UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $493.80 | $823.00 | $19.25 – $31.97 | 12 |
| 17-hydroxypregnenolone CPT 84143 | $307.20 | $512.00 | $22.55 – $40.37 | 12 |
| 17-ketosteroids CPT 83586 | $343.20 | $572.00 | $12.65 – $22.64 | 12 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $848.40 | $1,414.00 | $578.38 – $813.49 | 8 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $848.40 | $1,414.00 | $578.38 – $813.49 | 8 |
| 2nd order venous cath CPT 36012 | $438.00 | $730.00 | $125.95 – $651.26 | 9 |
| 3d ech img cgen car anomal CPT 93319 | $1,419.60 | $2,366.00 | $21.73 – $68.89 | 9 |
| 3-d radiotherapy plan CPT 77295 | $4,344.00 | $7,240.00 | $411.47 – $3,036.83 | 12 |
| 3d recon without postprocess indpndt CPT 76376 | $697.20 | $1,162.00 | $11.65 – $241.50 | 4 |
| 5' nucleotidase - sendout CPT 83915 | $243.00 | $405.00 | $11.02 – $19.72 | 12 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $91.20 | $152.00 | $12.52 – $81.78 | 9 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | $117.00 | $195.00 | $25.60 – $25.60 | 1 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | $97.20 | $162.00 | $25.60 – $25.60 | 1 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | $82.80 | $138.00 | $25.60 – $25.60 | 1 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | $98.40 | $164.00 | $25.60 – $25.60 | 1 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | $82.80 | $138.00 | $25.60 – $25.60 | 1 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | $86.40 | $144.00 | $25.60 – $25.60 | 1 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | $103.20 | $172.00 | $25.60 – $25.60 | 1 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $258.40 | $323.00 | $44.11 – $47.20 | 9 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $115.80 | $193.00 | $11.87 – $21.25 | 12 |
| Abd aorta w/runoff s&i CPT 75630 | $4,443.00 | $7,405.00 | $198.37 – $3,210.81 | 12 |
| Abd/low ext cath 1st CPT 36245 | $1,138.20 | $1,897.00 | $763.10 – $993.28 | 4 |
| Abd/low ext cath 2nd CPT 36246 | $948.00 | $1,580.00 | $795.09 – $993.28 | 4 |
| Abd/low ext cath 3rd CPT 36247 | $1,129.20 | $1,882.00 | $947.07 – $1,046.18 | 4 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $1,265.40 | $2,109.00 | $152.76 – $648.77 | 12 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $1,044.00 | $1,740.00 | $100.61 – $513.74 | 12 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $3,476.40 | $5,794.00 | $142.72 – $1,073.45 | 12 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,772.60 | $4,621.00 | $115.20 – $885.27 | 12 |
| Abdominal CT scan (without contrast) CPT 74150 | $2,175.00 | $3,625.00 | $99.20 – $753.83 | 12 |
| Abdominal MRI (with and without contrast) CPT 74183 | $4,010.40 | $6,684.00 | $343.82 – $2,220.09 | 12 |
| Abdominal MRI (with contrast) CPT 74182 | $3,051.00 | $5,085.00 | $343.82 – $1,243.23 | 12 |
| Abdominal MRI (without contrast) CPT 74181 | $2,514.00 | $4,190.00 | $232.71 – $1,380.54 | 12 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,689.00 | $2,815.00 | $92.76 – $993.28 | 12 |
| Abdominal Ultrasound (complete) CPT 76700 | $916.80 | $1,528.00 | $73.60 – $326.17 | 12 |
| Abdominal Ultrasound (limited) CPT 76705 | $690.60 | $1,151.00 | $48.00 – $242.17 | 12 |
| Abdominal X-ray (2 views) CPT 74019 | $327.00 | $545.00 | $21.09 – $108.48 | 12 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $504.00 | $840.00 | $30.72 – $123.88 | 12 |
| Abdominal X-ray (single view) CPT 74018 | $538.20 | $897.00 | $17.63 – $89.83 | 12 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $971.40 | $1,619.00 | $59.98 – $993.28 | 12 |
| Abl1 gene CPT 81170 | $3,217.80 | $5,363.00 | $289.97 – $337.42 | 12 |
| Ablate arrhythmia add on CPT 93655 | $5,650.20 | $9,417.00 | $419.23 – $645.47 | 4 |
| Ablate heart dysrhythm focus CPT 93650 | $4,569.60 | $7,616.00 | $993.28 – $7,813.09 | 11 |
| Ablate pulm tumor perq crybl CPT 32994 | $24,227.40 | $40,379.00 | $4,069.64 – $10,719.92 | 11 |
| Ablation cryo abd perit om CPT 49999 | $122.40 | $204.00 | $644.56 – $965.36 | 8 |
| Ablation of upper extremity nerves rf CPT 64999 | $825.60 | $1,376.00 | $212.29 – $303.94 | 8 |
| Abobotulinumtoxina HCPCS J0586 | $61.20 | $76.50 | $8.75 – $9.36 | 9 |
| Abscess drain retroperitoneal surg code CPT 49406 | $4,627.80 | $7,713.00 | $190.99 – $1,652.83 | 12 |
| Absorpt drg >16<=48 in w/bdr HCPCS A6255 | $1.80 | $3.00 | $3.49 – $7.75 | 4 |
| Absorpt drg <=16 sq in w/bdr HCPCS A6254 | $0.60 | $1.00 | $1.37 – $3.10 | 4 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $2.40 | $3.00 | $0.06 – $0.06 | 5 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $256.80 | $321.00 | $19.84 – $21.83 | 5 |
| Acetone qualitative CPT 82009 | $59.40 | $99.00 | $4.47 – $6.75 | 12 |
| Acetylcholine receptor modulating antibody CPT 86043 | $274.80 | $458.00 | $10.60 – $13.16 | 11 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $1,044.60 | $1,741.00 | $0.39 – $0.42 | 5 |
| Acetylcysteine non-comp unit HCPCS J7608 | $92.80 | $116.00 | $8.65 – $9.52 | 3 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $417.00 | $695.00 | $96.41 – $132.69 | 12 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $20.40 | $34.00 | $12.17 – $12.17 | 1 |
| Acute hepatitis panel CPT 80074 | $762.60 | $1,271.00 | $47.07 – $67.40 | 12 |
| Acyclovir 400 mg tablet HCPCS J8499 | $13.20 | $22.00 | $19.20 – $19.20 | 1 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $74.40 | $124.00 | $0.04 – $0.04 | 5 |
| #acylcarnitineprfl CPT 82017 | $222.60 | $371.00 | $13.17 – $18.41 | 12 |
| Adapter b 8 channel 10cm HCPCS C1883 | $496.20 | $827.00 | $165.40 – $744.30 | 14 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $382.20 | $637.00 | $0.56 – $0.61 | 5 |
| Adenovirus antibody,serum - quest CPT 86603 | $91.80 | $153.00 | $12.72 – $22.77 | 12 |
| Adhesive, liquid or equal HCPCS A4364 | $2,338.80 | $3,898.00 | $2.93 – $7.58 | 4 |
| Adh-sendout CPT 84588 | $311.40 | $519.00 | $33.54 – $46.08 | 12 |
| Adj gastric band via subq port CPT 43999 | $3,526.20 | $5,877.00 | $644.56 – $965.36 | 8 |
| Adjmt/revj ext fixj sys anes CPT 20693 | $4,493.40 | $7,489.00 | $173.80 – $7,287.44 | 12 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $120.00 | $150.00 | $0.54 – $1.80 | 14 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $223.20 | $372.00 | $31.11 – $72.60 | 12 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $223.20 | $372.00 | $67.85 – $142.31 | 12 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $808.20 | $1,347.00 | $137.28 – $338.37 | 12 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $508.20 | $847.00 | $101.42 – $338.37 | 12 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $223.20 | $372.00 | $34.94 – $72.60 | 12 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $223.20 | $372.00 | $55.25 – $112.31 | 12 |
| Administration immunization each additional component CPT 90461 | $48.60 | $81.00 | $7.94 – $19.11 | 4 |
| Administration immunization each additional vaccine CPT 90472 | $12.00 | $20.00 | $12.80 – $12.80 | 1 |
| Administration immunization first component each vaccine CPT 90460 | $234.60 | $391.00 | $17.73 – $37.78 | 4 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $12.00 | $20.00 | $52.68 – $73.28 | 8 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | $24.00 | $40.00 | $20.56 – $22.71 | 3 |
| Administration vaccine hepatitis b HCPCS G0010 | $12.00 | $20.00 | $33.09 – $47.51 | 8 |
| Administration vaccine influenza virus HCPCS G0008 | $12.00 | $20.00 | $11.00 – $47.07 | 9 |
| Administration vaccine pneumococcal HCPCS G0009 | $12.00 | $20.00 | $11.00 – $47.07 | 9 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | $24.00 | $40.00 | $17.52 – $19.35 | 3 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $139.20 | $232.00 | $42.16 – $45.11 | 9 |
| Adrenal cortex & medulla img CPT 78075 | $1,703.40 | $2,839.00 | $46.72 – $1,331.74 | 12 |
| Aep neurodiagnostic i&r CPT 92653 | $243.60 | $406.00 | $74.26 – $317.66 | 12 |
| Afamelanotide implant, 1 mg HCPCS J7352 | $6,227.40 | $10,379.00 | $2,943.42 – $3,178.89 | 8 |
| _afb id by dna probe rflx ast CPT 87149 | $141.00 | $235.00 | $19.82 – $28.38 | 12 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $1,507.80 | $2,513.00 | $114.02 – $169.19 | 12 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | $27,295.80 | $45,493.00 | $230.15 – $246.26 | 9 |
| Albumin body fluid quantitative each specimen CPT 82042 | $63.60 | $106.00 | $6.08 – $8.49 | 12 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $304.00 | $380.00 | $53.08 – $58.38 | 4 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $682.40 | $853.00 | $53.08 – $56.80 | 9 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $349.20 | $582.00 | $5.71 – $10.24 | 12 |
| Albumin serum plasma or whole blood CPT 82040 | $66.60 | $111.00 | $4.01 – $5.41 | 12 |
| Albuterol ipratrop non-comp HCPCS J7620 | $13.80 | $17.25 | $0.20 – $0.21 | 3 |
| Albuterol non-comp con HCPCS J7611 | $5.00 | $6.25 | $0.17 – $0.19 | 3 |
| Albuterol non-comp unit HCPCS J7613 | $10.00 | $12.50 | $0.08 – $0.08 | 5 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | $364.80 | $456.00 | $2,429.89 – $2,599.98 | 9 |
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.