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 |
|---|---|---|---|---|
| Liver/spleen imag static only CPT 78215 | $1,228.80 | $2,048.00 | $53.48 – $383.10 | 8 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $1,228.80 | $2,048.00 | $70.72 – $383.10 | 8 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $358.05 – $3,093.35 | 8 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | $15,780.00 | $26,300.00 | $80.19 – $216.90 | 6 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $1.80 | $3.00 | $1.30 – $16.28 | 5 |
| Low back disk surgery CPT 63030 | not published | not published | $892.40 – $7,354.86 | 7 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $190.20 | $317.00 | $67.79 – $166.48 | 8 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,424.40 | $2,374.00 | $156.40 – $899.77 | 8 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,424.40 | $2,374.00 | $108.10 – $744.90 | 8 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $876.00 | $1,460.00 | $100.37 – $641.23 | 8 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $2,713.80 | $4,523.00 | $309.35 – $2,380.18 | 8 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,713.80 | $4,523.00 | $309.35 – $1,350.45 | 8 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,656.00 | $2,760.00 | $215.28 – $1,227.91 | 8 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $272.40 | $454.00 | $25.88 – $101.38 | 8 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $262.80 | $438.00 | $25.88 – $117.28 | 8 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $262.80 | $438.00 | $24.15 – $144.66 | 8 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $188.40 | $314.00 | $18.98 – $64.96 | 7 |
| Lso flex no ri stays pre ots HCPCS L0628 | $294.60 | $491.00 | $60.65 – $236.61 | 4 |
| L/s ratio fetal lung CPT 83661 | $79.80 | $133.00 | $21.73 – $30.58 | 8 |
| Lumbar diskogram s&i CPT 72295 | $4,030.20 | $6,717.00 | $41.40 – $1,861.73 | 8 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $892.40 – $18,933.57 | 7 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $650.40 | $1,084.00 | $13.11 – $296.88 | 8 |
| Lung function test (mbc/mvv) CPT 94200 | $155.40 | $259.00 | $6.21 – $76.51 | 8 |
| Lung Function Test (Spirometry) CPT 94010 | $346.20 | $577.00 | $10.35 – $149.17 | 8 |
| Lung perfusion imaging CPT 78580 | $1,228.80 | $2,048.00 | $54.62 – $383.10 | 8 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $4,770.00 | $7,950.00 | $82.52 – $207.13 | 6 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $6,976.20 | $11,627.00 | $28.98 – $41.98 | 6 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | $616.20 | $1,027.00 | $163.69 – $342.32 | 5 |
| Lutetium lu 177 vipivotide HCPCS A9607 | $27,310.20 | $45,517.00 | $95.57 – $276.28 | 5 |
| Lymphatics/lymph node imaging CPT 78195 | $1,574.40 | $2,624.00 | $149.50 – $513.18 | 8 |
| Lymphocyte transformation mitogen CPT 86353 | $272.40 | $454.00 | $48.45 – $94.17 | 8 |
| Lymphocytotoxicity assay CPT 86805 | $1,055.40 | $1,759.00 | $48.48 – $189.51 | 8 |
| Macroscopic exam arthropod CPT 87168 | $24.00 | $40.00 | $2.99 – $4.61 | 7 |
| Macroscopic exam parasite CPT 87169 | $24.00 | $40.00 | $3.02 – $4.65 | 7 |
| Magnesium CPT 83735 | $40.20 | $67.00 | $6.62 – $10.08 | 10 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $1.80 | $3.00 | $0.48 – $0.80 | 5 |
| Magnetic image bone marrow CPT 77084 | $1,656.00 | $2,760.00 | $228.15 – $787.21 | 8 |
| Mammosite ced HCPCS C1728 | $120.00 | $200.00 | $1,269.34 – $1,599.65 | 2 |
| Manual diff wbc count b-coat CPT 85009 | $19.20 | $32.00 | $4.95 – $6.25 | 8 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | $744.00 | $1,240.00 | $43.33 – $168.32 | 6 |
| Map tachycard site(s) CPT 93609 | $3,363.00 | $5,605.00 | $257.40 – $1,434.47 | 7 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | $138.00 | $230.00 | $19.87 – $52.49 | 6 |
| Marker biop eviva buckle ss HCPCS A4648 | $1,213.20 | $2,022.00 | $116.42 – $116.42 | 1 |
| Mast mod rad CPT 19307 | $3,126.00 | $5,210.00 | $1,112.96 – $1,201.89 | 2 |
| Mastoids complete CPT 70130 | $262.80 | $438.00 | $31.62 – $110.85 | 7 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $73.80 | $123.00 | $14.29 – $23.63 | 8 |
| Mayo aathr protein s free CPT 85306 | $77.40 | $129.00 | $15.14 – $29.44 | 8 |
| Mayo activated protein c resistance assay CPT 85307 | $77.40 | $129.00 | $15.14 – $23.54 | 8 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $85.80 | $143.00 | $21.38 – $41.65 | 7 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $40.80 | $68.00 | $7.12 – $16.35 | 7 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $42.00 | $70.00 | $10.37 – $15.96 | 7 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $61.20 | $102.00 | $15.60 – $15.60 | 1 |
| Mayo alpha 1 antitrypsin CPT 82103 | $67.80 | $113.00 | $13.29 – $23.63 | 8 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $109.20 | $182.00 | $12.10 – $15.29 | 8 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $529.80 | $883.00 | $60.54 – $139.06 | 8 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $792.60 | $1,321.00 | $82.82 – $152.33 | 8 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $6,701.40 | $11,169.00 | $813.74 – $1,252.68 | 7 |
| Mayo androstenedione CPT 82157 | $148.20 | $247.00 | $25.00 – $34.75 | 9 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $74.40 | $124.00 | $14.43 – $28.03 | 8 |
| Mayo antithrombin iii antigen CPT 85301 | $55.20 | $92.00 | $10.69 – $20.78 | 8 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $83.40 | $139.00 | $14.88 – $28.91 | 8 |
| Mayo avwpr vw factor activity CPT 85397 | $156.00 | $260.00 | $28.93 – $36.55 | 8 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $70.80 | $118.00 | $13.84 – $39.01 | 8 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $56.40 | $94.00 | $10.06 – $15.64 | 8 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $837.60 | $1,396.00 | $101.60 – $156.41 | 7 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $72.00 | $120.00 | $12.75 – $24.78 | 8 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $73.80 | $123.00 | $13.03 – $25.34 | 8 |
| Mayo brcmg brucella antibody igm CPT 86622 | $49.80 | $83.00 | $8.82 – $14.89 | 8 |
| Mayo c1 esterase inhibitor CPT 83883 | $124.80 | $208.00 | $9.54 – $14.69 | 7 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $85.80 | $143.00 | $11.83 – $18.22 | 7 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $706.80 | $1,178.00 | $120.80 – $185.40 | 8 |
| Mayo ceruloplasmin CPT 82390 | $54.60 | $91.00 | $10.62 – $13.90 | 8 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $72.00 | $120.00 | $9.90 – $15.25 | 7 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $72.00 | $120.00 | $9.04 – $13.91 | 7 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $66.00 | $110.00 | $10.87 – $13.73 | 8 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $71.40 | $119.00 | $12.53 – $24.39 | 8 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $833.40 | $1,389.00 | $115.13 – $223.77 | 8 |
| Mayo chromium CPT 82495 | $102.60 | $171.00 | $6.60 – $20.28 | 8 |
| Mayo coccidioides antibody CPT 86635 | $64.20 | $107.00 | $11.33 – $22.03 | 8 |
| Mayo cocou cortisone urine CPT 82542 | $122.40 | $204.00 | $21.20 – $26.78 | 8 |
| Mayo cortisol free CPT 82530 | $85.20 | $142.00 | $16.51 – $32.45 | 8 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $123.00 | $205.00 | $12.28 – $42.13 | 8 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $67.80 | $113.00 | $11.98 – $23.28 | 8 |
| Mayo cyanide CPT 82600 | $98.40 | $164.00 | $18.70 – $23.63 | 8 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $74.40 | $124.00 | $13.09 – $20.15 | 8 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $127.80 | $213.00 | $23.10 – $29.19 | 8 |
| Mayo efpo chloride stool CPT 82438 | $25.20 | $42.00 | $3.30 – $5.00 | 8 |
| Mayo estriol CPT 82677 | $122.40 | $204.00 | $19.25 – $24.32 | 8 |
| Mayo estrone CPT 82679 | $126.60 | $211.00 | $14.30 – $24.95 | 8 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $117.00 | $195.00 | $14.30 – $18.07 | 8 |
| Mayo everolimus therapeutic drug level CPT 80169 | $34.80 | $58.00 | $13.56 – $20.82 | 8 |
| Mayo factor ii CPT 85210 | $66.00 | $110.00 | $4.40 – $12.98 | 8 |
| Mayo factor v CPT 85220 | $90.60 | $151.00 | $5.50 – $17.65 | 8 |
| Mayo factor vii CPT 85230 | $91.20 | $152.00 | $5.50 – $17.90 | 8 |
| Mayo factor viii vw factor antigen CPT 85246 | $116.40 | $194.00 | $22.67 – $44.07 | 8 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $116.40 | $194.00 | $22.67 – $44.07 | 8 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $116.40 | $194.00 | $22.67 – $44.07 | 8 |
| Mayo factor x CPT 85260 | $91.20 | $152.00 | $13.20 – $17.90 | 8 |
| Mayo factor xi CPT 85270 | $91.20 | $152.00 | $13.20 – $17.90 | 8 |
| Mayo fat/lipids feces quantitative CPT 82710 | $85.80 | $143.00 | $4.42 – $16.80 | 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.