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 |
|---|---|---|---|---|
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $2,063.40 | $3,439.00 | $0.03 – $0.03 | 5 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $104.40 | $174.00 | $55.57 – $59.46 | 9 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $5,376.60 | $8,961.00 | $2.93 – $3.14 | 9 |
| Darbepoetin alfa, esrd use HCPCS J0882 | $2,171.40 | $3,619.00 | $2.93 – $3.14 | 9 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $413.60 | $517.00 | $21.70 – $23.22 | 9 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $598.25 – $3,273.80 | 11 |
| Dch glucoscan CPT 82948 | $12.00 | $20.00 | $2.20 – $5.51 | 12 |
| Dch pulmonary stress test CPT 94621 | $660.60 | $1,101.00 | $81.36 – $317.66 | 12 |
| Dch validity tests CPT 81002 | $51.00 | $85.00 | $3.44 – $4.57 | 12 |
| Deamidated gliadin antibody iga CPT 86258 | $80.40 | $134.00 | $9.41 – $13.16 | 12 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $1,317.00 | $2,195.00 | $32.23 – $775.68 | 12 |
| Debridement (>20 cm) charge pt CPT 97598 | $429.00 | $715.00 | $12.72 – $119.77 | 9 |
| Debridement bone <= 20 sq cm CPT 11044 | $1,738.80 | $2,898.00 | $36.30 – $1,652.83 | 12 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $728.40 | $1,214.00 | $38.95 – $89.36 | 4 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $1,023.60 | $1,706.00 | $67.84 – $147.34 | 4 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $825.60 | $1,376.00 | $36.30 – $775.68 | 12 |
| Debride nail1-5 11720 CPT 11720 | $471.00 | $785.00 | $17.13 – $67.25 | 12 |
| Debride nail6 or more 11721 CPT 11721 | $202.20 | $337.00 | $22.00 – $113.39 | 12 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $4,833.60 | $8,056.00 | $677.36 – $1,041.54 | 11 |
| Debride skin bone at fx site CPT 11012 | $4,947.60 | $8,246.00 | $993.28 – $2,946.91 | 11 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $728.40 | $1,214.00 | $18.50 – $51.28 | 4 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $1,470.60 | $2,451.00 | $677.36 – $993.28 | 11 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $728.40 | $1,214.00 | $36.30 – $775.68 | 12 |
| Decalcification CPT 88311 | $388.20 | $647.00 | $7.92 – $157.00 | 9 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $141.60 | $177.00 | $1.22 – $1.34 | 5 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $653.40 | $1,089.00 | $27.57 – $338.37 | 12 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $78.60 | $98.25 | $4.45 – $4.76 | 9 |
| Delivery of placenta 59414 CPT 59414 | $3,276.00 | $5,460.00 | $93.96 – $3,243.49 | 12 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $419.40 | $699.00 | $13.00 – $207.48 | 12 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $10,269.00 | $17,115.00 | $29.38 – $31.44 | 9 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $589.80 | $983.00 | $25.85 – $792.32 | 9 |
| Design mlc device for imrt CPT 77338 | $5,968.20 | $9,947.00 | $280.09 – $776.36 | 11 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $2,755.80 | $4,593.00 | $3.52 – $3.77 | 9 |
| Desoxycorticosterone CPT 82633 | $398.40 | $664.00 | $30.62 – $54.80 | 12 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | $258.60 | $431.00 | $102.30 – $491.36 | 12 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | $246.00 | $410.00 | $129.13 – $577.80 | 12 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | $134.40 | $224.00 | $112.49 – $490.21 | 12 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $3,434.40 | $5,724.00 | $629.15 – $2,010.67 | 11 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $3,434.40 | $5,724.00 | $60.74 – $315.86 | 9 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $141.00 | $235.00 | $22.00 – $1,181.44 | 12 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $120.60 | $201.00 | $56.51 – $993.28 | 12 |
| Destruction 2-14 lesions 17003 CPT 17003 | $64.20 | $107.00 | $4.67 – $24.95 | 9 |
| Destruction anal lesion(s) CPT 46924 | $1,638.00 | $2,730.00 | $126.50 – $2,797.56 | 12 |
| Destruction benign lesions < 14 lesions CPT 17110 | $141.00 | $235.00 | $53.90 – $825.60 | 12 |
| Destruction by injection tx of nerve 64630 CPT 64630 | $4,695.00 | $7,825.00 | $80.85 – $993.28 | 12 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $3,434.40 | $5,724.00 | $52.82 – $284.01 | 9 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $3,434.40 | $5,724.00 | $618.25 – $2,010.67 | 11 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | $118.80 | $198.00 | $128.73 – $351.99 | 12 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | $229.20 | $382.00 | $22.55 – $993.28 | 12 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $258.60 | $431.00 | $128.03 – $450.30 | 12 |
| Device ablt adv novasure HCPCS C1886 | $9,649.20 | $16,082.00 | $1,279.26 – $4,264.20 | 13 |
| Device intraute mirena HCPCS J7298 | $4,133.60 | $5,167.00 | $1,133.82 – $1,133.82 | 1 |
| Device sut capio slim opn HCPCS C2631 | $1,350.00 | $2,250.00 | $607.50 – $2,025.00 | 13 |
| Device tiss remov myosure reach HCPCS C1782 | $2,707.20 | $4,512.00 | $645.57 – $2,151.90 | 13 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $121.20 | $202.00 | $22.63 – $89.83 | 12 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | $477.60 | $597.00 | $98.14 – $105.01 | 9 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $5.40 | $9.00 | $0.02 – $0.02 | 5 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $1.80 | $2.25 | $0.09 – $0.10 | 5 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $1,087.80 | $1,813.00 | $63.06 – $67.47 | 9 |
| Dextran 40 infusion HCPCS J7100 | $645.60 | $807.00 | $217.89 – $726.30 | 14 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $37.20 | $62.00 | $1.41 – $1.56 | 5 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $29.00 | $36.25 | $9.72 – $32.40 | 14 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $60.40 | $75.50 | $1.81 – $1.99 | 5 |
| Dextrose 5 % IV bolus HCPCS J7070 | $26.80 | $33.50 | $3.11 – $3.42 | 5 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $184.20 | $307.00 | $21.97 – $26.88 | 12 |
| Diabetes (HbA1c) Test CPT 83036 | $165.60 | $276.00 | $7.70 – $10.60 | 12 |
| Diab manage trn ind/group HCPCS G0109 | $93.00 | $155.00 | $13.28 – $20.57 | 6 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $701.79 – $6,007.35 | 11 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $87.60 | $146.00 | $22.00 – $131.49 | 12 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $256.80 | $428.00 | $75.90 – $993.28 | 12 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $483.00 | $805.00 | $116.26 – $221.29 | 6 |
| Diagnostic Mammogram (one breast) CPT 77065 | $316.80 | $528.00 | $90.89 – $174.53 | 6 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $3,309.60 | $5,516.00 | $160.23 – $2,707.35 | 9 |
| Dialysis one evaluation CPT 90945 | $1,270.20 | $2,117.00 | $44.80 – $438.45 | 11 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $0.80 | $1.00 | $0.08 – $0.08 | 4 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $127.20 | $212.00 | $7.35 – $8.08 | 5 |
| Dicyclomine injection HCPCS J0500 | $494.40 | $618.00 | $11.36 – $12.49 | 5 |
| Diffusing capacity CPT 94729 | $412.20 | $687.00 | $42.39 – $80.50 | 9 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $34.00 | $42.50 | $9.05 – $9.96 | 5 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $16,441.80 | $27,403.00 | $5,168.23 – $5,530.01 | 9 |
| Digoxin total therapeutic drug level CPT 80162 | $126.00 | $210.00 | $12.10 – $14.51 | 12 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $924.80 | $1,156.00 | $60.00 – $66.00 | 5 |
| Dilate esophagus 1/mult pass CPT 43450 | $3,526.20 | $5,877.00 | $64.90 – $956.42 | 12 |
| Dilator fascial 10fx20cm HCPCS C2627 | $127.80 | $213.00 | $57.51 – $191.70 | 13 |
| Dimenhydrinate injection HCPCS J1240 | $13.20 | $16.50 | $6.14 – $6.75 | 5 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $9.60 | $16.00 | $0.27 – $0.90 | 14 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $16.80 | $21.00 | $0.76 – $0.83 | 5 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | $24.60 | $41.00 | $11.00 – $17.04 | 6 |
| Disability dlco CPT 94727 | $234.00 | $390.00 | $28.08 – $159.61 | 12 |
| Disaccharidases CPT 82657 | $88.80 | $148.00 | $17.31 – $24.21 | 12 |
| Dna antibody native/double stranded CPT 86225 | $249.60 | $416.00 | $13.58 – $18.56 | 12 |
| Dna gardnerella CPT 87510 | $255.60 | $426.00 | $17.64 – $21.90 | 12 |
| Dna trichomonas CPT 87660 | $266.40 | $444.00 | $19.82 – $28.70 | 12 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $81.00 | $135.00 | $7.08 – $7.79 | 5 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $88.20 | $147.00 | $0.63 – $0.69 | 5 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $56.40 | $94.00 | $0.83 – $0.92 | 5 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $1,881.00 | $3,135.00 | $541.32 – $597.97 | 3 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $1,081.80 | $1,803.00 | $89.66 – $422.96 | 12 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $759.60 | $1,266.00 | $47.50 – $368.41 | 12 |
| Dornase alfa non-comp unit HCPCS J7639 | $236.00 | $295.00 | $55.16 – $60.68 | 5 |
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.