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 |
|---|---|---|---|---|
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $2.40 | $4.00 | $0.14 – $0.15 | 5 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $61.80 | $103.00 | $10.54 – $11.28 | 9 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $54.40 | $68.00 | $15.11 – $16.17 | 9 |
| Palonosetron hcl HCPCS J2469 | $378.60 | $631.00 | $0.36 – $0.39 | 5 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $450.00 | $750.00 | $9.64 – $10.61 | 5 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $550.80 | $918.00 | $173.03 – $185.14 | 9 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $30.80 | $38.50 | $8.37 – $27.90 | 14 |
| Papaverin hcl injection HCPCS J2440 | $264.80 | $331.00 | $89.37 – $297.90 | 14 |
| Parathormone (pth) intact CPT 83970 | $188.40 | $314.00 | $40.80 – $54.40 | 12 |
| Parathyrd planar w/spect&ct CPT 78072 | $2,233.80 | $3,723.00 | $330.43 – $549.10 | 9 |
| Parathyroid planar imaging CPT 78070 | $1,859.40 | $3,099.00 | $80.00 – $409.92 | 12 |
| Parenteral 50% dextrose solu HCPCS B4164 | $130.40 | $163.00 | $22.00 – $22.00 | 1 |
| Paricalcitol HCPCS J2501 | $26.40 | $44.00 | $0.95 – $1.04 | 5 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $230.40 | $384.00 | $22.00 – $993.28 | 12 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | $5,397.60 | $8,996.00 | $288.75 – $1,244.03 | 9 |
| Partial removal finger bone CPT 26236 | $5,465.40 | $9,109.00 | $302.50 – $1,632.61 | 12 |
| Partial removal of foot bone CPT 28288 | $5,397.60 | $8,996.00 | $271.15 – $993.28 | 9 |
| Partial removal of toe CPT 28160 | $5,397.60 | $8,996.00 | $781.95 – $1,196.80 | 4 |
| Part removal of metatarsal CPT 28110 | $5,397.60 | $8,996.00 | $293.11 – $1,157.12 | 9 |
| Passy muir valve metal trach HCPCS L8501 | $289.80 | $483.00 | $96.00 – $245.83 | 4 |
| Path clin consltj mod 21-40 CPT 80504 | $431.40 | $719.00 | $54.71 – $176.44 | 12 |
| Path clin consltj sf 5-20 CPT 80503 | $190.20 | $317.00 | $27.31 – $55.02 | 12 |
| Pcv21 vaccine im CPT 90684 | $252.80 | $316.00 | $11.00 – $327.89 | 5 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $12,717.60 | $21,196.00 | $89.34 – $95.59 | 9 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $2,015.20 | $2,519.00 | $106.33 – $113.77 | 9 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | $645.60 | $1,076.00 | $184.91 – $197.85 | 9 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $2,014.80 | $3,358.00 | $99.13 – $106.07 | 9 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | $11,823.60 | $19,706.00 | $3,660.83 – $3,917.09 | 9 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | $548.00 | $685.00 | $228.16 – $244.13 | 9 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,533.80 | $4,223.00 | $131.20 – $1,043.54 | 12 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,902.00 | $3,170.00 | $110.72 – $868.34 | 12 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,313.40 | $2,189.00 | $86.40 – $763.39 | 12 |
| Pelvic MRI (with and without contrast) CPT 72197 | $4,010.40 | $6,684.00 | $343.82 – $2,220.09 | 12 |
| Pelvic MRI (with contrast) CPT 72196 | $3,051.00 | $5,085.00 | $260.35 – $1,380.54 | 9 |
| Pelvic MRI (without contrast) CPT 72195 | $2,514.00 | $4,190.00 | $232.71 – $1,039.64 | 12 |
| Pelvic Ultrasound (complete) CPT 76856 | $732.00 | $1,220.00 | $59.52 – $268.35 | 12 |
| Pelvic Ultrasound (limited) CPT 76857 | $718.80 | $1,198.00 | $24.32 – $164.74 | 12 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $511.20 | $852.00 | $12.80 – $108.48 | 12 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $509.40 | $849.00 | $26.88 – $108.48 | 12 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $287.20 | $359.00 | $60.29 – $64.51 | 9 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $3,134.40 | $5,224.00 | $4.36 – $4.67 | 9 |
| Peng benzathine/procaine inj HCPCS J0558 | $48.00 | $80.00 | $19.52 – $20.89 | 9 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $1,422.60 | $2,371.00 | $30.01 – $32.11 | 9 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $222.60 | $371.00 | $0.79 – $0.87 | 5 |
| Pentobarbital sodium inj HCPCS J2515 | $8.00 | $10.00 | $2.70 – $9.00 | 14 |
| Perc cryo ablate renal tum CPT 50593 | $51,594.60 | $85,991.00 | $7,000.76 – $10,719.92 | 11 |
| Perc d-e cor revasc chro add HCPCS C9608 | $2,265.60 | $3,776.00 | $1,019.52 – $3,398.40 | 13 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $12,224.40 | $20,374.00 | $13,412.28 – $13,412.28 | 1 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $2,265.60 | $3,776.00 | $1,019.52 – $3,398.40 | 13 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $12,224.40 | $20,374.00 | $8,288.44 – $8,288.44 | 1 |
| Perc d-e cor stent ather br HCPCS C9603 | $2,265.60 | $3,776.00 | $1,019.52 – $3,398.40 | 13 |
| Perc d-e cor stent ather s HCPCS C9602 | $12,224.40 | $20,374.00 | $13,412.28 – $13,412.28 | 1 |
| Perc drug-el cor stent bran HCPCS C9601 | $1,388.40 | $2,314.00 | $624.78 – $2,082.60 | 13 |
| Perc drug-el cor stent sing HCPCS C9600 | $7,905.00 | $13,175.00 | $8,288.44 – $8,288.44 | 1 |
| Perc rf ablate renal tumor CPT 50592 | $64,293.00 | $107,155.00 | $993.28 – $9,968.89 | 11 |
| Percut ablate liver rf CPT 47382 | $9,892.80 | $16,488.00 | $702.83 – $5,951.73 | 12 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $1,066.20 | $1,777.00 | $40.65 – $44.72 | 4 |
| Pericardiocentesis wwo imaging CPT 33016 | $2,461.80 | $4,103.00 | $213.32 – $1,584.69 | 12 |
| Peri-proc device eval pm CPT 93286 | $243.60 | $406.00 | $25.14 – $45.63 | 4 |
| Perq dev breast 1st strtctc CPT 19283 | $1,793.40 | $2,989.00 | $91.72 – $717.75 | 12 |
| Perq plmt bile duct stent CPT 47538 | $20,625.60 | $34,376.00 | $295.36 – $6,322.73 | 12 |
| Perq plmt bile duct stent CPT 47540 | $24,524.40 | $40,874.00 | $476.83 – $7,196.61 | 12 |
| Perq skel fix rad/uln dislc CPT 25671 | $3,519.00 | $5,865.00 | $867.45 – $3,340.82 | 11 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | $4,493.40 | $7,489.00 | $443.77 – $3,340.82 | 11 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $55.20 | $92.00 | $17.02 – $18.21 | 9 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | $324.60 | $541.00 | $62.10 – $66.45 | 9 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $87.00 | $145.00 | $45.31 – $45.31 | 1 |
| Pet CT skull-mid thgh initial CPT 78815 | $6,981.60 | $11,636.00 | $1,404.22 – $1,545.28 | 9 |
| Pet CT whole body initial CPT 78816 | $6,981.60 | $11,636.00 | $1,404.22 – $1,545.28 | 9 |
| Pet image skull-thigh CPT 78812 | $7,438.80 | $12,398.00 | $1,404.22 – $1,545.28 | 9 |
| Pet image w/ct lmtd CPT 78814 | $6,981.60 | $11,636.00 | $1,404.22 – $1,545.28 | 9 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $23,848.80 | $39,748.00 | $19.00 – $85.50 | 14 |
| Ph body fluid CPT 83986 | $39.60 | $66.00 | $2.20 – $3.91 | 12 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $193.20 | $322.00 | $30.17 – $33.18 | 5 |
| Phenobarbital therapeutic drug level CPT 80184 | $163.80 | $273.00 | $15.12 – $20.49 | 12 |
| Phentolaine mesylate inj HCPCS J2760 | $1,124.00 | $1,405.00 | $432.02 – $462.26 | 9 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $0.05 | $0.06 | $0.00 – $0.00 | 5 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $300.00 | $500.00 | $0.45 – $0.50 | 5 |
| Phenytoin total therapeutic drug level CPT 80185 | $114.00 | $190.00 | $13.09 – $16.64 | 12 |
| Phlebotomy therapeutic CPT 99195 | $193.20 | $322.00 | $11.00 – $131.49 | 12 |
| Phosphorus CPT 84100 | $70.80 | $118.00 | $4.69 – $8.38 | 12 |
| Phosphorus 24 hour urine CPT 84105 | $75.00 | $125.00 | $5.71 – $9.15 | 12 |
| Phys blood bank serv reactj CPT 86078 | $398.40 | $664.00 | $45.72 – $174.81 | 12 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $197.40 | $329.00 | $81.42 – $141.01 | 4 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $197.40 | $329.00 | $81.42 – $141.01 | 4 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $197.40 | $329.00 | $32.42 – $141.01 | 4 |
| Physical Therapy Re-Evaluation CPT 97164 | $97.20 | $162.00 | $43.98 – $73.49 | 9 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $111.20 | $139.00 | $2.73 – $3.00 | 5 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | $1,119.00 | $1,865.00 | $335.70 – $359.04 | 7 |
| Pin caspar distraction 12mm HCPCS C1821 | $33,127.20 | $55,212.00 | $1,786.00 – $8,037.00 | 14 |
| Pin finger fracture each CPT 26756 | not published | not published | $156.20 – $3,309.88 | 12 |
| Pinworm examinations HCPCS Q0113 | $48.00 | $80.00 | $4.31 – $9.68 | 9 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $108.60 | $181.00 | $1.07 – $1.18 | 5 |
| Place cecostomy tube perc CPT 49442 | $11,644.80 | $19,408.00 | $993.28 – $1,781.49 | 11 |
| Place gastrostomy tube perc CPT 49440 | $402.60 | $671.00 | $194.19 – $1,935.15 | 12 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $1,141.20 | $1,902.00 | $90.85 – $1,652.83 | 12 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $1,141.20 | $1,902.00 | $43.26 – $248.33 | 9 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $946.80 | $1,578.00 | $77.78 – $717.75 | 12 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $4,370.40 | $7,284.00 | $993.28 – $2,109.25 | 11 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $2,893.80 | $4,823.00 | $993.28 – $993.28 | 1 |
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.