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 |
|---|---|---|---|---|
| Evoked potentials upper limbs CPT 95925 | $491.40 | $819.00 | $21.12 – $317.66 | 12 |
| Exam of vagina w/scope 57420 CPT 57420 | $189.60 | $316.00 | $89.90 – $993.28 | 12 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | $1,105.20 | $1,842.00 | $128.70 – $1,652.83 | 12 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $490.80 | $818.00 | $41.25 – $993.28 | 12 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $490.80 | $818.00 | $59.95 – $993.28 | 12 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $483.60 | $806.00 | $86.35 – $966.40 | 12 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | $501.00 | $835.00 | $97.90 – $1,652.83 | 12 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $490.80 | $818.00 | $46.75 – $867.84 | 12 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $1,052.40 | $1,754.00 | $39.60 – $1,652.83 | 12 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $258.60 | $431.00 | $51.15 – $737.28 | 12 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $526.20 | $877.00 | $71.50 – $750.08 | 12 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | $490.80 | $818.00 | $102.30 – $993.28 | 12 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | $940.20 | $1,567.00 | $210.28 – $1,652.83 | 12 |
| Exchange biliary drg cath CPT 47536 | $2,475.00 | $4,125.00 | $132.20 – $3,600.06 | 12 |
| Exchange drainage catheter CPT 49423 | $971.40 | $1,619.00 | $64.68 – $1,935.15 | 12 |
| Exchange nephrostomy cath CPT 50435 | $5,026.20 | $8,377.00 | $604.53 – $2,109.25 | 11 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | $490.80 | $818.00 | $72.05 – $717.75 | 12 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $1,105.20 | $1,842.00 | $41.25 – $1,652.83 | 12 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $490.80 | $818.00 | $59.40 – $872.96 | 12 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $940.20 | $1,567.00 | $129.25 – $1,652.83 | 12 |
| Excision of gum lesion 41825 CPT 41825 | not published | not published | $121.65 – $3,308.31 | 12 |
| Exc les/mucos/sub/ves mouth/no rpr 40810 CPT 40810 | $1,965.60 | $3,276.00 | $59.95 – $3,308.31 | 12 |
| Exc malig feenl <0.5cm 11640 CPT 11640 | $490.80 | $818.00 | $84.70 – $993.28 | 12 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | $490.80 | $818.00 | $148.50 – $993.28 | 12 |
| Exc malig feenl 3.1-4.0 11644 CPT 11644 | $955.80 | $1,593.00 | $243.10 – $1,652.83 | 12 |
| Exc malig snhfg 0.5cm or less 11620 CPT 11620 | $1,105.20 | $1,842.00 | $100.65 – $1,652.83 | 12 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | $1,052.40 | $1,754.00 | $124.85 – $1,652.83 | 12 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | $490.80 | $818.00 | $108.90 – $993.28 | 12 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | $258.60 | $431.00 | $89.10 – $993.28 | 12 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | $483.60 | $806.00 | $94.05 – $993.28 | 12 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | $491.40 | $819.00 | $138.05 – $993.28 | 12 |
| Exc snhfg mal+mrg 1.1-2 11622 CPT 11622 | $491.40 | $819.00 | $123.20 – $993.28 | 12 |
| Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 | $1,105.20 | $1,842.00 | $270.60 – $1,652.83 | 12 |
| Expander breast 300cc mod hght extra proj smth natrelle HCPCS L8600 | $2,967.60 | $4,946.00 | $116.00 – $522.00 | 14 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $2,872.20 | $4,787.00 | $156.20 – $702.90 | 14 |
| Expl lap celiotomy w/wo bx 49000 CPT 49000 | $6,630.60 | $11,051.00 | $426.24 – $1,863.90 | 4 |
| Exploration of knee joint CPT 27310 | $6,400.80 | $10,668.00 | $419.10 – $3,309.88 | 12 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $3,349.80 | $5,583.00 | $824.80 – $1,668.28 | 11 |
| Explore/treat finger joint CPT 26080 | $6,347.40 | $10,579.00 | $172.70 – $1,632.61 | 12 |
| Explore/treat wrist joint CPT 25101 | $5,383.80 | $8,973.00 | $306.35 – $3,309.88 | 12 |
| External chromosome analysis 20-25 cells CPT 88264 | $354.60 | $591.00 | $142.92 – $176.38 | 12 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $354.60 | $591.00 | $142.07 – $223.44 | 12 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $132.60 | $221.00 | $17.72 – $23.04 | 12 |
| Eye Socket (Orbit) X-ray CPT 70200 | $399.00 | $665.00 | $26.88 – $125.29 | 12 |
| Eye Socket, Pituitary or Ear CT Scan (with and without contrast) CPT 70482 | $2,712.60 | $4,521.00 | $171.38 – $936.87 | 12 |
| Eye Socket, Pituitary or Ear CT Scan (with contrast) CPT 70481 | $2,151.00 | $3,585.00 | $165.12 – $783.38 | 12 |
| Eye Socket, Pituitary or Ear CT Scan (without contrast) CPT 70480 | $1,623.00 | $2,705.00 | $102.37 – $673.52 | 12 |
| F-18 fdg pet diag HCPCS A9552 | $2,058.00 | $3,430.00 | $926.10 – $3,087.00 | 13 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | $7,344.60 | $12,241.00 | $2,216.13 – $2,370.19 | 7 |
| F-18 fluciclovine per mci HCPCS A9588 | $710.40 | $1,184.00 | $271.05 – $289.89 | 7 |
| Face, Eye Socket and Neck MRI (with and without contrast) CPT 70543 | $3,804.00 | $6,340.00 | $343.82 – $2,200.73 | 12 |
| Face, Eye Socket and Neck MRI (without contrast) CPT 70540 | $2,398.20 | $3,997.00 | $232.71 – $1,361.72 | 12 |
| Facial Bones X-ray (1 to 2 views) CPT 70140 | $320.40 | $534.00 | $23.18 – $92.07 | 12 |
| Facial Bones X-ray (complete) CPT 70150 | $444.00 | $740.00 | $28.80 – $132.42 | 12 |
| Factor ix CPT 85250 | $82.20 | $137.00 | $5.50 – $20.80 | 12 |
| Factor viii CPT 85240 | $239.40 | $399.00 | $14.30 – $19.54 | 12 |
| Factor viii recomb novoeight HCPCS J7182 | $3.40 | $4.25 | $1.54 – $1.65 | 9 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $0.40 | $0.50 | $0.01 – $0.01 | 5 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $52.80 | $88.00 | $29.98 – $32.08 | 9 |
| Fat/lipids feces qualitative CPT 82705 | $199.80 | $333.00 | $5.04 – $9.01 | 12 |
| Fatty acids nonesterified CPT 82725 | $153.60 | $256.00 | $14.50 – $20.49 | 12 |
| #fecal-sodium CPT 84302 | $83.40 | $139.00 | $4.80 – $6.95 | 12 |
| Feeding tube reposition CPT 74355 | $1,011.00 | $1,685.00 | $347.19 – $383.52 | 3 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $226.20 | $377.00 | $14.55 – $20.35 | 12 |
| Fem/popl revasc w/stent CPT 37226 | $7,915.20 | $13,192.00 | $993.28 – $14,575.90 | 11 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $82.80 | $138.00 | $1.10 – $1.21 | 5 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $5,580.60 | $9,301.00 | $1.11 – $1.19 | 9 |
| Ferritin CPT 82728 | $212.40 | $354.00 | $13.20 – $15.36 | 12 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $3,963.60 | $6,606.00 | $0.32 – $0.34 | 9 |
| Fetal fibronectin CPT 82731 | $851.40 | $1,419.00 | $22.00 – $70.32 | 12 |
| Fetal non stress test CPT 59025 | $373.20 | $622.00 | $6.04 – $205.22 | 12 |
| Fibrin degradation d dimer quantitative CPT 85379 | $148.20 | $247.00 | $10.06 – $13.57 | 12 |
| Fibrin degradation products CPT 85362 | $91.80 | $153.00 | $6.81 – $12.19 | 12 |
| Fibrinogen activity CPT 85384 | $133.20 | $222.00 | $9.61 – $12.68 | 12 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $61.80 | $103.00 | $3.30 – $16.90 | 12 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $66.60 | $111.00 | $5.50 – $7.13 | 12 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $347.40 | $579.00 | $0.30 – $0.32 | 9 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $2,461.20 | $4,102.00 | $1.00 – $1.07 | 9 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $2,032.80 | $3,388.00 | $0.46 – $0.49 | 9 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $5,677.80 | $9,463.00 | $1,892.60 – $8,516.70 | 14 |
| Filter vena cava fem denali HCPCS C1880 | $4,242.60 | $7,071.00 | $1,054.62 – $3,515.40 | 14 |
| Finasteride, 5 mg HCPCS S0138 | $20.60 | $25.75 | $6.95 – $23.18 | 14 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $1,092.00 | $1,820.00 | $84.41 – $993.28 | 12 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $726.00 | $1,210.00 | $44.78 – $80.74 | 9 |
| Fine needle asp without image guide 10021 CPT 10021 | $722.40 | $1,204.00 | $68.46 – $993.28 | 12 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | $1,917.00 | $3,195.00 | $639.00 – $2,875.50 | 14 |
| Finger X-ray (both hands) CPT 73140 | $294.60 | $491.00 | $11.52 – $90.67 | 11 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | $5,510.40 | $9,184.00 | $957.59 – $3,340.82 | 11 |
| Flecainide (tambocor)-sendout CPT 80181 | $205.80 | $343.00 | $14.55 – $20.35 | 12 |
| Fl exam g/colon tube w contrast CPT 49465 | $1,778.40 | $2,964.00 | $26.11 – $282.15 | 12 |
| Flexible Sigmoidoscopy CPT 45330 | $598.20 | $997.00 | $58.47 – $930.05 | 12 |
| Flow cytometry interp 16 or more CPT 88189 | $374.40 | $624.00 | $97.55 – $223.98 | 9 |
| Flow cytometry marker each additional CPT 88185 | $276.60 | $461.00 | $20.09 – $46.13 | 9 |
| Flow cytometry one marker technical component CPT 88184 | $276.60 | $461.00 | $40.85 – $366.96 | 12 |
| #flow interp 9 - 15 markers CPT 88188 | $287.40 | $479.00 | $74.04 – $170.00 | 9 |
| Flt3 gene CPT 81245 | $277.80 | $463.00 | $146.01 – $180.70 | 12 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $42.00 | $70.00 | $2.26 – $15.36 | 6 |
| Fluid pressure muscle 20950 CPT 20950 | $801.60 | $1,336.00 | $82.50 – $717.75 | 12 |
| Fluorescent antibody titer dna CPT 86256 | $202.20 | $337.00 | $10.02 – $13.16 | 12 |
| Fluoroestradiol f 18 HCPCS A9591 | $1,413.00 | $2,355.00 | $503.56 – $538.56 | 7 |
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.