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 |
|---|---|---|---|---|
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $2.40 | $4.00 | $2.26 – $123.21 | 10 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $81.00 | $135.00 | $68.20 – $208.97 | 11 |
| Fluorescent antibody titer dna CPT 86256 | $66.60 | $111.00 | $9.11 – $63.27 | 14 |
| Fluoroestradiol f 18 HCPCS A9591 | $1,491.00 | $2,485.00 | $22.65 – $1,003.55 | 8 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $990.00 | $1,650.00 | $36.93 – $190.12 | 12 |
| Fluoroguide needle placement CPT 77002 | $1,011.60 | $1,686.00 | $46.73 – $268.70 | 12 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $497.40 | $829.00 | $15.06 – $506.41 | 15 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $0.60 | $1.00 | $1.99 – $15.68 | 9 |
| Fmri brain by phys/psych CPT 70555 | $1,741.80 | $2,903.00 | $186.61 – $3,577.17 | 9 |
| Fmri brain by tech CPT 70554 | $1,741.80 | $2,903.00 | $186.61 – $3,246.26 | 12 |
| Fna bx w/ct gdn 1st les CPT 10009 | $2,080.80 | $3,468.00 | $118.15 – $1,079.47 | 12 |
| Fna bx w/ct gdn ea addl CPT 10010 | $314.40 | $524.00 | $69.48 – $346.80 | 9 |
| Fna bx w/mr gdn 1st les CPT 10011 | $1,498.20 | $2,497.00 | $62.01 – $1,079.47 | 11 |
| Fna bx w/mr gdn ea addl CPT 10012 | $296.40 | $494.00 | $62.01 – $191.27 | 8 |
| Folic acid CPT 82746 | $75.00 | $125.00 | $12.00 – $106.38 | 14 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $3.00 | $5.00 | $0.06 – $0.08 | 6 |
| Follow-up angiography CPT 75898 | $3,476.40 | $5,794.00 | $124.61 – $4,829.02 | 12 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $545.60 – $3,579.33 | 12 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $600.00 | $1,000.00 | $6.55 – $19.12 | 8 |
| Fondaparinux sodium HCPCS J1652 | $87.60 | $146.00 | $0.72 – $26.50 | 10 |
| Foot X-ray CPT 73630 | $188.40 | $314.00 | $15.06 – $419.44 | 13 |
| Foot X-ray (2 views, both feet) CPT 73620 | $188.40 | $314.00 | $13.10 – $419.44 | 13 |
| Forearm X-ray (both sides) CPT 73090 | $188.40 | $314.00 | $15.06 – $419.44 | 13 |
| Forensic cytopathology CPT 88125 | $116.40 | $194.00 | $0.50 – $81.97 | 10 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $534.00 | $890.00 | $171.70 – $1,715.11 | 9 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $200.40 | $334.00 | $0.10 – $2.64 | 9 |
| Foscarnet sodium injection HCPCS J1455 | $0.60 | $1.00 | $16.08 – $47.53 | 11 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $12.00 | $20.00 | $2.62 – $33.71 | 6 |
| Fracture assessment via dxa CPT 77086 | $170.40 | $284.00 | $13.74 – $162.98 | 11 |
| _fragile x methylation-sendout CPT 81244 | $162.00 | $270.00 | $46.43 – $222.41 | 14 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | $316.87 – $5,291.55 | 12 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $120.00 | $200.00 | $38.10 – $153.22 | 12 |
| Fructosamine glycated protein CPT 82985 | $85.20 | $142.00 | $13.99 – $104.99 | 14 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $262.80 | $438.00 | $24.45 – $280.66 | 15 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $594.82 – $2,806.48 | 9 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | not published | not published | $59.95 – $2,296.84 | 5 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | not published | not published | $682.16 – $2,806.48 | 9 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $2.40 | $4.00 | $0.02 – $0.02 | 6 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $737.24 – $19,740.78 | 12 |
| Fusion of big toe joint CPT 28750 | not published | not published | $353.69 – $10,960.19 | 12 |
| Fusion of foot bones CPT 28730 | not published | not published | $422.91 – $19,740.78 | 12 |
| Fusion of foot bones CPT 28735 | not published | not published | $491.49 – $19,740.78 | 12 |
| Fusion of foot bones CPT 28740 | not published | not published | $840.28 – $10,960.19 | 9 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $114.60 | $191.00 | $48.53 – $299.38 | 6 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $217.80 | $363.00 | $37.94 – $3,914.19 | 9 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $4.80 | $8.00 | $0.28 – $1.09 | 8 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $2.40 | $4.00 | $1.48 – $7.53 | 9 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $8.40 | $14.00 | $13.47 – $21.91 | 9 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $1,228.80 | $2,048.00 | $169.66 – $1,752.69 | 14 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $1,574.40 | $2,624.00 | $169.66 – $2,433.79 | 14 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $1,016.56 – $8,951.31 | 9 |
| Gallium illuccix 1 millicure HCPCS A9596 | $2,235.60 | $3,726.00 | $348.12 – $6,740.24 | 8 |
| Gamma globulin 1 cc inj HCPCS J1460 | $31.20 | $52.00 | $3.15 – $78.45 | 11 |
| Gammaglobulin iga CPT 82784 | $46.80 | $78.00 | $9.62 – $67.28 | 14 |
| Gammaglobulin ige CPT 82785 | $82.80 | $138.00 | $13.78 – $119.16 | 14 |
| Gamma glutamyltransferase CPT 82977 | $36.60 | $61.00 | $7.45 – $52.07 | 14 |
| Gammaplex injection HCPCS J1557 | $6.00 | $10.00 | $63.68 – $101.89 | 11 |
| Gamunex-c/gammaked HCPCS J1561 | $7.80 | $13.00 | $48.96 – $78.34 | 11 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $3.60 | $6.00 | $35.69 – $63.34 | 9 |
| Gardner vag dna quant CPT 87512 | $232.80 | $388.00 | $33.37 – $308.00 | 11 |
| Gastric motility studies CPT 91020 | $972.00 | $1,620.00 | $113.56 – $814.06 | 12 |
| Gastric mucosa imaging CPT 78261 | $1,228.80 | $2,048.00 | $58.95 – $1,231.70 | 14 |
| Gastroesophageal reflux study CPT 78262 | $1,228.80 | $2,048.00 | $42.58 – $1,218.56 | 14 |
| Gastroesophageal reflux test CPT 91034 | $1,115.40 | $1,859.00 | $109.40 – $814.06 | 12 |
| Gated heart multiple CPT 78473 | $1,228.80 | $2,048.00 | $297.37 – $1,690.52 | 14 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $0.60 | $1.00 | $3.13 – $196.18 | 9 |
| Generator emblem MRI sicd subq HCPCS C1722 | $29,232.00 | $48,720.00 | $3,988.80 – $68,685.90 | 3 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $1.80 | $3.00 | $1.66 – $9.36 | 10 |
| Gentamicin peak therapeutic drug level CPT 80170 | $117.00 | $195.00 | $12.00 – $118.56 | 14 |
| G-esoph reflx tst w/electrod CPT 91035 | $1,109.40 | $1,849.00 | $227.36 – $840.01 | 12 |
| Ghs abscess perianal iandd CPT 46050 | $1,158.00 | $1,930.00 | $96.09 – $1,398.78 | 12 |
| Ghs abscess postoperative iandd complex CPT 10180 | $3,515.40 | $5,859.00 | $195.95 – $4,391.07 | 12 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $34.80 | $58.00 | $9.00 – $55.59 | 14 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $591.60 | $986.00 | $96.83 – $506.66 | 14 |
| Ghs antibodies (torch) igm CPT 86694 | $52.20 | $87.00 | $14.89 – $104.15 | 14 |
| Ghs aspiration bladder - needle CPT 51100 | $446.40 | $744.00 | $38.07 – $373.14 | 12 |
| Ghs bladder cath - complex-foley CPT 51703 | $871.20 | $1,452.00 | $94.75 – $1,016.56 | 12 |
| Ghs central line insert < age 5, failed CPT 36555 | $3,229.80 | $5,383.00 | $149.66 – $4,829.02 | 12 |
| Ghs change cysto/gastrost CPT 43762 | $824.40 | $1,374.00 | $39.50 – $373.14 | 12 |
| Ghs chemo >8 hrs CPT 96416 | $580.80 | $968.00 | $171.65 – $508.90 | 12 |
| Ghs chemo IV push, ea addtl CPT 96411 | $526.20 | $877.00 | $67.17 – $113.17 | 12 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $195.60 | $326.00 | $29.71 – $253.92 | 14 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $366.60 | $611.00 | $46.35 – $368.03 | 12 |
| Ghs closed reduction ankle dislocation CPT 27840 | $819.60 | $1,366.00 | $113.67 – $609.70 | 12 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $2,055.00 | $3,425.00 | $444.23 – $2,455.41 | 9 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $466.80 | $778.00 | $132.08 – $1,016.56 | 12 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $2,055.00 | $3,425.00 | $296.55 – $2,455.41 | 12 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $2,785.80 | $4,643.00 | $309.88 – $2,806.48 | 12 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $831.60 | $1,386.00 | $239.91 – $1,730.34 | 9 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $2,266.80 | $3,778.00 | $444.23 – $2,455.41 | 9 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $2,319.00 | $3,865.00 | $594.82 – $2,455.41 | 9 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $1,961.40 | $3,269.00 | $199.39 – $811.64 | 12 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $370.80 | $618.00 | $49.53 – $368.03 | 12 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $606.00 | $1,010.00 | $106.05 – $1,016.56 | 9 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $279.00 | $465.00 | $45.45 – $1,016.56 | 9 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $606.00 | $1,010.00 | $33.66 – $1,011.32 | 12 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $396.00 | $660.00 | $33.02 – $829.23 | 12 |
| Ghs cricothyroidotomy CPT 31605 | $777.60 | $1,296.00 | $214.24 – $1,016.56 | 12 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $85.20 | $142.00 | $15.73 – $110.04 | 14 |
| Ghs dislocation elbow closed treatment CPT 24600 | $856.20 | $1,427.00 | $130.18 – $603.59 | 12 |
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.