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 |
|---|---|---|---|---|
| Alginate dressing <=16 sq in HCPCS A6196 | $73.80 | $123.00 | $8.47 – $18.68 | 4 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | $139.80 | $233.00 | $18.96 – $41.88 | 4 |
| Alkaline phosphatase CPT 84075 | $114.00 | $190.00 | $5.12 – $8.15 | 12 |
| Allergen alpha lactalbumin ige CPT 86008 | $25.80 | $43.00 | $17.72 – $22.67 | 12 |
| Allergen egg white ige CPT 86003 | $25.80 | $43.00 | $5.16 – $9.23 | 12 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $2,982.60 | $4,971.00 | $265.00 – $1,192.50 | 14 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $9,287.40 | $15,479.00 | $613.00 – $2,758.50 | 14 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $4,721.40 | $7,869.00 | $151.16 – $201.78 | 3 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $3,954.00 | $6,590.00 | $121.29 – $121.29 | 1 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $29.80 | $37.25 | $5.46 – $5.84 | 9 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $147.00 | $245.00 | $63.66 – $90.65 | 12 |
| Alpha-fetoprotein amniotic CPT 82106 | $160.20 | $267.00 | $16.80 – $25.60 | 12 |
| Alpha-fetoprotein tumor marker CPT 82105 | $139.20 | $232.00 | $16.57 – $25.60 | 12 |
| Alprostadil for injection HCPCS J0270 | $550.20 | $917.00 | $0.27 – $0.90 | 14 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $543.20 | $679.00 | $94.45 – $101.06 | 9 |
| Alt/sgpt CPT 84460 | $133.80 | $223.00 | $5.24 – $9.22 | 12 |
| Aluminum - quest CPT 82108 | $319.20 | $532.00 | $25.18 – $45.08 | 12 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $1,389.60 | $2,316.00 | $71.24 – $163.53 | 12 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $26.80 | $33.50 | $0.63 – $0.70 | 5 |
| Amino acids quant 2-5 CPT 82136 | $220.80 | $368.00 | $19.38 – $29.82 | 12 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $8.00 | $12.00 | $1.71 – $1.89 | 5 |
| Aminolevulinic acid delta CPT 82135 | $178.80 | $298.00 | $13.20 – $17.96 | 12 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $70.20 | $87.75 | $10.34 – $11.38 | 5 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $42.80 | $53.50 | $0.43 – $0.47 | 5 |
| Ammonia CPT 82140 | $126.00 | $210.00 | $5.50 – $15.90 | 12 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | not published | not published | $321.20 – $3,309.88 | 12 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $136.80 | $171.00 | $43.41 – $47.75 | 5 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $1,050.00 | $1,750.00 | $21.48 – $22.98 | 9 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $27.40 | $34.25 | $0.55 – $0.60 | 5 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $45.20 | $56.50 | $1.39 – $1.53 | 5 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $280.20 | $467.00 | $255.57 – $284.03 | 11 |
| Amp metatarsal w/toe single 28810 CPT 28810 | $4,707.00 | $7,845.00 | $252.45 – $1,139.24 | 9 |
| Amputation toe interphalangeal joint CPT 28825 | $2,733.00 | $4,555.00 | $591.83 – $3,340.82 | 11 |
| Amylase CPT 82150 | $113.40 | $189.00 | $5.50 – $7.07 | 12 |
| Ana ds-dna CPT 86226 | $178.80 | $298.00 | $11.96 – $28.51 | 9 |
| Anal/urinary muscle study CPT 51785 | $1,258.20 | $2,097.00 | $61.44 – $258.30 | 11 |
| Analysis gene f2 20210g>a variant CPT 81240 | $2,479.80 | $4,133.00 | $59.07 – $71.72 | 12 |
| Analysis gene f5 leiden variant CPT 81241 | $1,217.40 | $2,029.00 | $72.52 – $85.38 | 12 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | $744.60 | $1,241.00 | $39.13 – $93.64 | 12 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $290.40 | $484.00 | $30.88 – $38.30 | 12 |
| Anca screen with reflex to titer -quest CPT 86021 | $103.20 | $172.00 | $5.50 – $16.43 | 12 |
| An cholangiogram percutaneous compl CPT 47531 | $2,636.40 | $4,394.00 | $85.71 – $3,600.06 | 12 |
| An fluoro guide for cvp CPT 77001 | $1,275.00 | $2,125.00 | $59.21 – $132.84 | 9 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $2,525.40 | $4,209.00 | $112.62 – $1,012.60 | 9 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $4,394.40 | $7,324.00 | $993.28 – $6,189.73 | 11 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $3,734.40 | $6,224.00 | $385.15 – $5,816.22 | 12 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $4,394.40 | $7,324.00 | $218.24 – $1,983.84 | 4 |
| Angiotensin ii CPT 82163 | $276.60 | $461.00 | $15.95 – $22.40 | 12 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $21,829.80 | $36,383.00 | $0.27 – $0.90 | 14 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $4,394.40 | $7,324.00 | $993.28 – $11,676.82 | 11 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $4,126.80 | $6,878.00 | $159.14 – $1,208.22 | 9 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $4,416.60 | $7,361.00 | $320.94 – $5,816.22 | 12 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $4,126.80 | $6,878.00 | $135.41 – $888.15 | 9 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $4,416.60 | $7,361.00 | $275.98 – $5,816.22 | 12 |
| Anidulafungin injection HCPCS J0348 | $8.40 | $14.00 | $0.52 – $0.57 | 5 |
| Ankle X-ray CPT 73610 | $307.20 | $512.00 | $23.97 – $90.67 | 11 |
| Ankle X-ray (2 views, both ankles) CPT 73600 | $577.20 | $962.00 | $14.72 – $90.67 | 11 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | $1,135.80 | $1,893.00 | $40.46 – $305.95 | 12 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | $97.20 | $162.00 | $25.60 – $25.60 | 1 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | $96.60 | $161.00 | $25.60 – $25.60 | 1 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | $115.20 | $192.00 | $25.60 – $25.60 | 1 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | $121.20 | $202.00 | $25.60 – $25.60 | 1 |
| Anoscopy control bleeding 46614 CPT 46614 | $991.20 | $1,652.00 | $70.63 – $1,202.80 | 12 |
| Anoscopy remove fb 46608 CPT 46608 | not published | not published | $77.41 – $993.28 | 12 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $36.60 | $61.00 | $10.06 – $14.06 | 12 |
| Antibody htlv/hiv confirm test CPT 86689 | $246.60 | $411.00 | $19.13 – $34.24 | 12 |
| Antibody htlv-i CPT 86687 | $79.20 | $132.00 | $8.98 – $14.85 | 12 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $527.40 | $879.00 | $5.50 – $20.05 | 12 |
| Antibody id rbc panel CPT 86870 | $205.80 | $343.00 | $9.29 – $366.96 | 12 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $91.80 | $153.00 | $12.72 – $22.77 | 12 |
| Antibody screen rbc CPT 86850 | $113.40 | $189.00 | $9.29 – $10.82 | 12 |
| Antibody tetanus CPT 86774 | $332.40 | $554.00 | $11.56 – $16.15 | 12 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $11.40 | $14.25 | $1.49 – $1.59 | 9 |
| Anti mog serum - sendout CPT 86362 | $132.60 | $221.00 | $10.60 – $13.16 | 12 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $103.20 | $172.00 | $10.60 – $13.16 | 12 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $156.00 | $260.00 | $10.60 – $13.16 | 12 |
| Antinuclear antibodies CPT 86038 | $71.40 | $119.00 | $11.95 – $19.20 | 12 |
| Antinuclear antibodies titer CPT 86039 | $91.20 | $152.00 | $11.03 – $19.20 | 12 |
| Antiphosphatidylserine antibody CPT 86148 | $394.20 | $657.00 | $12.54 – $17.55 | 12 |
| Antistreptolysin o screen CPT 86063 | $56.40 | $94.00 | $5.70 – $8.96 | 12 |
| Antithrombin iii activity CPT 85300 | $157.80 | $263.00 | $10.34 – $12.94 | 12 |
| Aortic Aneurysm Screening Ultrasound CPT 76706 | $248.40 | $414.00 | $64.14 – $131.56 | 12 |
| Aortic dysfunction/dilation CPT 81410 | $7,223.40 | $12,039.00 | $393.52 – $550.24 | 12 |
| Apl(pml-rara) quant - sendout CPT 81315 | $741.00 | $1,235.00 | $204.89 – $289.61 | 12 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $993.28 – $6,007.35 | 11 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $5,034.60 | $8,391.00 | $420.87 – $3,769.52 | 11 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $3,682.80 | $6,138.00 | $44.52 – $108.76 | 4 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $261.00 | $435.00 | $17.52 – $42.53 | 4 |
| Application finger splntstatic 29130 CPT 29130 | $471.00 | $785.00 | $66.50 – $132.72 | 11 |
| Application long leg splint 29505 CPT 29505 | $471.00 | $785.00 | $40.70 – $160.96 | 12 |
| Application lower leg splint 29515 CPT 29515 | $471.00 | $785.00 | $38.50 – $160.96 | 12 |
| Application multi layer compression below knee (both sides) CPT 29581 | $274.20 | $457.00 | $27.80 – $160.96 | 12 |
| Application of forearm cast 29075 CPT 29075 | $825.60 | $1,376.00 | $50.05 – $993.28 | 12 |
| Application of long arm cast 29065 CPT 29065 | $1,258.80 | $2,098.00 | $46.75 – $993.28 | 12 |
| Application of long leg cast 29345 CPT 29345 | $73.20 | $122.00 | $255.68 – $993.28 | 11 |
| Application of paste boot 29580 CPT 29580 | $307.20 | $512.00 | $99.42 – $162.46 | 11 |
| Application short leg cast 29405 CPT 29405 | $62.40 | $104.00 | $55.55 – $993.28 | 12 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $1,242.60 | $2,071.00 | $219.71 – $1,883.47 | 11 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $1,242.60 | $2,071.00 | $203.45 – $1,883.47 | 11 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $843.00 | $1,405.00 | $379.35 – $1,264.50 | 13 |
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.