UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $148.20 | $247.00 | $17.50 – $134.62 | 14 |
| 17-hydroxypregnenolone CPT 84143 | $49.20 | $82.00 | $23.60 – $165.09 | 14 |
| 17-ketosteroids CPT 83586 | $46.20 | $77.00 | $13.24 – $92.60 | 14 |
| 24 hr ambulatory b/p monitor CPT 93786 | $258.60 | $431.00 | $20.30 – $380.52 | 8 |
| 2nd order venous cath CPT 36012 | $5,530.80 | $9,218.00 | $145.41 – $1,329.69 | 9 |
| 3-d radiotherapy plan CPT 77295 | $5,005.80 | $8,343.00 | $421.11 – $2,876.99 | 14 |
| 3d recon without postprocess indpndt CPT 76376 | $1,242.60 | $2,071.00 | $11.92 – $421.68 | 8 |
| 5' nucleotidase - sendout CPT 83915 | $56.40 | $94.00 | $11.53 – $80.71 | 14 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $86.40 | $144.00 | $12.81 – $88.14 | 12 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $856.80 | $1,428.00 | $31.09 – $70.58 | 11 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $66.60 | $111.00 | $12.42 – $86.85 | 14 |
| Abd aorta w/runoff s&i CPT 75630 | $5,906.40 | $9,844.00 | $203.02 – $4,829.02 | 15 |
| Abd/low ext cath 1st CPT 36245 | $4,321.20 | $7,202.00 | $249.85 – $2,656.30 | 5 |
| Abd/low ext cath 2nd CPT 36246 | $4,321.20 | $7,202.00 | $268.17 – $3,514.34 | 5 |
| Abd/low ext cath 3rd CPT 36247 | $4,321.20 | $7,202.00 | $316.80 – $3,906.62 | 5 |
| Abd/low ext cath addl CPT 36248 | $4,321.20 | $7,202.00 | $51.23 – $166.65 | 9 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $819.60 | $1,366.00 | $156.34 – $569.79 | 12 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $394.20 | $657.00 | $102.97 – $448.01 | 12 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,424.40 | $2,374.00 | $146.06 – $2,074.35 | 16 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,424.40 | $2,374.00 | $117.90 – $1,817.02 | 16 |
| Abdominal CT scan (without contrast) CPT 74150 | $876.00 | $1,460.00 | $101.53 – $1,185.55 | 16 |
| Abdominal MRI (with and without contrast) CPT 74183 | $2,713.80 | $4,523.00 | $357.18 – $3,283.17 | 16 |
| Abdominal MRI (with contrast) CPT 74182 | $2,713.80 | $4,523.00 | $357.18 – $2,598.54 | 16 |
| Abdominal MRI (without contrast) CPT 74181 | $1,656.00 | $2,760.00 | $241.76 – $2,117.95 | 16 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,225.20 | $2,042.00 | $107.10 – $1,438.45 | 12 |
| Abdominal Ultrasound (complete) CPT 76700 | $394.20 | $657.00 | $75.33 – $577.67 | 15 |
| Abdominal Ultrasound (limited) CPT 76705 | $394.20 | $657.00 | $49.12 – $443.52 | 15 |
| Abdominal X-ray (2 views) CPT 74019 | $262.80 | $438.00 | $10.64 – $163.15 | 15 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $262.80 | $438.00 | $31.44 – $193.78 | 15 |
| Abdominal X-ray (single view) CPT 74018 | $188.40 | $314.00 | $8.91 – $135.09 | 15 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $729.49 – $10,005.49 | 9 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,641.00 | $2,735.00 | $69.25 – $1,438.45 | 12 |
| Ablate arrhythmia add on CPT 93655 | $6,913.20 | $11,522.00 | $284.52 – $692.66 | 5 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $18,135.00 | $30,225.00 | $3,601.56 – $10,960.19 | 8 |
| Ablate bone tumor(s) perq CPT 20982 | $12,743.40 | $21,239.00 | $1,016.56 – $22,480.14 | 9 |
| Ablate heart dysrhythm focus CPT 93650 | $8,922.00 | $14,870.00 | $359.83 – $11,641.97 | 9 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $48.26 – $2,272.64 | 12 |
| Ablate pulm tumor perq crybl CPT 32994 | $9,977.40 | $16,629.00 | $3,062.19 – $15,973.31 | 9 |
| Ablate pulm tumor perq rf CPT 32998 | $14,655.00 | $24,425.00 | $1,016.56 – $8,951.31 | 9 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $1,960.80 | $3,268.00 | $34.89 – $496.96 | 8 |
| Ablation cryo abd perit om CPT 49999 | $3,136.80 | $5,228.00 | $15.15 – $1,438.45 | 8 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $14,653.80 | $24,423.00 | $1,016.56 – $15,973.31 | 8 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $15.15 – $670.74 | 8 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $15.15 – $368.03 | 8 |
| Ablation of upper extremity nerves rf CPT 64999 | $961.20 | $1,602.00 | $15.15 – $452.90 | 8 |
| Abortion (mpr) CPT 59866 | $571.80 | $953.00 | $233.31 – $2,124.36 | 9 |
| Abscess drain retroperitoneal surg code CPT 49406 | $3,637.20 | $6,062.00 | $220.51 – $2,485.84 | 12 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $5,737.80 | $9,563.00 | $68.57 – $178.59 | 4 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $3.00 | $5.00 | $0.06 – $0.12 | 9 |
| Acetaminophen level CPT 80143 | $159.60 | $266.00 | $11.35 – $92.35 | 11 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $25.80 | $43.00 | $19.84 – $41.24 | 9 |
| Acetone qualitative CPT 82009 | $17.40 | $29.00 | $4.68 – $32.65 | 14 |
| Acetylcholine receptor modulating antibody CPT 86043 | $93.60 | $156.00 | $3.67 – $59.70 | 13 |
| Acetylcholinesterase assay CPT 82013 | $44.40 | $74.00 | $10.00 – $75.41 | 14 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $12.60 | $21.00 | $0.39 – $3.18 | 9 |
| Acne surgery 10040 CPT 10040 | $265.20 | $442.00 | $15.15 – $304.85 | 11 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $390.00 | $650.00 | $90.75 – $197.71 | 12 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $52.80 | $88.00 | $4.17 – $115.00 | 5 |
| Actigraphy testing CPT 95803 | $245.40 | $409.00 | $45.93 – $287.06 | 8 |
| Actinotherapy uv light CPT 96900 | $194.40 | $324.00 | $11.01 – $84.22 | 9 |
| Acute hepatitis panel CPT 80074 | $310.20 | $517.00 | $12.86 – $344.54 | 14 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $0.60 | $1.00 | $0.04 – $1.14 | 9 |
| #acylcarnitineprfl CPT 82017 | $36.00 | $60.00 | $13.48 – $137.76 | 11 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $6.00 | $10.00 | $0.39 – $1.36 | 9 |
| Adenovirus ag ia CPT 87301 | $24.00 | $40.00 | $9.58 – $95.09 | 11 |
| Adenovirus antibody,serum - quest CPT 86603 | $46.20 | $77.00 | $13.31 – $93.10 | 14 |
| Adhesive, liquid or equal HCPCS A4364 | $11.40 | $19.00 | $2.52 – $16.41 | 5 |
| Adh-sendout CPT 84588 | $123.00 | $205.00 | $35.10 – $245.55 | 14 |
| Adj gastric band via subq port CPT 43999 | not published | not published | $15.15 – $1,438.45 | 8 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $44.40 | $74.00 | $0.23 – $4.27 | 6 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $197.40 | $329.00 | $35.92 – $109.18 | 12 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $197.40 | $329.00 | $71.17 – $134.82 | 12 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $608.40 | $1,014.00 | $158.50 – $508.90 | 12 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $526.20 | $877.00 | $117.09 – $508.90 | 12 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $568.20 | $947.00 | $40.34 – $109.18 | 12 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $285.00 | $475.00 | $63.79 – $109.18 | 12 |
| Administration immunization each additional vaccine CPT 90472 | $67.80 | $113.00 | $0.56 – $13.10 | 4 |
| Administration vaccine hepatitis b HCPCS G0010 | $99.00 | $165.00 | $3.20 – $70.78 | 8 |
| Administration vaccine influenza virus HCPCS G0008 | $12.60 | $21.00 | $5.95 – $70.78 | 11 |
| Administration vaccine pneumococcal HCPCS G0009 | $72.60 | $121.00 | $6.14 – $70.78 | 11 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $3,735.60 | $6,226.00 | $19.01 – $67.46 | 11 |
| Adrenal cortex & medulla img CPT 78075 | $4,242.60 | $7,071.00 | $47.81 – $2,204.84 | 14 |
| Aep neurodiagnostic i&r CPT 92653 | $583.80 | $973.00 | $51.34 – $477.76 | 12 |
| _afb id by dna probe rflx ast CPT 87149 | $112.20 | $187.00 | $7.67 – $145.02 | 14 |
| #afb mycobacteria suscep. #1 CPT 87190 | $41.40 | $69.00 | $7.00 – $40.88 | 14 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $642.60 | $1,071.00 | $9.29 – $818.60 | 14 |
| Air injection into abdomen 49400 CPT 49400 | $1,285.20 | $2,142.00 | $60.96 – $1,016.56 | 9 |
| Albumin body fluid quantitative each specimen CPT 82042 | $40.20 | $67.00 | $2.41 – $12.73 | 11 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $99.00 | $165.00 | $53.08 – $372.75 | 9 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $29.40 | $49.00 | $5.98 – $41.87 | 14 |
| Albumin serum plasma or whole blood CPT 82040 | $25.20 | $42.00 | $3.65 – $35.82 | 14 |
| Albuterol non-comp con HCPCS J7611 | $28.80 | $48.00 | $0.17 – $1.20 | 9 |
| Aldesleukin injection HCPCS J9015 | $3,330.60 | $5,551.00 | $1,059.29 – $8,482.02 | 8 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | $14,398.80 | $23,998.00 | $1,068.62 – $3,887.82 | 11 |
| Alkaline phosphatase CPT 84075 | $25.80 | $43.00 | $5.36 – $37.46 | 14 |
| Allergen alpha lactalbumin ige CPT 86008 | $100.20 | $167.00 | $11.44 – $109.69 | 14 |
| Allergen egg white ige CPT 86003 | $30.00 | $50.00 | $5.40 – $37.75 | 14 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $378.00 | $630.00 | $5.46 – $8.74 | 11 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $326.40 | $544.00 | $24.85 – $465.93 | 14 |
| Alpha-fetoprotein amniotic CPT 82106 | $62.40 | $104.00 | $17.59 – $121.34 | 14 |
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.