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 |
|---|---|---|---|---|
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $2,941.20 | $4,902.00 | $343.82 – $1,654.96 | 12 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $2,424.00 | $4,040.00 | $232.71 – $1,380.54 | 12 |
| Neck (Cervical Spine) X-ray (2 to 3 views) CPT 72040 | $637.20 | $1,062.00 | $21.12 – $99.29 | 12 |
| Neck (Cervical Spine) X-ray (4 to 5 views) CPT 72050 | $526.20 | $877.00 | $33.92 – $137.83 | 12 |
| Neck (Cervical Spine) X-ray (6 or more views) CPT 72052 | $679.20 | $1,132.00 | $41.60 – $169.20 | 12 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $3,826.20 | $6,377.00 | $343.82 – $2,017.52 | 12 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $3,207.00 | $5,345.00 | $342.28 – $1,060.45 | 12 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $2,366.40 | $3,944.00 | $232.71 – $1,060.45 | 12 |
| Neck Soft Tissue CT Scan (with and without contrast) CPT 70492 | $3,145.80 | $5,243.00 | $118.40 – $936.87 | 12 |
| Neck Soft Tissue CT Scan (with contrast) CPT 70491 | $2,511.00 | $4,185.00 | $105.60 – $783.38 | 12 |
| Neck Soft Tissue CT Scan (without contrast) CPT 70490 | $2,061.60 | $3,436.00 | $101.12 – $673.52 | 12 |
| Neg pres wound ther drsg set HCPCS A6550 | $1,625.40 | $2,709.00 | $28.08 – $57.51 | 4 |
| Neisseria meningitidis CPT 86741 | $139.80 | $233.00 | $10.30 – $14.39 | 12 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $213.00 | $355.00 | $4.59 – $15.30 | 14 |
| Neurolysis celiac plexus CPT 64680 | $4,170.00 | $6,950.00 | $80.85 – $993.28 | 12 |
| New Patient Office Visit (level 2) CPT 99202 | $250.80 | $418.00 | $38.86 – $121.56 | 9 |
| New Patient Office Visit (level 3) CPT 99203 | $327.00 | $545.00 | $59.67 – $153.87 | 9 |
| New Patient Office Visit (level 4) CPT 99204 | $421.20 | $702.00 | $99.41 – $242.24 | 9 |
| New Patient Office Visit (level 5) CPT 99205 | $589.80 | $983.00 | $129.29 – $292.12 | 9 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $3.00 | $3.75 | $0.07 – $0.08 | 5 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $4.00 | $5.00 | $1.49 – $1.64 | 5 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $162.40 | $203.00 | $32.96 – $35.27 | 9 |
| Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution HCPCS J9298 | $375.60 | $626.00 | $197.83 – $211.68 | 9 |
| Njx aa&/strd lmbr plex nfs CPT 64449 | $1,816.80 | $3,028.00 | $107.08 – $916.68 | 11 |
| Njx aa&/strd nrv nrvtg si jt CPT 64451 | $727.20 | $1,212.00 | $249.25 – $713.05 | 11 |
| Njx aa&/strd sc nrv nfs img CPT 64446 | $1,963.80 | $3,273.00 | $90.60 – $993.28 | 12 |
| Njx interlaminar crv/thrc CPT 62324 | $3,015.60 | $5,026.00 | $83.56 – $993.28 | 12 |
| Njx interlaminar lmbr/sac CPT 62326 | $637.80 | $1,063.00 | $81.77 – $993.28 | 12 |
| Njx interlaminar lmbr/sac CPT 62327 | $913.80 | $1,523.00 | $87.09 – $993.28 | 12 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | $845.40 | $1,409.00 | $642.59 – $993.28 | 11 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $1,651.20 | $2,752.00 | $78.08 – $708.42 | 12 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,691.40 | $2,819.00 | $49.92 – $586.05 | 12 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $1,658.40 | $2,764.00 | $88.32 – $549.10 | 12 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $2,217.00 | $3,695.00 | $254.48 – $549.10 | 12 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,494.00 | $2,490.00 | $196.58 – $409.92 | 12 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $944.40 | $1,574.00 | $48.37 – $377.26 | 12 |
| Nose (Nasal Bone) X-ray (complete) CPT 70160 | $262.20 | $437.00 | $14.72 – $89.83 | 12 |
| Npm1 gene CPT 81310 | $2,101.20 | $3,502.00 | $216.94 – $269.14 | 12 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $6,205.80 | $10,343.00 | $1,100.00 – $2,595.93 | 12 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $2,570.40 | $4,284.00 | $312.94 – $590.11 | 9 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $2,393.40 | $3,989.00 | $295.68 – $590.11 | 9 |
| Nuclear rx intra-arterial CPT 79445 | $666.00 | $1,110.00 | $195.00 – $442.34 | 11 |
| Nuclear rx IV admin CPT 79101 | $2,610.00 | $4,350.00 | $47.65 – $394.40 | 12 |
| Nuclear Stress Test (Heart) CPT 78452 | $4,206.60 | $7,011.00 | $356.28 – $1,331.74 | 12 |
| Nudt15 gene common variants CPT 81306 | $472.80 | $788.00 | $227.49 – $318.10 | 12 |
| Nushield 1 square cm HCPCS Q4160 | $312.00 | $520.00 | $2,784.38 – $3,062.82 | 2 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $300.60 | $501.00 | $79.00 – $84.53 | 9 |
| Observation direct referral from physician office for admission HCPCS G0379 | $117.00 | $195.00 | $590.25 – $631.28 | 7 |
| Observation per hour HCPCS G0378 | $176.40 | $294.00 | $1,074.19 – $1,372.04 | 2 |
| Obstetrical care 59410 CPT 59410 | $1,012.80 | $1,688.00 | $1,536.00 – $2,951.01 | 4 |
| Obstetric panel inc HIV tstg CPT 80081 | $351.60 | $586.00 | $73.99 – $104.42 | 12 |
| Obtaining screen pap smear HCPCS Q0091 | $13.80 | $23.00 | $19.49 – $25.22 | 8 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $197.40 | $329.00 | $79.01 – $112.19 | 4 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $197.40 | $329.00 | $79.01 – $112.19 | 4 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $197.40 | $329.00 | $32.42 – $112.19 | 4 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $220.80 | $368.00 | $0.61 – $0.67 | 5 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $1,886.40 | $2,405.00 | $203.58 – $217.83 | 9 |
| Oil silicone ophth 8.5ml silikon 1000 HCPCS C1814 | $1,824.80 | $2,281.00 | $615.87 – $2,052.90 | 13 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $12.80 | $16.00 | $0.87 – $0.96 | 5 |
| Oncoprotein dcp CPT 83951 | $861.60 | $1,436.00 | $63.66 – $94.48 | 12 |
| Ondansetron 4 mg s0119 HCPCS S0119 | $136.80 | $171.00 | $46.17 – $153.90 | 14 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $25.20 | $42.00 | $0.01 – $0.02 | 4 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $27.40 | $34.25 | $0.09 – $0.10 | 5 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $993.28 – $6,091.06 | 11 |
| Optx clavicular fx w/int fix CPT 23515 | $5,152.80 | $8,588.00 | $993.28 – $7,355.55 | 11 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | $7,589.40 | $12,649.00 | $440.00 – $7,287.44 | 12 |
| Optx medial ankle fx CPT 27766 | $5,152.80 | $8,588.00 | $993.28 – $7,355.55 | 11 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $581.76 – $6,091.06 | 11 |
| Optx post ankle fx CPT 27769 | $6,855.00 | $11,425.00 | $971.71 – $7,355.55 | 11 |
| Optx prox humrl fx w/int fix CPT 23615 | $6,347.40 | $10,579.00 | $520.30 – $13,125.66 | 12 |
| Optx radial shaft fracture CPT 25515 | $5,152.80 | $8,588.00 | $396.00 – $7,287.44 | 12 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | $4,493.40 | $7,489.00 | $331.10 – $7,287.44 | 12 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | $6,347.40 | $10,579.00 | $993.28 – $7,355.55 | 11 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | $5,152.80 | $8,588.00 | $474.10 – $7,287.44 | 12 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | $5,152.80 | $8,588.00 | $993.28 – $7,355.55 | 11 |
| Optx scapular fx w/int fixj CPT 23585 | $5,152.80 | $8,588.00 | $993.28 – $7,355.55 | 11 |
| Optx ulnar shft fx int fixj CPT 25545 | $5,152.80 | $8,588.00 | $374.00 – $7,287.44 | 12 |
| Optx ulnar styloid fracture CPT 25652 | $6,492.00 | $10,820.00 | $993.28 – $7,355.55 | 11 |
| Oral aprepitant HCPCS J8501 | $1,012.80 | $1,688.00 | $2.73 – $3.00 | 5 |
| Oral everolimus HCPCS J7527 | $1,152.00 | $1,920.00 | $1.37 – $1.51 | 5 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $897.28 – $3,633.70 | 11 |
| Organic acids total quant ea spec CPT 83918 | $277.20 | $462.00 | $23.32 – $29.12 | 12 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $447.20 | $559.00 | $28.68 – $30.69 | 9 |
| Oropharyngeal biopsy 42800 CPT 42800 | $836.40 | $1,394.00 | $59.95 – $1,511.08 | 12 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $61.00 | $76.25 | $11.19 – $12.30 | 5 |
| Orthovisc inj per dose HCPCS J7324 | $903.60 | $1,506.00 | $114.54 – $122.56 | 9 |
| Oscillation chest wall mechanical per session CPT 94669 | $128.40 | $214.00 | $45.93 – $209.42 | 11 |
| Osmolality blood CPT 83930 | $111.00 | $185.00 | $3.30 – $7.22 | 12 |
| Osmolality urine CPT 83935 | $108.00 | $180.00 | $3.30 – $7.45 | 12 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | $19.20 | $32.00 | $24.36 – $103.90 | 11 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | $19.20 | $32.00 | $24.36 – $128.34 | 11 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | $19.20 | $32.00 | $24.36 – $148.07 | 11 |
| Ost pch for bar w flange/flt HCPCS A4419 | $4.20 | $7.00 | $1.78 – $3.66 | 4 |
| Oth resp proc, group HCPCS G0239 | $391.80 | $653.00 | $26.52 – $40.41 | 8 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $150.60 | $251.00 | $42.07 – $66.83 | 4 |
| Ot re-evaluation patient/family CPT 97168 | $97.20 | $162.00 | $44.76 – $73.93 | 9 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $106.20 | $177.00 | $20.32 – $31.48 | 9 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $106.20 | $177.00 | $20.95 – $32.47 | 9 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $13.20 | $16.50 | $0.08 – $0.09 | 5 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $29.00 | $36.25 | $9.72 – $32.40 | 14 |
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.