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 |
|---|---|---|---|---|
| Homocysteine CPT 83090 | $301.80 | $503.00 | $17.71 – $23.87 | 12 |
| Homogenization tissue CPT 87176 | $96.00 | $160.00 | $5.80 – $9.28 | 12 |
| Homovanillic acid (hva) CPT 83150 | $105.60 | $176.00 | $8.25 – $24.46 | 12 |
| Ho post-op hip abduction HCPCS L1686 | $2,045.40 | $3,409.00 | $960.00 – $2,193.38 | 4 |
| Hpa-5 genotyping CPT 81109 | $166.20 | $277.00 | $95.42 – $133.44 | 12 |
| Hpv types 16 & 18 only CPT 87625 | $188.40 | $314.00 | $40.08 – $48.91 | 12 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | $3,828.60 | $6,381.00 | $530.20 – $1,408.27 | 12 |
| Hrdtry cardmypy gene panel CPT 81439 | $9,382.20 | $15,637.00 | $456.69 – $638.57 | 12 |
| Htt gene detc abnor alleles CPT 81271 | $1,271.40 | $2,119.00 | $106.97 – $149.57 | 12 |
| Human epididymis protein 4 (he4) CPT 86305 | $166.20 | $277.00 | $20.57 – $30.53 | 12 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $259.20 | $432.00 | $0.36 – $0.40 | 5 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $92.80 | $116.00 | $5.60 – $6.16 | 5 |
| Hydrocolld drg <=16 without bdr HCPCS A6234 | $3.60 | $6.00 | $7.54 – $16.63 | 4 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $83.20 | $104.00 | $21.31 – $23.44 | 5 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $8.00 | $10.00 | $0.10 – $0.10 | 5 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $850.80 | $1,418.00 | $0.27 – $0.90 | 14 |
| Hysterosalpingography s&i CPT 74740 | $1,358.40 | $2,264.00 | $33.92 – $248.89 | 11 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $577.87 – $3,273.80 | 11 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $150.00 | $250.00 | $11.00 – $17.04 | 6 |
| I-123 iobenguane diag HCPCS A9582 | $7,549.20 | $12,582.00 | $2,095.14 – $2,240.79 | 7 |
| I-123 ioflupane diag HCPCS A9584 | $5,594.40 | $9,324.00 | $1,401.62 – $1,499.06 | 7 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $103.20 | $172.00 | $46.44 – $154.80 | 13 |
| I131 iodide cap, rx HCPCS A9517 | $106.20 | $177.00 | $23.36 – $24.98 | 7 |
| I131 iodide sol, rx HCPCS A9530 | $78.60 | $131.00 | $21.08 – $22.55 | 7 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $290.40 | $484.00 | $27.39 – $38.30 | 12 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $2,792.80 | $3,491.00 | $172.31 – $186.09 | 8 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $61,359.00 | $102,265.00 | $0.20 – $0.90 | 14 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $64,147.20 | $106,912.00 | $9,211.20 – $41,450.40 | 14 |
| Icd crtp serena MRI HCPCS C2621 | $15,633.60 | $26,056.00 | $5,211.20 – $23,450.40 | 14 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $14,973.00 | $24,955.00 | $4,991.00 – $22,459.50 | 14 |
| Idarubicin hcl injection HCPCS J9211 | $462.00 | $770.00 | $36.67 – $40.34 | 5 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $3,355.20 | $5,592.00 | $448.71 – $2,946.91 | 11 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $268.20 | $447.00 | $25.20 – $27.72 | 5 |
| Igh@ var region somatic mutation analy CPT 81263 | $2,169.00 | $3,615.00 | $291.08 – $410.41 | 12 |
| Igk rearrangeabn clonal pop CPT 81264 | $930.00 | $1,550.00 | $170.71 – $208.09 | 12 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $293.40 | $489.00 | $43.56 – $96.81 | 9 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $273.00 | $455.00 | $73.15 – $366.96 | 12 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $556.80 | $928.00 | $51.38 – $174.81 | 12 |
| Iliac revasc add-on 37222 CPT 37222 | $4,394.40 | $7,324.00 | $203.55 – $1,492.19 | 4 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | $98.40 | $164.00 | $57.03 – $61.02 | 9 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $362.40 | $604.00 | $121.60 – $253.80 | 4 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $198.00 | $330.00 | $89.40 – $177.33 | 4 |
| Immune complex assay CPT 86332 | $168.00 | $280.00 | $24.09 – $38.40 | 12 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $623.20 | $779.00 | $45.31 – $48.48 | 9 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $174.00 | $290.00 | $20.57 – $29.45 | 12 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $174.60 | $291.00 | $20.57 – $29.45 | 12 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $232.20 | $387.00 | $8.80 – $13.08 | 12 |
| Immunodiffusion nes CPT 86329 | $123.00 | $205.00 | $13.89 – $21.76 | 12 |
| Immunofixation electrophoresis serum CPT 86334 | $219.60 | $366.00 | $22.08 – $35.84 | 12 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $84.60 | $141.00 | $15.40 – $101.49 | 9 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $84.60 | $141.00 | $19.58 – $174.81 | 12 |
| Immunoglobulin assay CPT 86023 | $108.00 | $180.00 | $12.32 – $19.46 | 12 |
| Immunology procedure CPT 86849 | $43.20 | $72.00 | $19.44 – $64.80 | 13 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $12,413.40 | $20,689.00 | $28.89 – $96.30 | 14 |
| Implant neuroelectrodes CPT 64555 | $3,355.80 | $5,593.00 | $662.09 – $6,757.50 | 11 |
| Implant ureth bulk agent HCPCS L8606 | $1,032.60 | $1,721.00 | $344.20 – $1,548.90 | 14 |
| Impl neurostim electr perc CPT 63650 | $4,750.20 | $7,917.00 | $410.25 – $6,694.93 | 12 |
| Imported lipodox inj HCPCS Q2049 | $2,244.60 | $3,741.00 | $528.86 – $571.17 | 8 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $1,305.60 | $2,176.00 | $780.21 – $834.45 | 7 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $544.20 | $907.00 | $722.30 – $772.51 | 7 |
| In-111 pentetreotide HCPCS A9572 | $3,477.00 | $5,795.00 | $1,933.37 – $2,067.78 | 7 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $3,349.80 | $5,583.00 | $25.85 – $1,652.83 | 12 |
| Incision of breast lesion CPT 19020 | $4,599.00 | $7,665.00 | $80.30 – $1,652.83 | 12 |
| Incision of foot fascia CPT 28008 | $5,397.60 | $8,996.00 | $150.15 – $1,136.64 | 9 |
| Incision of metatarsal CPT 28308 | $204.00 | $340.00 | $1,091.80 – $1,326.08 | 4 |
| Incisn of toe tndn CPT 28010 | $1,520.40 | $2,534.00 | $144.10 – $1,632.61 | 12 |
| Incisn windpipe CPT 31600 | $2,216.40 | $3,694.00 | $813.99 – $3,339.23 | 11 |
| Infect ag drug suscept pheno predict CPT 87900 | $1,390.80 | $2,318.00 | $128.83 – $186.48 | 12 |
| Infect ag eia influenza a or b ea CPT 87400 | $141.60 | $236.00 | $6.70 – $15.43 | 12 |
| Infect ag genotype na cytomegalovirus CPT 87910 | $1,484.40 | $2,474.00 | $254.45 – $362.37 | 12 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $368.40 | $614.00 | $254.45 – $362.37 | 12 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $1,390.80 | $2,318.00 | $127.22 – $185.48 | 12 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $1,404.00 | $2,340.00 | $254.45 – $364.31 | 12 |
| Infect ag ia optc obs influenza CPT 87804 | $13.20 | $22.00 | $12.48 – $18.07 | 12 |
| Infect ag if hep delta agent CPT 87380 | $199.20 | $332.00 | $18.15 – $29.04 | 12 |
| Infect ag if influenza a CPT 87276 | $150.60 | $251.00 | $12.54 – $17.55 | 12 |
| Infect ag if influenza b CPT 87275 | $150.60 | $251.00 | $12.11 – $15.59 | 12 |
| Infect ag if pneumocystis carinii CPT 87281 | $143.40 | $239.00 | $11.84 – $15.59 | 12 |
| Infect ag na herpes simplex quant CPT 87530 | $440.40 | $734.00 | $33.45 – $46.77 | 12 |
| Infect ag na hpv high-risk types CPT 87624 | $312.00 | $520.00 | $34.68 – $48.91 | 12 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $1,147.80 | $1,913.00 | $94.68 – $122.62 | 12 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $624.00 | $1,040.00 | $411.91 – $586.66 | 12 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | $26.40 | $44.00 | $12.66 – $45.17 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $103.20 | $172.00 | $9.36 – $13.08 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $118.80 | $198.00 | $11.84 – $15.76 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $166.80 | $278.00 | $11.23 – $15.70 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $723.60 | $1,206.00 | $10.21 – $18.14 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $67.80 | $113.00 | $10.21 – $14.62 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $197.40 | $329.00 | $23.80 – $34.94 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $407.40 | $679.00 | $9.36 – $13.08 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $144.00 | $240.00 | $9.36 – $13.08 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $115.80 | $193.00 | $11.84 – $20.76 | 9 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $292.80 | $488.00 | $25.51 – $38.30 | 12 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $276.00 | $460.00 | $25.51 – $38.30 | 12 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $286.80 | $478.00 | $36.84 – $51.48 | 12 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $582.60 | $971.00 | $325.43 – $455.02 | 12 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $253.80 | $423.00 | $27.39 – $38.30 | 12 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $453.60 | $756.00 | $34.68 – $50.21 | 12 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $253.80 | $423.00 | $32.54 – $45.51 | 12 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $276.00 | $460.00 | $25.51 – $38.30 | 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.