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 |
|---|---|---|---|---|
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $1,221.60 | $2,036.00 | $10.92 – $150.52 | 14 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $89.40 | $149.00 | $12.84 – $79.67 | 11 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $66.60 | $111.00 | $12.31 – $79.67 | 14 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $195.60 | $326.00 | $36.29 – $253.92 | 14 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $76.20 | $127.00 | $16.01 – $173.86 | 14 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $195.60 | $326.00 | $28.03 – $253.92 | 11 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $238.80 | $398.00 | $44.31 – $309.86 | 14 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $516.60 | $861.00 | $35.94 – $357.67 | 14 |
| Mayo infliximab therapeutic drug level CPT 80230 | $85.80 | $143.00 | $17.60 – $302.34 | 11 |
| Mayo inhab inhibin a CPT 86336 | $87.00 | $145.00 | $12.46 – $208.04 | 11 |
| Mayo insulin antibodies CPT 86337 | $119.40 | $199.00 | $11.00 – $100.93 | 14 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $54.60 | $91.00 | $16.50 – $134.32 | 14 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $69.60 | $116.00 | $12.36 – $140.84 | 11 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $33.60 | $56.00 | $10.88 – $89.63 | 14 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $65.40 | $109.00 | $8.94 – $92.60 | 14 |
| Mayo leptospira antibody igm CPT 86720 | $58.80 | $98.00 | $16.76 – $95.38 | 14 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $86.40 | $144.00 | $16.02 – $112.02 | 14 |
| Mayo manganese CPT 83785 | $135.60 | $226.00 | $10.92 – $67.98 | 11 |
| Mayo metanephrines plasma CPT 83835 | $86.40 | $144.00 | $13.00 – $122.58 | 14 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $93.60 | $156.00 | $6.36 – $91.16 | 14 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $93.60 | $156.00 | $5.61 – $91.16 | 13 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $81.00 | $135.00 | $7.91 – $105.29 | 14 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $381.60 | $636.00 | $15.30 – $99.04 | 14 |
| Mayo muramidase CPT 85549 | $94.80 | $158.00 | $12.74 – $104.99 | 14 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $93.60 | $156.00 | $5.61 – $91.16 | 9 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $46.20 | $77.00 | $14.80 – $122.03 | 14 |
| Mayo myoglobin CPT 83874 | $65.40 | $109.00 | $13.37 – $93.44 | 14 |
| Mayo nickel CPT 83885 | $89.40 | $149.00 | $11.00 – $147.35 | 14 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $107.40 | $179.00 | $18.20 – $119.11 | 14 |
| Mayo oxalate 24 hour urine CPT 83945 | $73.80 | $123.00 | $13.00 – $93.15 | 14 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $83.40 | $139.00 | $15.54 – $108.75 | 14 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $66.60 | $111.00 | $12.46 – $87.20 | 14 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $195.60 | $326.00 | $29.71 – $253.92 | 14 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $91.80 | $153.00 | $18.60 – $125.35 | 14 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $98.40 | $164.00 | $13.00 – $99.59 | 14 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $43.20 | $72.00 | $2.00 – $61.14 | 14 |
| Mayo pregnenolone CPT 84140 | $314.40 | $524.00 | $21.38 – $149.58 | 14 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $118.80 | $198.00 | $17.00 – $120.05 | 14 |
| Mayo proinsulin CPT 84206 | $135.60 | $226.00 | $8.00 – $128.87 | 14 |
| Mayo psaft prostate specific antigen free CPT 84154 | $93.60 | $156.00 | $19.02 – $133.03 | 14 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $93.60 | $156.00 | $12.56 – $112.84 | 11 |
| Mayo receptor assay transferrin soluble CPT 84238 | $186.00 | $310.00 | $22.00 – $264.53 | 14 |
| Mayo renin CPT 84244 | $112.20 | $187.00 | $12.00 – $159.14 | 14 |
| Mayo repu protein electrophoresis urine CPT 84166 | $91.20 | $152.00 | $15.91 – $129.02 | 14 |
| Mayo selenium CPT 84255 | $129.60 | $216.00 | $20.40 – $191.97 | 11 |
| Mayo serotonin CPT 84260 | $157.20 | $262.00 | $31.00 – $224.10 | 14 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $107.40 | $179.00 | $19.09 – $140.02 | 14 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $98.40 | $164.00 | $14.19 – $99.29 | 14 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $24.00 | $40.00 | $4.00 – $30.87 | 14 |
| Mayo tgrp testosterone free CPT 84402 | $128.40 | $214.00 | $26.34 – $184.21 | 14 |
| Mayo tgrp testosterone total CPT 84403 | $130.80 | $218.00 | $26.70 – $186.79 | 14 |
| Mayo thyroglobulin CPT 84432 | $81.00 | $135.00 | $16.61 – $116.19 | 14 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $56.40 | $94.00 | $10.53 – $73.58 | 14 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $69.60 | $116.00 | $9.90 – $90.33 | 11 |
| Mayo vasoactive intestinal peptide CPT 84586 | $178.80 | $298.00 | $22.96 – $255.61 | 14 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $102.60 | $171.00 | $8.00 – $146.41 | 14 |
| Mayo vitamin b3 (niacin) CPT 84591 | $86.40 | $144.00 | $13.64 – $114.86 | 11 |
| Mayo vitamin k CPT 84597 | $69.60 | $116.00 | $10.96 – $116.59 | 11 |
| Measurement post void urine by ultrasound CPT 51798 | $125.40 | $209.00 | $9.45 – $91.14 | 12 |
| Med genetics&genetic counseling svcs each 30 min CPT 96041 | $251.40 | $419.00 | $13.33 – $54.14 | 7 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $50.40 | $84.00 | $0.26 – $33.15 | 7 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $5.40 | $9.00 | $1.51 – $18.56 | 9 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $17.40 | $29.00 | $0.42 – $7.91 | 10 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $201.81 – $1,857.13 | 5 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $3.60 | $6.00 | $1.86 – $94.64 | 9 |
| Metabolic Blood Panel (Basic) CPT 80048 | $55.20 | $92.00 | $8.75 – $61.24 | 14 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $68.40 | $114.00 | $10.39 – $76.50 | 14 |
| Methadone injection HCPCS J1230 | $23.40 | $39.00 | $2.86 – $27.73 | 9 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $1.80 | $3.00 | $0.16 – $5.83 | 10 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $1.80 | $3.00 | $1.33 – $8.98 | 10 |
| Methotrexate therapeutic drug level CPT 80204 | $124.20 | $207.00 | $19.63 – $191.10 | 11 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $133.20 | $222.00 | $0.44 – $18.90 | 9 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $18.00 | $30.00 | $3.26 – $27.64 | 9 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $160.20 | $267.00 | $0.41 – $8.43 | 6 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $1.20 | $2.00 | $0.11 – $0.77 | 10 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $11.40 | $19.00 | $0.06 – $6.73 | 12 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $40.80 | $68.00 | $0.08 – $6.23 | 12 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $0.60 | $1.00 | $0.57 – $1.64 | 10 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $1.80 | $3.00 | $0.12 – $0.14 | 6 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $0.60 | $1.00 | $0.02 – $0.13 | 10 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $112.20 | $187.00 | $0.26 – $3.23 | 9 |
| Microdissection manual CPT 88381 | $284.40 | $474.00 | $144.34 – $703.06 | 8 |
| Mid and Lower Back (Thoracolumbar Spine) X-ray CPT 72080 | $188.40 | $314.00 | $21.61 – $145.40 | 15 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $7.80 | $13.00 | $0.15 – $2.26 | 10 |
| Middle cerebral artery echo CPT 76821 | $239.40 | $399.00 | $55.95 – $383.89 | 15 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | $190.20 | $317.00 | $21.57 – $111.18 | 11 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $758.40 | $1,264.00 | $20.35 – $67.41 | 11 |
| Mitomycin instillation HCPCS J9281 | $14,202.00 | $23,670.00 | $171.69 – $509.65 | 11 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $10.20 | $17.00 | $23.88 – $79.10 | 11 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $162.56 – $2,455.41 | 12 |
| Mnt subs tx for change dx HCPCS G0270 | $59.40 | $99.00 | $10.56 – $115.00 | 5 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $13,107.60 | $21,846.00 | $1,922.61 – $15,597.46 | 3 |
| Mopath procedure level 1 CPT 81400 | $138.60 | $231.00 | $51.12 – $316.90 | 11 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $12.00 | $20.00 | $1.60 – $6.58 | 10 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $1.80 | $3.00 | $1.14 – $52.18 | 10 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $10.20 | $17.00 | $5.09 – $15.85 | 9 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $337.20 | $562.00 | $81.63 – $734.07 | 14 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $664.80 | $1,108.00 | $81.40 – $551.90 | 14 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $337.20 | $562.00 | $46.48 – $298.07 | 14 |
| M/phmtrc alys ishquant/semiq CPT 88373 | $177.00 | $295.00 | $20.13 – $181.14 | 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.