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 |
|---|---|---|---|---|
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $250.40 – $7,799.49 | 9 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $903.89 – $7,799.49 | 9 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $862.50 – $5,291.55 | 9 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $2,428.80 | $4,048.00 | $136.53 – $3,142.91 | 12 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $156.84 – $3,142.91 | 12 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $44.44 – $1,315.21 | 9 |
| Cystourethro w/implant CPT 52441 | not published | not published | $184.67 – $1,703.11 | 9 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $731.73 – $5,291.55 | 9 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $0.60 | $1.00 | $0.83 – $21.82 | 9 |
| Cytogenetics 25-99 CPT 88274 | $136.80 | $228.00 | $33.86 – $238.67 | 11 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $81.00 | $135.00 | $14.89 – $104.15 | 14 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $94.20 | $157.00 | $17.42 – $121.88 | 14 |
| Cyto/molecular report CPT 88291 | $57.60 | $96.00 | $8.67 – $138.08 | 8 |
| Cytopath c/v index add-on CPT 88155 | $34.20 | $57.00 | $6.50 – $43.35 | 14 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $116.40 | $194.00 | $53.43 – $228.71 | 14 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $64.20 | $107.00 | $27.52 – $191.25 | 14 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $48.60 | $81.00 | $16.00 – $146.56 | 14 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $78.60 | $131.00 | $5.24 – $202.20 | 14 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $78.60 | $131.00 | $8.52 – $152.65 | 14 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $132.00 | $220.00 | $6.50 – $43.73 | 8 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $337.20 | $562.00 | $16.45 – $262.91 | 11 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $116.40 | $194.00 | $20.63 – $291.48 | 11 |
| Cytopath smear other source CPT 88160 | $54.60 | $91.00 | $3.27 – $122.87 | 14 |
| Cytopath smear oth prep screen & interp CPT 88161 | $54.60 | $91.00 | $9.77 – $134.47 | 14 |
| Cytopath tbs c/v manual CPT 88164 | $36.60 | $61.00 | $7.15 – $76.40 | 14 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $19.20 | $32.00 | $3.45 – $29.35 | 9 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $1,624.80 | $2,708.00 | $20.66 – $525.34 | 11 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $1,067.40 | $1,779.00 | $9.68 – $24.98 | 11 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $267.00 | $445.00 | $0.03 – $24.27 | 10 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $387.60 | $646.00 | $26.68 – $88.91 | 11 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $2,322.00 | $3,870.00 | $2.93 – $446.32 | 12 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $19.80 | $33.00 | $21.70 – $71.88 | 11 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $577.23 – $4,878.16 | 9 |
| Dch pulmonary stress test CPT 94621 | $650.40 | $1,084.00 | $56.72 – $477.76 | 12 |
| Dch validity tests CPT 81002 | $25.20 | $42.00 | $3.57 – $18.53 | 14 |
| Deamidated gliadin antibody iga CPT 86258 | $58.80 | $98.00 | $3.98 – $57.13 | 11 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $1,488.00 | $2,480.00 | $37.21 – $939.15 | 12 |
| Debridement (>20 cm) charge pt CPT 97598 | $483.60 | $806.00 | $14.68 – $113.46 | 9 |
| Debridement bone <= 20 sq cm CPT 11044 | $2,320.80 | $3,868.00 | $41.91 – $2,485.84 | 12 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | not published | not published | $39.86 – $443.35 | 5 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $1,580.40 | $2,634.00 | $41.91 – $793.86 | 12 |
| Debride nail1-5 11720 CPT 11720 | $232.20 | $387.00 | $19.77 – $91.14 | 12 |
| Debride skin bone at fx site CPT 11012 | $3,515.40 | $5,859.00 | $639.89 – $5,710.04 | 9 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $1,965.00 | $3,275.00 | $41.91 – $939.15 | 12 |
| Decalcification CPT 88311 | $124.80 | $208.00 | $8.11 – $147.87 | 12 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $1,026.60 | $1,711.00 | $1.22 – $43.18 | 9 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $740.40 | $1,234.00 | $31.83 – $508.90 | 12 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $349.25 – $4,978.02 | 12 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $370.84 – $2,996.02 | 12 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $353.44 – $2,996.02 | 12 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $20.40 | $34.00 | $9.01 – $15.68 | 9 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $457.20 | $762.00 | $4.45 – $7.12 | 11 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $682.16 – $14,681.22 | 9 |
| Delivery of placenta 59414 CPT 59414 | $3,786.60 | $6,311.00 | $108.48 – $4,878.16 | 12 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | $8,864.40 | $14,774.00 | $362.43 – $943.34 | 4 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $325.80 | $543.00 | $15.01 – $312.05 | 12 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $1,127.40 | $1,879.00 | $16.27 – $1,809.19 | 12 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $734.40 | $1,224.00 | $29.84 – $810.89 | 11 |
| Design mlc device for imrt CPT 77338 | $1,479.60 | $2,466.00 | $286.65 – $1,525.70 | 11 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $49.20 | $82.00 | $3.52 – $18.12 | 12 |
| Desoxycorticosterone CPT 82633 | $67.20 | $112.00 | $32.05 – $224.10 | 14 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | $9,807.60 | $16,346.00 | $1,310.00 – $2,707.79 | 4 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $2,606.40 | $4,344.00 | $539.61 – $3,770.59 | 9 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $2,099.40 | $3,499.00 | $57.65 – $477.77 | 9 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | $1,522.80 | $2,538.00 | $104.64 – $1,808.99 | 12 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $520.80 | $868.00 | $25.40 – $1,209.13 | 12 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $147.96 – $2,806.48 | 12 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $80.64 – $2,806.48 | 12 |
| Destruction 2-14 lesions 17003 CPT 17003 | $72.60 | $121.00 | $1.79 – $23.63 | 9 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $106.05 – $2,806.48 | 12 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $2,224.80 | $3,708.00 | $50.87 – $506.07 | 9 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $2,908.20 | $4,847.00 | $506.07 – $4,602.81 | 9 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $138.95 – $4,207.49 | 12 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $532.80 | $888.00 | $147.82 – $612.98 | 12 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $88.90 – $4,878.16 | 12 |
| Device intraute mirena HCPCS J7298 | $693.60 | $1,156.00 | $526.25 – $1,584.46 | 7 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $188.40 | $314.00 | $23.16 – $135.09 | 15 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | $354.00 | $590.00 | $70.07 – $157.92 | 11 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $0.60 | $1.00 | $0.02 – $0.26 | 10 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $4.20 | $7.00 | $0.09 – $1.51 | 10 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $328.80 | $548.00 | $63.06 – $208.88 | 11 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $113.40 | $189.00 | $21.00 – $160.83 | 14 |
| Diabetes (HbA1c) Test CPT 83036 | $49.20 | $82.00 | $7.00 – $70.21 | 14 |
| Diab manage trn ind/group HCPCS G0109 | $16.80 | $28.00 | $14.07 – $115.00 | 9 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $682.16 – $8,951.31 | 9 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $432.60 | $721.00 | $25.40 – $197.76 | 12 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $432.60 | $721.00 | $75.75 – $300.10 | 9 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $956.40 | $1,594.00 | $87.63 – $1,016.56 | 12 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $310.20 | $517.00 | $59.99 – $742.29 | 11 |
| Diagnostic Mammogram (one breast) CPT 77065 | $243.60 | $406.00 | $47.04 – $580.29 | 11 |
| Diagnostic radio unlisted proc CPT 76499 | $170.40 | $284.00 | $64.74 – $279.67 | 8 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $2,160.60 | $3,601.00 | $184.99 – $2,564.86 | 10 |
| Dialysis one evaluation CPT 90945 | $970.80 | $1,618.00 | $45.85 – $1,128.12 | 9 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $9.60 | $16.00 | $1.61 – $10.61 | 9 |
| Dicyclomine injection HCPCS J0500 | $25.20 | $42.00 | $2.73 – $35.21 | 9 |
| Diffusing capacity CPT 94729 | $970.20 | $1,617.00 | $29.54 – $613.00 | 10 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $85.80 | $143.00 | $2.55 – $13.27 | 9 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $2,869.80 | $4,783.00 | $1,047.64 – $8,269.17 | 11 |
| Digoxin total therapeutic drug level CPT 80162 | $96.00 | $160.00 | $11.00 – $96.07 | 14 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $89.40 | $149.00 | $12.68 – $70.96 | 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.