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 |
|---|---|---|---|---|
| Protein s total CPT 85305 | $551.40 | $919.00 | $11.47 – $20.51 | 12 |
| Protein total 24 hour urine CPT 84156 | $37.20 | $62.00 | $3.63 – $5.25 | 12 |
| Protein total body fluid CPT 84157 | $82.80 | $138.00 | $3.96 – $5.25 | 12 |
| Protein total serum plasma whole blood CPT 84155 | $86.40 | $144.00 | $3.63 – $5.98 | 12 |
| Prothrombin complex kcentra HCPCS J7168 | $13.80 | $17.25 | $2.14 – $2.31 | 8 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $190.20 | $317.00 | $3.90 – $6.95 | 12 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $993.28 – $3,633.70 | 11 |
| Prq cardiac angio addl art CPT 92921 | $693.60 | $1,156.00 | $148.25 – $148.25 | 1 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $12,955.20 | $21,592.00 | $5,829.84 – $19,432.80 | 13 |
| Prq card stent w/angio addl CPT 92929 | $1,388.40 | $2,314.00 | $164.70 – $164.70 | 1 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $12,224.40 | $20,374.00 | $858.79 – $11,676.82 | 11 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $226.60 – $7,287.44 | 12 |
| Prq skel fix talus fx w/mnpj CPT 28436 | $4,493.40 | $7,489.00 | $907.20 – $7,355.55 | 11 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $7,905.00 | $13,175.00 | $859.73 – $993.28 | 4 |
| Prq trluml c angiop 1art&/br CPT 92920 | $3,954.00 | $6,590.00 | $773.91 – $993.28 | 4 |
| Pr removal drug delivery implant CPT 11982 | $1,602.00 | $2,670.00 | $101.56 – $993.28 | 12 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $247.20 | $412.00 | $33.00 – $622.08 | 12 |
| Pr removal intrauterine device CPT 58301 | $589.80 | $983.00 | $18.98 – $993.28 | 9 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $825.60 | $1,376.00 | $36.30 – $993.28 | 12 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $589.80 | $983.00 | $34.65 – $631.04 | 12 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $589.80 | $983.00 | $52.25 – $993.28 | 12 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $589.80 | $983.00 | $26.95 – $673.28 | 12 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $589.80 | $983.00 | $39.05 – $993.28 | 12 |
| Pr robotic surgical system HCPCS S2900 | not published | not published | not published | 0 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $2,172.00 | $3,620.00 | $269.64 – $1,599.50 | 11 |
| PSA (Prostate) Test CPT 84153 | $198.00 | $330.00 | $18.17 – $31.18 | 12 |
| Psychotherapy group therapy CPT 90853 | $742.80 | $1,238.00 | $38.40 – $95.25 | 10 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $105.60 | $176.00 | $42.90 – $157.78 | 11 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | $203.40 | $339.00 | $21.96 – $131.49 | 12 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $38.40 | $64.00 | $21.44 – $44.47 | 4 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $103.20 | $172.00 | $16.97 – $41.88 | 4 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $101.40 | $169.00 | $13.38 – $32.83 | 4 |
| Pt application of modality traction mechanical CPT 97012 | $103.20 | $172.00 | $16.76 – $46.61 | 4 |
| Pten gene dup/delet variant CPT 81323 | $564.60 | $941.00 | $234.24 – $327.52 | 12 |
| Pten gene full sequence CPT 81321 | $564.60 | $941.00 | $468.48 – $655.05 | 12 |
| Pten gene known fam variant CPT 81322 | $42.00 | $70.00 | $36.39 – $50.88 | 12 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $223.20 | $372.00 | $28.31 – $28.31 | 1 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $114.00 | $190.00 | $9.52 – $9.52 | 1 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $130.20 | $217.00 | $18.43 – $40.58 | 9 |
| Pt wheelchair management each 15 minutes CPT 97542 | $165.60 | $276.00 | $25.14 – $41.88 | 4 |
| Pulse ox continuous overnight monitoring CPT 94762 | $302.40 | $504.00 | $94.09 – $161.10 | 11 |
| Pulse ox multiple CPT 94761 | $388.20 | $647.00 | $4.25 – $48.09 | 9 |
| Pulse ox single CPT 94760 | $62.40 | $104.00 | $2.18 – $22.63 | 9 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $87.60 | $146.00 | $14.30 – $131.49 | 12 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $1,119.00 | $1,865.00 | $26.40 – $993.28 | 12 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,470.60 | $2,451.00 | $46.20 – $706.45 | 12 |
| Pvb thoracic 2nd+ inj site CPT 64462 | $357.60 | $596.00 | $48.60 – $121.99 | 9 |
| Pvb thoracic single inj site CPT 64461 | $660.60 | $1,101.00 | $77.09 – $993.28 | 12 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $18.40 | $23.00 | $6.05 – $6.65 | 5 |
| Pyruvate CPT 84210 | $271.80 | $453.00 | $8.80 – $15.81 | 12 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $3,089.40 | $5,149.00 | $245.43 – $549.10 | 12 |
| Quant diff pulm perf w/imaging CPT 78597 | $1,126.20 | $1,877.00 | $151.94 – $409.92 | 12 |
| Quest t3 uptake CPT 84479 | $295.20 | $492.00 | $6.39 – $11.46 | 12 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $871.20 | $1,089.00 | $11.00 – $299.44 | 9 |
| Radiation physics consult CPT 77336 | $568.80 | $948.00 | $53.90 – $302.15 | 12 |
| Radiation therapy dose plan CPT 77300 | $571.20 | $952.00 | $27.52 – $229.54 | 12 |
| Radiation treatment aid(s) CPT 77332 | $642.60 | $1,071.00 | $41.60 – $218.83 | 12 |
| Radiation treatment aid(s) CPT 77334 | $1,244.40 | $2,074.00 | $70.40 – $514.42 | 12 |
| Radiation treatment delivery CPT 77402 | $698.40 | $1,164.00 | $23.65 – $180.39 | 12 |
| Radiation treatment delivery CPT 77412 | $1,321.20 | $2,202.00 | $48.40 – $268.27 | 12 |
| Radiology port images(s) CPT 77417 | $215.40 | $359.00 | $14.21 – $60.58 | 9 |
| Radiotherapy dose plan imrt CPT 77301 | $6,649.20 | $11,082.00 | $906.02 – $2,897.74 | 12 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $384.60 | $641.00 | $173.91 – $186.00 | 7 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,360.80 | $2,268.00 | $89.60 – $1,331.74 | 12 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $2,386.20 | $3,977.00 | $394.09 – $1,331.74 | 12 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $2,767.80 | $4,613.00 | $284.40 – $1,331.74 | 12 |
| Radphm lcl tumor plr sgl day CPT 78800 | $769.20 | $1,282.00 | $70.40 – $483.91 | 12 |
| Radphm quant measure sgl area add-on CPT 78835 | $2,767.80 | $4,613.00 | $80.00 – $137.49 | 9 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $258.60 | $431.00 | $74.36 – $79.57 | 9 |
| Rapid Strep Test CPT 87880 | $13.20 | $22.00 | $6.93 – $18.05 | 12 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $3,833.40 | $6,389.00 | $377.52 – $403.95 | 9 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $660.00 | $825.00 | $225.11 – $240.87 | 9 |
| Rbc count only automated CPT 85041 | $17.40 | $29.00 | $2.98 – $5.15 | 12 |
| Rbc o2 co2 reduced HCPCS P9027 | $1,273.80 | $2,123.00 | $468.94 – $501.54 | 7 |
| Red blood cells each unit HCPCS P9021 | $759.60 | $1,266.00 | $33.00 – $209.09 | 12 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $1,027.80 | $1,713.00 | $147.74 – $209.09 | 11 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $1,189.20 | $1,982.00 | $202.32 – $263.38 | 8 |
| Reduce testis torsion CPT 54600 | not published | not published | $993.28 – $3,551.23 | 11 |
| Reinforce hip bones CPT 27187 | $10,782.00 | $17,970.00 | $1,080.32 – $3,420.31 | 4 |
| Reinforce thigh CPT 27495 | $12,198.00 | $20,330.00 | $958.72 – $3,760.62 | 4 |
| Relocation skin pocket aicd CPT 33223 | $3,513.00 | $5,855.00 | $993.28 – $1,883.47 | 11 |
| Relocation skin pocket pm CPT 33222 | $3,513.00 | $5,855.00 | $364.32 – $1,866.03 | 12 |
| Rem/biv cast full arm/leg CPT 29705 | $571.80 | $953.00 | $187.33 – $273.46 | 8 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $16.00 | $20.00 | $6.73 – $7.20 | 9 |
| Rem endovas vena cava filter CPT 37193 | $7,915.20 | $13,192.00 | $993.28 – $3,240.82 | 11 |
| Rem interrog dev eval icpms CPT 93297 | $103.20 | $172.00 | $26.42 – $49.43 | 12 |
| Rem interrog dev eval scrms CPT 93298 | $103.20 | $172.00 | $29.26 – $82.57 | 12 |
| Rem interrog evl pm/ids CPT 93296 | $229.80 | $383.00 | $21.99 – $58.39 | 12 |
| Removal biliary drg cath CPT 47537 | $1,703.40 | $2,839.00 | $89.12 – $993.28 | 12 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $2,172.00 | $3,620.00 | $319.83 – $993.28 | 11 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $3,081.00 | $5,135.00 | $202.50 – $1,584.69 | 12 |
| Removal cerclage without anes CPT 59899 | $3,022.20 | $5,037.00 | $139.08 – $207.13 | 8 |
| Removal cerumen impacted (both sides) CPT 69210 | $247.20 | $412.00 | $57.18 – $993.28 | 11 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $589.80 | $983.00 | $29.70 – $46.01 | 6 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | $1,767.60 | $2,946.00 | $33.55 – $994.56 | 12 |
| Removal foreign body foot subcutaneous right CPT 28190 | $1,470.60 | $2,451.00 | $33.55 – $994.56 | 12 |
| Removal implant superficial separate procedure CPT 20670 | $3,355.20 | $5,592.00 | $102.85 – $1,652.83 | 12 |
| Removal mamma implant mat 19330 CPT 19330 | $3,355.20 | $5,592.00 | $993.28 – $3,942.82 | 11 |
| Removal of artery clot 34101 CPT 34101 | not published | not published | $993.28 – $5,565.99 | 11 |
| Removal of foot lesion CPT 28080 | $199.20 | $332.00 | $193.05 – $997.12 | 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.