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 |
|---|---|---|---|---|
| Paricalcitol HCPCS J2501 | $9.00 | $15.00 | $0.94 – $7.61 | 9 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $288.60 | $481.00 | $25.40 – $1,016.56 | 12 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $333.38 – $4,978.02 | 12 |
| Partial removal foot fascia CPT 28060 | not published | not published | $248.28 – $4,978.02 | 12 |
| Partial removal of fibula CPT 27641 | not published | not published | $594.82 – $4,978.02 | 9 |
| Partial removal of thyroid CPT 60220 | not published | not published | $594.82 – $8,951.31 | 9 |
| Part removal of metatarsal CPT 28110 | not published | not published | $338.40 – $4,978.02 | 12 |
| Part removal of metatarsal CPT 28113 | not published | not published | $290.83 – $4,978.02 | 12 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $290.83 – $4,978.02 | 12 |
| Path clin consltj sf 5-20 CPT 80503 | $98.40 | $164.00 | $8.95 – $193.20 | 9 |
| Pcv21 vaccine im CPT 90684 | $162.00 | $270.00 | $12.70 – $446.08 | 9 |
| Pdgfra gene CPT 81314 | $1,189.80 | $1,983.00 | $187.68 – $1,632.59 | 14 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $6,417.60 | $10,696.00 | $24.81 – $210.71 | 11 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $3,924.60 | $6,541.00 | $87.96 – $209.86 | 11 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $4,174.80 | $6,958.00 | $106.33 – $180.97 | 11 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | $4,300.20 | $7,167.00 | $124.32 – $370.39 | 11 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $2,087.40 | $3,479.00 | $99.13 – $197.42 | 11 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | $2,499.60 | $4,166.00 | $72.28 – $227.87 | 11 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | $17,178.60 | $28,631.00 | $340.24 – $5,857.33 | 11 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,424.40 | $2,374.00 | $134.28 – $2,078.73 | 16 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,424.40 | $2,374.00 | $113.31 – $1,618.54 | 16 |
| Pelvic CT scan (without contrast) CPT 72192 | $876.00 | $1,460.00 | $88.42 – $1,185.87 | 16 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,713.80 | $4,523.00 | $357.18 – $3,283.17 | 16 |
| Pelvic MRI (with contrast) CPT 72196 | $2,713.80 | $4,523.00 | $266.45 – $2,599.65 | 16 |
| Pelvic MRI (without contrast) CPT 72195 | $1,656.00 | $2,760.00 | $241.76 – $2,116.51 | 16 |
| Pelvic Ultrasound (complete) CPT 76856 | $394.20 | $657.00 | $60.91 – $518.44 | 15 |
| Pelvic Ultrasound (limited) CPT 76857 | $394.20 | $657.00 | $24.89 – $381.34 | 15 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $262.80 | $438.00 | $13.10 – $163.15 | 15 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $262.80 | $438.00 | $27.51 – $171.61 | 15 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $850.20 | $1,417.00 | $25.21 – $96.46 | 11 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $2,425.80 | $4,043.00 | $4.36 – $14.44 | 11 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $96.00 | $160.00 | $7.97 – $182.55 | 12 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $30.00 | $50.00 | $0.79 – $2.20 | 9 |
| Penile injection CPT 54235 | $403.80 | $673.00 | $122.97 – $634.70 | 9 |
| Pentamidine non-comp unit HCPCS J2545 | $99.60 | $166.00 | $69.73 – $142.12 | 9 |
| Pentobarbital sodium inj HCPCS J2515 | $42.00 | $70.00 | $2.71 – $75.97 | 5 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | $1,609.20 | $2,682.00 | $2,506.02 – $4,173.06 | 11 |
| Perc cryo ablate renal tum CPT 50593 | $20,125.80 | $33,543.00 | $6,538.00 – $15,973.31 | 8 |
| Perc d-e cor revasc chro add HCPCS C9608 | $402.60 | $671.00 | $1,746.52 – $7,873.60 | 2 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $24,161.40 | $40,269.00 | $1,746.52 – $27,549.92 | 8 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $9,788.40 | $16,314.00 | $1,746.52 – $7,873.60 | 2 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $15,411.00 | $25,685.00 | $1,746.52 – $17,399.15 | 8 |
| Perc d-e cor stent ather br HCPCS C9603 | $9,788.40 | $16,314.00 | $1,746.52 – $7,873.60 | 2 |
| Perc d-e cor stent ather s HCPCS C9602 | $24,161.40 | $40,269.00 | $1,746.52 – $27,549.92 | 8 |
| Perc drug-el cor stent bran HCPCS C9601 | $9,788.40 | $16,314.00 | $627.98 – $7,873.60 | 3 |
| Perc drug-el cor stent sing HCPCS C9600 | $15,411.00 | $25,685.00 | $1,746.52 – $17,399.15 | 8 |
| Perc rf ablate renal tumor CPT 50592 | $17,216.40 | $28,694.00 | $1,016.56 – $11,827.26 | 9 |
| Percut ablate liver rf CPT 47382 | $7,327.20 | $12,212.00 | $811.45 – $8,951.31 | 12 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $104.40 | $174.00 | $40.65 – $221.33 | 9 |
| Pericardiocentesis wwo imaging CPT 33016 | $2,473.20 | $4,122.00 | $110.59 – $2,383.34 | 12 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $840.28 – $5,875.04 | 9 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $788.70 – $4,878.16 | 9 |
| Peripheral vascular rehab CPT 93668 | $129.60 | $216.00 | $43.94 – $134.29 | 8 |
| Perit-vens shunt pat tst CPT 78291 | $1,228.80 | $2,048.00 | $143.88 – $1,161.88 | 14 |
| Perphenazine 4mg oral HCPCS Q0175 | $0.60 | $1.00 | $0.19 – $0.97 | 6 |
| Perq clsr tcat l atr apndge CPT 33340 | $5,606.40 | $9,344.00 | $574.26 – $1,128.91 | 4 |
| Perq dev breast 1st mr guide CPT 19287 | $2,153.40 | $3,589.00 | $146.79 – $1,198.92 | 12 |
| Perq dev breast 1st strtctc CPT 19283 | $924.60 | $1,541.00 | $105.89 – $1,079.47 | 12 |
| Perq plmt bile duct stent CPT 47538 | $14,191.20 | $23,652.00 | $341.01 – $8,951.31 | 12 |
| Perq plmt bile duct stent CPT 47540 | $7,327.20 | $12,212.00 | $550.52 – $8,951.31 | 12 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $978.00 | $1,630.00 | $86.61 – $1,016.56 | 12 |
| Perq transcath closure each CPT 93592 | $4,354.20 | $7,257.00 | $237.49 – $618.81 | 4 |
| Perq transcath cls aortic CPT 93591 | $46,970.40 | $78,284.00 | $538.67 – $27,549.92 | 8 |
| Perq transcath cls mitral CPT 93590 | $46,970.40 | $78,284.00 | $649.09 – $27,549.92 | 8 |
| Perq transcath septal reduxn CPT 93583 | $5,606.40 | $9,344.00 | $462.07 – $1,129.91 | 4 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $279.60 | $466.00 | $6.65 – $27.23 | 11 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | $523.20 | $872.00 | $27.82 – $99.36 | 11 |
| Pet CT skull-mid thgh initial CPT 78815 | $5,639.40 | $9,399.00 | $800.00 – $7,584.17 | 12 |
| Pet CT whole body initial CPT 78816 | $5,639.40 | $9,399.00 | $800.00 – $7,584.17 | 12 |
| Pet fdg brain metoblic eval sb CPT 78608 | $5,639.40 | $9,399.00 | $800.00 – $7,584.17 | 12 |
| Pet image w/ct lmtd CPT 78814 | $5,639.40 | $9,399.00 | $800.00 – $7,584.17 | 12 |
| Pet not otherwise specified HCPCS G0235 | $1,300.80 | $2,168.00 | $310.59 – $1,276.30 | 7 |
| Pet scan brain perf study CPT 78609 | $7,048.20 | $11,747.00 | $57.40 – $1,980.51 | 5 |
| Ph body fluid CPT 83986 | $19.20 | $32.00 | $2.00 – $20.17 | 14 |
| Phencyclidine (pcp) CPT 83992 | $74.40 | $124.00 | $0.01 – $112.60 | 13 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $40.80 | $68.00 | $2.80 – $44.32 | 9 |
| Phenobarbital therapeutic drug level CPT 80184 | $110.40 | $184.00 | $15.82 – $82.84 | 14 |
| Phentolaine mesylate inj HCPCS J2760 | $293.40 | $489.00 | $39.04 – $691.23 | 11 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $2.40 | $4.00 | $0.00 – $0.01 | 8 |
| Phenytoin total therapeutic drug level CPT 80185 | $94.80 | $158.00 | $13.00 – $95.92 | 14 |
| Phlebotomy therapeutic CPT 99195 | $231.00 | $385.00 | $12.70 – $197.76 | 12 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $8,640.60 | $14,401.00 | $686.61 – $4,829.02 | 9 |
| Phleb veins 1 extrm >20 stab CPT 37766 | $8,640.60 | $14,401.00 | $835.39 – $4,829.02 | 9 |
| Phosphorus CPT 84100 | $24.00 | $40.00 | $4.91 – $34.34 | 14 |
| Phosphorus 24 hour urine CPT 84105 | $29.40 | $49.00 | $5.98 – $37.46 | 14 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $363.00 | $605.00 | $42.03 – $222.54 | 6 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $226.80 | $378.00 | $42.03 – $191.74 | 6 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $303.60 | $506.00 | $33.18 – $211.51 | 6 |
| Physical Therapy Re-Evaluation CPT 97164 | $139.20 | $232.00 | $28.48 – $148.00 | 10 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $29.40 | $49.00 | $2.73 – $7.27 | 9 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | $1,252.20 | $2,087.00 | $180.16 – $805.95 | 9 |
| Pinworm exam CPT 87172 | $238.80 | $398.00 | $3.41 – $30.87 | 11 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $9.00 | $15.00 | $1.07 – $7.89 | 10 |
| Place cath xtrnl carotid CPT 36227 | $4,005.60 | $6,676.00 | $110.31 – $356.07 | 9 |
| Place device/marker, non pro HCPCS C9728 | $964.80 | $1,608.00 | $678.08 – $2,099.23 | 8 |
| Place duod/jej tube perc CPT 49441 | $7,209.00 | $12,015.00 | $244.14 – $2,910.43 | 12 |
| Place endorectal app HCPCS C9725 | $1,156.80 | $1,928.00 | $294.33 – $1,398.78 | 7 |
| Place gastrostomy tube perc CPT 49440 | $7,713.60 | $12,856.00 | $224.21 – $2,910.43 | 12 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $924.60 | $1,541.00 | $104.89 – $2,485.84 | 12 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $1,930.80 | $3,218.00 | $43.18 – $235.26 | 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.