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 |
|---|---|---|---|---|
| Injection jaw joint x-ray CPT 21116 | $67.80 | $113.00 | $31.75 – $152.81 | 9 |
| Injection of sinus tract CPT 20500 | $2,046.00 | $3,410.00 | $44.45 – $2,272.64 | 12 |
| Injection,onabotulinumtoxina HCPCS J0585 | $380.40 | $634.00 | $5.21 – $10.40 | 11 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $837.60 | $1,396.00 | $55.77 – $1,439.54 | 8 |
| Injection, renflexis HCPCS Q5104 | $451.80 | $753.00 | $27.00 – $43.20 | 11 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $2,647.20 | $4,412.00 | $477.77 – $1,486.07 | 8 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $2,346.60 | $3,911.00 | $77.47 – $1,062.50 | 12 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $948.00 | $1,580.00 | $26.67 – $1,062.50 | 12 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $2,647.20 | $4,412.00 | $120.70 – $1,365.92 | 12 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $1,318.80 | $2,198.00 | $51.15 – $1,360.97 | 5 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $1,456.20 | $2,427.00 | $262.82 – $1,599.75 | 9 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $1,318.80 | $2,198.00 | $44.09 – $1,223.04 | 5 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $1,318.80 | $2,198.00 | $234.64 – $1,462.22 | 9 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $2,048.40 | $3,414.00 | $113.28 – $1,062.50 | 13 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $2,048.40 | $3,414.00 | $103.28 – $1,062.50 | 13 |
| Injection, siltuximab HCPCS J2860 | $3,603.00 | $6,005.00 | $55.71 – $265.33 | 11 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $894.60 | $1,491.00 | $40.64 – $452.90 | 12 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $396.60 | $661.00 | $39.45 – $452.90 | 12 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $766.20 | $1,277.00 | $43.78 – $452.90 | 12 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $108.00 | $180.00 | $6.45 – $399.00 | 4 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | $1,723.20 | $2,872.00 | $10.86 – $54.22 | 11 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $1,920.60 | $3,201.00 | $86.67 – $1,062.50 | 12 |
| Inj., eravacycline, 1 mg HCPCS J0122 | $36.60 | $61.00 | $0.52 – $7.92 | 10 |
| Inj, factor x, (human), 1iu HCPCS J7175 | $6.60 | $11.00 | $4.67 – $15.65 | 11 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | $194.40 | $324.00 | $15.29 – $35.23 | 11 |
| Inj for ext venography CPT 36005 | $1,152.60 | $1,921.00 | $50.68 – $161.36 | 9 |
| Inj for mammo ductogram CPT 19030 | $306.60 | $511.00 | $45.45 – $186.15 | 5 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | $6.60 | $11.00 | $3.36 – $15.88 | 8 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | $612.60 | $1,021.00 | $886.31 – $4,428.61 | 11 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | $3.00 | $5.00 | $0.12 – $32.17 | 10 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | $561.00 | $935.00 | $40.53 – $98.30 | 11 |
| Inj herzuma 10 mg HCPCS Q5113 | $841.20 | $1,402.00 | $52.59 – $110.99 | 11 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $1,230.00 | $2,050.00 | $44.18 – $859.82 | 5 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | $183.60 | $306.00 | $1.48 – $4.18 | 11 |
| Inj. insulin (fiasp) HCPCS J1812 | $16.80 | $28.00 | $0.50 – $27.74 | 6 |
| Inj ivig privigen 500 mg HCPCS J1459 | $5,274.00 | $8,790.00 | $50.74 – $81.18 | 11 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | $10,671.00 | $17,785.00 | $27.45 – $47.74 | 11 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $4.20 | $7.00 | $23.61 – $51.81 | 9 |
| Inj, levothyroxine, freskabi HCPCS J0651 | $10.20 | $17.00 | $2.89 – $10.93 | 11 |
| Inj, melphalan flufenami 1mg HCPCS J9247 | $5,700.00 | $9,500.00 | $187.13 – $3,535.84 | 4 |
| Inj, meropenem (b. braun) HCPCS J2184 | $12.00 | $20.00 | $1.32 – $14.81 | 10 |
| Inj., meropenem, vaborbactam HCPCS J2186 | $129.60 | $216.00 | $2.27 – $7.22 | 8 |
| Inj, micafungin (par pharm) HCPCS J2247 | $89.40 | $149.00 | $0.37 – $2.38 | 10 |
| Inj mogamulizumab-kpkc, 1 mg HCPCS J9204 | $540.60 | $901.00 | $98.57 – $397.60 | 11 |
| Inj multihance HCPCS A9577 | $3.00 | $5.00 | $1.74 – $10.54 | 9 |
| Inj. mycophenolate mofetil HCPCS J7519 | $64.20 | $107.00 | $0.36 – $5.11 | 10 |
| Inj naloxone hydrochloride HCPCS J2310 | $9.00 | $15.00 | $4.82 – $10.80 | 6 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $1,266.00 | $2,110.00 | $89.04 – $1,355.70 | 9 |
| Inj nivolumab 2 mg hyaluron HCPCS J9289 | $4,611.60 | $7,686.00 | $27.36 – $90.63 | 10 |
| Inj ogivri 10 mg HCPCS Q5114 | $564.00 | $940.00 | $40.29 – $64.46 | 11 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | $3,925.20 | $6,542.00 | $30.32 – $100.43 | 11 |
| Inj, pemivibart, 4500 mg HCPCS Q0224 | $96.00 | $160.00 | $1,888.14 – $8,560.46 | 8 |
| Inj peritoneal venous shunt CPT 49427 | $1,665.60 | $2,776.00 | $36.13 – $663.10 | 5 |
| Inj proc ankle arthr CPT 27648 | $405.60 | $676.00 | $31.75 – $137.47 | 9 |
| Inj proc elbow arthro CPT 24220 | $461.40 | $769.00 | $45.85 – $402.75 | 5 |
| Inj proc lumbr disk ea lvl CPT 62290 | $3,214.20 | $5,357.00 | $137.69 – $1,016.56 | 9 |
| Inj proc myelogram lumbar CPT 62284 | $518.40 | $864.00 | $72.66 – $780.76 | 9 |
| Inj proc sialogram CPT 42550 | $612.60 | $1,021.00 | $43.81 – $1,016.56 | 9 |
| Inj progesterone per 50 mg HCPCS J2675 | $1.80 | $3.00 | $0.70 – $2.39 | 10 |
| Inj, releuko 1 mcg HCPCS Q5125 | $190.80 | $318.00 | $0.20 – $0.61 | 11 |
| Inj retro urethrocysto CPT 51610 | $504.00 | $840.00 | $43.81 – $444.23 | 9 |
| Inj scleros sol mult veins CPT 36471 | $1,728.00 | $2,880.00 | $115.72 – $612.98 | 12 |
| Inj scleros sol sgl vein CPT 36470 | $1,108.20 | $1,847.00 | $11.87 – $612.98 | 12 |
| Inj secukinumab intrav 1mg HCPCS J3247 | $253.80 | $423.00 | $5.59 – $28.54 | 11 |
| Inj, sezaby, 1 mg HCPCS J2561 | $79.80 | $133.00 | $0.47 – $1.90 | 8 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | $602.40 | $1,004.00 | $158.64 – $612.98 | 8 |
| Inj, sutimlimab-jome, 10 mg HCPCS J1302 | $52.20 | $87.00 | $6.06 – $30.18 | 11 |
| Inj teclistamab cqyv 0.5 mg HCPCS J9380 | $3,345.00 | $5,575.00 | $10.24 – $53.73 | 11 |
| Inj tedizolid phosphate HCPCS J3090 | $184.20 | $307.00 | $0.06 – $3.14 | 11 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | $9,829.20 | $16,382.00 | $206.69 – $574.70 | 11 |
| Inj testosterone cypionate HCPCS J1071 | $12.60 | $21.00 | $0.03 – $12.02 | 10 |
| Inj thiotepa nos 1 mg HCPCS J9342 | $450.00 | $750.00 | $10.54 – $34.91 | 10 |
| Inj., tildrakizumab, 1 mg HCPCS J3245 | $10,342.20 | $17,237.00 | $96.52 – $203.92 | 11 |
| Inj, tyenne, 1 mg HCPCS Q5135 | $58.20 | $97.00 | $1.61 – $7.07 | 11 |
| Inj vasopressin (am reg) 1 u HCPCS J2599 | $30.00 | $50.00 | $0.61 – $3.23 | 10 |
| Inj w/fluor eval cv device CPT 36598 | $417.00 | $695.00 | $75.98 – $524.10 | 9 |
| Ins cath ren art 1st bi CPT 36252 | $6,300.60 | $10,501.00 | $371.78 – $4,829.02 | 12 |
| Ins cath ren art 1st uni CPT 36251 | $6,300.60 | $10,501.00 | $285.42 – $4,829.02 | 12 |
| Ins cath ren art 2nd+ bi CPT 36254 | $6,300.60 | $10,501.00 | $428.97 – $4,829.02 | 12 |
| Ins cath ren art 2nd+ uni CPT 36253 | $10,450.20 | $17,417.00 | $397.64 – $8,293.65 | 12 |
| Ins cerv dilator (sep proc) CPT 59200 | $678.00 | $1,130.00 | $166.65 – $466.70 | 7 |
| Insert cannula vein-to-vein hemodialysis CPT 36800 | $6,966.60 | $11,611.00 | $188.68 – $8,293.65 | 12 |
| Insert cath pleura with image CPT 32557 | $10,384.20 | $17,307.00 | $624.86 – $3,895.92 | 9 |
| Insert drug delivery implant CPT 11981 | $254.40 | $424.00 | $96.18 – $1,016.56 | 12 |
| Insert hepatic shunt (tips) CPT 37182 | $11,241.60 | $18,736.00 | $863.29 – $1,784.17 | 4 |
| Insert intrauterine device iud CPT 58300 | $254.40 | $424.00 | $21.91 – $75.75 | 8 |
| Insertion catheter bladder non indwelling CPT 51701 | $558.60 | $931.00 | $32.32 – $197.76 | 12 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | $8,638.80 | $14,398.00 | $1,016.56 – $5,414.43 | 9 |
| Insertion intra aortic balloon assist device percutaneous CPT 33967 | $3,600.00 | $6,000.00 | $275.31 – $967.68 | 5 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | $9,498.60 | $15,831.00 | $1,016.56 – $8,293.65 | 9 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $2,472.00 | $4,120.00 | $143.78 – $4,829.02 | 12 |
| Insertion of catheter vein CPT 36481 | $3,023.40 | $5,039.00 | $343.31 – $1,233.55 | 9 |
| Insertion of catheter vein CPT 36500 | $4,608.60 | $7,681.00 | $44.45 – $1,256.29 | 9 |
| Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 | $25,401.60 | $42,336.00 | $555.10 – $2,070.70 | 9 |
| Insertion of new/replacement ppm w/transvenous electrode(s) ventricular CPT 33207 | $24,630.00 | $41,050.00 | $511.65 – $1,835.13 | 9 |
| Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator CPT 33225 | $5,751.00 | $9,585.00 | $440.11 – $19,290.43 | 5 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $2,472.00 | $4,120.00 | $110.99 – $2,383.34 | 12 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $3,925.80 | $6,543.00 | $88.60 – $2,383.34 | 12 |
| Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber CPT 33249 | $48,933.60 | $81,556.00 | $1,016.56 – $49,190.16 | 9 |
| Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 | $11,583.60 | $19,306.00 | $209.42 – $12,697.34 | 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.