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 |
|---|---|---|---|---|
| Cholesterol (Lipid) Test CPT 80061 | $228.00 | $380.00 | $13.24 – $17.92 | 12 |
| Cholinesterase CPT 82480 | $103.20 | $172.00 | $6.60 – $8.59 | 12 |
| Chromatography CPT 83021 | $18.60 | $31.00 | $17.85 – $25.56 | 12 |
| Chromogenic substrate assay CPT 85130 | $158.40 | $264.00 | $9.28 – $12.99 | 12 |
| Chromo high res and frag x - sendout CPT 81243 | $3,704.40 | $6,174.00 | $50.19 – $62.28 | 12 |
| Chromosome analysis 15-20 cell count CPT 88262 | $1,017.00 | $1,695.00 | $124.02 – $220.48 | 12 |
| Chromosome analysis 45 CPT 88263 | $943.80 | $1,573.00 | $148.54 – $265.82 | 12 |
| Chromosome karyotype study CPT 88280 | $140.40 | $234.00 | $33.08 – $44.39 | 12 |
| Chronic urticaria - sendout CPT 86343 | $133.80 | $223.00 | $9.73 – $13.60 | 12 |
| Chylomicron screen, bf - sendout CPT 82664 | $334.80 | $558.00 | $48.03 – $67.14 | 12 |
| Ciliary transsleral therapy CPT 66710 | $4,695.00 | $7,825.00 | $993.28 – $2,402.14 | 11 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $9.00 | $11.25 | $2.90 – $3.19 | 5 |
| Circumcision (newborn) CPT 54150 | $1,425.60 | $2,376.00 | $86.90 – $2,089.72 | 9 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $16.20 | $27.00 | $2.29 – $2.52 | 5 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $3,941.40 | $6,569.00 | $289.97 – $359.75 | 12 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $268.80 | $337.00 | $10.68 – $11.43 | 9 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $4,416.60 | $7,361.00 | $781.38 – $2,604.60 | 13 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $45.80 | $57.25 | $1.83 – $2.01 | 5 |
| Clip ligating vesolock lg HCPCS C1760 | $925.20 | $1,542.00 | $18.09 – $172.60 | 14 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $729.60 | $1,216.00 | $18.17 – $19.98 | 5 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | $3,001.80 | $5,003.00 | $439.68 – $2,193.68 | 4 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | $5,312.40 | $8,854.00 | $230.94 – $1,398.71 | 12 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $3,135.00 | $5,225.00 | $203.50 – $1,632.61 | 12 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $3,355.20 | $5,592.00 | $128.15 – $993.28 | 12 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $825.60 | $1,376.00 | $179.30 – $1,632.61 | 12 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $825.60 | $1,376.00 | $59.95 – $281.43 | 12 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $4,522.80 | $7,538.00 | $260.70 – $1,632.61 | 12 |
| Closed tx sesamoid fx 28530 CPT 28530 | $1,258.80 | $2,098.00 | $114.50 – $247.00 | 11 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $825.60 | $1,376.00 | $122.10 – $513.53 | 12 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $825.60 | $1,376.00 | $34.65 – $631.04 | 12 |
| Clos txnose fx without stablz 21315 CPT 21315 | $825.60 | $1,376.00 | $131.45 – $1,511.08 | 12 |
| Closure paravalvlr leak pq CPT 33999 | $1,123.80 | $1,873.00 | $451.70 – $636.60 | 8 |
| Clot factor fletcher fact CPT 85292 | $260.40 | $434.00 | $18.70 – $33.50 | 12 |
| Clot factor viii reltd antgn CPT 85244 | $288.00 | $480.00 | $20.18 – $36.12 | 12 |
| Clot factor xii hageman CPT 85280 | $163.20 | $272.00 | $14.30 – $21.13 | 12 |
| Clot factor xiii fibrin stab CPT 85290 | $106.20 | $177.00 | $8.80 – $17.83 | 9 |
| Clozapine, 25 mg HCPCS S0136 | $8.40 | $10.50 | $1.75 – $5.85 | 14 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $825.60 | $1,376.00 | $108.90 – $993.28 | 12 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $3,355.20 | $5,592.00 | $230.94 – $993.28 | 11 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $825.60 | $1,376.00 | $53.35 – $461.57 | 12 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $3,355.20 | $5,592.00 | $103.95 – $1,632.61 | 12 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $3,355.20 | $5,592.00 | $77.55 – $993.28 | 12 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $825.60 | $1,376.00 | $52.80 – $269.83 | 12 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $718.20 | $1,197.00 | $174.90 – $993.28 | 12 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $3,355.20 | $5,592.00 | $230.94 – $993.28 | 11 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $825.60 | $1,376.00 | $58.30 – $993.28 | 12 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $2,926.80 | $4,878.00 | $434.50 – $2,446.01 | 12 |
| Clsd tx fracture of radius 25500 CPT 25500 | $825.60 | $1,376.00 | $86.35 – $993.28 | 12 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $825.60 | $1,376.00 | $60.50 – $244.71 | 12 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $825.60 | $1,376.00 | $73.15 – $993.28 | 12 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $825.60 | $1,376.00 | $125.95 – $993.28 | 12 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $825.60 | $1,376.00 | $182.60 – $1,632.61 | 12 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $1,427.40 | $2,379.00 | $125.95 – $993.28 | 12 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $825.60 | $1,376.00 | $220.55 – $1,632.61 | 12 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $3,355.20 | $5,592.00 | $172.70 – $993.28 | 12 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $718.20 | $1,197.00 | $230.94 – $1,223.28 | 12 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $3,355.20 | $5,592.00 | $135.85 – $993.28 | 12 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $3,355.20 | $5,592.00 | $123.20 – $993.28 | 12 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $3,349.80 | $5,583.00 | $255.68 – $993.28 | 11 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $825.60 | $1,376.00 | $76.45 – $993.28 | 12 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $825.60 | $1,376.00 | $116.60 – $993.28 | 12 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | $4,493.40 | $7,489.00 | $176.00 – $3,309.88 | 12 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $534.60 | $891.00 | $129.80 – $993.28 | 12 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $825.60 | $1,376.00 | $92.95 – $993.28 | 12 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $4,530.60 | $7,551.00 | $159.50 – $1,632.61 | 12 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $825.60 | $1,376.00 | $112.20 – $621.97 | 12 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $3,355.20 | $5,592.00 | $144.10 – $741.86 | 12 |
| Clsd tx pelvic ring fx CPT 27197 | $465.00 | $775.00 | $102.45 – $993.28 | 12 |
| Clsd tx pelvic ring fx CPT 27198 | $1,195.80 | $1,993.00 | $230.94 – $993.28 | 11 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $825.60 | $1,376.00 | $216.70 – $1,632.61 | 12 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $825.60 | $1,376.00 | $61.60 – $993.28 | 12 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $825.60 | $1,376.00 | $113.30 – $993.28 | 12 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $3,365.40 | $5,609.00 | $130.35 – $1,632.61 | 12 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $3,435.60 | $5,726.00 | $80.30 – $434.76 | 12 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $3,135.00 | $5,225.00 | $172.70 – $1,632.61 | 12 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $4,493.40 | $7,489.00 | $165.55 – $1,632.61 | 12 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $3,135.00 | $5,225.00 | $152.90 – $1,632.61 | 12 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $825.60 | $1,376.00 | $31.88 – $728.32 | 12 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $613.80 | $1,023.00 | $53.35 – $244.71 | 12 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $825.60 | $1,376.00 | $230.94 – $993.28 | 11 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $718.20 | $1,197.00 | $262.90 – $1,632.61 | 12 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $825.60 | $1,376.00 | $118.80 – $993.28 | 12 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | $3,355.20 | $5,592.00 | $216.70 – $1,117.15 | 12 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $825.60 | $1,376.00 | $230.94 – $993.28 | 11 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $825.60 | $1,376.00 | $134.20 – $993.28 | 12 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $801.60 | $1,336.00 | $160.60 – $993.28 | 12 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $825.60 | $1,376.00 | $110.00 – $993.28 | 12 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $4,493.40 | $7,489.00 | $170.50 – $993.28 | 9 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $729.60 | $1,216.00 | $172.70 – $1,632.61 | 12 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $3,355.20 | $5,592.00 | $122.10 – $993.28 | 12 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | $3,355.20 | $5,592.00 | $122.10 – $588.41 | 12 |
| Cltx post ankle fx CPT 27767 | $2,523.60 | $4,206.00 | $226.89 – $395.19 | 11 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $3,435.60 | $5,726.00 | $123.20 – $1,632.61 | 12 |
| Cltx thigh fx w/mnpj CPT 27268 | $5,389.80 | $8,983.00 | $461.63 – $807.86 | 4 |
| C motor evoked lwr limbs CPT 95929 | $486.60 | $811.00 | $91.93 – $541.27 | 12 |
| C motor evoked uppr limbs CPT 95928 | $429.00 | $715.00 | $85.12 – $1,037.86 | 12 |
| C motor evoked upr&lwr limbs CPT 95939 | $2,816.40 | $4,694.00 | $325.84 – $1,037.86 | 12 |
| #cmvcul-virus inoculation shell CPT 87254 | $8.40 | $14.00 | $5.95 – $21.36 | 12 |
| Cmv pcr-sendout CPT 87496 | $860.40 | $1,434.00 | $34.68 – $50.91 | 12 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $9.00 | $11.25 | $2.65 – $2.85 | 9 |
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.