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 |
|---|---|---|---|---|
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $1,162.20 | $1,937.00 | $89.80 – $1,079.47 | 12 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $5,191.20 | $8,652.00 | $329.78 – $3,142.91 | 9 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $2,304.60 | $3,841.00 | $47.86 – $1,964.37 | 3 |
| Placement of seton CPT 46020 | not published | not published | $221.88 – $4,207.49 | 12 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $21,745.20 | $36,242.00 | $484.96 – $17,399.15 | 12 |
| Place non-slctv cath thoracic arta CPT 36221 | $6,300.60 | $10,501.00 | $220.24 – $4,829.02 | 12 |
| Place right device/marker pros CPT 55876 | $1,887.60 | $3,146.00 | $208.19 – $2,099.23 | 9 |
| Place slctv cath carotd art uni CPT 36224 | $10,450.20 | $17,417.00 | $1,016.56 – $14,149.07 | 9 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $6,300.60 | $10,501.00 | $932.41 – $8,003.52 | 9 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $10,450.20 | $17,417.00 | $1,016.56 – $8,293.65 | 9 |
| Place slctv cath subclavian art CPT 36225 | $6,300.60 | $10,501.00 | $1,012.52 – $7,252.45 | 9 |
| Place slctv cath vertebral art uni CPT 36226 | $10,450.20 | $17,417.00 | $1,016.56 – $14,149.07 | 9 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $130.80 | $218.00 | $50.37 – $226.00 | 8 |
| Platelet aggregation each agent teg CPT 85576 | $126.00 | $210.00 | $19.79 – $155.43 | 14 |
| Platelet automated CPT 85049 | $22.80 | $38.00 | $3.00 – $32.35 | 14 |
| Platelet pheresis irr ea HCPCS P9036 | $991.80 | $1,653.00 | $492.78 – $901.60 | 7 |
| Platelets each unit HCPCS P9019 | $154.80 | $258.00 | $38.10 – $169.14 | 12 |
| Platelets irradiated ea unit HCPCS P9032 | $199.80 | $333.00 | $114.91 – $431.27 | 8 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $181.80 | $303.00 | $104.59 – $399.48 | 8 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $310.20 | $517.00 | $205.42 – $733.54 | 8 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $715.80 | $1,193.00 | $388.09 – $1,559.99 | 8 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $908.40 | $1,514.00 | $509.98 – $1,718.14 | 8 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $7,503.60 | $12,506.00 | $317.09 – $5,414.43 | 12 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $16,133.40 | $26,889.00 | $194.89 – $3,512.14 | 10 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $7,729.80 | $12,883.00 | $576.76 – $5,291.55 | 8 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $7,729.80 | $12,883.00 | $776.68 – $5,291.55 | 8 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | $9,316.20 | $15,527.00 | $425.73 – $1,108.55 | 4 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $1,387.20 | $2,312.00 | $89.23 – $1,079.47 | 12 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $1,442.40 | $2,404.00 | $37.17 – $618.25 | 9 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | $9,316.20 | $15,527.00 | $172.41 – $449.14 | 4 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $1,704.60 | $2,841.00 | $55.11 – $948.51 | 9 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $663.60 | $1,106.00 | $43.72 – $281.31 | 9 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $969.00 | $1,615.00 | $37.18 – $539.69 | 9 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $762.60 | $1,271.00 | $28.00 – $477.76 | 12 |
| Plmt biliary drainage cath CPT 47534 | $7,503.60 | $12,506.00 | $420.81 – $5,414.43 | 12 |
| Plmt nephroureteral catheter CPT 50433 | $5,190.00 | $8,650.00 | $620.89 – $5,291.55 | 9 |
| Plmt ureteral stent prq CPT 50694 | $7,729.80 | $12,883.00 | $636.56 – $5,291.55 | 8 |
| #pnh-flow cytometry interp CPT 88187 | $165.60 | $276.00 | $28.58 – $312.73 | 12 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $141.60 | $236.00 | $13.20 – $139.97 | 14 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $10,525.80 | $17,543.00 | $42.21 – $218.67 | 11 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | $3,382.20 | $5,637.00 | $620.39 – $1,560.93 | 12 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $4,898.40 | $8,164.00 | $462.27 – $1,560.93 | 12 |
| Porfimer sodium injection HCPCS J9600 | $13,787.40 | $22,979.00 | $3,898.75 – $38,765.47 | 8 |
| Potassium 24 hour urine CPT 84133 | $24.00 | $40.00 | $4.89 – $31.11 | 14 |
| Potassium serum/plasma/whole blood CPT 84132 | $24.00 | $40.00 | $4.92 – $33.20 | 14 |
| Pq biliary strict dil s&i CPT 74363 | $2,397.60 | $3,996.00 | $102.93 – $1,497.72 | 12 |
| Pq dr cath chg w cont s&i CPT 75984 | $2,119.80 | $3,533.00 | $13.10 – $468.62 | 12 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $18,813.00 | $31,355.00 | $1,016.56 – $11,433.07 | 9 |
| Pq thr inj ext pse CPT 36002 | $1,125.60 | $1,876.00 | $131.23 – $948.56 | 12 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $2,268.00 | $3,780.00 | $185.85 – $1,315.06 | 4 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $4,150.20 | $6,917.00 | $929.56 – $4,978.02 | 8 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $7,986.60 | $13,311.00 | $920.29 – $4,978.02 | 8 |
| Pralatrexate injection HCPCS J9307 | $4,072.20 | $6,787.00 | $269.87 – $628.21 | 11 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $51.60 | $86.00 | $40.10 – $124.69 | 5 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $4,150.20 | $6,917.00 | $231.78 – $4,978.02 | 12 |
| Pr application of long arm splint CPT 29105 | $520.80 | $868.00 | $42.55 – $1,016.56 | 12 |
| Pr application splint static short arm CPT 29125 | $406.20 | $677.00 | $33.02 – $197.76 | 12 |
| Pr biopsy skin punch single lesion CPT 11104 | $690.60 | $1,151.00 | $51.35 – $1,016.56 | 12 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $682.16 – $19,740.78 | 9 |
| Pr correction hammertoe CPT 28285 | not published | not published | $294.00 – $4,978.02 | 12 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $52.20 | $87.00 | $17.94 – $45.71 | 9 |
| Prcrd drg 6+yr without anomly CPT 33017 | $2,473.20 | $4,122.00 | $114.67 – $317.17 | 4 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $182.52 – $5,291.55 | 12 |
| Prealbumin CPT 84134 | $74.40 | $124.00 | $6.38 – $105.53 | 14 |
| Pr ecg 12 lead report only CPT 93010 | $22.20 | $37.00 | $7.65 – $284.00 | 6 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $2,361.00 | $3,935.00 | $594.82 – $2,910.43 | 9 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $394.20 | $657.00 | $60.91 – $584.60 | 15 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $394.20 | $657.00 | $50.29 – $493.01 | 15 |
| Pregnancy Ultrasound (limited) CPT 76815 | $394.20 | $657.00 | $51.09 – $354.08 | 15 |
| Prep corneal endo allograft CPT 65757 | not published | not published | $124.31 – $2,780.46 | 3 |
| Prep skin to 100cm2 other CPT 15004 | not published | not published | $562.68 – $2,564.80 | 9 |
| Prep skin to 100cm2 trk/ext CPT 15002 | not published | not published | $466.25 – $3,395.00 | 9 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | not published | not published | $39.52 – $2,721.10 | 5 |
| Pressure max expiratory/inspiratory CPT 94799 | $279.00 | $465.00 | $5.74 – $240.05 | 9 |
| Pressure velocity wire add ves CPT 93572 | $3,046.80 | $5,078.00 | $102.30 – $531.61 | 4 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $48.00 | $80.00 | $27.14 – $131.88 | 8 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $2,080.80 | $3,468.00 | $50.80 – $2,485.84 | 12 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $2,184.60 | $3,641.00 | $102.23 – $2,485.84 | 12 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $484.80 | $808.00 | $272.70 – $1,047.42 | 9 |
| Prgr stim/pace a/iv drug CPT 93623 | $3,457.20 | $5,762.00 | $124.02 – $359.02 | 4 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $17,281.80 | $28,803.00 | $1,016.56 – $27,549.92 | 9 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $9,877.80 | $16,463.00 | $172.57 – $1,607.32 | 4 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $856.20 | $1,427.00 | $66.67 – $786.00 | 12 |
| Pr incision & drainage abscess simple/single CPT 10060 | $510.60 | $851.00 | $29.84 – $810.89 | 12 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $831.60 | $1,386.00 | $119.14 – $1,016.56 | 12 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $520.80 | $868.00 | $38.73 – $1,017.87 | 12 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $831.60 | $1,386.00 | $12.11 – $67.79 | 8 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $3,250.20 | $5,417.00 | $239.19 – $4,685.24 | 3 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $355.30 – $3,579.33 | 9 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $36.00 | $60.00 | $20.16 – $471.50 | 11 |
| Procalcitonin CPT 84145 | $138.00 | $230.00 | $22.21 – $137.54 | 14 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $5.40 | $9.00 | $1.81 – $4.84 | 9 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | $0.60 | $1.00 | $0.15 – $0.83 | 6 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $1,420.20 | $2,367.00 | $30.95 – $1,398.78 | 12 |
| Progesterone CPT 84144 | $105.00 | $175.00 | $17.00 – $150.92 | 14 |
| Prolactin CPT 84146 | $98.40 | $164.00 | $20.04 – $140.22 | 14 |
| Promethazine hcl injection HCPCS J2550 | $1.80 | $3.00 | $1.51 – $5.06 | 10 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $682.16 – $19,740.78 | 9 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $6.00 | $10.00 | $0.09 – $0.18 | 9 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $6.60 | $11.00 | $8.69 – $12.99 | 5 |
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.