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 |
|---|---|---|---|---|
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $39.40 | $49.25 | $2.02 – $2.23 | 5 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $480.00 | $800.00 | $71.52 – $78.68 | 5 |
| Sodium serum/plasma/whole blood CPT 84295 | $39.60 | $66.00 | $4.76 – $8.32 | 12 |
| Somatropin injection HCPCS J2941 | $1,512.00 | $2,520.00 | $48.92 – $52.83 | 8 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | not published | 0 |
| Special physics consult CPT 77370 | $732.00 | $1,220.00 | $106.15 – $354.58 | 12 |
| Special radiation dosimetry CPT 77331 | $471.00 | $785.00 | $22.35 – $192.51 | 12 |
| Special radiation treatment CPT 77470 | $1,801.80 | $3,003.00 | $27.52 – $1,445.44 | 12 |
| Special teletx port plan CPT 77321 | $975.60 | $1,626.00 | $40.32 – $552.16 | 12 |
| Specific gravity body fluid CPT 84315 | $42.60 | $71.00 | $2.56 – $3.58 | 12 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $310.20 | $517.00 | $190.80 – $289.14 | 4 |
| Speech Therapy Session (one-on-one) CPT 92507 | $180.00 | $300.00 | $23.87 – $87.58 | 9 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $87.05 – $427.32 | 4 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | not published | 0 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,360.20 | $2,267.00 | $80.72 – $993.28 | 12 |
| Spine X-ray (single view, one level) CPT 72020 | $309.60 | $516.00 | $18.51 – $89.83 | 12 |
| Splint finger 4 prong foam sm HCPCS A4570 | $2.40 | $4.00 | $0.81 – $2.70 | 13 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $106.20 | $177.00 | $26.61 – $26.61 | 1 |
| Srs linear based CPT 77372 | $19,502.40 | $32,504.00 | $694.74 – $7,798.27 | 12 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $310.20 | $517.00 | $95.96 – $145.42 | 4 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $15,054.60 | $25,091.00 | $993.28 – $23,544.29 | 11 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $32,602.80 | $54,338.00 | $258.00 – $1,161.00 | 14 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $1,894.80 | $3,158.00 | $22.20 – $99.90 | 14 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $33,391.20 | $55,652.00 | $437.60 – $1,969.20 | 14 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $5,938.80 | $9,898.00 | $1,138.20 – $5,121.90 | 14 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $6,724.80 | $11,208.00 | $993.28 – $11,676.82 | 11 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $7,915.20 | $13,192.00 | $231.04 – $4,184.75 | 4 |
| Sterile needle HCPCS A4215 | $394.20 | $657.00 | $0.23 – $0.23 | 1 |
| Sterile water/saline, 10 ml HCPCS A4216 | $51.20 | $64.00 | $0.46 – $0.46 | 1 |
| Sterile water/saline, 500 ml HCPCS A4217 | $3.60 | $6.00 | $3.20 – $3.20 | 1 |
| St evaluate speech sound production CPT 92522 | $310.20 | $517.00 | $91.99 – $139.41 | 4 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $249.60 | $416.00 | $46.55 – $90.72 | 9 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $1,510.20 | $2,517.00 | $126.72 – $577.40 | 12 |
| Strapping of knee CPT 29530 | $243.60 | $406.00 | $28.05 – $131.49 | 12 |
| Strep a ag ia CPT 87430 | $76.80 | $128.00 | $6.93 – $18.35 | 12 |
| Strep b dna amp probe CPT 87653 | $107.40 | $179.00 | $34.68 – $50.21 | 12 |
| Streptozocin injection HCPCS J9320 | $1,285.80 | $2,143.00 | not published | 0 |
| Stress test pulmonary CPT 94618 | $652.80 | $1,088.00 | $11.08 – $131.49 | 12 |
| Stress tte complete CPT 93351 | $1,989.60 | $3,316.00 | $152.59 – $559.33 | 12 |
| Str markers specimen anal CPT 81265 | $258.60 | $431.00 | $181.98 – $254.46 | 12 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $16.20 | $27.00 | $3.78 – $12.60 | 14 |
| Sugars single quant CPT 84378 | $150.00 | $250.00 | $11.39 – $16.31 | 12 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $0.40 | $0.50 | $0.05 – $0.05 | 5 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $148.00 | $185.00 | $49.95 – $166.50 | 14 |
| Supp non-insulin inf cath/wk HCPCS A4221 | $55.20 | $92.00 | $23.19 – $57.62 | 4 |
| Support clav 29.6-40.5in med HCPCS L3650 | $180.60 | $301.00 | $64.08 – $127.01 | 4 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $562.56 – $1,792.78 | 4 |
| Surgical pathology level 1 gross examination only CPT 88300 | $48.00 | $80.00 | $1.92 – $30.38 | 12 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $189.00 | $315.00 | $6.40 – $77.59 | 12 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $212.40 | $354.00 | $8.32 – $104.67 | 12 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $250.20 | $417.00 | $11.52 – $186.40 | 12 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $408.00 | $680.00 | $14.72 – $366.96 | 12 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $619.20 | $1,032.00 | $22.40 – $833.34 | 12 |
| Surgical trays HCPCS A4550 | $36.60 | $61.00 | $83.84 – $92.62 | 3 |
| Susceptibility agar dilution per agent CPT 87181 | $91.80 | $153.00 | $4.70 – $7.68 | 12 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $16.80 | $28.00 | $4.70 – $6.72 | 12 |
| Susceptibility mic per plate CPT 87186 | $186.00 | $310.00 | $8.55 – $10.24 | 12 |
| Suscept studies macrobroth dilution ea CPT 87188 | $87.00 | $145.00 | $6.56 – $7.68 | 12 |
| Svc venogram s&i CPT 75827 | $1,510.20 | $2,517.00 | $28.80 – $1,584.69 | 12 |
| Swallowing Evaluation (Bedside) CPT 92610 | $249.60 | $416.00 | $42.79 – $83.41 | 9 |
| Swallowing Therapy Session CPT 92526 | $179.40 | $299.00 | $61.11 – $98.94 | 4 |
| Sweat collection by iontophoresis CPT 89230 | $73.80 | $123.00 | $3.28 – $5.08 | 6 |
| Synvisc or synvisc-one HCPCS J7325 | $73.20 | $122.00 | $7.95 – $8.51 | 9 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $76.80 | $128.00 | $4.34 – $7.80 | 12 |
| System pacing micra av HCPCS C1786 | $22,146.00 | $36,910.00 | $0.20 – $0.90 | 14 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $24,240.00 | $40,400.00 | $0.20 – $0.90 | 14 |
| T3 (triiodothyronine) free CPT 84481 | $137.40 | $229.00 | $16.74 – $29.96 | 12 |
| T3 (triiodothyronine) total CPT 84480 | $222.60 | $371.00 | $8.80 – $15.48 | 12 |
| T4 (thyroxine) free CPT 84439 | $103.20 | $172.00 | $8.80 – $10.24 | 12 |
| T4 (thyroxine) total CPT 84436 | $82.80 | $138.00 | $6.79 – $12.16 | 12 |
| Tacrol envarsus ex rel oral HCPCS J7503 | $3.40 | $4.25 | $1.83 – $2.01 | 5 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $27.60 | $34.50 | $0.17 – $0.19 | 5 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $1,588.00 | $1,985.00 | $263.15 – $281.57 | 9 |
| Tacrolimus therapeutic drug level CPT 80197 | $276.00 | $460.00 | $13.56 – $19.92 | 12 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $27.60 | $46.00 | $14.31 – $15.31 | 9 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $387.60 | $646.00 | $21.12 – $89.83 | 12 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | $101.40 | $169.00 | $73.94 – $79.12 | 9 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | $14.80 | $18.50 | $5.00 – $16.65 | 14 |
| Tap block bilat cont infusion 64489 CPT 64489 | $891.60 | $1,486.00 | $91.72 – $309.42 | 4 |
| Target gsa panel hmtlmph neop CPT 81450 | $1,302.00 | $2,170.00 | $668.38 – $829.22 | 12 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $5,526.00 | $9,210.00 | $2,569.25 – $3,187.48 | 12 |
| Target gsa panel organ neop CPT 81445 | $3,073.80 | $5,123.00 | $526.16 – $652.77 | 12 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | $2,801.40 | $4,669.00 | $1,564.64 – $1,674.16 | 9 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $3.60 | $6.00 | $0.28 – $0.30 | 9 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $797.40 | $1,329.00 | $76.76 – $109.17 | 12 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $209.40 | $349.00 | $61.26 – $90.91 | 12 |
| Tc-99m bicisate HCPCS A9557 | $697.80 | $1,163.00 | $690.50 – $738.50 | 7 |
| Tc-99m depreotide HCPCS A9536 | $209.40 | $349.00 | $94.23 – $314.10 | 13 |
| Tc-99m exametazime diag HCPCS A9521 | $717.00 | $1,195.00 | $810.20 – $866.53 | 7 |
| Tc-99m labeled rbc HCPCS A9560 | $147.00 | $245.00 | $66.15 – $220.50 | 13 |
| Tc-99m maa HCPCS A9540 | $133.80 | $223.00 | $60.21 – $200.70 | 13 |
| Tc-99m mebrofenin HCPCS A9537 | $292.20 | $487.00 | $131.49 – $438.30 | 13 |
| Tc-99m mertiatide HCPCS A9562 | $709.20 | $1,182.00 | $319.14 – $1,063.80 | 13 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $15.00 | $25.00 | $10.10 – $10.80 | 7 |
| Tc-99m oxidronate HCPCS A9561 | $44.40 | $74.00 | $19.98 – $66.60 | 13 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $196.20 | $327.00 | $88.29 – $294.30 | 13 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $59.40 | $99.00 | $26.73 – $89.10 | 13 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $126.00 | $210.00 | $56.70 – $189.00 | 13 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $237.60 | $396.00 | $106.92 – $356.40 | 13 |
| Tc-99m sulfur colloid HCPCS A9541 | $158.40 | $264.00 | $71.28 – $237.60 | 13 |
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.