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 |
|---|---|---|---|---|
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $544.20 | $907.00 | $243.71 – $260.77 | 9 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $364.20 | $607.00 | $3.02 – $3.32 | 5 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $2,245.20 | $3,742.00 | $108.47 – $116.06 | 9 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $1.20 | $1.50 | $0.11 – $0.12 | 5 |
| Dpyd gene common variants CPT 81232 | $2,476.80 | $4,128.00 | $136.49 – $190.85 | 12 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $1,440.00 | $2,400.00 | $29.15 – $993.28 | 12 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $1,440.00 | $2,400.00 | $38.50 – $993.28 | 12 |
| Drainage external ear complex 69005 CPT 69005 | $7,126.80 | $11,878.00 | $151.23 – $1,652.83 | 12 |
| Drainage external ear simple 69000 CPT 69000 | $591.60 | $986.00 | $47.30 – $993.28 | 12 |
| Drainage mouth roof lesion CPT 42000 | $4,695.00 | $7,825.00 | $22.00 – $993.28 | 12 |
| Drainage of kidney lesion CPT 50390 | $1,119.00 | $1,865.00 | $100.70 – $993.28 | 12 |
| Drainage of mouth lesion CPT 41008 | $3,435.60 | $5,726.00 | $25.85 – $3,308.31 | 12 |
| Drainage of nose lesion int 30000 CPT 30000 | $10,044.00 | $16,740.00 | $56.10 – $993.28 | 12 |
| Drainage of pelvis lesion 26990 CPT 26990 | $3,355.20 | $5,592.00 | $97.35 – $3,309.88 | 12 |
| Drainage of rectal abscess 45020 CPT 45020 | $5,376.00 | $8,960.00 | $165.55 – $2,797.56 | 12 |
| Drain blood from under nail 11740 CPT 11740 | $247.20 | $412.00 | $26.40 – $993.28 | 12 |
| Drain cath image guided visceral pq CPT 49405 | $4,627.80 | $7,713.00 | $190.71 – $1,652.83 | 12 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $1,260.60 | $2,101.00 | $40.70 – $993.28 | 12 |
| Drain finger abscess;simple 26010 CPT 26010 | $589.80 | $983.00 | $29.15 – $993.28 | 12 |
| Drain thigh/knee lesion 27301 CPT 27301 | $5,397.60 | $8,996.00 | $97.35 – $2,919.62 | 12 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $825.60 | $1,376.00 | $110.61 – $248.12 | 12 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $589.80 | $983.00 | $22.00 – $202.70 | 12 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $825.60 | $1,376.00 | $126.59 – $407.56 | 12 |
| Drng of finger abscess comp 26011 CPT 26011 | $1,875.00 | $3,125.00 | $88.00 – $1,652.83 | 12 |
| Drng of scrotum abscess 55100 CPT 55100 | $2,892.60 | $4,821.00 | $38.50 – $1,652.83 | 12 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $39.60 | $49.50 | $7.63 – $8.40 | 5 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $1,778.40 | $2,964.00 | $117.18 – $390.60 | 13 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $696.00 | $1,160.00 | $2.49 – $2.73 | 2 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | $10,017.00 | $16,695.00 | $4,507.65 – $15,025.50 | 14 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $28,128.00 | $46,880.00 | $51.00 – $56.10 | 2 |
| Drug assay rufinamide CPT 80210 | $205.80 | $343.00 | $21.17 – $29.59 | 4 |
| Drug assay vedolizumab CPT 80280 | $431.40 | $719.00 | $30.12 – $42.10 | 12 |
| Drug screen quant tiagabine CPT 80199 | $188.40 | $314.00 | $21.67 – $29.59 | 12 |
| Drug test def 1-7 classes HCPCS G0480 | $437.40 | $729.00 | $70.34 – $122.44 | 9 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $316.80 | $528.00 | $61.41 – $81.73 | 12 |
| Drvvt confirm - quest CPT 85597 | $169.20 | $282.00 | $17.78 – $31.80 | 12 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $1,429.20 | $2,382.00 | $480.33 – $2,010.67 | 11 |
| Duplex scan bilateral study 93985 CPT 93985 | $1,429.20 | $2,382.00 | $222.68 – $343.06 | 12 |
| Duplex scan unilateral study 93986 CPT 93986 | $714.60 | $1,191.00 | $102.37 – $174.33 | 12 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $878.40 | $1,464.00 | $101.74 – $423.60 | 12 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $914.40 | $1,524.00 | $98.04 – $430.98 | 12 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $974.40 | $1,624.00 | $152.76 – $470.00 | 12 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $324.60 | $541.00 | $85.12 – $91.08 | 9 |
| Dxa bone density axl vrt fx CPT 77085 | $672.60 | $1,121.00 | $73.47 – $109.49 | 11 |
| Dx bronchoscope/brush 31623 CPT 31623 | $5,050.20 | $8,417.00 | $148.66 – $1,759.17 | 12 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $2,926.80 | $4,878.00 | $148.66 – $1,759.17 | 12 |
| Dx bronchoscope/wash 31622 CPT 31622 | $2,322.60 | $3,871.00 | $147.25 – $1,759.17 | 12 |
| Ear canal biopsy 69105 CPT 69105 | $1,353.00 | $2,255.00 | $61.89 – $1,511.08 | 12 |
| Ear irrigation 69209 CPT 69209 | $117.00 | $195.00 | $16.06 – $993.28 | 11 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $128.40 | $214.00 | $5.57 – $60.59 | 12 |
| Ecg external < 48 hours recording CPT 93225 | $551.40 | $919.00 | $20.07 – $131.49 | 12 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $671.40 | $1,119.00 | $43.74 – $225.02 | 12 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $75.00 | $125.00 | $10.01 – $40.04 | 12 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $75.00 | $125.00 | $9.61 – $44.88 | 12 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,265.00 | $3,775.00 | $125.62 – $559.33 | 12 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $399.60 | $666.00 | $27.52 – $335.79 | 12 |
| Echocardiography doppler color flow mapping CPT 93325 | $480.00 | $800.00 | $20.44 – $268.18 | 9 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $2,265.00 | $3,775.00 | $578.38 – $813.49 | 8 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $364.20 | $607.00 | $287.67 – $367.72 | 8 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $763.20 | $1,272.00 | $26.30 – $204.31 | 9 |
| Echo guide for artery repair CPT 76936 | $1,009.20 | $1,682.00 | $112.96 – $853.27 | 12 |
| Echo stress CPT 93350 | $816.00 | $1,360.00 | $59.52 – $1,057.99 | 12 |
| Echo tee guidance CPT 93355 | $1,054.80 | $1,758.00 | $231.50 – $342.44 | 4 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $860.40 | $1,434.00 | $170.15 – $1,117.12 | 12 |
| Echo transesophageal intraop CPT 93318 | $2,142.60 | $3,571.00 | $392.84 – $564.56 | 8 |
| Echo transthoracic CPT 93303 | $904.80 | $1,508.00 | $121.60 – $559.33 | 12 |
| Echo transthoracic CPT 93304 | $534.60 | $891.00 | $27.52 – $559.33 | 12 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | $268.80 | $336.00 | $44.82 – $47.96 | 9 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | $670.20 | $1,117.00 | $23.01 – $23.01 | 1 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $1,133.40 | $1,889.00 | $377.46 – $546.33 | 8 |
| Eeg during surgery CPT 95955 | $546.60 | $911.00 | $92.84 – $479.41 | 9 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $1,189.80 | $1,983.00 | $17.28 – $317.66 | 12 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $470.40 | $784.00 | $56.90 – $371.06 | 12 |
| Eeg phy/qhp>60<84 hr w/veeg CPT 95724 | $2,219.40 | $3,699.00 | $285.50 – $442.33 | 9 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $1,189.80 | $1,983.00 | $24.32 – $320.06 | 12 |
| Eeg recording awake and asleep CPT 95819 | $1,189.80 | $1,983.00 | $17.28 – $317.66 | 12 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | $1,065.60 | $1,776.00 | $510.82 – $850.94 | 9 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | $1,014.60 | $1,691.00 | $132.00 – $541.27 | 9 |
| E equine encephalitis igg CPT 86652 | $91.80 | $153.00 | $13.03 – $23.32 | 12 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | $79.20 | $99.00 | $32.15 – $34.40 | 9 |
| Egd balloon dil esoph30 mm/> CPT 43233 | $3,414.00 | $5,690.00 | $332.32 – $1,953.23 | 11 |
| Egd control bleeding any CPT 43255 | $3,414.00 | $5,690.00 | $255.75 – $1,935.15 | 12 |
| Egd dilate stricture CPT 43245 | $3,414.00 | $5,690.00 | $180.20 – $1,935.15 | 12 |
| Egd endo mucosal resection CPT 43254 | $3,414.00 | $5,690.00 | $400.54 – $1,953.23 | 11 |
| Egd endoscopic stent place CPT 43266 | $6,529.80 | $10,883.00 | $331.59 – $6,129.31 | 11 |
| Egd guide wire insertion CPT 43248 | $3,526.20 | $5,877.00 | $686.69 – $993.28 | 11 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | $3,414.00 | $5,690.00 | $148.54 – $1,935.15 | 12 |
| Egd lesion ablation CPT 43270 | $3,414.00 | $5,690.00 | $973.70 – $1,953.23 | 11 |
| Egd remove foreign body CPT 43247 | $3,526.20 | $5,877.00 | $191.43 – $956.42 | 12 |
| Egd remove lesion snare CPT 43251 | $3,414.00 | $5,690.00 | $208.28 – $1,935.15 | 12 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | $3,414.00 | $5,690.00 | $993.28 – $1,953.23 | 11 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | $3,414.00 | $5,690.00 | $993.28 – $1,953.23 | 8 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | $3,414.00 | $5,690.00 | $277.43 – $1,935.15 | 12 |
| Egd varices ligation CPT 43244 | $3,414.00 | $5,690.00 | $720.64 – $1,953.23 | 11 |
| Egd w/thrml txmnt gerd CPT 43257 | $6,529.80 | $10,883.00 | $541.08 – $3,917.33 | 11 |
| Egd w/transmural drain cyst CPT 43240 | $6,103.80 | $10,173.00 | $814.39 – $6,129.31 | 11 |
| Egfr gene com variants CPT 81235 | $134.40 | $224.00 | $289.67 – $354.37 | 12 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $290.40 | $484.00 | $30.88 – $38.30 | 12 |
| EKG (Tracing Only) CPT 93005 | $271.80 | $453.00 | $11.51 – $69.35 | 12 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $544.80 | $908.00 | $14.72 – $90.67 | 11 |
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.