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 |
|---|---|---|---|---|
| Prostate biopsy, any mthd HCPCS G0416 | $643.20 | $1,072.00 | $259.00 – $631.32 | 8 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $840.28 – $7,799.49 | 9 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $1.80 | $3.00 | $1.26 – $2.34 | 9 |
| Protein c activity CPT 85303 | $70.20 | $117.00 | $14.32 – $100.03 | 14 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $54.60 | $91.00 | $11.12 – $77.69 | 14 |
| Protein s total CPT 85305 | $58.80 | $98.00 | $12.01 – $83.88 | 14 |
| Protein total 24 hour urine CPT 84156 | $19.80 | $33.00 | $3.80 – $26.51 | 14 |
| Protein total body fluid CPT 84157 | $21.00 | $35.00 | $4.10 – $26.51 | 14 |
| Protein total serum plasma whole blood CPT 84155 | $19.80 | $33.00 | $3.80 – $26.51 | 14 |
| Prothrombin complex kcentra HCPCS J7168 | $32.40 | $54.00 | $1.08 – $3.42 | 8 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $21.00 | $35.00 | $4.08 – $28.49 | 14 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $1,016.56 – $5,414.43 | 9 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | $37,664.40 | $62,774.00 | $2,163.56 – $27,549.92 | 8 |
| Prq av fstl crt uxtr sep acs CPT 36837 | $37,664.40 | $62,774.00 | $3,078.46 – $27,549.92 | 8 |
| Prq card angio/athrect addl CPT 92925 | $9,672.00 | $16,120.00 | $109.26 – $175.66 | 2 |
| Prq cardiac angio addl art CPT 92921 | $5,071.20 | $8,452.00 | $99.35 – $151.72 | 2 |
| Prq card revasc chronic addl CPT 92944 | $3,477.60 | $5,796.00 | $230.02 – $352.27 | 2 |
| Prq card revasc mi 1 vsl CPT 92941 | $15,411.00 | $25,685.00 | $469.07 – $1,008.17 | 4 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $15,411.00 | $25,685.00 | $688.00 – $1,746.52 | 2 |
| Prq card stent/ath/angio CPT 92934 | $7,705.80 | $12,843.00 | $183.54 – $1,276.77 | 2 |
| Prq card stent w/angio addl CPT 92929 | $9,768.60 | $16,281.00 | $168.56 – $1,071.86 | 2 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $15,411.00 | $25,685.00 | $418.16 – $17,399.15 | 8 |
| Prq revasc byp graft addl CPT 92938 | $11,988.60 | $19,981.00 | $230.02 – $314.03 | 2 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $15,411.00 | $25,685.00 | $899.72 – $17,399.15 | 9 |
| Prq trlml c athrc st angiop1 CPT 92933 | $24,161.40 | $40,269.00 | $1,006.15 – $27,549.92 | 8 |
| Prq trluml c angiop 1art&/br CPT 92920 | $10,148.40 | $16,914.00 | $809.90 – $8,747.50 | 9 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $17,281.80 | $28,803.00 | $409.81 – $17,399.15 | 8 |
| Prq trluml revsc ch occ ant CPT 92943 | $15,411.00 | $25,685.00 | $469.07 – $17,399.15 | 8 |
| Pr removal drug delivery implant CPT 11982 | $1,165.20 | $1,942.00 | $117.26 – $1,016.56 | 12 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $370.80 | $618.00 | $38.10 – $636.66 | 12 |
| Pr removal intrauterine device CPT 58301 | $411.00 | $685.00 | $21.91 – $1,016.56 | 11 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $819.00 | $1,365.00 | $41.91 – $1,016.56 | 12 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $520.80 | $868.00 | $40.01 – $645.83 | 12 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $520.80 | $868.00 | $60.33 – $1,016.56 | 12 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $520.80 | $868.00 | $31.11 – $689.06 | 12 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $520.80 | $868.00 | $45.09 – $1,016.56 | 12 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $594.82 – $2,806.48 | 9 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $2,472.00 | $4,120.00 | $251.79 – $2,383.34 | 9 |
| PSA (Prostate) Test CPT 84153 | $109.80 | $183.00 | $19.02 – $133.03 | 14 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $302.40 | $504.00 | $66.04 – $246.51 | 11 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $70.80 | $118.00 | $4.17 – $148.00 | 5 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $132.00 | $220.00 | $9.85 – $148.00 | 6 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $78.60 | $131.00 | $28.98 – $148.00 | 5 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $108.60 | $181.00 | $8.44 – $148.00 | 5 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $73.80 | $123.00 | $20.52 – $193.00 | 10 |
| Pt wheelchair management each 15 minutes CPT 97542 | $60.60 | $101.00 | $20.77 – $148.00 | 6 |
| Pulmonary vent imaging CPT 78579 | $1,228.80 | $2,048.00 | $143.70 – $905.01 | 14 |
| Pulse ox continuous overnight monitoring CPT 94762 | $350.40 | $584.00 | $25.75 – $240.05 | 9 |
| Pulse ox multiple CPT 94761 | $102.00 | $170.00 | $3.13 – $613.00 | 10 |
| Pulse ox single CPT 94760 | $98.40 | $164.00 | $2.19 – $613.00 | 10 |
| Punc of shunt for asp or inj CPT 61070 | $2,015.40 | $3,359.00 | $82.55 – $1,062.50 | 12 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $248.40 | $414.00 | $15.15 – $197.76 | 12 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $520.80 | $868.00 | $30.48 – $1,016.56 | 12 |
| Puncture spinal lumbar diagnostic CPT 62270 | $2,020.80 | $3,368.00 | $53.34 – $1,062.50 | 12 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $12.60 | $21.00 | $0.74 – $20.90 | 9 |
| Pyruvate CPT 84210 | $73.80 | $123.00 | $8.00 – $78.53 | 14 |
| Pyruvate kinase CPT 84220 | $33.60 | $56.00 | $8.00 – $68.22 | 14 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $1,574.40 | $2,624.00 | $249.60 – $1,571.86 | 14 |
| Quant diff pulm perf w/imaging CPT 78597 | $1,228.80 | $2,048.00 | $154.03 – $970.06 | 14 |
| Quest t3 uptake CPT 84479 | $32.40 | $54.00 | $6.69 – $46.82 | 14 |
| Quinupristin/dalfopristin HCPCS J2770 | $279.60 | $466.00 | $4.44 – $531.22 | 8 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $408.00 | $680.00 | $10.50 – $447.76 | 13 |
| Radiation handling CPT 77790 | $296.40 | $494.00 | $13.58 – $210.12 | 11 |
| Radiation physics consult CPT 77336 | $744.00 | $1,240.00 | $62.23 – $385.40 | 14 |
| Radiation therapy dose plan CPT 77300 | $546.60 | $911.00 | $28.16 – $246.86 | 14 |
| Radiation treatment aid(s) CPT 77332 | $489.00 | $815.00 | $42.58 – $310.08 | 14 |
| Radiation treatment aid(s) CPT 77333 | $501.00 | $835.00 | $22.23 – $283.49 | 14 |
| Radiation treatment aid(s) CPT 77334 | $715.80 | $1,193.00 | $72.05 – $590.81 | 14 |
| Radiation treatment delivery CPT 77402 | $1,046.40 | $1,744.00 | $27.30 – $824.14 | 14 |
| Radiation treatment delivery CPT 77412 | $1,750.80 | $2,918.00 | $55.88 – $1,247.98 | 14 |
| Radiology port images(s) CPT 77417 | $236.40 | $394.00 | $10.68 – $99.63 | 11 |
| Radiotherapy dose plan imrt CPT 77301 | $3,873.00 | $6,455.00 | $925.57 – $10,674.10 | 14 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $17,014.80 | $28,358.00 | $178.07 – $287.55 | 9 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $4,242.60 | $7,071.00 | $91.70 – $2,002.91 | 14 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $4,242.60 | $7,071.00 | $189.74 – $3,034.02 | 14 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $4,242.60 | $7,071.00 | $275.59 – $3,948.97 | 14 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $4,242.60 | $7,071.00 | $281.55 – $2,002.91 | 14 |
| Radphm lcl tumor plr sgl day CPT 78800 | $1,228.80 | $2,048.00 | $72.05 – $896.51 | 14 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $85.20 | $142.00 | $29.74 – $118.98 | 11 |
| Rapid Strep Test CPT 87880 | $93.00 | $155.00 | $6.30 – $79.67 | 14 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $644.40 | $1,074.00 | $377.52 – $604.03 | 11 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $1,280.40 | $2,134.00 | $111.03 – $360.18 | 11 |
| Rbc count only automated CPT 85041 | $6.60 | $11.00 | $3.12 – $21.80 | 14 |
| Rbc irradiated each unit HCPCS P9038 | $273.00 | $455.00 | $149.24 – $1,830.47 | 8 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $1,144.29 – $28,214.75 | 9 |
| Reconstruct finger joint CPT 26548 | not published | not published | $475.74 – $4,978.02 | 12 |
| Reconstruction ankle joint CPT 27703 | not published | not published | $998.68 – $2,916.12 | 4 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | $1,016.56 – $28,214.75 | 9 |
| Red blood cells each unit HCPCS P9021 | $200.40 | $334.00 | $38.10 – $221.42 | 12 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $269.40 | $449.00 | $127.46 – $321.79 | 9 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $376.80 | $628.00 | $207.06 – $929.71 | 8 |
| Redo endovas vena cava filtr CPT 37192 | $7,195.20 | $11,992.00 | $1,016.56 – $4,829.02 | 8 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $30.60 | $51.00 | $3.02 – $87.37 | 9 |
| Reinforce thigh CPT 27495 | not published | not published | $981.19 – $4,992.34 | 5 |
| Release of lower leg tendon CPT 27680 | not published | not published | $682.16 – $4,978.02 | 9 |
| Relocation skin pocket aicd CPT 33223 | $3,487.20 | $5,812.00 | $639.89 – $2,806.48 | 9 |
| Relocation skin pocket pm CPT 33222 | $2,460.00 | $4,100.00 | $420.62 – $2,806.48 | 12 |
| Rem/biv cast full arm/leg CPT 29705 | $370.80 | $618.00 | $75.75 – $407.46 | 8 |
| Rem endovas vena cava filter CPT 37193 | $5,819.40 | $9,699.00 | $1,016.56 – $8,281.62 | 9 |
| Rem interrog evl pm/ids CPT 93296 | $136.20 | $227.00 | $25.39 – $57.22 | 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.