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 |
|---|---|---|---|---|
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $75.00 | $125.00 | $39.04 – $56.02 | 12 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $210.00 | $350.00 | $124.15 – $155.71 | 12 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $381.00 | $635.00 | $34.68 – $49.02 | 12 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $145.80 | $243.00 | $74.61 – $82.91 | 11 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $438.00 | $730.00 | $325.43 – $455.02 | 12 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $581.40 | $969.00 | $100.17 – $140.06 | 12 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $968.40 | $1,614.00 | $205.34 – $287.12 | 12 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $517.80 | $863.00 | $33.45 – $46.77 | 12 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $513.60 | $856.00 | $42.34 – $50.75 | 12 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $778.80 | $1,298.00 | $42.34 – $50.75 | 12 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $1,066.20 | $1,777.00 | $84.10 – $148.60 | 12 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $776.40 | $1,294.00 | $140.96 – $180.57 | 12 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $720.80 | $947.00 | $31.09 – $33.27 | 9 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $1,012.80 | $1,688.00 | $20.41 – $21.84 | 9 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $4,383.60 | $7,306.00 | $19.99 – $21.39 | 9 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | $40.00 | $50.00 | $11.00 – $98.16 | 8 |
| Inf lwr xtr fscl pln blk uni w/wo image CPT 64474 | $133.80 | $223.00 | $200.76 – $221.77 | 3 |
| Inf thrc fascial pln blk bi w/wo image CPT 64469 | $145.80 | $243.00 | $308.59 – $340.89 | 3 |
| Inf thrc fascial pln blk uni w/wo image CPT 64467 | $138.60 | $231.00 | $203.23 – $224.49 | 3 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $7,107.60 | $11,846.00 | $7.28 – $7.79 | 9 |
| Inj, adalimumab, 1 mg HCPCS J0139 | $256.00 | $320.00 | $91.73 – $99.07 | 8 |
| Inj andexxa, 10 mg HCPCS J7169 | $13,400.40 | $22,334.00 | $131.38 – $141.89 | 8 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $10,166.40 | $16,944.00 | $18.08 – $19.35 | 9 |
| Inj, aponvie, 1 mg HCPCS C9145 | $3.00 | $5.00 | $1.91 – $2.06 | 8 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | $96.60 | $161.00 | $55.47 – $59.35 | 9 |
| Inj atezolizumb 5mg hya-tqjs HCPCS J9024 | $54.00 | $90.00 | $31.58 – $33.79 | 9 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | $5,052.80 | $6,316.00 | $80.91 – $86.57 | 9 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $568.00 | $710.00 | $164.59 – $176.11 | 9 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $11,130.60 | $18,551.00 | $39.83 – $42.62 | 9 |
| Inj., brexanolone, 1 mg HCPCS J1632 | $172.80 | $288.00 | not published | 0 |
| Inj, bupivacaine liposome HCPCS J0666 | $7.60 | $9.50 | $1.40 – $1.50 | 9 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | $26.40 | $44.00 | $1.35 – $4.50 | 14 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | $5.80 | $7.25 | $2.42 – $2.59 | 9 |
| Inj ceftolozane tazobactam HCPCS J0695 | $487.80 | $813.00 | $9.07 – $9.70 | 9 |
| Inj, clevidipine butyrate HCPCS C9248 | $839.40 | $1,399.00 | $15.12 – $50.40 | 14 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $969.00 | $1,615.00 | $42.56 – $186.08 | 4 |
| Inj., copanlisib, 1 mg HCPCS J9057 | $352.80 | $588.00 | not published | 0 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | $13.20 | $22.00 | $0.78 – $0.83 | 9 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | $7.20 | $12.00 | $4.13 – $4.42 | 9 |
| Inj, durolane 1 mg HCPCS J7318 | $22.80 | $38.00 | $6.77 – $7.24 | 9 |
| Inj dx for sinogram CPT 20501 | $1,942.20 | $3,237.00 | $38.50 – $106.65 | 9 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $750.00 | $1,250.00 | $251.70 – $713.05 | 11 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $969.00 | $1,615.00 | $61.44 – $234.05 | 4 |
| Injection, cangrelor HCPCS C9460 | $41,627.40 | $69,379.00 | $19.98 – $21.58 | 8 |
| Injection, caplacizumab-yhdp HCPCS C9047 | $2,329.60 | $2,912.00 | not published | 0 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $293.40 | $489.00 | $54.76 – $301.13 | 12 |
| Injection, daratumumab 10 mg HCPCS J9145 | $314.40 | $394.00 | $71.37 – $76.37 | 9 |
| Injection during cath supravalvular aortography CPT 93567 | $436.80 | $728.00 | $49.48 – $228.49 | 4 |
| Injection epidural blood patch or clot CPT 62273 | $1,470.60 | $2,451.00 | $52.80 – $993.28 | 12 |
| Injection for arthrography wrist (both sides) CPT 25246 | $969.00 | $1,615.00 | $44.80 – $160.21 | 4 |
| Injection for bladder x-ray CPT 51600 | $2,905.80 | $4,843.00 | $35.20 – $105.38 | 9 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $969.00 | $1,615.00 | $141.55 – $993.28 | 4 |
| Injection, fulvestrant HCPCS J9395 | $589.60 | $737.00 | $6.73 – $7.20 | 9 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $39.20 | $49.00 | $12.32 – $13.18 | 9 |
| Injection, isavuconazonium HCPCS J1833 | $4.80 | $6.00 | $1.01 – $1.09 | 8 |
| Injection of sinus tract CPT 20500 | $343.20 | $572.00 | $38.50 – $1,511.08 | 12 |
| Injection,onabotulinumtoxina HCPCS J0585 | $2,783.40 | $4,639.00 | $6.50 – $6.96 | 9 |
| Injection, renflexis HCPCS Q5104 | $1,624.80 | $2,708.00 | $27.00 – $28.89 | 9 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $1,242.00 | $2,070.00 | $503.10 – $713.05 | 8 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $871.80 | $1,453.00 | $67.10 – $993.28 | 12 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $1,470.60 | $2,451.00 | $23.10 – $706.45 | 12 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $1,461.00 | $2,435.00 | $104.54 – $993.28 | 12 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $2,481.60 | $4,136.00 | $62.41 – $150.79 | 4 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $2,481.60 | $4,136.00 | $268.69 – $993.28 | 11 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $2,481.60 | $4,136.00 | $53.22 – $136.79 | 4 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $2,481.60 | $4,136.00 | $239.89 – $993.28 | 11 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $1,020.00 | $1,700.00 | $98.12 – $993.28 | 12 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $2,094.60 | $3,491.00 | $89.45 – $993.28 | 12 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $616.20 | $1,027.00 | $35.20 – $301.13 | 12 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $825.60 | $1,376.00 | $34.17 – $301.13 | 12 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $654.00 | $1,090.00 | $37.92 – $301.13 | 12 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $147.00 | $245.00 | $66.15 – $220.50 | 13 |
| Inject sacroiliac joint CPT 27096 | $2,370.00 | $3,950.00 | $78.32 – $902.75 | 4 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $1,627.80 | $2,713.00 | $90.97 – $993.28 | 12 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,260.60 | $2,101.00 | $78.27 – $993.28 | 12 |
| Inj., evomela, 1 mg HCPCS J9246 | $105.60 | $176.00 | $18.50 – $19.80 | 9 |
| Inj, factor x, (human), 1iu HCPCS J7175 | $32.40 | $54.00 | $9.78 – $10.46 | 9 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | $141.60 | $177.00 | $22.02 – $23.56 | 9 |
| Inj, focinvez, 1mg HCPCS J1434 | $5.40 | $9.00 | $2.84 – $3.04 | 9 |
| Inj for ext venography CPT 36005 | $438.00 | $730.00 | $48.02 – $131.13 | 9 |
| Inj., fremanezumab-vfrm 1 mg HCPCS J3031 | $6.00 | $10.00 | not published | 0 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | $413.40 | $689.00 | $61.44 – $65.74 | 9 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | $943.20 | $1,572.00 | $57.11 – $94.02 | 4 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | $871.20 | $1,452.00 | $43.98 – $72.39 | 4 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | $7.20 | $9.00 | $2.61 – $2.79 | 9 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | $864.00 | $1,440.00 | $495.55 – $530.24 | 9 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $387.00 | $645.00 | $75.89 – $204.60 | 11 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $205.60 | $257.00 | $23.61 – $25.97 | 5 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | $107.40 | $179.00 | $104.55 – $115.49 | 3 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $8.60 | $10.75 | $3.95 – $4.35 | 5 |
| Inj., meropenem, vaborbactam HCPCS J2186 | $991.20 | $1,652.00 | $2.18 – $2.35 | 8 |
| Inj mogamulizumab-kpkc, 1 mg HCPCS J9204 | $558.40 | $806.00 | $248.50 – $265.89 | 9 |
| Inj multihance HCPCS A9577 | $40.80 | $51.00 | $1.74 – $5.11 | 7 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $845.40 | $1,409.00 | $209.24 – $993.28 | 11 |
| Inj, nithiodote, 3mg / 125mg HCPCS J0211 | $3.60 | $6.00 | $2.23 – $2.41 | 8 |
| Inj nivolumab 2 mg hyaluron HCPCS J9289 | $48.00 | $80.00 | $27.36 – $29.28 | 9 |
| Inj ocrelizumab 1mg hya-ocsq HCPCS J2351 | $85.20 | $142.00 | $47.23 – $50.54 | 9 |
| Inj ogivri 10 mg HCPCS Q5114 | $234.00 | $390.00 | $40.29 – $43.11 | 9 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | $1,264.80 | $2,108.00 | $30.32 – $32.44 | 9 |
| Inj. pemetrexed, 10 mg HCPCS J9304 | $152.40 | $254.00 | $46.32 – $49.56 | 9 |
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.