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 |
|---|---|---|---|---|
| Fluoroguide for spine inject 77003-26 CPT 77003 | $1,275.00 | $2,125.00 | $36.08 – $118.38 | 9 |
| Fluoroguide needle placement CPT 77002 | $1,275.00 | $2,125.00 | $45.66 – $121.79 | 9 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $534.60 | $891.00 | $14.72 – $246.58 | 12 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $31.80 | $53.00 | $1.99 – $2.19 | 5 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $276.00 | $460.00 | $7.30 – $8.04 | 5 |
| Fna bx w/ct gdn 1st les CPT 10009 | $971.40 | $1,619.00 | $102.33 – $993.28 | 12 |
| Fna bx w/ct gdn ea addl CPT 10010 | $726.00 | $1,210.00 | $74.79 – $366.06 | 9 |
| Fna bx w/mr gdn 1st les CPT 10011 | $587.40 | $979.00 | $147.66 – $717.75 | 9 |
| Foam drg >16<=48 sq in w/bdr HCPCS A6213 | $19.20 | $32.00 | $14.85 – $14.85 | 1 |
| Foam drg >16<=48 sq in without b HCPCS A6210 | $21.60 | $36.00 | $22.96 – $50.70 | 4 |
| Foam drg <=16 sq in w/border HCPCS A6212 | $50.40 | $84.00 | $11.19 – $24.70 | 4 |
| Folic acid CPT 82746 | $130.80 | $218.00 | $13.20 – $16.05 | 12 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $0.80 | $1.00 | $0.06 – $0.07 | 5 |
| Follow-up angiography CPT 75898 | $1,141.80 | $1,903.00 | $343.22 – $3,240.82 | 11 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $5,244.60 | $8,741.00 | $6.28 – $6.78 | 8 |
| Fondaparinux sodium HCPCS J1652 | $595.80 | $993.00 | $0.72 – $0.80 | 5 |
| Foot X-ray CPT 73630 | $364.80 | $608.00 | $14.72 – $90.67 | 11 |
| Foot X-ray (2 views, both feet) CPT 73620 | $627.60 | $1,046.00 | $12.80 – $90.67 | 11 |
| Forearm X-ray (both sides) CPT 73090 | $545.40 | $909.00 | $14.72 – $90.67 | 11 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $3,435.60 | $5,726.00 | $167.77 – $250.42 | 11 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $1,173.00 | $1,955.00 | $0.10 – $0.11 | 5 |
| Foscarnet sodium injection HCPCS J1455 | $526.40 | $658.00 | $16.08 – $17.21 | 9 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $366.60 | $611.00 | not published | 0 |
| Frenectomy 41115 CPT 41115 | $3,435.60 | $5,726.00 | $351.82 – $1,525.20 | 11 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $243.00 | $405.00 | $33.00 – $72.52 | 9 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $303.00 | $505.00 | $33.00 – $161.73 | 12 |
| Fresh frozen plasma thawing ea un CPT 86927 | $75.60 | $126.00 | $122.78 – $176.44 | 9 |
| Fructosamine glycated protein CPT 82985 | $209.40 | $349.00 | $16.56 – $21.04 | 12 |
| Ftl cgen abnor five anal CPT 81512 | $373.80 | $623.00 | $68.71 – $141.81 | 12 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $718.20 | $1,197.00 | $43.96 – $108.48 | 12 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $0.60 | $1.00 | $0.02 – $0.02 | 5 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | $6.60 | $11.00 | $2.43 – $8.10 | 14 |
| Fusion of finger joint CPT 26860 | not published | not published | $925.94 – $3,340.82 | 11 |
| Fusion of foot bones CPT 28730 | not published | not published | $366.30 – $13,125.66 | 12 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $2.40 | $4.00 | $0.28 – $0.30 | 4 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $14.40 | $24.00 | $1.48 – $4.58 | 7 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $0.60 | $1.00 | $0.11 – $0.12 | 4 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $22.20 | $37.00 | $14.73 – $23.12 | 7 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $34.20 | $57.00 | $2.20 – $23.00 | 12 |
| Galectin-3 CPT 82777 | $78.00 | $130.00 | $15.66 – $48.31 | 12 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $1,608.00 | $2,680.00 | $266.27 – $492.78 | 12 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $1,956.60 | $3,261.00 | $364.11 – $554.23 | 12 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $993.28 – $6,007.35 | 11 |
| Gamma globulin 1 cc inj HCPCS J1460 | $189.60 | $316.00 | $49.03 – $52.46 | 9 |
| Gammaglobulin iga CPT 82784 | $280.80 | $468.00 | $9.19 – $16.45 | 12 |
| Gammaglobulin ige CPT 82785 | $226.80 | $378.00 | $16.27 – $22.40 | 12 |
| Gamma glutamyltransferase CPT 82977 | $111.00 | $185.00 | $7.12 – $11.98 | 12 |
| Gamunex-c/gammaked HCPCS J1561 | $338.40 | $423.00 | $48.96 – $52.39 | 9 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $735.20 | $919.00 | $39.54 – $43.50 | 5 |
| Gardner vag dna quant CPT 87512 | $290.40 | $484.00 | $32.60 – $45.59 | 12 |
| Gastric motility studies CPT 91020 | $1,578.60 | $2,631.00 | $207.90 – $338.30 | 9 |
| Gastro/jejuno tube, std HCPCS B4087 | $790.80 | $1,318.00 | $39.14 – $68.51 | 4 |
| Gauze >16<=48 no w/sal without b HCPCS A6223 | $26.40 | $44.00 | $2.78 – $6.13 | 4 |
| Gauze >16 <=48 sq in w/bordr HCPCS A6220 | $4.20 | $7.00 | $2.97 – $6.59 | 4 |
| Gauze <= 16 sq in w/border HCPCS A6219 | $12.00 | $20.00 | $1.10 – $2.38 | 4 |
| Gel-one HCPCS J7326 | $2,173.80 | $3,623.00 | $529.26 – $566.31 | 9 |
| Gel-syn injection 0.1 mg HCPCS J7328 | $3.00 | $5.00 | $0.70 – $0.77 | 5 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $364.20 | $607.00 | $3.13 – $3.44 | 5 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | $844.20 | $1,407.00 | $236.62 – $253.18 | 9 |
| Generator barostim neo2 2014 HCPCS C1767 | $54,031.20 | $90,052.00 | $405.40 – $1,824.30 | 14 |
| Generator emblem MRI sicd subq HCPCS C1722 | $62,886.00 | $104,810.00 | $0.20 – $0.90 | 14 |
| Genetic tstg severe inh cond CPT 81443 | $11,622.60 | $19,371.00 | $1,911.83 – $2,673.21 | 12 |
| Genome sequence analysis CPT 81425 | $4,397.40 | $7,329.00 | $3,928.36 – $5,492.81 | 12 |
| Genome sequence analysis CPT 81426 | $4,397.40 | $7,329.00 | $2,115.93 – $2,958.59 | 12 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $49.60 | $62.00 | $2.21 – $2.43 | 5 |
| Gentamicin peak therapeutic drug level CPT 80170 | $351.60 | $586.00 | $13.20 – $17.88 | 12 |
| G-esoph reflx tst w/electrod CPT 91035 | $4,449.00 | $7,415.00 | $365.89 – $886.67 | 12 |
| Ghs abscess perianal iandd CPT 46050 | $1,512.60 | $2,521.00 | $83.23 – $931.84 | 12 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $110.40 | $184.00 | $13.36 – $18.68 | 12 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $1,593.00 | $2,655.00 | $101.06 – $260.75 | 12 |
| Ghs antibodies (torch) igm CPT 86694 | $455.40 | $759.00 | $14.22 – $25.38 | 12 |
| Ghs bladder cath - complex-foley CPT 51703 | $471.00 | $785.00 | $82.07 – $993.28 | 12 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $1,332.00 | $2,220.00 | $38.50 – $993.28 | 12 |
| Ghs change cysto/gastrost CPT 43762 | $1,759.80 | $2,933.00 | $34.21 – $287.67 | 12 |
| Ghs chemo >8 hrs CPT 96416 | $696.00 | $1,160.00 | $148.68 – $338.37 | 12 |
| Ghs chemo IV push, ea addtl CPT 96411 | $446.40 | $744.00 | $58.18 – $119.46 | 12 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $54.00 | $90.00 | $34.68 – $50.91 | 12 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $825.60 | $1,376.00 | $40.15 – $376.60 | 12 |
| Ghs closed reduction ankle dislocation CPT 27840 | $825.60 | $1,376.00 | $98.45 – $674.98 | 12 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $718.20 | $1,197.00 | $993.28 – $1,647.86 | 11 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $718.20 | $1,197.00 | $256.85 – $1,632.61 | 12 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $4,530.60 | $7,551.00 | $268.40 – $1,866.03 | 12 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $825.60 | $1,376.00 | $230.94 – $993.28 | 11 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $2,926.80 | $4,878.00 | $877.63 – $1,647.86 | 11 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $2,827.20 | $4,712.00 | $993.28 – $1,647.86 | 11 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $2,389.20 | $3,982.00 | $172.70 – $905.05 | 12 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $825.60 | $1,376.00 | $42.90 – $411.58 | 12 |
| Ghs community re-entry 15 minutes CPT 97537 | $72.00 | $120.00 | $39.06 – $49.48 | 3 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $408.60 | $681.00 | $119.83 – $993.28 | 11 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $408.60 | $681.00 | $29.15 – $988.16 | 12 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $408.60 | $681.00 | $28.60 – $810.24 | 12 |
| Ghs cutdown placement age 1 and over CPT 36425 | $120.00 | $200.00 | $15.40 – $407.07 | 12 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $304.20 | $507.00 | $15.03 – $26.91 | 12 |
| Ghs dislocation elbow closed treatment CPT 24600 | $825.60 | $1,376.00 | $112.75 – $670.92 | 12 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $5,277.60 | $8,796.00 | $85.38 – $993.28 | 12 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $471.00 | $785.00 | $187.33 – $273.46 | 8 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $1,360.20 | $2,267.00 | $101.39 – $993.28 | 12 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $547.20 | $912.00 | $150.63 – $256.00 | 9 |
| Ghs excision ingrown nail CPT 11765 | $589.80 | $983.00 | $55.00 – $407.56 | 12 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $718.20 | $1,197.00 | $174.87 – $994.56 | 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.