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 |
|---|---|---|---|---|
| Rp loclzj tum spect w/ct 2 CPT 78832 | $3,139.20 | $5,232.00 | $792.37 – $1,487.93 | 12 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $2,106.00 | $3,510.00 | $71.65 – $1,584.69 | 12 |
| Rpl tun-cvad w subq port CPT 36582 | $5,510.40 | $9,184.00 | $301.63 – $3,210.81 | 12 |
| Rpl tun cvc wo subq port CPT 36581 | $2,739.00 | $4,565.00 | $204.48 – $3,210.81 | 12 |
| Rpm tx mgmt 1st 20 min CPT 99457 | $234.00 | $390.00 | $23.55 – $66.61 | 4 |
| Rpm tx mgmt ea addl 20 min CPT 99458 | $176.40 | $294.00 | $23.55 – $54.65 | 4 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | $1,793.40 | $2,989.00 | $751.37 – $6,007.35 | 11 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | $821.40 | $1,369.00 | $344.03 – $3,633.70 | 11 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | not published | not published | $478.93 – $6,007.35 | 11 |
| Rsv assay w/optic CPT 87807 | $10.80 | $18.00 | $12.94 – $15.76 | 12 |
| Rubella antibody igg CPT 86762 | $130.20 | $217.00 | $14.22 – $25.14 | 12 |
| Rubeola antibody igg CPT 86765 | $219.60 | $366.00 | $12.73 – $15.10 | 12 |
| Russell viper venom diluted CPT 85613 | $424.20 | $707.00 | $9.47 – $14.95 | 12 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $4,810.20 | $8,017.00 | $36.28 – $38.82 | 9 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $397.80 | $663.00 | $21.12 – $108.48 | 12 |
| Salmonella antibody CPT 86768 | $25.20 | $42.00 | $10.30 – $14.39 | 12 |
| Sarscov coronavirus ag ia CPT 87426 | $34.80 | $58.00 | $34.92 – $44.72 | 12 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $1,054.80 | $1,758.00 | $116.01 – $501.92 | 12 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $931.80 | $1,553.00 | $100.61 – $441.50 | 12 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $861.00 | $1,435.00 | $102.37 – $612.38 | 12 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $829.20 | $1,382.00 | $100.61 – $443.38 | 12 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $986.40 | $1,644.00 | $100.61 – $433.68 | 12 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $931.80 | $1,553.00 | $100.61 – $423.60 | 12 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $78.00 | $130.00 | $20.68 – $28.61 | 8 |
| Screen cerv/vag thin layer HCPCS G0123 | $61.20 | $102.00 | $15.82 – $21.88 | 8 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | $142.20 | $237.00 | $20.90 – $30.53 | 9 |
| Screening Mammogram CPT 77067 | $205.20 | $342.00 | $96.03 – $178.43 | 6 |
| Screening prostate cancer PSA HCPCS G0103 | $96.00 | $160.00 | $15.08 – $20.85 | 8 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $9,834.60 | $16,391.00 | $0.40 – $1.80 | 14 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $646.20 | $1,077.00 | $56.32 – $257.08 | 12 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $5,352.00 | $8,920.00 | $259.05 – $3,502.38 | 4 |
| Sedimentation rate erythrocyte automated CPT 85652 | $57.00 | $95.00 | $2.67 – $3.84 | 12 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $103.20 | $172.00 | $25.93 – $49.48 | 4 |
| Semen analysis presence/motility CPT 89321 | $118.20 | $197.00 | $9.41 – $13.16 | 12 |
| Serpina1 gene CPT 81332 | $332.40 | $554.00 | $43.14 – $60.89 | 12 |
| Set radiation therapy field CPT 77280 | $945.00 | $1,575.00 | $46.72 – $459.53 | 12 |
| Set radiation therapy field CPT 77285 | $1,137.60 | $1,896.00 | $65.28 – $723.89 | 12 |
| Set radiation therapy field CPT 77290 | $1,653.00 | $2,755.00 | $92.80 – $897.04 | 12 |
| Sgmdsc w/band ligation CPT 45350 | $3,252.60 | $5,421.00 | $993.28 – $1,214.04 | 8 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $141.00 | $235.00 | $35.20 – $855.04 | 12 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $243.00 | $405.00 | $55.00 – $855.04 | 12 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | $229.20 | $382.00 | $69.30 – $855.04 | 12 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $141.00 | $235.00 | $30.80 – $855.04 | 12 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $120.60 | $201.00 | $45.10 – $855.04 | 12 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $141.00 | $235.00 | $27.50 – $855.04 | 12 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $141.00 | $235.00 | $35.20 – $855.04 | 12 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $120.60 | $201.00 | $41.80 – $855.04 | 12 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $993.28 – $7,355.55 | 11 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $597.85 – $3,309.88 | 12 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $147.00 | $245.00 | $13.97 – $72.60 | 12 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $397.80 | $663.00 | $24.32 – $97.87 | 12 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $993.28 – $7,355.55 | 11 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $304.20 | $507.00 | $21.12 – $109.49 | 11 |
| Shoulder MRI (with and without contrast) CPT 73223 | $4,010.40 | $6,684.00 | $343.82 – $2,200.73 | 11 |
| Shoulder MRI (with contrast) CPT 73222 | $3,051.00 | $5,085.00 | $393.92 – $1,225.96 | 11 |
| Shoulder MRI (without contrast) CPT 73221 | $2,514.00 | $4,190.00 | $232.71 – $1,299.56 | 11 |
| Shoulder X-ray CPT 73030 | $307.20 | $512.00 | $21.12 – $90.67 | 11 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $582.60 | $971.00 | $18.57 – $90.67 | 11 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $382.20 | $637.00 | $36.08 – $149.41 | 12 |
| Sickling rbc CPT 85660 | $81.00 | $135.00 | $3.30 – $6.02 | 12 |
| Sigmoidoscopy and biopsy CPT 45331 | $3,156.60 | $5,261.00 | $70.04 – $930.05 | 12 |
| Sigmoidoscopy for bleeding CPT 45334 | $3,252.60 | $5,421.00 | $123.20 – $1,202.80 | 12 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | $3,156.60 | $5,261.00 | $86.52 – $993.28 | 12 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $3,252.60 | $5,421.00 | $134.15 – $1,202.80 | 12 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | $448.20 | $747.00 | $27.56 – $60.59 | 9 |
| Sig w/tndsc balloon dilation CPT 45340 | $3,097.80 | $5,163.00 | $109.36 – $1,202.80 | 12 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $516.00 | $645.00 | $123.36 – $135.70 | 5 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,712.60 | $4,521.00 | $128.00 – $932.97 | 12 |
| Sinus CT scan (with contrast) CPT 70487 | $2,160.00 | $3,600.00 | $102.40 – $770.75 | 12 |
| Sinus CT scan (without contrast) CPT 70486 | $1,590.60 | $2,651.00 | $99.20 – $651.77 | 12 |
| Sinus/juglr venogram s&i CPT 75860 | $1,438.80 | $2,398.00 | $19.20 – $3,210.81 | 12 |
| Sinus X-ray (complete) CPT 70220 | $448.80 | $748.00 | $28.80 – $119.03 | 12 |
| Sinus X-ray (limited) CPT 70210 | $318.60 | $531.00 | $21.12 – $89.83 | 12 |
| Sirolimus, oral HCPCS J7520 | $180.00 | $225.00 | $0.87 – $0.96 | 5 |
| Skin Biopsy CPT 11102 | $300.00 | $500.00 | $35.45 – $993.28 | 12 |
| Skull X-ray (1 to 3 views) CPT 70250 | $364.20 | $607.00 | $26.88 – $123.13 | 12 |
| Skull X-ray (complete) CPT 70260 | $440.40 | $734.00 | $35.19 – $147.99 | 12 |
| Skyla, 13.5 mg HCPCS J7301 | $532.80 | $888.00 | $944.09 – $944.09 | 1 |
| Sleep Study (Polysomnography) CPT 95810 | $5,466.60 | $9,111.00 | $346.01 – $1,180.94 | 12 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $201.60 | $336.00 | $9.29 – $9.29 | 1 |
| Sling suprapubic suburetheral HCPCS C1771 | $3,847.20 | $6,412.00 | $921.60 – $4,147.20 | 14 |
| Slitting of prepuce CPT 54001 | $4,530.60 | $7,551.00 | $52.80 – $2,089.72 | 12 |
| Slp pure tone screening CPT 92551 | $70.20 | $117.00 | $8.80 – $13.63 | 6 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $669.60 | $1,116.00 | $28.80 – $205.74 | 12 |
| Small bowel endoscopy CPT 44360 | $3,414.00 | $5,690.00 | $149.01 – $1,935.15 | 12 |
| Small bowel endoscopy CPT 44366 | $3,414.00 | $5,690.00 | $228.25 – $1,935.15 | 12 |
| Small bowel endoscopy CPT 44369 | $3,414.00 | $5,690.00 | $228.25 – $1,935.15 | 12 |
| Small bowel endoscopy CPT 44382 | $3,526.20 | $5,877.00 | $76.74 – $956.42 | 12 |
| Small bowel endoscopy/biopsy CPT 44361 | $3,414.00 | $5,690.00 | $164.24 – $1,935.15 | 12 |
| Small bowel endoscopy br/wa CPT 44380 | $3,526.20 | $5,877.00 | $64.44 – $956.42 | 12 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $91.80 | $153.00 | $3.30 – $5.88 | 12 |
| Smear gram stain CPT 87205 | $60.60 | $101.00 | $4.22 – $5.76 | 12 |
| Smear nasal eosinophil CPT 89190 | $101.40 | $169.00 | $5.72 – $8.50 | 12 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $194.40 | $324.00 | $4.95 – $6.55 | 12 |
| Smear wet mount CPT 87210 | $111.60 | $186.00 | $5.75 – $7.45 | 12 |
| Sodium 24 hour urine CPT 84300 | $52.20 | $87.00 | $5.01 – $8.60 | 12 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $26.00 | $38.00 | $1.95 – $2.14 | 5 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $22.20 | $27.75 | $1.26 – $1.39 | 5 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $32.40 | $40.50 | $0.65 – $0.71 | 5 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $26.40 | $44.00 | $0.27 – $0.90 | 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.