag if CPT 87269 | $75.60 | $126.00 | $13.45 – $17.11 | 8 |
| Giardia lamblia antibody CPT 86674 | $81.60 | $136.00 | $10.33 – $15.90 | 7 |
| Gi inhouse confirmation CPT 87045 | $52.80 | $88.00 | $6.90 – $9.59 | 9 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $1,191.00 | $1,985.00 | $606.61 – $1,654.65 | 8 |
| Glassia injection HCPCS J0257 | $384.00 | $640.00 | $5.58 – $5.64 | 6 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $168.00 | $280.00 | $129.78 – $182.45 | 6 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $167.40 | $279.00 | $74.78 – $148.99 | 6 |
| Glucagon plasma - sendout CPT 82943 | $72.60 | $121.00 | $14.12 – $27.45 | 8 |
| Glucose 1 hr post dose CPT 82950 | $24.00 | $40.00 | $4.70 – $9.08 | 8 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $19.20 | $32.00 | $2.20 – $3.28 | 8 |
| Glucose blood quantitative CPT 82947 | $21.00 | $35.00 | $3.89 – $5.56 | 10 |
| Glucose body fluid CPT 82945 | $21.00 | $35.00 | $3.89 – $6.03 | 8 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $90.60 | $151.00 | $33.06 – $67.30 | 8 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $94.20 | $157.00 | $12.72 – $17.37 | 8 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $20.40 | $34.00 | $3.60 – $4.54 | 8 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $11.40 | $19.00 | $0.46 – $0.46 | 6 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $299.40 | $499.00 | $10.93 – $11.04 | 6 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $94.20 | $157.00 | $17.50 – $24.32 | 10 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $94.20 | $157.00 | $17.00 – $23.63 | 10 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $1,591.80 | $2,653.00 | $495.60 – $733.67 | 6 |
| Graft axiofill 1000mg HCPCS J3590 | $29.40 | $49.00 | $16.50 – $36.75 | 9 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $461.40 | $769.00 | $728.60 – $728.60 | 1 |
| Granisetron hcl injection HCPCS J1626 | $6.00 | $10.00 | $0.19 – $32.64 | 5 |
| Great toe with reduction 28495 CPT 28495 | $759.00 | $1,265.00 | $83.05 – $892.40 | 8 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | $3,764.40 | $6,274.00 | $1,814.47 – $1,959.45 | 2 |
| G-tube reposition CPT 43761 | $978.00 | $1,630.00 | $103.87 – $281.11 | 8 |
| Gu dilat ureter/urethra s&i CPT 74485 | $4,154.40 | $6,924.00 | $89.44 – $1,953.01 | 8 |
| Guided cath fluid drainage 10030 CPT 10030 | $4,608.60 | $7,681.00 | $137.81 – $1,036.64 | 8 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $2,162.40 | $3,604.00 | $60.52 – $283.77 | 2 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $92.40 | $154.00 | $54.68 – $302.31 | 2 |
| Guid loc target vol rad tx CPT 77387 | $300.60 | $501.00 | $15.73 – $110.55 | 6 |
| Gw stiffened micro access kit HCPCS C1894 | $1,252.80 | $2,088.00 | $47.42 – $250.79 | 2 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $30.60 | $51.00 | $4.40 – $51.41 | 5 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $12.00 | $20.00 | $0.80 – $11.50 | 5 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | $23.40 | $39.00 | $4.26 – $5.70 | 2 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $60.60 | $101.00 | $23.13 – $54.47 | 8 |
| Hand X-ray CPT 73130 | $188.40 | $314.00 | $13.22 – $68.14 | 7 |
| Hand X-ray (2 views, both hands) CPT 73120 | $262.80 | $438.00 | $11.50 – $61.64 | 7 |
| Haptoglobin quantitative CPT 83010 | $64.20 | $107.00 | $12.00 – $16.68 | 9 |
| Hast w/i&r phys/qhp CPT 94452 | $275.40 | $459.00 | $25.43 – $132.71 | 7 |
| Hast w/oxygen titrate CPT 94453 | $226.80 | $378.00 | $37.76 – $132.71 | 7 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $438.00 | $730.00 | $127.05 – $218.57 | 7 |
| Hbb full gene sequence CPT 81364 | $1,172.40 | $1,954.00 | $203.76 – $350.51 | 7 |
| Hcg qualitative CPT 84703 | $39.00 | $65.00 | $7.43 – $14.26 | 10 |
| Hcg quantitative CPT 84702 | $76.20 | $127.00 | $4.00 – $22.82 | 10 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $184.20 | $307.00 | $262.84 – $303.25 | 2 |
| Hc nm kidney imaging with flow CPT 78701 | $1,228.80 | $2,048.00 | $63.25 – $383.10 | 8 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $1,800.00 | $3,000.00 | $204.06 – $513.18 | 7 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | $4,972.20 | $8,287.00 | $1,232.17 – $2,014.74 | 7 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | $3,046.80 | $5,078.00 | $55.03 – $138.31 | 3 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $2,553.60 | $4,256.00 | $142.93 – $661.46 | 8 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $2,553.60 | $4,256.00 | $260.32 – $764.14 | 8 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | $2,553.60 | $4,256.00 | $411.57 – $1,166.16 | 8 |
| Hdr rdncl skn surf brachytx CPT 77767 | $598.20 | $997.00 | $110.71 – $286.49 | 7 |
| Hdr rdncl skn surf brachytx CPT 77768 | $598.20 | $997.00 | $182.07 – $448.03 | 7 |
| Head CT scan (with and without contrast) CPT 70470 | $1,300.20 | $2,167.00 | $115.00 – $752.39 | 8 |
| Head CT scan (with contrast) CPT 70460 | $1,294.80 | $2,158.00 | $92.00 – $617.55 | 8 |
| Head CT scan (without contrast) CPT 70450 | $1,105.20 | $1,842.00 | $89.12 – $524.21 | 8 |
| Heart infarct image CPT 78466 | $1,228.80 | $2,048.00 | $64.40 – $383.10 | 8 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $188.40 | $314.00 | $13.22 – $60.06 | 7 |
| Helicobacter pylori antibody igm CPT 86677 | $61.20 | $102.00 | $16.65 – $27.87 | 9 |
| Hematocrit CPT 85014 | $12.60 | $21.00 | $2.35 – $4.49 | 9 |
| Hematopoietic nuclear tx CPT 79403 | $918.60 | $1,531.00 | $101.60 – $514.76 | 8 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | $6,247.80 | $10,413.00 | $13.73 – $34.18 | 6 |
| Hemodialysis one evaluation CPT 90935 | $1,081.80 | $1,803.00 | $189.75 – $720.40 | 7 |
| Hemodialysis repeated eval CPT 90937 | $262.20 | $437.00 | $189.75 – $877.56 | 4 |
| Hemoglobin CPT 85018 | $12.60 | $21.00 | $2.35 – $4.49 | 10 |
| Hemoglobin fetal qualitative CPT 83033 | $18.00 | $30.00 | $7.18 – $9.08 | 8 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $45.00 | $75.00 | $3.30 – $8.20 | 8 |
| Hemoglobin plasma CPT 83051 | $37.80 | $63.00 | $3.85 – $7.31 | 8 |
| Hemophilus influenza antibdy CPT 86684 | $88.80 | $148.00 | $15.65 – $29.81 | 8 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $2,925.00 | $4,875.00 | $50.60 – $892.40 | 8 |
| Hepagam b im injection HCPCS J1571 | $586.80 | $978.00 | $65.97 – $66.64 | 6 |
| Heparin assay CPT 85520 | $66.60 | $111.00 | $7.18 – $13.09 | 8 |
| Heparin bolus from bag HCPCS J1644 | $9.60 | $16.00 | $0.21 – $1.56 | 5 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $1.20 | $2.00 | $0.02 – $1.16 | 6 |
| Hepatectomy removal of liver 47120 CPT 47120 | $4,246.20 | $7,077.00 | $2,196.46 – $2,371.96 | 2 |
| Hepatitis a antibody igm CPT 86709 | $64.20 | $107.00 | $11.13 – $21.13 | 8 |
| Hepatitis b core antibody igm CPT 86705 | $65.40 | $109.00 | $11.64 – $22.59 | 8 |
| Hepatitis b core antibody total CPT 86704 | $69.60 | $116.00 | $11.91 – $20.85 | 10 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $105.60 | $176.00 | $11.00 – $134.19 | 7 |
| Hepatitis b surface antibody CPT 86706 | $59.40 | $99.00 | $10.62 – $18.32 | 10 |
| Hepatitis c antibody CPT 86803 | $108.00 | $180.00 | $14.10 – $26.41 | 10 |
| Hernia Repair (Inguinal) CPT 49505 | $1,696.80 | $2,828.00 | $349.25 – $3,364.54 | 8 |
| Herpes simplex 1 ag if CPT 87274 | $66.60 | $111.00 | $8.41 – $12.94 | 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.