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 |
|---|---|---|---|---|
| Ghs fb removal foot - deep - left CPT 28192 | $7,126.80 | $11,878.00 | $71.50 – $1,652.83 | 12 |
| Ghs fb removal - incisional CPT 10121 | $7,126.80 | $11,878.00 | $71.50 – $1,652.83 | 12 |
| Ghs fb removal - non-incisional CPT 20520 | $3,129.60 | $5,216.00 | $68.75 – $1,652.83 | 12 |
| Ghs fish cytogen CPT 88271 | $354.60 | $591.00 | $16.73 – $23.38 | 12 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $354.60 | $591.00 | $39.97 – $55.88 | 12 |
| Ghs flow volume loop CPT 94375 | $163.80 | $273.00 | $23.09 – $317.66 | 12 |
| Ghs gastric intub aspiration lavage CPT 43753 | $304.80 | $508.00 | $18.16 – $993.28 | 12 |
| Ghs histoplasma antigen CPT 87385 | $674.40 | $1,124.00 | $10.34 – $14.46 | 12 |
| Ghs HIV antibody CPT 86703 | $200.40 | $334.00 | $13.54 – $23.94 | 12 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | $458.40 | $764.00 | $97.88 – $115.88 | 12 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $7,126.80 | $11,878.00 | $42.35 – $2,089.72 | 12 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $2,172.00 | $3,620.00 | $119.35 – $1,202.80 | 12 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $589.80 | $983.00 | $39.60 – $993.28 | 12 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $825.60 | $1,376.00 | $45.10 – $993.28 | 12 |
| Ghs inf midline insertion CPT 36140 | $327.00 | $545.00 | $105.24 – $993.28 | 9 |
| Ghs inhibitor screen CPT 85335 | $345.00 | $575.00 | $8.30 – $14.05 | 12 |
| Ghs init tx 1st degree burn CPT 16000 | $471.00 | $785.00 | $19.80 – $202.70 | 12 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $1,332.00 | $2,220.00 | $80.85 – $993.28 | 12 |
| Ghs inj tendon origin/insertion CPT 20551 | $616.20 | $1,027.00 | $42.64 – $301.13 | 12 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $3,816.00 | $6,360.00 | $118.55 – $908.19 | 12 |
| Ghs insertion of needle - bone CPT 36680 | $471.00 | $785.00 | $54.45 – $407.07 | 12 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $825.60 | $1,376.00 | $101.20 – $993.28 | 12 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $4,494.00 | $7,490.00 | $101.20 – $993.28 | 12 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $2,619.00 | $4,365.00 | $234.14 – $993.28 | 11 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $147.00 | $245.00 | $19.79 – $47.07 | 9 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | $1,020.00 | $1,700.00 | $338.72 – $613.51 | 9 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $1,020.00 | $1,700.00 | $338.72 – $613.51 | 9 |
| Ghs IV infusion sotrovimab HCPCS M0247 | $1,020.00 | $1,700.00 | $396.00 – $613.51 | 9 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $513.60 | $856.00 | $259.71 – $709.59 | 11 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $471.00 | $785.00 | $34.65 – $631.04 | 12 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $825.60 | $1,376.00 | $26.95 – $673.28 | 12 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $825.60 | $1,376.00 | $26.95 – $673.28 | 12 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $825.60 | $1,376.00 | $34.65 – $631.04 | 12 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $825.60 | $1,376.00 | $52.25 – $993.28 | 12 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $825.60 | $1,376.00 | $39.05 – $993.28 | 12 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $825.60 | $1,376.00 | $52.25 – $993.28 | 12 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $825.60 | $1,376.00 | $51.15 – $993.28 | 12 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $825.60 | $1,376.00 | $53.35 – $944.64 | 12 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $825.60 | $1,376.00 | $67.65 – $702.72 | 12 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $825.60 | $1,376.00 | $101.20 – $993.28 | 12 |
| Ghs mbp CPT 83873 | $209.40 | $349.00 | $16.50 – $19.20 | 12 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $147.00 | $245.00 | $20.92 – $108.06 | 9 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $154.20 | $257.00 | $9.16 – $15.12 | 9 |
| Ghs myocardial strain img spckl track CPT 93356 | $792.60 | $1,321.00 | $9.00 – $51.79 | 4 |
| Ghs nailbed repair/nail removal CPT 11760 | $825.60 | $1,376.00 | $25.30 – $993.28 | 12 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $2,249.40 | $3,749.00 | $47.85 – $908.19 | 12 |
| Ghs nerve blk intercostal, single level CPT 64420 | $3,217.20 | $5,362.00 | $47.85 – $993.28 | 12 |
| Ghs nerve block axillary nerve CPT 64417 | $2,285.40 | $3,809.00 | $23.10 – $908.19 | 12 |
| Ghs nerve block brachial plexus CPT 64415 | $2,285.40 | $3,809.00 | $38.50 – $993.28 | 12 |
| Ghs nerve block celiac plexus CPT 64530 | $2,569.20 | $4,282.00 | $59.40 – $993.28 | 12 |
| Ghs nerve block interscaline CPT 64510 | $3,548.40 | $5,914.00 | $59.95 – $908.19 | 12 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $1,499.40 | $2,499.00 | $59.40 – $993.28 | 12 |
| Ghs nerve block sciatic nerve CPT 64445 | $2,399.40 | $3,999.00 | $25.85 – $706.45 | 12 |
| Ghs nerve block suprascapular CPT 64418 | $2,285.40 | $3,809.00 | $38.50 – $993.28 | 12 |
| Ghs ng placement w fluoro guidance CPT 43752 | $2,568.60 | $4,281.00 | $294.81 – $410.88 | 8 |
| Ghs o2 saturation CPT 82810 | $54.00 | $90.00 | $9.66 – $15.44 | 12 |
| Ghs opcc repair cvp w subq port CPT 36576 | $5,034.60 | $8,391.00 | $191.51 – $1,584.69 | 12 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $39.60 | $66.00 | $24.36 – $64.85 | 11 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | $19.20 | $32.00 | $24.36 – $84.59 | 11 |
| Ghs ot group caregiver training CPT 97552 | $43.20 | $72.00 | $20.55 – $22.70 | 3 |
| Ghs ot prosthetic training/15 min CPT 97761 | $124.20 | $207.00 | $33.08 – $50.50 | 4 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $130.20 | $217.00 | $48.34 – $62.03 | 4 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $2,157.60 | $3,596.00 | $63.49 – $152.51 | 4 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $2,481.60 | $4,136.00 | $54.28 – $138.49 | 4 |
| Ghs peritonsillar abscess i andd CPT 42700 | $825.60 | $1,376.00 | $68.20 – $993.28 | 12 |
| Ghs plngl fx pm cl CPT 26725 | $825.60 | $1,376.00 | $84.70 – $935.68 | 12 |
| Ghs ppd (tb intradermal) CPT 86580 | $18.60 | $31.00 | $6.05 – $26.01 | 12 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $237.60 | $396.00 | $9.55 – $12.80 | 12 |
| Ghs protoporphyrins fract CPT 84202 | $139.80 | $233.00 | $14.19 – $25.40 | 12 |
| Ghs pr without cont pulse ox CPT 94625 | $347.40 | $579.00 | $44.88 – $73.10 | 11 |
| Ghs removal intranasal foreign body CPT 30300 | $247.20 | $412.00 | $24.75 – $993.28 | 12 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | $6,497.40 | $10,829.00 | $935.47 – $3,340.82 | 11 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $286.20 | $477.00 | $10.87 – $15.19 | 12 |
| Ghs sedimentation rate CPT 85651 | $62.40 | $104.00 | $3.30 – $4.66 | 12 |
| Ghs semen analysis fert CPT 89320 | $195.60 | $326.00 | $9.61 – $13.44 | 12 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $589.80 | $983.00 | $101.20 – $993.28 | 12 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $589.80 | $983.00 | $101.20 – $993.28 | 12 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $781.80 | $1,303.00 | $101.20 – $993.28 | 12 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $589.80 | $983.00 | $52.25 – $993.28 | 12 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $589.80 | $983.00 | $53.35 – $944.64 | 12 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $589.80 | $983.00 | $67.65 – $702.72 | 12 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $589.80 | $983.00 | $101.20 – $993.28 | 12 |
| Ghs sleep study unattended CPT 95800 | $90.00 | $150.00 | $117.80 – $334.88 | 12 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $687.00 | $1,145.00 | $236.02 – $541.27 | 12 |
| Ghs sphenopalatine ganglion block CPT 64505 | $568.20 | $947.00 | $59.95 – $301.13 | 12 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $366.60 | $611.00 | $81.50 – $117.55 | 4 |
| Ghs st - eval for alt comm CPT 92567 | $27.00 | $45.00 | $13.20 – $68.91 | 12 |
| Ghs strapping shoulder - 29240 CPT 29240 | $471.00 | $785.00 | $21.45 – $131.49 | 12 |
| Ghs st - re-eval for alt comm CPT 92597 | $249.60 | $416.00 | $56.63 – $212.15 | 4 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $3,384.00 | $5,640.00 | $103.40 – $993.28 | 12 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $825.60 | $1,376.00 | $80.30 – $993.28 | 12 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $499.80 | $833.00 | $230.94 – $993.28 | 12 |
| Ghs urine, porphyrins quant CPT 84120 | $518.40 | $864.00 | $8.25 – $16.05 | 12 |
| Ghs vaginal delivery only CPT 59409 | $9,063.60 | $15,106.00 | $1,536.00 – $3,273.80 | 11 |
| Gi inhouse confirmation CPT 87045 | $86.40 | $144.00 | $7.59 – $10.31 | 12 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $1,353.00 | $2,255.00 | $675.19 – $1,827.81 | 12 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $1,053.60 | $1,317.00 | $182.45 – $195.22 | 9 |
| Glucagon plasma - sendout CPT 82943 | $202.20 | $337.00 | $14.12 – $25.28 | 12 |
| Glucose 1 hr post dose CPT 82950 | $37.20 | $62.00 | $4.70 – $8.36 | 12 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $29.40 | $49.00 | $2.20 – $3.58 | 12 |
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.