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 |
|---|---|---|---|---|
| Appl mltpln uni ext fixj sys CPT 20692 | $6,347.40 | $10,579.00 | $993.28 – $13,248.33 | 11 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $76.80 | $128.00 | $6.60 – $49.88 | 9 |
| Appl multlay comprs arm/hand CPT 29584 | $508.20 | $847.00 | $15.45 – $162.46 | 11 |
| Appl unipln uni ext fixj sys CPT 20690 | $4,493.40 | $7,489.00 | $750.18 – $7,355.55 | 11 |
| Apply forearm splintdynamic 29126 CPT 29126 | $471.00 | $785.00 | $28.60 – $131.49 | 12 |
| Apply hand/wrist cast 29085 CPT 29085 | $839.40 | $1,399.00 | $30.25 – $993.28 | 12 |
| Apply rigid leg cast 29445 CPT 29445 | $631.20 | $1,052.00 | $111.62 – $428.98 | 12 |
| Apply short leg castambul type 29425 CPT 29425 | $807.60 | $1,346.00 | $57.75 – $993.28 | 12 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | $4.20 | $7.00 | $1.64 – $1.75 | 9 |
| #aptt mix-1:1 incubated CPT 87532 | $466.20 | $777.00 | $27.39 – $38.30 | 12 |
| Aquaporin-4 antibody cba each CPT 86052 | $132.60 | $221.00 | $10.60 – $13.16 | 12 |
| Aquaporin-4 antibody elisa CPT 86051 | $132.60 | $221.00 | $10.14 – $12.59 | 12 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $137.40 | $229.00 | $10.56 – $45.52 | 9 |
| Aquatic exercise - group charge CPT 97150 | $93.00 | $155.00 | $9.06 – $48.77 | 4 |
| Arformoterol non-comp unit HCPCS J7605 | $100.00 | $125.00 | $0.71 – $0.78 | 5 |
| Argatroban nonesrd use 1mg HCPCS J0883 | $41.60 | $52.00 | $0.80 – $0.86 | 9 |
| Arm CT Scan (with contrast, both arms) CPT 73201 | $2,358.60 | $3,931.00 | $105.60 – $774.47 | 11 |
| Arm CT Scan (without contrast, both arms) CPT 73200 | $1,943.40 | $3,239.00 | $101.17 – $667.21 | 11 |
| Arm or Leg Ultrasound (limited, left side) CPT 76882 | $571.80 | $953.00 | $10.05 – $109.49 | 11 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | $367.20 | $459.00 | $8.15 – $8.72 | 9 |
| Arterial blood draw/perc 36620 CPT 36620 | $1,175.40 | $1,959.00 | $52.34 – $993.28 | 9 |
| Artery xray of abdomen 75726-26 CPT 75726 | $2,556.60 | $4,261.00 | $28.80 – $5,514.45 | 12 |
| Artery x-rays adrenal gland CPT 75731 | $2,556.60 | $4,261.00 | $28.80 – $3,210.81 | 12 |
| Artery x-rays adrenals CPT 75733 | $2,190.00 | $3,650.00 | $28.80 – $3,210.81 | 12 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $2,556.60 | $4,261.00 | $28.80 – $3,210.81 | 12 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $2,446.20 | $4,077.00 | $28.80 – $3,210.81 | 12 |
| Artery x-rays lung CPT 75741 | $1,094.40 | $1,824.00 | $28.80 – $3,210.81 | 12 |
| Artery x-rays lung CPT 75746 | $1,885.80 | $3,143.00 | $19.20 – $3,210.81 | 12 |
| Artery x-rays lungs CPT 75743 | $3,831.60 | $6,386.00 | $28.80 – $3,210.81 | 12 |
| Artery xrays of pelvis 75736 26 CPT 75736 | $2,556.60 | $4,261.00 | $28.80 – $5,514.45 | 12 |
| Arthrd ant ntrbdy cervical CPT 22551 | not published | not published | $993.28 – $13,248.33 | 11 |
| Arthrd si jt perq/min nvas CPT 27279 | $2,428.20 | $4,047.00 | $769.03 – $18,935.33 | 11 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $825.60 | $1,376.00 | $23.65 – $1,400.32 | 12 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $943.20 | $1,572.00 | $46.59 – $993.28 | 12 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $1,194.60 | $1,991.00 | $54.80 – $993.28 | 12 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $825.60 | $1,376.00 | $19.80 – $993.28 | 12 |
| Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604 | $922.20 | $1,537.00 | $40.76 – $993.28 | 12 |
| Arthrodes/ant/cerv below c2 ea add 22552 CPT 22552 | not published | not published | $415.65 – $684.24 | 4 |
| Arthrodesis subtalar CPT 28725 | $6,347.40 | $10,579.00 | $803.41 – $13,125.66 | 12 |
| Arthrotomy/elbow/exp/drain/rmv fb 24000 CPT 24000 | $6,347.40 | $10,579.00 | $308.55 – $3,309.88 | 12 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | not published | not published | $695.68 – $2,719.83 | 4 |
| Artiss fibrin sealant HCPCS C9250 | $3,076.20 | $5,127.00 | $141.89 – $153.24 | 8 |
| Ascenda two piece catheter HCPCS C1772 | $25,665.60 | $42,776.00 | $8,555.20 – $38,498.40 | 14 |
| Asp core fat pad CPT 17999 | $174.00 | $290.00 | $140.99 – $204.60 | 8 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $3,936.60 | $6,561.00 | $169.77 – $2,089.72 | 12 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | $616.80 | $1,028.00 | $42.76 – $993.28 | 12 |
| Aspirate pleura without imaging 32554 CPT 32554 | $1,076.40 | $1,794.00 | $595.22 – $993.28 | 11 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $971.40 | $1,619.00 | $65.76 – $993.28 | 12 |
| Aspiration peritonsillar abscess CPT 42999 | $120.00 | $200.00 | $162.28 – $239.10 | 8 |
| Aspir/inj thyroid cyst 60300 CPT 60300 | $971.40 | $1,619.00 | $40.49 – $717.75 | 12 |
| Assay dir meas fr estradiol CPT 82681 | $103.20 | $172.00 | $21.81 – $30.50 | 12 |
| Assay free hydroxyproline CPT 83500 | $216.00 | $360.00 | $22.39 – $35.20 | 12 |
| Assay myeloperoxidase CPT 83876 | $177.00 | $295.00 | $39.71 – $55.53 | 12 |
| Assay neurflmnt light chain CPT 83884 | $259.80 | $433.00 | $116.91 – $389.70 | 13 |
| Assay of feces porphyrins CPT 84126 | $227.40 | $379.00 | $30.54 – $42.69 | 12 |
| Assay of fluoride CPT 82735 | $227.40 | $379.00 | $8.80 – $20.24 | 12 |
| Assay of glutathione CPT 82978 | $77.40 | $129.00 | $7.42 – $16.87 | 12 |
| Assay of interleukin-6 (il-6) CPT 83529 | $259.80 | $433.00 | $13.48 – $18.86 | 12 |
| Assay of lrh hormone CPT 83727 | $247.80 | $413.00 | $16.98 – $30.41 | 12 |
| Assay of procainamide w/metab CPT 80192 | $280.80 | $468.00 | $16.55 – $24.96 | 12 |
| Assay of prostaglandin CPT 84150 | $796.80 | $1,328.00 | $12.10 – $45.60 | 12 |
| Assay of sialic acid CPT 84275 | $188.40 | $314.00 | $13.29 – $17.92 | 12 |
| Assay of somatostatin CPT 84307 | $235.20 | $392.00 | $18.07 – $29.93 | 12 |
| Assay of tyrosine CPT 84510 | $148.20 | $247.00 | $2.20 – $11.60 | 12 |
| Assay of urine sulfate CPT 84392 | $52.20 | $87.00 | $4.29 – $5.99 | 12 |
| Assay toxin or antitoxin CPT 87230 | $154.20 | $257.00 | $19.51 – $28.65 | 12 |
| Assess cyst contrast inject CPT 49424 | $708.00 | $1,180.00 | $34.32 – $993.28 | 9 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $39.00 | $65.00 | $4.22 – $6.11 | 12 |
| Ast/sgot CPT 84450 | $39.60 | $66.00 | $5.12 – $9.13 | 12 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $450.40 | $570.00 | $91.34 – $97.73 | 9 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | $11,535.60 | $19,226.00 | $993.28 – $18,489.15 | 11 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | $11,535.60 | $19,226.00 | $993.28 – $18,489.15 | 11 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $40.20 | $67.00 | $0.10 – $0.11 | 5 |
| Atxn1 gene detc abnor allele CPT 81178 | $874.80 | $1,458.00 | $106.97 – $149.57 | 12 |
| Atxn2 gene detc abnor allele CPT 81179 | $874.80 | $1,458.00 | $106.97 – $149.57 | 12 |
| Augment injectable kit 3.0cc HCPCS C1734 | $7,646.40 | $12,744.00 | $2,548.80 – $11,469.60 | 14 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $17,598.60 | $29,331.00 | $237.06 – $6,334.73 | 4 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $29,186.40 | $48,644.00 | $993.28 – $10,487.57 | 11 |
| Autologous blood op salvage CPT 86891 | $222.60 | $371.00 | $606.30 – $841.13 | 9 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | $172.80 | $288.00 | $100.09 – $107.10 | 9 |
| Avul nail plate addl CPT 11732 | $114.00 | $190.00 | $28.32 – $68.27 | 9 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $471.00 | $785.00 | $28.32 – $993.28 | 12 |
| Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial HCPCS J9038 | $99.60 | $166.00 | $55.65 – $59.55 | 9 |
| Azacitidine injection HCPCS J9025 | $2,860.20 | $4,767.00 | $0.57 – $0.62 | 5 |
| Azathioprine 50 mg tablet HCPCS J7500 | $14.40 | $18.00 | $0.06 – $0.07 | 5 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $186.40 | $233.00 | $2.04 – $2.24 | 5 |
| Azithromycin dihydrate, oral HCPCS Q0144 | $47.80 | $59.75 | $9.60 – $9.60 | 1 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $16.80 | $21.00 | $2.53 – $2.79 | 5 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $1,459.20 | $1,824.00 | $181.22 – $193.91 | 9 |
| Baclofen eval charges CPT 97750 | $103.20 | $172.00 | $18.43 – $75.62 | 9 |
| Bacterial meningitis antigen CPT 86403 | $100.80 | $168.00 | $11.40 – $18.02 | 12 |
| Bacterial vaginosis pcr CPT 87801 | $336.00 | $560.00 | $42.68 – $76.65 | 12 |
| #bac vag cand-c. albicans naa CPT 87481 | $183.00 | $305.00 | $34.68 – $50.91 | 12 |
| Balance and Coordination Retraining (each 15 minutes) CPT 97112 | $130.20 | $217.00 | $18.43 – $49.07 | 9 |
| Barium Enema (Colon X-ray, barium and air) CPT 74280 | $1,107.00 | $1,845.00 | $49.92 – $382.58 | 12 |
| Barium Enema (Colon X-ray, barium only) CPT 74270 | $647.40 | $1,079.00 | $28.80 – $279.56 | 12 |
| Barium Swallow (Esophagus X-ray) CPT 74220 | $713.40 | $1,189.00 | $28.80 – $192.64 | 12 |
| Barrier film 28ml spray no stng cavilon HCPCS A4369 | $18.60 | $31.00 | $2.36 – $5.45 | 4 |
| Barrier skin flextend 2.25in floating flang new image HCPCS A4409 | $3.60 | $6.00 | $6.37 – $13.30 | 4 |
| Bartonella dna pcr-sendout CPT 87471 | $671.40 | $1,119.00 | $34.68 – $50.91 | 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.