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 |
|---|---|---|---|---|
| Rheumatoid factor qualitative CPT 86430 | $33.60 | $56.00 | $6.07 – $9.73 | 9 |
| Rheumatoid factor quantitative CPT 86431 | $31.80 | $53.00 | $5.61 – $10.74 | 9 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $48.00 | $80.00 | $4.86 – $21.42 | 5 |
| Rho d immune globulin inj HCPCS J2790 | $70.80 | $118.00 | $78.53 – $94.18 | 5 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $262.80 | $438.00 | $18.98 – $92.87 | 7 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $262.80 | $438.00 | $18.98 – $116.62 | 8 |
| Rib X-ray (3 views, both sides) CPT 71110 | $262.80 | $438.00 | $18.98 – $101.38 | 8 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $106.80 | $178.00 | $0.14 – $0.14 | 3 |
| Right ventric recording CPT 93603 | $2,545.80 | $4,243.00 | $172.32 – $1,249.87 | 7 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $588.00 | $980.00 | $6.84 – $14.94 | 6 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $55.80 | $93.00 | $64.75 – $75.22 | 6 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | $337.20 | $562.00 | $32.37 – $36.69 | 6 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $50.40 | $84.00 | $29.09 – $29.38 | 6 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $42.60 | $71.00 | $26.24 – $26.51 | 6 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $42.60 | $71.00 | $23.73 – $27.85 | 6 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $2,080.80 | $3,468.00 | $33.55 – $1,544.70 | 8 |
| Rmvl icd by tv extr CPT 33244 | $4,589.40 | $7,649.00 | $892.40 – $3,746.86 | 7 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $34,564.20 | $57,607.00 | $480.64 – $23,109.59 | 7 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $48,933.60 | $81,556.00 | $499.04 – $33,009.16 | 7 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $34,564.20 | $57,607.00 | $462.26 – $23,109.59 | 7 |
| Rmvl icd pulse gen only CPT 33241 | $4,523.40 | $7,539.00 | $426.81 – $3,746.86 | 7 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $2,304.60 | $3,841.00 | $272.28 – $892.40 | 7 |
| Rmvl perm pm pulse gen CPT 33233 | $11,583.60 | $19,306.00 | $302.62 – $8,520.57 | 7 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $27,759.00 | $46,265.00 | $461.78 – $892.40 | 3 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $17,467.80 | $29,113.00 | $425.00 – $892.40 | 3 |
| Rmvl pq iabp CPT 33968 | $243.00 | $405.00 | $37.01 – $81.42 | 3 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $512.40 | $854.00 | $130.03 – $298.62 | 3 |
| Rmvl sq defib electrode CPT 33272 | $4,831.80 | $8,053.00 | $597.19 – $3,746.86 | 7 |
| Rmvl subq card rhythm mntr CPT 33286 | $2,304.60 | $3,841.00 | $80.33 – $892.40 | 7 |
| Rmvl transplanted rnl algrft CPT 50370 | $2,158.80 | $3,598.00 | $1,152.54 – $1,244.63 | 2 |
| Rmvl tv pm lead dual CPT 33235 | $4,523.40 | $7,539.00 | $891.55 – $3,746.86 | 7 |
| Rmvl tv pm lead sgl CPT 33234 | $4,523.40 | $7,539.00 | $890.82 – $3,746.86 | 7 |
| Rnl altrnsplj without rcp nfrct CPT 50360 | $9,523.20 | $15,872.00 | $1,070.65 – $5,025.34 | 5 |
| Rnl altrnsplj w/rcp nfrct CPT 50365 | $10,398.00 | $17,330.00 | $1,150.00 – $6,045.72 | 5 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | $1,918.80 | $3,198.00 | $15.31 – $30.78 | 6 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $3,004.80 | $5,008.00 | $4.16 – $11.01 | 6 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $641.40 | $1,069.00 | $5.48 – $12.07 | 6 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $9.00 | $15.00 | $0.05 – $0.17 | 5 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $3,588.60 | $5,981.00 | $547.03 – $1,599.35 | 7 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $1,228.80 | $2,048.00 | $67.85 – $606.15 | 8 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $4,242.60 | $7,071.00 | $225.46 – $1,244.62 | 8 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $4,812.60 | $8,021.00 | $441.89 – $1,390.59 | 8 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $3,217.80 | $5,363.00 | $71.65 – $1,481.02 | 8 |
| Rpl tun-cvad w subq port CPT 36582 | $8,004.00 | $13,340.00 | $301.63 – $3,000.76 | 8 |
| Rpl tun-cvad w subq pump CPT 36583 | $8,004.00 | $13,340.00 | $304.07 – $5,153.69 | 8 |
| Rpl tun cvc wo subq port CPT 36581 | $4,201.80 | $7,003.00 | $204.48 – $3,000.76 | 8 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | not published | not published | $395.60 – $4,543.93 | 4 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | not published | not published | $297.82 – $6,424.16 | 7 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | not published | not published | $288.42 – $6,006.79 | 7 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | not published | not published | $221.48 – $6,424.16 | 7 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | $7,767.60 | $12,946.00 | $132.06 – $3,364.54 | 7 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | $11,428.80 | $19,048.00 | $183.83 – $5,562.36 | 7 |
| Rpr aa hrn rcr > 10 ncr/strn CPT 49618 | not published | not published | $479.41 – $4,543.93 | 4 |
| Rpr aa hrn rcr > 10 rdc CPT 49617 | not published | not published | $342.07 – $4,543.93 | 4 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | not published | not published | $332.03 – $4,543.93 | 4 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | not published | not published | $220.97 – $6,006.79 | 7 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | not published | not published | $162.80 – $3,633.37 | 7 |
| Rpr parastomal hrna ncr/strn 49622 CPT 49622 | not published | not published | $354.27 – $922.95 | 3 |
| Rpr rem hernia init reduce CPT 49550 | $1,509.60 | $2,516.00 | $549.42 – $593.32 | 2 |
| Rsv assay w/optic CPT 87807 | $73.80 | $123.00 | $12.94 – $17.11 | 8 |
| Rubella antibody igg CPT 86762 | $80.40 | $134.00 | $14.22 – $27.30 | 9 |
| Rubeola antibody igg CPT 86765 | $72.00 | $120.00 | $11.80 – $16.40 | 9 |
| Russell viper venom diluted CPT 85613 | $48.60 | $81.00 | $9.47 – $16.23 | 8 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $1,441.80 | $2,403.00 | $21.80 – $36.28 | 6 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $262.80 | $438.00 | $18.98 – $101.38 | 8 |
| Salivary gland imaging CPT 78230 | $1,228.80 | $2,048.00 | $44.85 – $383.10 | 8 |
| Salivary glnd img serial img CPT 78231 | $1,228.80 | $2,048.00 | $40.25 – $383.10 | 8 |
| Sarscov coronavirus ag ia CPT 87426 | $84.60 | $141.00 | $34.92 – $48.56 | 8 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $819.60 | $1,366.00 | $104.22 – $410.50 | 8 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $394.20 | $657.00 | $90.39 – $359.59 | 8 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $379.80 | $633.00 | $100.37 – $529.54 | 8 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $394.20 | $657.00 | $90.39 – $361.27 | 8 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $488.40 | $814.00 | $90.39 – $352.88 | 8 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $394.20 | $657.00 | $90.39 – $344.49 | 8 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $2,643.60 | $4,406.00 | $654.93 – $1,668.12 | 7 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $846.45 – $3,340.51 | 7 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $189.60 | $316.00 | $18.58 – $28.61 | 6 |
| Screen cerv/vag thin layer HCPCS G0123 | $145.20 | $242.00 | $14.21 – $21.88 | 6 |
| Screen c/v thin layer by md HCPCS G0124 | $76.20 | $127.00 | $16.16 – $115.62 | 3 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $582.97 – $938.66 | 6 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $582.97 – $938.66 | 6 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $100.20 | $167.00 | $17.87 – $25.32 | 7 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | $60.00 | $100.00 | $11.17 – $28.27 | 7 |
| Screening hepatitis c antibody high risk HCPCS G0472 | $108.00 | $180.00 | $9.13 – $46.35 | 7 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | $76.20 | $127.00 | $16.89 – $26.00 | 6 |
| Screening Mammogram CPT 77067 | $399.60 | $666.00 | $60.33 – $145.52 | 6 |
| Screening pap smear by phys HCPCS P3001 | $75.60 | $126.00 | $13.60 – $62.52 | 4 |
| Screening prostate cancer PSA HCPCS G0103 | $97.80 | $163.00 | $13.55 – $20.85 | 6 |
| Screen pap by tech w md supv HCPCS P3000 | $55.20 | $92.00 | $12.14 – $19.64 | 7 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $79.80 | $133.00 | $6.60 – $46.00 | 6 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $394.20 | $657.00 | $50.60 – $213.89 | 8 |
| Sc ther infusion reset pump CPT 96371 | $148.20 | $247.00 | $33.34 – $105.08 | 8 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | $2,139.60 | $3,566.00 | $780.54 – $842.91 | 2 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $12,577.80 | $20,963.00 | $232.74 – $3,774.38 | 4 |
| Sedimentation rate erythrocyte automated CPT 85652 | $37.80 | $63.00 | $2.67 – $4.17 | 9 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $97.20 | $162.00 | $23.30 – $50.95 | 4 |
| Semen analysis presence/motility CPT 89321 | $86.40 | $144.00 | $8.45 – $13.01 | 7 |
| Serpina1 gene CPT 81332 | $252.00 | $420.00 | $43.14 – $66.12 | 8 |
| Set radiation therapy field CPT 77280 | $655.20 | $1,092.00 | $41.98 – $380.57 | 8 |
| Set radiation therapy field CPT 77285 | $1,029.00 | $1,715.00 | $58.65 – $599.31 | 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.