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 |
|---|---|---|---|---|
| Ultrasound breast complete CPT 76641 | $546.60 | $911.00 | $68.39 – $155.72 | 11 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $479.40 | $799.00 | $52.40 – $128.21 | 11 |
| Ultrasound dx ophth b-scan CPT 76512 | $634.20 | $1,057.00 | $46.75 – $259.99 | 11 |
| Ultrasound encephalogram CPT 76506 | $610.20 | $1,017.00 | $60.80 – $243.81 | 12 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $718.80 | $1,198.00 | $81.27 – $200.46 | 12 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $540.00 | $900.00 | $62.31 – $207.41 | 12 |
| Ultrasound Guidance for a Needle Procedure CPT 76942 | $1,009.80 | $1,683.00 | $55.30 – $261.30 | 9 |
| Ultrasound guidance for vascular access CPT 76937 | $400.20 | $667.00 | $16.15 – $66.96 | 9 |
| Ultrasound guide intraoperative CPT 76998 | $628.80 | $1,048.00 | $282.96 – $943.20 | 13 |
| Ultrasound guide tissue ablation CPT 76940 | $1,161.00 | $1,935.00 | $308.19 – $340.44 | 3 |
| Ultrasound hips infant dynamic CPT 76885 | $1,000.20 | $1,667.00 | $84.77 – $228.73 | 12 |
| Ultrasound joint complete left CPT 76881 | $847.80 | $1,413.00 | $84.71 – $187.85 | 11 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $309.00 | $515.00 | $54.54 – $722.34 | 9 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $309.00 | $515.00 | $28.13 – $147.24 | 9 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $690.60 | $1,151.00 | $50.92 – $204.48 | 12 |
| Ultrasound prostate/transrectal CPT 76872 | $695.40 | $1,159.00 | $69.31 – $261.75 | 12 |
| Ultrasound spinal canal and contents CPT 76800 | $571.80 | $953.00 | $65.25 – $343.22 | 12 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $162.28 – $239.10 | 8 |
| Unlisted CT procedure CPT 76497 | $624.00 | $1,040.00 | $67.84 – $90.67 | 8 |
| Unlisted cv px dx nuc med CPT 78499 | $1,864.20 | $3,107.00 | $303.48 – $413.75 | 8 |
| Unlisted misc path test CPT 89240 | $93.00 | $155.00 | $39.16 – $55.02 | 9 |
| Unlisted procedure colon CPT 45399 | $1,566.60 | $2,611.00 | $648.87 – $938.75 | 8 |
| Unlisted procedure microbiology CPT 87999 | $124.80 | $208.00 | $56.16 – $187.20 | 13 |
| Unlisted procedure rectum CPT 45999 | $3,156.60 | $5,261.00 | $648.87 – $938.75 | 8 |
| Unlisted px casting/strpg CPT 29799 | $126.00 | $210.00 | $113.80 – $162.46 | 8 |
| Unlisted px external ear CPT 69399 | $126.00 | $210.00 | $162.28 – $239.10 | 8 |
| Unlisted px hands/fingers CPT 26989 | not published | not published | $161.64 – $247.00 | 8 |
| Unlisted px leg/ankle CPT 27899 | $114.60 | $191.00 | $161.64 – $247.00 | 8 |
| Unlisted px posterior segmnt CPT 67299 | $3,997.80 | $6,663.00 | $1,686.09 – $2,348.35 | 8 |
| Unlisted px small intestine CPT 44799 | not published | not published | $644.56 – $965.36 | 8 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $1,665.00 | $2,775.00 | $492.31 – $720.47 | 8 |
| Upgrade pm system CPT 33214 | $5,231.40 | $8,719.00 | $993.28 – $10,775.64 | 11 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $567.00 | $945.00 | $14.72 – $90.67 | 11 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | $2,555.40 | $4,259.00 | $112.00 – $900.12 | 12 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $2,074.20 | $3,457.00 | $102.37 – $774.47 | 12 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $4,010.40 | $6,684.00 | $343.82 – $2,913.64 | 12 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $3,051.00 | $5,085.00 | $343.82 – $1,654.96 | 12 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,514.00 | $4,190.00 | $232.71 – $1,505.22 | 12 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $642.00 | $1,070.00 | $25.84 – $108.48 | 12 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $551.40 | $919.00 | $27.52 – $108.48 | 12 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $3,526.20 | $5,877.00 | $137.74 – $956.42 | 12 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $3,526.20 | $5,877.00 | $163.44 – $956.42 | 12 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $580.20 | $967.00 | $51.20 – $276.53 | 12 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $580.20 | $967.00 | $49.92 – $258.68 | 12 |
| Uppr gi scope w/submuc inj CPT 43236 | $3,526.20 | $5,877.00 | $166.71 – $993.28 | 12 |
| Urea nitrogen CPT 84520 | $39.60 | $66.00 | $3.90 – $6.96 | 12 |
| Urea nitrogen 24 hour urine CPT 84540 | $63.00 | $105.00 | $4.34 – $6.07 | 12 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $642.60 | $1,071.00 | $28.80 – $246.58 | 12 |
| Uric acid blood CPT 84550 | $48.60 | $81.00 | $4.47 – $7.99 | 12 |
| Uric acid urine CPT 84560 | $52.20 | $87.00 | $4.95 – $5.76 | 12 |
| Urinalysis (with microscopy) CPT 81001 | $102.60 | $171.00 | $3.13 – $3.84 | 12 |
| Urinalysis (without microscopy) CPT 81003 | $37.80 | $63.00 | $2.22 – $3.97 | 12 |
| Urinary suspensory HCPCS A5105 | $21.00 | $35.00 | $39.49 – $105.01 | 4 |
| Urine Culture Test CPT 87086 | $218.40 | $364.00 | $7.98 – $10.24 | 12 |
| Urine pregnancy test CPT 81025 | $93.00 | $155.00 | $4.40 – $9.40 | 12 |
| Urography, antegrade CPT 74425 | $1,132.80 | $1,888.00 | $28.80 – $364.31 | 12 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $76.00 | $95.00 | $12.99 – $13.90 | 9 |
| Vaccine Administration (one shot) CPT 90471 | $12.00 | $20.00 | $12.80 – $73.28 | 8 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $340.00 | $425.00 | $44.00 – $161.65 | 6 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | $199.20 | $332.00 | $44.00 – $147.06 | 6 |
| Vaccine dtap < 7 years im CPT 90700 | $32.40 | $54.00 | $11.00 – $17.04 | 6 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $37.80 | $63.00 | $11.00 – $17.04 | 6 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $36.60 | $61.00 | $11.00 – $17.04 | 6 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $31.20 | $52.00 | $11.00 – $17.04 | 6 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $31.20 | $52.00 | $11.00 – $17.04 | 6 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $108.00 | $135.00 | $11.00 – $73.79 | 6 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $39.60 | $66.00 | $11.00 – $17.04 | 6 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $86.40 | $108.00 | $11.00 – $158.25 | 9 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $168.80 | $222.00 | $11.00 – $177.56 | 6 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $63.20 | $79.00 | $11.00 – $60.10 | 9 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $186.00 | $310.00 | $11.00 – $17.04 | 6 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | $186.00 | $310.00 | $83.70 – $279.00 | 14 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | $12.00 | $20.00 | $11.00 – $22.07 | 5 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | $13.20 | $22.00 | $11.00 – $17.04 | 6 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $12.00 | $20.00 | $11.00 – $30.11 | 9 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $24.00 | $30.00 | $11.00 – $49.49 | 5 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $109.60 | $137.00 | $11.00 – $17.04 | 6 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $108.80 | $136.00 | $11.00 – $17.04 | 6 |
| Vaccine mmr live subcutaneous CPT 90707 | $90.60 | $151.00 | $11.00 – $17.04 | 6 |
| Vaccine mmrv live subcutaneous CPT 90710 | $136.80 | $228.00 | $11.00 – $17.04 | 6 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $75.00 | $125.00 | $11.00 – $133.47 | 9 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $144.00 | $240.00 | $11.00 – $257.99 | 6 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $192.00 | $240.00 | $11.00 – $312.90 | 6 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $38.40 | $64.00 | $11.00 – $17.04 | 6 |
| Vaccine rabies im CPT 90675 | $800.00 | $1,000.00 | $11.00 – $335.64 | 9 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | $672.00 | $840.00 | $11.00 – $17.04 | 6 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $1,184.80 | $1,481.00 | $11.00 – $17.04 | 6 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $846.00 | $1,410.00 | $11.00 – $17.04 | 6 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | $63.00 | $105.00 | $11.00 – $17.04 | 6 |
| Vaccine tdap >=7 years im CPT 90715 | $42.40 | $53.00 | $11.00 – $39.81 | 6 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $74.40 | $93.00 | $11.00 – $37.37 | 6 |
| Vaccine varicella live subcutaneous CPT 90716 | $748.80 | $936.00 | $11.00 – $17.04 | 6 |
| Vacuum drain bottle/tube kit HCPCS A7048 | $122.40 | $204.00 | $63.12 – $69.73 | 3 |
| Vaginal bx CPT 58999 | $114.60 | $191.00 | $139.08 – $207.13 | 8 |
| Valproic acid total therapeutic drug level CPT 80164 | $181.20 | $302.00 | $13.38 – $23.96 | 12 |
| Valvuloplasty aortic CPT 92986 | $3,814.80 | $6,358.00 | $993.28 – $5,870.58 | 8 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $0.60 | $1.00 | $0.03 – $0.03 | 5 |
| Vancomycin hcl injection HCPCS J3370 | $37.20 | $62.00 | $16.74 – $55.80 | 14 |
| Vancomycin peak therapeutic drug level CPT 80202 | $213.00 | $355.00 | $13.38 – $23.96 | 12 |
| Varicella zoster antibody igg CPT 86787 | $146.40 | $244.00 | $12.73 – $22.80 | 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.