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 |
|---|---|---|---|---|
| Creatine - sendout CPT 82540 | $45.60 | $76.00 | $3.62 – $5.06 | 12 |
| Creatinine CPT 82565 | $39.60 | $66.00 | $5.07 – $8.20 | 12 |
| Creatinine 24 hour urine CPT 82570 | $75.00 | $125.00 | $5.12 – $9.15 | 12 |
| Creatinine clearance urine CPT 82575 | $146.40 | $244.00 | $9.35 – $12.80 | 12 |
| #creutz-prot.,western blot CPT 84182 | $146.40 | $244.00 | $27.00 – $31.89 | 12 |
| Critical care each additional 30 minutes CPT 99292 | $504.00 | $840.00 | $81.84 – $212.15 | 9 |
| Critical Care (first 30 to 74 minutes) CPT 99291 | $1,796.40 | $2,994.00 | $166.79 – $859.56 | 12 |
| Crotalidae poly immune fab HCPCS J0840 | $6,069.00 | $10,115.00 | $1,828.71 – $1,956.73 | 9 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $55.80 | $93.00 | $5.50 – $15.44 | 12 |
| Cryoprecipitate each unit HCPCS P9012 | $235.20 | $392.00 | $58.09 – $71.00 | 11 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | $118.80 | $198.00 | $30.80 – $993.28 | 12 |
| Cryptococcus abs qn - sendout CPT 86641 | $216.00 | $360.00 | $14.24 – $25.50 | 12 |
| Cryptosporidium antigen CPT 87272 | $162.60 | $271.00 | $9.36 – $13.08 | 12 |
| Crystal identification light microscopy CPT 89060 | $93.00 | $155.00 | $7.24 – $9.60 | 12 |
| C-section delivery incl p/p care 59515 CPT 59515 | $1,012.80 | $1,688.00 | $2,624.00 – $3,380.56 | 4 |
| CT 3d report other modality w/workstation CPT 76377 | $697.20 | $1,162.00 | $30.43 – $312.03 | 4 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $3,098.40 | $5,164.00 | $171.38 – $752.25 | 11 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $7,318.20 | $12,197.00 | $343.82 – $848.48 | 12 |
| CT Angiogram of the Abdomen CPT 74175 | $3,739.20 | $6,232.00 | $171.38 – $836.99 | 12 |
| CT Angiogram of the Abdomen and Both Legs CPT 75635 | $4,764.00 | $7,940.00 | $171.38 – $918.08 | 12 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $3,384.00 | $5,640.00 | $171.38 – $865.01 | 12 |
| CT Angiogram of the Head CPT 70496 | $4,092.00 | $6,820.00 | $171.38 – $798.11 | 12 |
| CT Angiogram of the Neck CPT 70498 | $2,598.60 | $4,331.00 | $171.38 – $798.11 | 12 |
| CT angio hrt w/3d image CPT 75574 | $2,133.00 | $3,555.00 | $265.05 – $621.21 | 12 |
| CT angio pelvis CPT 72191 | $2,494.20 | $4,157.00 | $171.38 – $836.99 | 12 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $3,739.20 | $6,232.00 | $171.38 – $752.25 | 11 |
| CT guidance for needle placement CPT 77012 | $2,904.60 | $4,841.00 | $130.88 – $517.78 | 9 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $2,921.40 | $4,869.00 | $12.80 – $428.91 | 9 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | not published | $161.64 – $247.00 | 8 |
| CT guid parench tis ablat CPT 77013 | $3,177.00 | $5,295.00 | $1,429.65 – $4,765.50 | 13 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $120.00 | $200.00 | $44.52 – $118.67 | 12 |
| CT hrt w/3d image CPT 75572 | $3,384.00 | $5,640.00 | $216.36 – $424.83 | 12 |
| CT limited or localized follow-up study CPT 76380 | $541.20 | $902.00 | $67.84 – $504.04 | 11 |
| CT lwr extremity w/o&w/dye CPT 73702 | $2,819.40 | $4,699.00 | $118.40 – $936.70 | 11 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $3,691.20 | $6,152.00 | $87.45 – $993.28 | 12 |
| CT scan for therapy guide CPT 77014 | $592.80 | $988.00 | $86.87 – $274.14 | 9 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $5,723.40 | $9,539.00 | $326.02 – $701.07 | 12 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $4,453.20 | $7,422.00 | $246.69 – $554.49 | 12 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $3,320.40 | $5,534.00 | $129.37 – $354.60 | 12 |
| CT t-spine w /wo contrast CPT 72130 | $2,602.20 | $4,337.00 | $171.38 – $1,088.26 | 12 |
| CT uppr extremity w/o&w/dye CPT 73202 | $3,574.80 | $5,958.00 | $118.40 – $936.70 | 11 |
| Culture aerobic additional method definitive id each CPT 87077 | $67.80 | $113.00 | $7.81 – $9.09 | 12 |
| Culture afb any source CPT 87116 | $76.80 | $128.00 | $8.25 – $11.79 | 12 |
| Culture anaerobic additional method definitive id each CPT 87076 | $127.80 | $213.00 | $7.99 – $11.20 | 12 |
| Culture anaerobic except blood CPT 87075 | $147.00 | $245.00 | $9.36 – $12.80 | 12 |
| Culture bact stool aero addl path ea CPT 87046 | $86.40 | $144.00 | $2.87 – $10.31 | 12 |
| Culture body fluid CPT 87070 | $232.20 | $387.00 | $7.59 – $9.41 | 12 |
| Culture fungi definitive id mold CPT 87107 | $137.40 | $229.00 | $10.20 – $14.62 | 12 |
| Culture fungi definitive id yeast CPT 87106 | $75.00 | $125.00 | $10.20 – $12.42 | 12 |
| Culture fungi other (except blood) CPT 87102 | $170.40 | $284.00 | $8.31 – $12.42 | 12 |
| Culture fungi skin/hair/nail CPT 87101 | $70.80 | $118.00 | $7.62 – $12.42 | 12 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $154.20 | $257.00 | $14.44 – $19.35 | 12 |
| Culture mycoplasma any source CPT 87109 | $289.80 | $483.00 | $15.21 – $20.48 | 12 |
| Culture screening strep group a CPT 87081 | $75.00 | $125.00 | $5.72 – $7.24 | 12 |
| Culture typing immunologic CPT 87147 | $14.40 | $24.00 | $3.30 – $5.65 | 12 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $481.20 | $802.00 | $34.68 – $51.48 | 12 |
| Cutter lead HCPCS C1773 | $3,079.80 | $5,133.00 | $31.86 – $228.20 | 14 |
| Cv line/pic reposition CPT 36597 | $2,403.00 | $4,005.00 | $63.95 – $1,584.69 | 12 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $108.60 | $181.00 | $14.16 – $25.61 | 12 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $54.00 | $67.50 | $1.00 – $1.11 | 5 |
| Cyclic citrullinated peptide antibody CPT 86200 | $251.40 | $419.00 | $12.80 – $18.52 | 12 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $13.20 | $22.00 | $0.48 – $0.51 | 9 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $29.00 | $36.25 | $72.58 – $79.84 | 5 |
| Cyclosporine 2 hour CPT 80158 | $448.80 | $748.00 | $17.84 – $21.88 | 12 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $8.80 | $11.00 | $0.80 – $0.88 | 5 |
| Cyclosporine oral 100 mg HCPCS J7502 | $34.00 | $42.50 | $2.04 – $2.24 | 5 |
| Cyp2c19 gene com variants CPT 81225 | $916.20 | $1,527.00 | $227.49 – $318.10 | 12 |
| Cyp2c9 gene com variants CPT 81227 | $1,852.80 | $3,088.00 | $136.49 – $190.85 | 12 |
| Cyp2d6 gene com variants CPT 81226 | $258.60 | $431.00 | $352.08 – $492.28 | 12 |
| Cystatin c CPT 82610 | $275.40 | $459.00 | $16.72 – $20.23 | 12 |
| Cystic fibrosis cftr CPT 81223 | $3,831.00 | $6,385.00 | $439.12 – $544.79 | 12 |
| Cystine urine quantitative CPT 82131 | $116.40 | $194.00 | $22.71 – $29.68 | 12 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $795.00 | $1,325.00 | $27.52 – $364.31 | 12 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $199.65 – $3,518.35 | 12 |
| Cystoscopy and treatment CPT 52310 | $4,493.40 | $7,489.00 | $141.90 – $2,089.72 | 12 |
| Cystoscopy (Bladder Scope) CPT 52000 | $1,287.60 | $2,146.00 | $82.50 – $744.96 | 12 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $888.36 – $3,551.23 | 11 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $127.60 – $2,089.72 | 12 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $6,497.40 | $10,829.00 | $289.60 – $2,089.72 | 12 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $667.07 – $3,551.23 | 11 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $838.81 – $3,551.23 | 11 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $585.08 – $5,234.35 | 11 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $954.79 – $5,234.35 | 11 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $824.16 – $3,551.23 | 11 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $4,732.80 | $7,888.00 | $118.25 – $2,089.72 | 12 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $135.85 – $2,089.72 | 12 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $28.80 | $48.00 | $0.83 – $0.91 | 5 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $146.40 | $244.00 | $14.22 – $25.38 | 12 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $146.40 | $244.00 | $16.65 – $29.80 | 12 |
| Cyto/molecular report CPT 88291 | $269.40 | $449.00 | $12.37 – $25.40 | 4 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $142.20 | $237.00 | $50.94 – $241.41 | 12 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $78.00 | $130.00 | $26.30 – $37.82 | 12 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $61.20 | $102.00 | $17.60 – $22.12 | 12 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $51.00 | $85.00 | $5.12 – $89.22 | 12 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $232.20 | $387.00 | $8.32 – $99.99 | 12 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $70.80 | $118.00 | $84.46 – $176.44 | 12 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $372.60 | $621.00 | $39.16 – $161.73 | 12 |
| Cytopath smear other source CPT 88160 | $54.60 | $91.00 | $3.20 – $85.65 | 12 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $51.20 | $64.00 | $3.45 – $3.79 | 5 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $7,113.00 | $11,855.00 | $15.61 – $16.70 | 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.