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 |
|---|---|---|---|---|
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $2,660.40 | $4,434.00 | $98.58 – $1,438.45 | 12 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $370.80 | $618.00 | $75.75 – $407.46 | 8 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $2,461.20 | $4,102.00 | $117.06 – $1,062.50 | 12 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | $1,341.60 | $2,236.00 | $59.69 – $875.08 | 12 |
| Ghs excision ingrown nail CPT 11765 | $484.80 | $808.00 | $63.50 – $612.98 | 12 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $1,359.60 | $2,266.00 | $175.78 – $1,065.06 | 9 |
| Ghs fb removal foot - deep - left CPT 28192 | $2,925.00 | $4,875.00 | $82.55 – $2,485.84 | 12 |
| Ghs fb removal from muscle - complicated CPT 20525 | $3,737.40 | $6,229.00 | $152.40 – $4,391.07 | 12 |
| Ghs fb removal - incisional CPT 10121 | $2,674.80 | $4,458.00 | $82.55 – $2,485.84 | 12 |
| Ghs fb removal - non-incisional CPT 20520 | $2,080.80 | $3,468.00 | $79.38 – $2,485.84 | 12 |
| Ghs fish cytogen CPT 88271 | $153.00 | $255.00 | $17.12 – $97.22 | 12 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $366.60 | $611.00 | $40.91 – $309.40 | 12 |
| Ghs flow volume loop CPT 94375 | $129.00 | $215.00 | $23.63 – $477.76 | 12 |
| Ghs gastric intub aspiration lavage CPT 43753 | $403.20 | $672.00 | $20.97 – $1,016.56 | 12 |
| Ghs hcv amplificaiton CPT 87521 | $195.60 | $326.00 | $36.29 – $253.92 | 14 |
| Ghs histoplasma antigen CPT 87385 | $74.40 | $124.00 | $10.58 – $95.87 | 11 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $5,452.20 | $9,087.00 | $48.90 – $3,142.91 | 12 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $3,564.60 | $5,941.00 | $137.79 – $1,808.99 | 12 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $1,341.60 | $2,236.00 | $142.88 – $1,079.47 | 12 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $924.60 | $1,541.00 | $45.72 – $1,079.47 | 12 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $520.80 | $868.00 | $52.07 – $1,016.56 | 12 |
| Ghs inf midline insertion CPT 36140 | $4,321.20 | $7,202.00 | $94.94 – $1,016.56 | 9 |
| Ghs inhibitor screen CPT 85335 | $65.40 | $109.00 | $7.55 – $41.72 | 14 |
| Ghs init tx 1st degree burn CPT 16000 | $378.60 | $631.00 | $22.86 – $304.85 | 12 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $1,231.20 | $2,052.00 | $93.34 – $1,365.92 | 12 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $1,362.60 | $2,271.00 | $52.64 – $477.77 | 9 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $2,647.20 | $4,412.00 | $136.87 – $1,365.92 | 12 |
| Ghs insertion of needle - bone CPT 36680 | $550.80 | $918.00 | $62.87 – $612.22 | 12 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $1,212.00 | $2,020.00 | $116.84 – $1,016.56 | 12 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $2,075.40 | $3,459.00 | $116.84 – $1,016.56 | 12 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $3,189.00 | $5,315.00 | $116.84 – $2,806.48 | 12 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $2,304.60 | $3,841.00 | $9.52 – $1,016.56 | 9 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $745.80 | $1,243.00 | $243.24 – $1,731.69 | 9 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $108.00 | $180.00 | $17.97 – $70.78 | 11 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | $309.60 | $516.00 | $354.47 – $681.75 | 8 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $309.60 | $516.00 | $226.04 – $524.38 | 8 |
| Ghs IV infusion sotrovimab HCPCS M0247 | $1,135.20 | $1,892.00 | $457.20 – $681.75 | 8 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $1,295.40 | $2,159.00 | $265.80 – $672.25 | 9 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $724.20 | $1,207.00 | $40.01 – $645.83 | 12 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $520.80 | $868.00 | $31.11 – $689.06 | 12 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $520.80 | $868.00 | $31.11 – $689.06 | 12 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $520.80 | $868.00 | $40.01 – $645.83 | 12 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $520.80 | $868.00 | $60.33 – $1,016.56 | 12 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $819.00 | $1,365.00 | $45.09 – $1,016.56 | 12 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $819.00 | $1,365.00 | $60.33 – $1,016.56 | 12 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $1,212.00 | $2,020.00 | $59.05 – $1,016.56 | 12 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $1,212.00 | $2,020.00 | $61.59 – $966.78 | 12 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $1,200.60 | $2,001.00 | $78.11 – $719.19 | 12 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $993.00 | $1,655.00 | $116.84 – $1,016.56 | 12 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $993.00 | $1,655.00 | $116.84 – $1,016.56 | 12 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $1,927.80 | $3,213.00 | $116.84 – $1,016.56 | 12 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $1,272.60 | $2,121.00 | $116.84 – $1,016.56 | 12 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $2,925.00 | $4,875.00 | $116.84 – $2,806.48 | 12 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $1,272.60 | $2,121.00 | $116.84 – $1,141.19 | 12 |
| Ghs mbp CPT 83873 | $87.00 | $145.00 | $8.69 – $124.46 | 14 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $831.60 | $1,386.00 | $10.05 – $14.33 | 8 |
| Ghs musc test done w/n test comp CPT 95886 | $349.80 | $583.00 | $38.13 – $319.00 | 10 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $348.60 | $581.00 | $36.21 – $319.00 | 10 |
| Ghs myocardial strain img spckl track CPT 93356 | $306.60 | $511.00 | $9.21 – $1,907.00 | 6 |
| Ghs nailbed repair/nail removal CPT 11760 | $1,236.60 | $2,061.00 | $29.21 – $1,016.56 | 12 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $2,184.60 | $3,641.00 | $55.24 – $1,365.92 | 12 |
| Ghs nerve blk intercostal, single level CPT 64420 | $2,184.60 | $3,641.00 | $55.24 – $1,062.50 | 12 |
| Ghs nerve block brachial plexus CPT 64415 | $1,815.00 | $3,025.00 | $44.45 – $1,365.92 | 12 |
| Ghs nerve block celiac plexus CPT 64530 | $2,512.80 | $4,188.00 | $68.58 – $1,365.92 | 12 |
| Ghs nerve block sciatic nerve CPT 64445 | $2,184.60 | $3,641.00 | $29.84 – $1,062.50 | 12 |
| Ghs ng placement w fluoro guidance CPT 43752 | $2,304.60 | $3,841.00 | $62.16 – $612.22 | 8 |
| Ghs o2 saturation CPT 82810 | $53.40 | $89.00 | $10.11 – $63.12 | 14 |
| Ghs opcc repair cvp without subq port CPT 36575 | $1,992.00 | $3,320.00 | $47.38 – $1,016.56 | 12 |
| Ghs opcc repair cvp w subq port CPT 36576 | $3,535.80 | $5,893.00 | $221.11 – $2,383.34 | 12 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $97.80 | $163.00 | $19.30 – $80.98 | 9 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $96.00 | $160.00 | $38.34 – $193.00 | 6 |
| Ghs pacing - transcutaneous CPT 92953 | $1,755.00 | $2,925.00 | $133.10 – $1,003.97 | 9 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $595.20 | $992.00 | $51.72 – $1,365.67 | 5 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $750.00 | $1,250.00 | $44.65 – $1,172.64 | 5 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $75.00 | $125.00 | $6.53 – $130.16 | 11 |
| Ghs peritonsillar abscess i andd CPT 42700 | $1,225.20 | $2,042.00 | $78.74 – $1,016.56 | 12 |
| Ghs picc line insert < 5 CPT 36568 | $2,060.40 | $3,434.00 | $112.27 – $2,383.34 | 12 |
| Ghs plngl fx pm cl CPT 26725 | $520.80 | $868.00 | $97.79 – $957.61 | 12 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $5,327.40 | $8,879.00 | $583.15 – $1,560.93 | 12 |
| Ghs ppd (tb intradermal) CPT 86580 | $85.80 | $143.00 | $5.50 – $37.57 | 14 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $49.20 | $82.00 | $10.00 – $69.86 | 14 |
| Ghs protoporphyrins fract CPT 84202 | $72.60 | $121.00 | $14.85 – $103.80 | 14 |
| Ghs pr without cont pulse ox CPT 94625 | $133.20 | $222.00 | $21.68 – $123.31 | 9 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $44.40 | $74.00 | $7.00 – $84.18 | 14 |
| Ghs quinidine CPT 80194 | $103.80 | $173.00 | $15.10 – $105.58 | 14 |
| Ghs refill of implantable pump CPT 95990 | $774.60 | $1,291.00 | $34.24 – $508.90 | 12 |
| Ghs removal intranasal foreign body CPT 30300 | $328.80 | $548.00 | $28.57 – $1,016.56 | 12 |
| Ghs removal pharyngeal foreign body CPT 42809 | $550.80 | $918.00 | $45.45 – $1,016.56 | 12 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $2,055.00 | $3,425.00 | $281.31 – $2,455.41 | 12 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | $4,150.20 | $6,917.00 | $840.28 – $4,978.02 | 9 |
| Ghs reticulocyte count CPT 85044 | $22.20 | $37.00 | $4.00 – $31.11 | 14 |
| Ghs semen analysis fert CPT 89320 | $88.80 | $148.00 | $9.84 – $87.20 | 11 |
| Ghs sensitivity (per antimicro) CPT 87184 | $42.00 | $70.00 | $7.03 – $49.89 | 14 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $819.60 | $1,366.00 | $116.84 – $1,016.56 | 12 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $1,230.60 | $2,051.00 | $116.84 – $1,016.56 | 12 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $965.40 | $1,609.00 | $116.84 – $1,016.56 | 12 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $2,079.60 | $3,466.00 | $116.84 – $1,016.56 | 12 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $808.20 | $1,347.00 | $60.33 – $1,016.56 | 12 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $808.20 | $1,347.00 | $61.59 – $966.78 | 12 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $808.20 | $1,347.00 | $78.11 – $719.19 | 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.