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 |
|---|---|---|---|---|
| Whole blood for transfusion HCPCS P9010 | $759.60 | $1,266.00 | $33.00 – $323.86 | 12 |
| Whole-Body Bone Scan (Nuclear Medicine) CPT 78306 | $1,474.20 | $2,457.00 | $78.72 – $564.55 | 12 |
| Whole Skeleton X-ray Survey CPT 77075 | $1,675.20 | $2,792.00 | $57.88 – $144.09 | 12 |
| Wound Cleaning and Dead Tissue Removal (up to 20 sq cm) CPT 97597 | $429.00 | $715.00 | $34.69 – $202.70 | 12 |
| Wound pouch each HCPCS A6154 | $18.00 | $30.00 | $33.13 – $36.59 | 3 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $230.40 | $384.00 | $291.29 – $411.37 | 8 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $230.40 | $384.00 | $291.29 – $411.37 | 8 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $230.40 | $384.00 | $31.88 – $204.60 | 8 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $240.60 | $401.00 | $34.56 – $411.37 | 8 |
| Wrist X-ray CPT 73110 | $309.60 | $516.00 | $14.72 – $90.67 | 11 |
| Wrist X-ray (2 views, both wrists) CPT 73100 | $587.40 | $979.00 | $14.72 – $90.67 | 11 |
| X-ray abdomen >=3 views CPT 74021 | $336.00 | $560.00 | $24.54 – $108.48 | 12 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $718.20 | $1,197.00 | $21.12 – $367.72 | 11 |
| X-ray bone length studies CPT 77073 | $483.00 | $805.00 | $26.80 – $108.48 | 12 |
| X-ray bone survey infant CPT 77076 | $697.20 | $1,162.00 | $35.92 – $118.47 | 12 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $718.20 | $1,197.00 | $47.71 – $108.48 | 12 |
| X-ray exam entire spi 6/> vw CPT 72084 | $970.80 | $1,618.00 | $57.57 – $113.27 | 12 |
| X-ray exam of arm infant CPT 73092 | $511.20 | $852.00 | $14.08 – $109.49 | 11 |
| X-ray exam of femur 1 CPT 73551 | $237.60 | $396.00 | $18.41 – $90.67 | 11 |
| X-ray exam of jaw joint CPT 70328 | $665.40 | $1,109.00 | $21.12 – $89.83 | 12 |
| X-ray exam si joints CPT 72200 | $213.00 | $355.00 | $21.12 – $108.48 | 12 |
| X-ray exam thorac spine4/>vw CPT 72074 | $679.20 | $1,132.00 | $27.52 – $125.73 | 12 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $540.00 | $900.00 | $19.16 – $90.67 | 11 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $414.00 | $690.00 | $35.43 – $109.49 | 11 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $786.00 | $1,310.00 | $38.52 – $108.48 | 12 |
| X-ray joint survey 1 view CPT 77077 | $345.00 | $575.00 | $29.85 – $108.48 | 12 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $511.20 | $852.00 | $21.12 – $90.67 | 11 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $417.00 | $695.00 | $26.88 – $123.78 | 12 |
| X-ray mandible ltd <4 views CPT 70100 | $375.60 | $626.00 | $21.12 – $92.64 | 12 |
| X-ray nose to rectum for foreign body child CPT 76010 | $243.00 | $405.00 | $11.14 – $89.83 | 12 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $723.60 | $1,206.00 | $28.80 – $364.31 | 12 |
| X-ray ribs 2 views left CPT 71100 | $304.80 | $508.00 | $21.12 – $93.70 | 12 |
| X-ray sella turcica CPT 70240 | $494.40 | $824.00 | $14.72 – $89.83 | 12 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $1,167.00 | $1,945.00 | $21.12 – $559.33 | 12 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $945.00 | $1,575.00 | $35.20 – $215.97 | 12 |
| X-ray small intestine follow-through study CPT 74248 | $397.20 | $662.00 | $46.07 – $109.17 | 9 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $385.80 | $643.00 | $14.72 – $104.66 | 12 |
| X-ray surgical specimen CPT 76098 | $178.80 | $298.00 | $13.59 – $559.33 | 12 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $396.00 | $660.00 | $24.20 – $89.83 | 12 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $6.60 | $11.00 | $1.51 – $1.66 | 5 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $229.80 | $383.00 | $6.83 – $7.51 | 5 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | $45.60 | $76.00 | $32.14 – $34.39 | 9 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $4,651.80 | $7,753.00 | $5.06 – $5.56 | 5 |
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.