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 |
|---|---|---|---|---|
| Dilate biliary duct/ampulla CPT 47542 | $2,304.60 | $3,841.00 | $124.67 – $695.48 | 9 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $74.93 – $1,438.45 | 12 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | $1,257.00 | $2,095.00 | $133.24 – $286.11 | 3 |
| Dilate ic vasospasm init CPT 61640 | $3,575.40 | $5,959.00 | $379.38 – $813.75 | 3 |
| Dilate urethra stricture CPT 53600 | $534.00 | $890.00 | $25.40 – $1,016.56 | 12 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $55.88 – $1,808.99 | 12 |
| Dilat xst trc ndurlgc px CPT 50436 | $9,487.80 | $15,813.00 | $77.04 – $5,291.55 | 8 |
| Dilat xst trc new access rcs CPT 50437 | $11,311.20 | $18,852.00 | $128.76 – $5,291.55 | 8 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $12.60 | $21.00 | $0.03 – $0.04 | 6 |
| Dimenhydrinate injection HCPCS J1240 | $6.60 | $11.00 | $1.08 – $12.62 | 9 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $7.80 | $13.00 | $40.87 – $1,198.16 | 11 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $0.60 | $1.00 | $0.02 – $0.20 | 5 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $1.80 | $3.00 | $0.76 – $1.98 | 10 |
| Disability dlco CPT 94727 | $886.80 | $1,478.00 | $28.00 – $240.05 | 12 |
| Disaccharidases CPT 82657 | $112.80 | $188.00 | $17.09 – $147.17 | 11 |
| Discography cerv/thor spine CPT 72285 | $4,030.20 | $6,717.00 | $47.16 – $2,996.02 | 15 |
| Dissolve clot heart vessel CPT 92975 | $1,274.40 | $2,124.00 | $239.10 – $1,266.35 | 3 |
| Dna antibody native/double stranded CPT 86225 | $76.80 | $128.00 | $14.21 – $99.39 | 14 |
| Dna gardnerella CPT 87510 | $112.20 | $187.00 | $16.04 – $145.02 | 14 |
| Dna probe chlamydia CPT 87490 | $82.20 | $137.00 | $22.72 – $145.02 | 14 |
| Dna probe gc CPT 87590 | $97.20 | $162.00 | $21.48 – $155.18 | 11 |
| Dna trichomonas CPT 87660 | $112.20 | $187.00 | $20.75 – $145.02 | 14 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $2.40 | $4.00 | $7.08 – $13.89 | 9 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $35.40 | $59.00 | $0.63 – $33.44 | 9 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $1.20 | $2.00 | $0.62 – $1.09 | 9 |
| Doppler echo complete CPT 93320 | $362.40 | $604.00 | $47.46 – $1,907.00 | 10 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $3,046.80 | $5,078.00 | $154.59 – $594.38 | 4 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $1,091.40 | $1,819.00 | $86.61 – $801.00 | 11 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $547.20 | $912.00 | $47.13 – $801.00 | 11 |
| Dornase alfa non-comp unit HCPCS J7639 | $30.60 | $51.00 | $9.17 – $73.43 | 10 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $679.80 | $1,133.00 | $81.70 – $389.94 | 11 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $157.80 | $263.00 | $3.02 – $92.91 | 9 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $255.00 | $425.00 | $108.47 – $332.06 | 11 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $15.60 | $26.00 | $0.11 – $0.13 | 6 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $924.60 | $1,541.00 | $33.66 – $1,079.47 | 12 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $2,184.60 | $3,641.00 | $44.45 – $1,079.47 | 12 |
| Drainage external ear complex 69005 CPT 69005 | $4,498.20 | $7,497.00 | $174.60 – $2,485.84 | 12 |
| Drainage external ear simple 69000 CPT 69000 | $924.60 | $1,541.00 | $54.61 – $1,079.47 | 12 |
| Drainage mouth roof lesion CPT 42000 | $837.00 | $1,395.00 | $25.40 – $1,016.56 | 12 |
| Drainage of arm bursa 23931 CPT 23931 | $2,080.80 | $3,468.00 | $50.16 – $2,485.84 | 12 |
| Drainage of kidney lesion CPT 50390 | $2,461.20 | $4,102.00 | $116.27 – $1,079.47 | 12 |
| Drainage of nose lesion int 30000 CPT 30000 | $649.80 | $1,083.00 | $64.77 – $1,016.56 | 12 |
| Drainage of nose lesion sept 30020 CPT 30020 | $1,624.20 | $2,707.00 | $93.34 – $1,329.69 | 12 |
| Drainage of rectal abscess CPT 45005 | $1,522.80 | $2,538.00 | $119.38 – $1,808.99 | 12 |
| Drainage of urethra abscess 53060 CPT 53060 | $2,685.60 | $4,476.00 | $48.90 – $3,142.91 | 12 |
| Drain blood from under nail 11740 CPT 11740 | $370.80 | $618.00 | $30.48 – $1,016.56 | 12 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $2,253.00 | $3,755.00 | $234.78 – $2,485.84 | 12 |
| Drain cath image guided visceral pq CPT 49405 | $3,637.20 | $6,062.00 | $220.18 – $2,485.84 | 12 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $1,951.80 | $3,253.00 | $46.99 – $1,062.50 | 12 |
| Drain finger abscess;simple 26010 CPT 26010 | $265.20 | $442.00 | $33.66 – $1,016.56 | 12 |
| Drain neck/chest lesion 21501 CPT 21501 | $5,874.00 | $9,790.00 | $112.39 – $4,391.07 | 12 |
| Drain thigh/knee lesion 27301 CPT 27301 | $7,173.60 | $11,956.00 | $112.39 – $4,391.07 | 12 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $528.60 | $881.00 | $75.75 – $304.85 | 12 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $408.60 | $681.00 | $25.40 – $304.85 | 12 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $1,324.20 | $2,207.00 | $146.15 – $612.98 | 12 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $1,723.80 | $2,873.00 | $266.97 – $1,631.74 | 4 |
| Drng hand tendon sheath 26020 CPT 26020 | $4,150.20 | $6,917.00 | $160.66 – $4,978.02 | 12 |
| Drng of eyelid abscess 67700 CPT 67700 | $770.40 | $1,284.00 | $174.91 – $3,905.78 | 9 |
| Drng of finger abscess comp 26011 CPT 26011 | $2,080.80 | $3,468.00 | $101.60 – $2,485.84 | 12 |
| Drng of scrotum abscess 55100 CPT 55100 | $2,080.80 | $3,468.00 | $44.45 – $2,485.84 | 12 |
| Drng salivary gland simple 42300 CPT 42300 | $3,678.60 | $6,131.00 | $64.77 – $2,272.64 | 12 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $2.40 | $4.00 | $3.86 – $12.87 | 9 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $640.80 | $1,068.00 | $3.46 – $395.53 | 3 |
| Drug admin & hemodynmic meas CPT 93463 | $2,304.60 | $3,841.00 | $77.72 – $185.47 | 5 |
| Drug assay caffeine CPT 80155 | $99.00 | $165.00 | $11.60 – $95.62 | 14 |
| Drug assay posaconazole CPT 80187 | $57.00 | $95.00 | $12.36 – $134.32 | 14 |
| Drug assay vedolizumab CPT 80280 | $83.40 | $139.00 | $17.60 – $191.10 | 11 |
| Drug assay voriconazole CPT 80285 | $190.80 | $318.00 | $12.36 – $134.32 | 14 |
| Drug of abuse screen urine CPT 80305 | $32.40 | $54.00 | $8.47 – $74.12 | 14 |
| Drug test def 15-21 classes HCPCS G0482 | $436.80 | $728.00 | $94.57 – $822.61 | 13 |
| Drug test def 1-7 classes HCPCS G0480 | $294.00 | $490.00 | $45.53 – $396.07 | 13 |
| Drug test def 22+ classes HCPCS G0483 | $634.20 | $1,057.00 | $122.58 – $1,066.38 | 13 |
| Drug test def 8-14 classes HCPCS G0481 | $345.00 | $575.00 | $70.05 – $609.37 | 13 |
| Drug test prsmv instrmnt CPT 80306 | $44.40 | $74.00 | $11.29 – $98.84 | 14 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $159.60 | $266.00 | $21.55 – $395.43 | 14 |
| Drvvt confirm - quest CPT 85597 | $91.80 | $153.00 | $18.60 – $130.06 | 14 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $5,661.00 | $9,435.00 | $181.19 – $2,996.02 | 9 |
| Ductogram sgl duct CPT 77053 | $547.80 | $913.00 | $46.61 – $1,224.77 | 13 |
| Duplex scan bilateral study 93985 CPT 93985 | $692.40 | $1,154.00 | $99.22 – $370.86 | 13 |
| Duplex scan unilateral study 93986 CPT 93986 | $375.60 | $626.00 | $62.37 – $165.16 | 13 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $375.60 | $626.00 | $72.57 – $365.94 | 12 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $797.40 | $1,329.00 | $90.34 – $409.55 | 12 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $819.60 | $1,366.00 | $119.19 – $407.58 | 12 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $241.20 | $402.00 | $38.04 – $136.19 | 11 |
| Dxa bone density axl vrt fx CPT 77085 | $239.40 | $399.00 | $21.06 – $444.30 | 12 |
| Dx bronchoscope/brush 31623 CPT 31623 | $2,168.40 | $3,614.00 | $171.64 – $2,645.74 | 12 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $2,168.40 | $3,614.00 | $171.64 – $2,645.74 | 12 |
| Dx bronchoscope/wash 31622 CPT 31622 | $2,168.40 | $3,614.00 | $170.00 – $2,645.74 | 12 |
| Dx gastr intub w/asp spec CPT 43754 | $861.60 | $1,436.00 | $115.67 – $1,016.56 | 8 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $149.86 – $2,645.74 | 12 |
| Ear irrigation 69209 CPT 69209 | $214.80 | $358.00 | $6.83 – $1,016.56 | 9 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $207.60 | $346.00 | $6.43 – $91.14 | 12 |
| Ecg external < 48 hours recording CPT 93225 | $752.40 | $1,254.00 | $23.18 – $197.76 | 12 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $259.20 | $432.00 | $50.50 – $195.77 | 12 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $72.00 | $120.00 | $8.76 – $60.22 | 12 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $72.00 | $120.00 | $8.76 – $60.22 | 12 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,311.20 | $3,852.00 | $128.56 – $841.22 | 12 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $841.20 | $1,402.00 | $28.16 – $370.86 | 12 |
| Echocardiography doppler color flow mapping CPT 93325 | $418.20 | $697.00 | $21.12 – $1,907.00 | 10 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $2,457.00 | $4,095.00 | $352.46 – $2,217.60 | 8 |
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.