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 |
|---|---|---|---|---|
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,555.40 | $4,259.00 | $120.32 – $900.12 | 12 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $2,051.40 | $3,419.00 | $102.37 – $774.47 | 12 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $4,010.40 | $6,684.00 | $343.82 – $2,884.11 | 12 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $3,051.00 | $5,085.00 | $343.82 – $1,634.20 | 12 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,514.00 | $4,190.00 | $232.71 – $1,486.27 | 12 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $417.00 | $695.00 | $28.80 – $108.48 | 12 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $710.40 | $1,184.00 | $28.80 – $140.88 | 12 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $828.00 | $1,380.00 | $26.88 – $174.00 | 12 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $646.80 | $1,078.00 | $21.12 – $90.67 | 11 |
| Lso flex no ri stays pre ots HCPCS L0628 | $201.60 | $336.00 | $67.51 – $128.02 | 4 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $526.80 | $878.00 | $14.59 – $317.66 | 12 |
| Lung function test (mbc/mvv) CPT 94200 | $133.20 | $222.00 | $6.91 – $74.82 | 12 |
| Lung Function Test (Spirometry) CPT 94010 | $228.00 | $380.00 | $11.52 – $159.61 | 12 |
| Lung perfusion imaging CPT 78580 | $479.40 | $799.00 | $60.80 – $461.48 | 12 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $380.40 | $634.00 | $207.13 – $221.63 | 9 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $83.40 | $139.00 | $41.98 – $44.92 | 9 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | $607.20 | $1,012.00 | $320.10 – $342.35 | 7 |
| Lutetium lu 177 vipivotide HCPCS A9607 | $600.00 | $1,000.00 | $258.35 – $276.31 | 7 |
| Lymphatics/lymph node imaging CPT 78195 | $1,172.40 | $1,954.00 | $166.40 – $549.10 | 12 |
| Lymphocyte transformation mitogen CPT 86353 | $630.00 | $1,050.00 | $48.45 – $86.72 | 12 |
| Lymph vessel x-ray trunk CPT 75807 | $2,704.20 | $4,507.00 | $72.32 – $3,210.81 | 12 |
| Macroscopic exam arthropod CPT 87168 | $75.00 | $125.00 | $3.33 – $4.66 | 12 |
| Macroscopic exam parasite CPT 87169 | $51.60 | $86.00 | $3.37 – $4.70 | 12 |
| Magnesium CPT 83735 | $54.00 | $90.00 | $6.62 – $9.28 | 12 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $74.40 | $124.00 | $0.48 – $0.53 | 5 |
| Manipulate wrist w/anesthes CPT 25259 | $4,104.60 | $6,841.00 | $296.78 – $1,632.61 | 12 |
| Manipulat palm cord post inj CPT 26341 | $735.60 | $1,226.00 | $138.33 – $993.28 | 11 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $88.80 | $148.00 | $4.59 – $15.30 | 14 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | $499.80 | $833.00 | $50.42 – $316.81 | 6 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | $91.20 | $152.00 | $52.49 – $56.16 | 9 |
| Marker biop eviva buckle ss HCPCS A4648 | $2,182.80 | $3,638.00 | $97.47 – $324.90 | 14 |
| Mastoids complete CPT 70130 | $479.40 | $799.00 | $35.20 – $132.48 | 11 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $316.80 | $528.00 | $14.29 – $21.76 | 12 |
| Mayo aathr protein s free CPT 85306 | $149.40 | $249.00 | $15.14 – $27.11 | 12 |
| Mayo activated protein c resistance assay CPT 85307 | $253.20 | $422.00 | $15.14 – $21.68 | 12 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $205.80 | $343.00 | $30.12 – $42.10 | 12 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $130.80 | $218.00 | $11.55 – $16.13 | 12 |
| Mayo alpha 1 antitrypsin CPT 82103 | $197.40 | $329.00 | $13.29 – $21.76 | 12 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $113.40 | $189.00 | $12.10 – $16.46 | 12 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $1,160.40 | $1,934.00 | $94.96 – $132.79 | 12 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $1,608.60 | $2,681.00 | $90.59 – $128.06 | 12 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $1,192.80 | $1,988.00 | $120.56 – $149.57 | 12 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $12,834.00 | $21,390.00 | $905.73 – $1,266.43 | 12 |
| Mayo androstenedione CPT 82157 | $154.20 | $257.00 | $27.50 – $32.00 | 12 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $139.20 | $232.00 | $14.43 – $25.82 | 12 |
| Mayo antithrombin iii antigen CPT 85301 | $582.60 | $971.00 | $10.69 – $19.14 | 12 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $118.80 | $198.00 | $14.88 – $26.62 | 12 |
| Mayo avwpr vw factor activity CPT 85397 | $322.80 | $538.00 | $28.93 – $33.69 | 12 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $290.40 | $484.00 | $30.88 – $38.30 | 12 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $16.80 | $28.00 | $10.06 – $14.40 | 12 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $364.20 | $607.00 | $113.09 – $158.13 | 12 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $843.00 | $1,405.00 | $167.58 – $234.31 | 12 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $175.20 | $292.00 | $12.75 – $22.82 | 12 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $100.80 | $168.00 | $13.03 – $23.33 | 12 |
| Mayo brcmg brucella antibody igm CPT 86622 | $118.80 | $198.00 | $8.82 – $13.71 | 12 |
| Mayo c1 esterase inhibitor CPT 83883 | $130.80 | $218.00 | $10.62 – $14.85 | 12 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $331.20 | $552.00 | $13.17 – $18.41 | 12 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $351.00 | $585.00 | $26.46 – $38.31 | 12 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $1,609.80 | $2,683.00 | $120.80 – $170.74 | 12 |
| Mayo ceruloplasmin CPT 82390 | $97.80 | $163.00 | $10.62 – $12.80 | 12 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $158.40 | $264.00 | $11.02 – $15.42 | 12 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $360.60 | $601.00 | $10.06 – $14.06 | 12 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $166.80 | $278.00 | $10.87 – $12.91 | 12 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $38.40 | $64.00 | $12.53 – $22.46 | 12 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $1,097.40 | $1,829.00 | $115.13 – $206.08 | 12 |
| Mayo chromium CPT 82495 | $232.20 | $387.00 | $6.60 – $22.14 | 12 |
| Mayo coccidioides antibody CPT 86635 | $229.80 | $383.00 | $11.33 – $20.29 | 12 |
| Mayo cocou cortisone urine CPT 82542 | $305.40 | $509.00 | $21.20 – $26.30 | 12 |
| Mayo cortisol free CPT 82530 | $166.80 | $278.00 | $16.51 – $29.89 | 12 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $123.00 | $205.00 | $12.28 – $46.00 | 12 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $171.00 | $285.00 | $11.98 – $21.44 | 12 |
| Mayo cyanide CPT 82600 | $265.80 | $443.00 | $18.70 – $21.76 | 12 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $102.60 | $171.00 | $13.09 – $18.56 | 12 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $479.40 | $799.00 | $23.10 – $27.60 | 12 |
| Mayo dihydrotestosterone CPT 82642 | $301.80 | $503.00 | $22.86 – $31.97 | 12 |
| Mayo efpo chloride stool CPT 82438 | $267.60 | $446.00 | $3.30 – $5.46 | 12 |
| Mayo estriol CPT 82677 | $123.00 | $205.00 | $19.25 – $26.39 | 12 |
| Mayo estrone CPT 82679 | $177.60 | $296.00 | $14.30 – $27.24 | 12 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $318.60 | $531.00 | $14.30 – $17.83 | 12 |
| Mayo everolimus therapeutic drug level CPT 80169 | $359.40 | $599.00 | $13.56 – $19.17 | 12 |
| Mayo factor ii CPT 85210 | $54.00 | $90.00 | $4.40 – $14.17 | 12 |
| Mayo factor vii CPT 85230 | $185.40 | $309.00 | $5.50 – $19.54 | 12 |
| Mayo factor viii vw factor antigen CPT 85246 | $239.40 | $399.00 | $22.67 – $40.59 | 12 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $239.40 | $399.00 | $22.67 – $40.59 | 12 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $239.40 | $399.00 | $22.67 – $40.59 | 12 |
| Mayo factor x CPT 85260 | $356.40 | $594.00 | $13.20 – $19.54 | 12 |
| Mayo factor xi CPT 85270 | $162.60 | $271.00 | $13.20 – $19.54 | 12 |
| Mayo fat/lipids feces quantitative CPT 82710 | $198.00 | $330.00 | $4.42 – $18.34 | 12 |
| Mayo fbl culture fungi blood CPT 87103 | $471.60 | $786.00 | $13.71 – $22.33 | 12 |
| Mayo ffspg allergen clam igg CPT 86001 | $147.00 | $245.00 | $6.36 – $8.54 | 12 |
| Mayo fibrinogen antigen CPT 85385 | $120.00 | $200.00 | $10.90 – $15.79 | 12 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $432.00 | $720.00 | $15.92 – $23.66 | 12 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $8,576.40 | $14,294.00 | $62.64 – $208.80 | 13 |
| Mayo hemosiderin qualitative urine CPT 83070 | $92.40 | $154.00 | $3.30 – $5.19 | 12 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $357.60 | $596.00 | $27.39 – $38.30 | 12 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $508.20 | $847.00 | $27.39 – $38.30 | 12 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $205.80 | $343.00 | $13.62 – $22.12 | 12 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $293.40 | $489.00 | $13.20 – $28.19 | 12 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $149.40 | $249.00 | $8.79 – $15.51 | 12 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $149.40 | $249.00 | $13.36 – $17.70 | 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.