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 |
|---|---|---|---|---|
| T cells absolute cd4/cd8 including ratio CPT 86360 | $112.80 | $188.00 | $46.43 – $82.23 | 12 |
| T cells absolute cd 4 count CPT 86361 | $144.00 | $240.00 | $26.46 – $38.31 | 12 |
| T cells total count CPT 86359 | $112.80 | $188.00 | $37.28 – $64.00 | 12 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | $418.80 | $698.00 | $217.09 – $232.29 | 9 |
| Telethx isodose plan cplx CPT 77307 | $3,457.20 | $5,762.00 | $127.95 – $409.13 | 12 |
| Telethx isodose plan simple CPT 77306 | $2,039.40 | $3,399.00 | $69.75 – $373.43 | 12 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $436.80 | $546.00 | $26.71 – $28.58 | 9 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $27,148.20 | $45,247.00 | $172.22 – $184.28 | 9 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $111.20 | $139.00 | $7.39 – $8.13 | 5 |
| Test stress cardiovascular tracing only CPT 93017 | $1,618.20 | $2,697.00 | $51.15 – $317.66 | 12 |
| Tetanus immune globulin inj HCPCS J1670 | $1,304.80 | $1,631.00 | $593.00 – $634.51 | 9 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $48.80 | $61.00 | $18.01 – $19.27 | 9 |
| Tgsap so/hl 51/< rna alys CPT 81456 | $2,116.80 | $3,528.00 | $2,569.25 – $3,187.48 | 12 |
| Theophylline therapeutic drug level CPT 80198 | $163.80 | $273.00 | $12.10 – $15.44 | 12 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $130.20 | $217.00 | $14.30 – $68.27 | 9 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $130.20 | $217.00 | $9.22 – $51.65 | 9 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $27.00 | $45.00 | $25.40 – $25.40 | 1 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $20.40 | $34.00 | $21.43 – $21.43 | 1 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $42.60 | $53.25 | $1.82 – $2.00 | 5 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $599.40 | $999.00 | $21.82 – $90.67 | 11 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,275.00 | $2,125.00 | $595.22 – $993.28 | 11 |
| Three-Phase Bone Scan (Nuclear Medicine) CPT 78315 | $1,684.80 | $2,808.00 | $152.32 – $713.23 | 12 |
| Thrombectmy crnry perq mechanical CPT 92973 | $730.80 | $1,218.00 | $184.10 – $367.84 | 9 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $3,631.80 | $6,053.00 | $308.07 – $5,816.22 | 12 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $3,903.00 | $6,505.00 | $386.68 – $11,568.70 | 12 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $4,168.80 | $6,948.00 | $451.26 – $18,317.95 | 12 |
| Thrombin time CPT 85670 | $81.00 | $135.00 | $5.70 – $10.23 | 12 |
| Thromboplastin inhibition CPT 85705 | $276.00 | $460.00 | $8.25 – $10.51 | 12 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $105.60 | $176.00 | $6.39 – $9.31 | 12 |
| Thyroglobulin antibody CPT 86800 | $210.00 | $350.00 | $15.73 – $23.62 | 12 |
| Thyroid mets imag whole body CPT 78018 | $3,225.60 | $5,376.00 | $72.32 – $694.02 | 12 |
| Thyroid (TSH) Test CPT 84443 | $226.80 | $378.00 | $16.60 – $29.71 | 12 |
| Thyroid Ultrasound CPT 76536 | $646.20 | $1,077.00 | $65.25 – $234.56 | 12 |
| Thyroxine binding globulin (tbg) CPT 84442 | $208.20 | $347.00 | $11.00 – $16.13 | 12 |
| Tigecycline injection HCPCS J3243 | $19.40 | $24.25 | $0.39 – $0.42 | 5 |
| Tilt table study CPT 93660 | $2,985.00 | $4,975.00 | $137.11 – $546.33 | 8 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | $322.20 | $537.00 | $188.76 – $201.97 | 9 |
| Tissue culture skin/biopsy CPT 88233 | $1,299.00 | $2,165.00 | $139.08 – $241.92 | 12 |
| Tissue exam koh skin/hair/nails CPT 87220 | $70.80 | $118.00 | $4.22 – $4.99 | 12 |
| Tissue transglutaminase iga CPT 86364 | $273.00 | $455.00 | $9.00 – $12.59 | 12 |
| Tixagev and cilgav inj HCPCS M0220 | $1,020.00 | $1,700.00 | $132.44 – $205.19 | 9 |
| Tl-201 thallium diag per mci HCPCS A9505 | $50.40 | $84.00 | $22.68 – $75.60 | 13 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $97.60 | $122.00 | $2.37 – $2.61 | 5 |
| Tobramycin peak therapeutic drug level CPT 80200 | $180.00 | $300.00 | $15.94 – $22.40 | 12 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $9,652.20 | $16,087.00 | $5.71 – $6.11 | 9 |
| Toe X-ray (both feet) CPT 73660 | $364.80 | $608.00 | $11.52 – $90.67 | 11 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $123.00 | $205.00 | $24.64 – $74.15 | 6 |
| Tomosynthesis breast screen bilateral CPT 77063 | $45.00 | $75.00 | $25.66 – $82.41 | 9 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $17.40 | $29.00 | $2.54 – $2.80 | 5 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | $70.20 | $117.00 | $39.41 – $42.17 | 9 |
| Total Knee Replacement CPT 27447 | not published | not published | $993.28 – $13,248.33 | 11 |
| Total tau CPT 84394 | $259.80 | $433.00 | $116.91 – $389.70 | 13 |
| Toxoplasma antibody igg CPT 86777 | $241.20 | $402.00 | $14.22 – $25.38 | 12 |
| Toxoplasma antibody igm CPT 86778 | $241.20 | $402.00 | $14.24 – $25.47 | 12 |
| Tp53 gene trgt sequence alys CPT 81352 | $2,041.20 | $3,402.00 | $257.28 – $359.75 | 12 |
| Tpmt gene com vrnts CPT 81335 | $472.80 | $788.00 | $136.49 – $190.85 | 12 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | $1,769.60 | $2,212.00 | $391.07 – $418.44 | 9 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $121.20 | $202.00 | $23.55 – $36.49 | 6 |
| Transcath biopsy CPT 37200 | $816.60 | $1,361.00 | $125.40 – $5,514.45 | 12 |
| Transcatheter bx s&i CPT 75970 | $2,803.80 | $4,673.00 | $12.80 – $1,297.70 | 9 |
| Transcath rmvl perm ldss pmkr rv CPT 33275 | $2,428.20 | $4,047.00 | $649.67 – $3,240.82 | 11 |
| Transferrin CPT 84466 | $108.00 | $180.00 | $12.62 – $21.76 | 12 |
| Transparent film >16<=48 in HCPCS A6258 | $4.80 | $8.00 | $4.95 – $10.97 | 4 |
| Transparent film <= 16 sq in HCPCS A6257 | $15.00 | $25.00 | $1.77 – $3.90 | 4 |
| Transvaginal Pelvic Ultrasound (not pregnancy) CPT 76830 | $678.60 | $1,131.00 | $59.52 – $265.10 | 12 |
| Transvaginal Pregnancy Ultrasound CPT 76817 | $678.60 | $1,131.00 | $67.88 – $193.87 | 12 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $480.60 | $801.00 | $75.03 – $80.28 | 9 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $448.80 | $748.00 | $47.55 – $50.88 | 9 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | $194.40 | $324.00 | $27.99 – $29.95 | 9 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | $6,448.80 | $10,748.00 | $899.12 – $1,362.40 | 8 |
| Treat ankle dislocation CPT 27842 | $3,135.00 | $5,225.00 | $130.35 – $1,632.61 | 12 |
| Treat ankle dislocation CPT 27848 | $5,152.80 | $8,588.00 | $993.28 – $7,355.55 | 11 |
| Treat ankle fracture CPT 28445 | $5,152.80 | $8,588.00 | $295.90 – $7,287.44 | 12 |
| Treat big toe fracture CPT 28505 | not published | not published | $183.15 – $3,309.88 | 12 |
| Treat ectopic pregnancy CPT 59150 | not published | not published | $993.28 – $6,007.35 | 11 |
| Treat ectopic pregnancy CPT 59151 | not published | not published | $993.28 – $6,007.35 | 11 |
| Treat elbow dislocation CPT 24605 | $3,135.00 | $5,225.00 | $173.25 – $1,632.61 | 12 |
| Treat elbow fracture CPT 24586 | $6,347.40 | $10,579.00 | $715.00 – $13,125.66 | 12 |
| Treat elbow fracture CPT 24620 | $3,135.00 | $5,225.00 | $154.55 – $1,632.61 | 12 |
| Treat elbow fracture CPT 24635 | $5,152.80 | $8,588.00 | $492.80 – $7,287.44 | 12 |
| Treat finger fracture each CPT 26727 | not published | not published | $246.40 – $3,309.88 | 12 |
| Treat finger fracture each CPT 26742 | $3,135.00 | $5,225.00 | $80.85 – $1,632.61 | 12 |
| Treat foot dislocation CPT 28570 | $801.60 | $1,336.00 | $123.20 – $395.35 | 12 |
| Treat foot dislocation CPT 28606 | $4,493.40 | $7,489.00 | $309.10 – $3,309.88 | 12 |
| Treat fracture of radius CPT 25505 | $825.60 | $1,376.00 | $159.50 – $1,632.61 | 12 |
| Treat fracture of ulna CPT 25535 | $499.80 | $833.00 | $176.55 – $993.28 | 12 |
| Treat heel fracture CPT 28415 | $5,152.80 | $8,588.00 | $331.65 – $7,287.44 | 12 |
| Treat hip dislocation CPT 27252 | $4,493.40 | $7,489.00 | $309.65 – $1,632.61 | 12 |
| Treat hip dislocation CPT 27257 | $3,349.80 | $5,583.00 | $260.70 – $1,632.61 | 12 |
| Treat hip dislocation CPT 27254 | $13,761.60 | $22,936.00 | $815.36 – $3,562.48 | 4 |
| Treat hip fracture(s) CPT 27227 | $17,662.20 | $29,437.00 | $993.28 – $4,152.55 | 4 |
| Treat hip fracture(s) CPT 27228 | $20,373.60 | $33,956.00 | $993.28 – $4,442.22 | 4 |
| Treat hip socket fracture CPT 27222 | $7,571.40 | $12,619.00 | $385.28 – $1,926.44 | 4 |
| Treat hip wall fracture CPT 27226 | $10,417.20 | $17,362.00 | $993.28 – $3,487.84 | 4 |
| Treat humerus fracture CPT 24515 | $6,347.40 | $10,579.00 | $431.20 – $13,125.66 | 12 |
| Treat humerus fracture CPT 24516 | $6,347.40 | $10,579.00 | $993.28 – $13,248.33 | 11 |
| Treat humerus fracture CPT 24535 | $3,250.80 | $5,418.00 | $226.60 – $1,632.61 | 12 |
| Treat humerus fracture CPT 24545 | $6,347.40 | $10,579.00 | $465.85 – $13,125.66 | 12 |
| Treat humerus fracture CPT 24546 | $7,589.40 | $12,649.00 | $993.28 – $13,248.33 | 11 |
| Treat kneecap dislocation CPT 27562 | $1,931.40 | $3,219.00 | $147.95 – $1,085.39 | 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.