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 |
|---|---|---|---|---|
| Ivp w/wo kub w/wo tomography CPT 74400 | $427.80 | $713.00 | $31.62 – $203.92 | 8 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $3,484.80 | $5,808.00 | $128.93 – $139.21 | 6 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $188.40 | $314.00 | $18.98 – $101.90 | 8 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $262.80 | $438.00 | $18.98 – $101.38 | 8 |
| John cunningham antibody CPT 86711 | $37.80 | $63.00 | $16.69 – $22.00 | 8 |
| J-tube placement CPT 44015 | $556.80 | $928.00 | $132.08 – $142.63 | 2 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $42.00 | $70.00 | $5.50 – $8.17 | 8 |
| Ketorolac (Toradol) Pain Shot, 15 mg HCPCS J1885 | $3.60 | $6.00 | $0.29 – $0.30 | 6 |
| Kidney function study CPT 78725 | $1,228.80 | $2,048.00 | $74.23 – $383.10 | 8 |
| Kidney imaging morphology CPT 78700 | $1,228.80 | $2,048.00 | $47.73 – $383.10 | 8 |
| Kidney imag w/bld flow multi CPT 78709 | $1,574.40 | $2,624.00 | $213.49 – $513.18 | 8 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,574.40 | $2,624.00 | $79.35 – $513.18 | 8 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $394.20 | $657.00 | $56.35 – $263.82 | 8 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $394.20 | $657.00 | $56.35 – $197.83 | 8 |
| Kit gene analys d816 variant CPT 81273 | $721.80 | $1,203.00 | $86.37 – $138.85 | 8 |
| Knee Arthroscopy (Meniscus Trimming) CPT 29881 | not published | not published | $597.85 – $3,093.35 | 8 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $892.40 – $3,340.51 | 7 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $597.85 – $3,093.35 | 8 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $828.50 – $7,354.86 | 7 |
| Knee MRI (with and without contrast) CPT 73723 | $2,713.80 | $4,523.00 | $543.29 – $1,992.24 | 7 |
| Knee MRI (with contrast) CPT 73722 | $2,713.80 | $4,523.00 | $353.91 – $1,109.81 | 7 |
| Knee MRI (without contrast) CPT 73721 | $1,656.00 | $2,760.00 | $309.35 – $1,083.17 | 7 |
| Knee orth pos locking joint HCPCS L1831 | $1,288.20 | $2,147.00 | $212.76 – $830.00 | 4 |
| Knee X-ray CPT 73564 | $262.80 | $438.00 | $25.78 – $82.10 | 7 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $188.40 | $314.00 | $18.98 – $64.96 | 7 |
| Knee X-ray (3 views, both knees) CPT 73562 | $188.40 | $314.00 | $18.98 – $71.53 | 7 |
| Knee X-ray (standing, both knees) CPT 73565 | $188.40 | $314.00 | $19.96 – $83.95 | 8 |
| Kras gene variants exon 2 CPT 81275 | $697.80 | $1,163.00 | $173.78 – $219.58 | 8 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $7.80 | $13.00 | $0.11 – $0.34 | 5 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $2.40 | $4.00 | $0.34 – $0.75 | 9 |
| Lactate dehydrogenase (ldh) CPT 83615 | $30.60 | $51.00 | $5.98 – $9.99 | 10 |
| Lactic acid CPT 83605 | $58.80 | $98.00 | $8.00 – $11.57 | 9 |
| Lactoferrin fecal qualitative CPT 83630 | $99.60 | $166.00 | $13.54 – $19.70 | 8 |
| Lam facetc/frmt arthrd lum 1 CPT 63052 | not published | not published | $106.74 – $268.24 | 3 |
| Lam facetec & foramot lumbar CPT 63047 | not published | not published | $892.40 – $7,354.86 | 7 |
| Laminotomy single lumbar CPT 63042 | not published | not published | $892.40 – $7,354.86 | 7 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $18,264.00 | $30,440.00 | $33.71 – $34.05 | 6 |
| Lanthanum carbonate oral 5mg HCPCS J0607 | $7.20 | $12.00 | $0.02 – $0.02 | 1 |
| Laparo cholecystectomy/graph CPT 47563 | not published | not published | $892.40 – $6,006.79 | 7 |
| Laparo partial nephrectomy CPT 50543 | $4,511.40 | $7,519.00 | $1,150.00 – $10,718.93 | 7 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | $4,308.00 | $7,180.00 | $1,614.93 – $6,006.79 | 6 |
| Laparo radical nephrectomy CPT 50545 | $2,357.40 | $3,929.00 | $1,253.89 – $1,354.08 | 2 |
| Laparo removal donor kidney CPT 50547 | $5,977.20 | $9,962.00 | $1,150.00 – $2,895.97 | 5 |
| Laparo remove w/ureter CPT 50548 | $2,363.40 | $3,939.00 | $1,260.29 – $1,360.99 | 2 |
| Laparoscopic nephrectomy CPT 50546 | $2,110.80 | $3,518.00 | $1,132.12 – $1,222.58 | 2 |
| Laparoscopy adrenalectomy CPT 60650 | $3,313.20 | $5,522.00 | $1,126.93 – $1,216.97 | 2 |
| Laparoscopy aspiration CPT 49322 | not published | not published | $777.81 – $6,006.79 | 7 |
| Laparoscopy biopsy CPT 49321 | $905.40 | $1,509.00 | $326.11 – $5,562.36 | 7 |
| Laparoscopy excise lesions CPT 58662 | $1,830.00 | $3,050.00 | $673.24 – $5,562.36 | 7 |
| Laparoscopy remove adnexa CPT 58661 | not published | not published | $892.40 – $6,006.79 | 7 |
| Laparoscopy splenectomy CPT 38120 | $2,479.20 | $4,132.00 | $1,000.46 – $1,080.40 | 2 |
| Lap inc hernia repair 49654 CPT 49654 | $2,228.40 | $3,714.00 | not published | 0 |
| Lap inc hern repair comp 49655 CPT 49655 | $909.60 | $1,516.00 | not published | 0 |
| Lap ing hernia repair init CPT 49650 | $1,126.20 | $1,877.00 | $411.32 – $5,562.36 | 7 |
| Lap ing hernia repair recur CPT 49651 | not published | not published | $892.40 – $6,006.79 | 7 |
| Lap insert tunnel ip cath CPT 49324 | $1,267.20 | $2,112.00 | $364.45 – $393.57 | 2 |
| Lap paraesoph her rpr w/mesh CPT 43282 | not published | not published | $1,594.11 – $10,718.93 | 7 |
| Lap revision perm ip cath CPT 49325 | $979.20 | $1,632.00 | $389.31 – $420.42 | 2 |
| Lap vent/abd hernia repair 49652 CPT 49652 | $1,966.80 | $3,278.00 | not published | 0 |
| Lap vent/abd hern proc comp 49653 CPT 49653 | $2,441.40 | $4,069.00 | not published | 0 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $453.60 | $756.00 | $18.40 – $892.40 | 8 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $2,514.60 | $4,191.00 | $129.80 – $1,644.08 | 8 |
| Laryngoscopy w/biopsy CPT 31535 | not published | not published | $722.42 – $3,795.91 | 7 |
| Laryngoscopy w/bx & op scope CPT 31536 | not published | not published | $215.67 – $3,515.06 | 8 |
| Laryngoscopy w/exc of tumor CPT 31540 | not published | not published | $247.38 – $3,515.06 | 8 |
| Laryngoscopy w/fb removal CPT 31530 | $3,505.20 | $5,842.00 | $666.05 – $1,775.44 | 7 |
| Larynscop w/tumr exc + scope CPT 31541 | not published | not published | $270.89 – $3,515.06 | 8 |
| Laser surgery of prostate CPT 52648 | not published | not published | $892.40 – $5,233.86 | 7 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $9,999.00 | $16,665.00 | $2,298.86 – $7,197.58 | 2 |
| Lead capillary CPT 83655 | $62.40 | $104.00 | $10.00 – $20.00 | 10 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $2,715.00 | $4,525.00 | $757.49 – $2,935.80 | 2 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $819.60 | $1,366.00 | $137.24 – $399.68 | 8 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $1,424.40 | $2,374.00 | $94.88 – $641.23 | 7 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $876.00 | $1,460.00 | $90.90 – $553.07 | 7 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $819.60 | $1,366.00 | $131.33 – $416.37 | 8 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $60.00 | $100.00 | $3.22 – $20.46 | 5 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $7,358.40 | $12,264.00 | $174.69 – $176.45 | 6 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $3,087.60 | $5,146.00 | $935.60 – $1,730.32 | 6 |
| Leuprolide acetate injeciton HCPCS J9218 | $427.20 | $712.00 | $15.95 – $608.84 | 2 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $7.80 | $13.00 | $0.04 – $1.36 | 5 |
| Levetiracetam therapeutic drug level CPT 80177 | $33.60 | $56.00 | $13.09 – $20.11 | 8 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $1.20 | $2.00 | $1.05 – $36.43 | 5 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $4.20 | $7.00 | $0.00 – $0.00 | 3 |
| Lidocaine therapeutic drug level CPT 80176 | $104.40 | $174.00 | $14.30 – $18.07 | 8 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | $3,814.20 | $6,357.00 | $50.26 – $1,221.56 | 4 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $4,489.80 | $7,483.00 | $136.40 – $1,544.70 | 8 |
| Ligation/major artery/extremity 37618 CPT 37618 | $1,497.00 | $2,495.00 | $376.34 – $2,630.20 | 4 |
| Lig/band angioaccess av fistula CPT 37607 | $12,573.60 | $20,956.00 | $347.50 – $3,000.76 | 7 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $0.60 | $1.00 | $3.57 – $55.07 | 5 |
| Lipase CPT 83690 | $40.80 | $68.00 | $5.00 – $6.95 | 10 |
| Lipoprotein blood quant CPT 83704 | $172.20 | $287.00 | $23.99 – $36.92 | 7 |
| Lipoprotein direct measurement hdl CPT 83718 | $42.00 | $70.00 | $7.00 – $9.73 | 9 |
| Lipoprotein direct measurement ldl CPT 83721 | $54.00 | $90.00 | $9.09 – $16.68 | 8 |
| Lithium therapeutic drug level CPT 80178 | $46.80 | $78.00 | $6.54 – $11.12 | 10 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $5,071.20 | $8,452.00 | $50.64 – $134.25 | 2 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | $2,376.00 | $3,960.00 | $1,144.16 – $1,235.58 | 2 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $68.40 | $114.00 | $65.12 – $497.52 | 7 |
| Liver Function Test CPT 80076 | $54.00 | $90.00 | $8.08 – $12.55 | 10 |
| Liver imaging CPT 78201 | $4,242.60 | $7,071.00 | $53.48 – $513.18 | 8 |
| Liver imag w/vasclr flow CPT 78202 | $1,800.00 | $3,000.00 | $57.50 – $513.18 | 8 |
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.