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 |
|---|---|---|---|---|
| Incision of eardrum CPT 69421 | not published | not published | $242.76 – $4,975.65 | 9 |
| Incision of foot fascia CPT 28008 | $4,272.00 | $7,120.00 | $173.35 – $4,978.02 | 12 |
| Incision of foot tendon 28234 CPT 28234 | not published | not published | $142.88 – $2,455.41 | 12 |
| Incision of heel bone CPT 28300 | not published | not published | $594.82 – $10,960.19 | 9 |
| Incision of hip tendon CPT 27000 | $4,284.60 | $7,141.00 | $150.50 – $2,455.41 | 12 |
| Incision of hip tendons CPT 27006 | $5,605.80 | $9,343.00 | $240.03 – $4,978.02 | 12 |
| Incision of metatarsal CPT 28306 | not published | not published | $390.52 – $10,960.19 | 12 |
| Incision of metatarsal CPT 28308 | not published | not published | $594.82 – $4,978.02 | 9 |
| Incision of midfoot bones CPT 28304 | not published | not published | $118.11 – $10,960.19 | 12 |
| Incision of prostate CPT 52450 | not published | not published | $682.16 – $5,291.55 | 9 |
| Incision of spinal nerve 64772 CPT 64772 | not published | not published | $594.82 – $2,996.02 | 9 |
| Incision of tendon & muscle CPT 23405 | $9,067.20 | $15,112.00 | $594.82 – $10,960.19 | 9 |
| Incision of thigh tendon CPT 27306 | $8,561.40 | $14,269.00 | $150.50 – $4,978.02 | 12 |
| Incision of thigh tendons CPT 27307 | $8,561.40 | $14,269.00 | $179.07 – $4,978.02 | 12 |
| Incisn of toe tndn CPT 28010 | not published | not published | $166.37 – $2,455.41 | 12 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | $5,949.60 | $9,916.00 | $349.75 – $902.48 | 4 |
| Infect ag drug suscept pheno predict CPT 87900 | $724.80 | $1,208.00 | $19.28 – $942.91 | 14 |
| Infect ag eia influenza a or b ea CPT 87400 | $51.60 | $86.00 | $6.09 – $79.67 | 14 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $716.40 | $1,194.00 | $18.10 – $897.48 | 14 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $1,431.00 | $2,385.00 | $193.10 – $1,862.34 | 14 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | $182.40 | $304.00 | $18.06 – $162.36 | 14 |
| Infect ag if nos ea CPT 87299 | $90.60 | $151.00 | $12.86 – $79.67 | 11 |
| Infect ag if varicella zoster CPT 87290 | $75.00 | $125.00 | $10.73 – $96.66 | 11 |
| Infect ag na hep b amp CPT 87516 | $126.60 | $211.00 | $28.03 – $253.92 | 11 |
| Infect ag na herpes simplex quant CPT 87530 | $102.60 | $171.00 | $34.23 – $332.86 | 11 |
| Infect ag na hpv high-risk types CPT 87624 | $195.60 | $326.00 | $26.32 – $236.63 | 14 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $532.80 | $888.00 | $76.02 – $593.31 | 14 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $195.60 | $326.00 | $0.02 – $82.10 | 11 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $2,317.80 | $3,863.00 | $316.19 – $2,838.54 | 14 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $43.80 | $73.00 | $9.58 – $79.80 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $66.60 | $111.00 | $12.31 – $79.67 | 14 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $80.40 | $134.00 | $11.49 – $79.67 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $57.00 | $95.00 | $10.68 – $74.72 | 14 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $57.00 | $95.00 | $10.68 – $74.72 | 14 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $135.00 | $225.00 | $17.76 – $169.05 | 14 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $66.60 | $111.00 | $9.58 – $79.67 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $66.60 | $111.00 | $9.58 – $79.67 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $66.60 | $111.00 | $12.18 – $79.67 | 14 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $195.60 | $326.00 | $23.19 – $253.92 | 14 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $195.60 | $326.00 | $23.19 – $253.92 | 14 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $207.60 | $346.00 | $38.56 – $249.07 | 14 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $3,829.20 | $6,382.00 | $66.89 – $2,832.64 | 11 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $195.60 | $326.00 | $28.03 – $265.89 | 11 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $195.60 | $326.00 | $36.29 – $253.92 | 14 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $195.60 | $326.00 | $23.19 – $253.92 | 14 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $75.00 | $125.00 | $35.49 – $82.10 | 12 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $84.60 | $141.00 | $61.57 – $228.21 | 12 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $210.00 | $350.00 | $112.86 – $228.21 | 12 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $195.60 | $326.00 | $28.03 – $253.92 | 11 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $195.60 | $326.00 | $28.79 – $237.18 | 14 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $876.60 | $1,461.00 | $312.47 – $3,298.34 | 11 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $553.20 | $922.00 | $160.01 – $1,439.06 | 11 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $238.80 | $398.00 | $34.23 – $315.28 | 11 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $238.80 | $398.00 | $39.65 – $309.86 | 14 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $238.80 | $398.00 | $39.65 – $309.86 | 14 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $474.60 | $791.00 | $52.00 – $615.56 | 14 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $793.80 | $1,323.00 | $84.24 – $873.69 | 14 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $700.20 | $1,167.00 | $31.09 – $1,135.97 | 12 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $300.00 | $500.00 | $20.41 – $34.68 | 11 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $567.60 | $946.00 | $14.08 – $53.69 | 11 |
| Influenza dna amp prob addl CPT 87503 | $105.00 | $175.00 | $23.38 – $144.77 | 14 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | $93.60 | $156.00 | $13.62 – $112.63 | 11 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $165.60 | $276.00 | $39.62 – $312.05 | 12 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $1,522.80 | $2,538.00 | $5.68 – $28.93 | 11 |
| Inj belantamab mafodot blmf HCPCS J9037 | $5,295.60 | $8,826.00 | $16.54 – $328.52 | 4 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $3,405.60 | $5,676.00 | $89.88 – $263.34 | 11 |
| Inj, brixadi, 7 days or less HCPCS J0577 | $533.40 | $889.00 | $139.61 – $673.02 | 11 |
| Inj brixadi, more than 7 day HCPCS J0578 | $2,846.40 | $4,744.00 | $558.41 – $2,692.08 | 11 |
| Inj, bupivacaine liposome HCPCS J0666 | $13.20 | $22.00 | $0.67 – $2.26 | 11 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | $5.40 | $9.00 | $1.01 – $1.88 | 5 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $4.80 | $8.00 | $0.52 – $1.49 | 11 |
| Inj cefazolin (wg crit care) HCPCS J0687 | $3.00 | $5.00 | $0.36 – $1.52 | 11 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | $17.40 | $29.00 | $2.70 – $37.02 | 10 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | $131.40 | $219.00 | $0.74 – $3.87 | 11 |
| Inj ceftolozane tazobactam HCPCS J0695 | $94.80 | $158.00 | $2.70 – $14.51 | 11 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $186.60 | $311.00 | $35.92 – $583.58 | 6 |
| Inj., copanlisib, 1 mg HCPCS J9057 | $3,151.80 | $5,253.00 | $43.25 – $614.88 | 6 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | $792.00 | $1,320.00 | $692.29 – $1,672.24 | 11 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | $87.60 | $146.00 | $0.78 – $2.71 | 11 |
| Inj disk cerv-thor ea lev CPT 62291 | $1,878.60 | $3,131.00 | $101.60 – $1,016.56 | 9 |
| Inj dx for sinogram CPT 20501 | $2,304.60 | $3,841.00 | $33.56 – $106.05 | 9 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $1,420.80 | $2,368.00 | $94.98 – $1,530.87 | 9 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $461.40 | $769.00 | $60.85 – $418.15 | 5 |
| Injection, cangrelor HCPCS C9460 | $572.40 | $954.00 | $9.04 – $31.97 | 7 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $596.40 | $994.00 | $63.22 – $452.90 | 12 |
| Injection, daratumumab 10 mg HCPCS J9145 | $85.20 | $142.00 | $27.88 – $114.19 | 11 |
| Injection during cath supravalvular aortography CPT 93567 | $1,728.00 | $2,880.00 | $48.29 – $778.90 | 5 |
| Injection epidural blood patch or clot CPT 62273 | $1,192.80 | $1,988.00 | $60.96 – $1,062.50 | 12 |
| Injection for arthrography wrist (both sides) CPT 25246 | $471.00 | $785.00 | $45.85 – $420.28 | 5 |
| Injection for bladder x-ray CPT 51600 | $585.00 | $975.00 | $38.96 – $444.23 | 9 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $461.40 | $769.00 | $44.95 – $1,016.56 | 5 |
| Injection for spleen x-ray CPT 38200 | $788.40 | $1,314.00 | $93.34 – $430.66 | 9 |
| Injection for ureter x-ray CPT 50684 | $1,540.80 | $2,568.00 | $44.00 – $444.23 | 9 |
| Injection for ureter x-ray CPT 50690 | $1,540.80 | $2,568.00 | $54.61 – $444.23 | 9 |
| Injection, fulvestrant HCPCS J9395 | $115.80 | $193.00 | $6.73 – $22.29 | 11 |
| Injection, glucarpidase HCPCS C9293 | $23,088.00 | $38,480.00 | $147.55 – $553.42 | 3 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $1,348.80 | $2,248.00 | $4.24 – $19.71 | 11 |
| Injection into brain canal CPT 61055 | $961.20 | $1,602.00 | $133.99 – $1,016.56 | 12 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $25.40 – $1,398.78 | 12 |
| Injection, isavuconazonium HCPCS J1833 | $229.20 | $382.00 | $0.33 – $1.62 | 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.