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 |
|---|---|---|---|---|
| Repair of leg tendon each CPT 27658 | not published | not published | $444.23 – $4,978.02 | 9 |
| Repair of leg tendon each CPT 27659 | not published | not published | $594.82 – $10,960.19 | 9 |
| Repair of leg tendon each CPT 27665 | not published | not published | $594.82 – $10,960.19 | 9 |
| Repair of metatarsals CPT 28322 | not published | not published | $353.69 – $10,960.19 | 12 |
| Repair of nasal septum CPT 30520 | not published | not published | $840.28 – $4,975.65 | 9 |
| Repair of ruptured tendon CPT 24342 | not published | not published | $660.40 – $10,960.19 | 12 |
| Repair of shoulder CPT 23420 | not published | not published | $735.33 – $10,960.19 | 12 |
| Repair of thigh muscle CPT 27385 | not published | not published | $617.86 – $10,960.19 | 12 |
| Repair pm/icd lead sgl CPT 33218 | $4,523.40 | $7,539.00 | $462.81 – $5,583.55 | 12 |
| Repair rectum & vagina CPT 57250 | not published | not published | $1,004.69 – $7,573.70 | 9 |
| Repair rotator cuff acute CPT 23410 | not published | not published | $568.96 – $10,960.19 | 12 |
| Repair rotator cuff chronic CPT 23412 | not published | not published | $735.33 – $10,960.19 | 12 |
| Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252 | $1,497.00 | $2,495.00 | $109.86 – $765.04 | 12 |
| Repair rpr lip full thickness vermilion only CPT 40650 | $993.00 | $1,655.00 | $316.14 – $1,443.91 | 12 |
| Repair tendon extensor foot 1/2 each tendon CPT 28208 | $9,012.00 | $15,020.00 | $302.26 – $4,978.02 | 12 |
| Repair tendon/muscle forearm/wrist prime sngl ea CPT 25260 | $9,332.40 | $15,554.00 | $461.01 – $4,978.02 | 12 |
| Repair toe dislocation CPT 28645 | not published | not published | $682.16 – $4,978.02 | 9 |
| Repair tongue lac <2.5cm past 1/3 tongue 41251 CPT 41251 | $1,050.60 | $1,751.00 | $40.01 – $645.83 | 12 |
| Repair upper arm/elbow tendon/muscle ea CPT 24341 | $9,067.20 | $15,112.00 | $731.73 – $10,960.19 | 9 |
| Replace duod/jej tube perc CPT 49451 | $4,216.80 | $7,028.00 | $89.32 – $1,438.45 | 12 |
| Replace g/c tube perc CPT 49450 | $3,972.00 | $6,620.00 | $64.90 – $1,438.45 | 12 |
| Replace g-j tube perc CPT 49452 | $4,274.40 | $7,124.00 | $139.42 – $1,563.30 | 12 |
| Replace picvad cath CPT 36585 | $4,201.80 | $7,003.00 | $327.77 – $4,829.02 | 12 |
| Replace tissue expander w/perm prost 11970 CPT 11970 | not published | not published | $647.04 – $10,960.19 | 12 |
| Replace tunneled cv cath CPT 36578 | $4,273.80 | $7,123.00 | $253.14 – $4,829.02 | 12 |
| Reposition pm/icd lead CPT 33215 | $4,608.60 | $7,681.00 | $457.09 – $8,604.23 | 9 |
| Repos lv lead pm/icd CPT 33226 | $4,201.80 | $7,003.00 | $727.49 – $9,667.11 | 9 |
| Repos sq defib eltrd CPT 33273 | $4,831.80 | $8,053.00 | $223.43 – $5,583.55 | 8 |
| Rerepair ing hernia blocked CPT 49521 | $5,185.20 | $8,642.00 | $1,016.56 – $9,573.28 | 9 |
| Rerepair ing hernia reduce CPT 49520 | not published | not published | $548.64 – $5,414.43 | 12 |
| Reslizumab 10 mg/ml intravenous solution HCPCS J2786 | $64.20 | $107.00 | $5.03 – $17.52 | 11 |
| Respirator motion mgmt simul CPT 77293 | $1,757.40 | $2,929.00 | $181.92 – $1,978.24 | 12 |
| Resp virus 6-11 targets CPT 87632 | $1,212.60 | $2,021.00 | $190.06 – $1,453.53 | 14 |
| Revasc intra lithotrip-ather HCPCS C9766 | $22,899.00 | $38,165.00 | $3,466.47 – $27,549.92 | 7 |
| Revasc intra lithotrip-stent HCPCS C9765 | $22,899.00 | $38,165.00 | $3,466.47 – $27,549.92 | 7 |
| Revasc intravasc lithotripsy HCPCS C9764 | $11,449.20 | $19,082.00 | $2,036.04 – $17,399.15 | 7 |
| Revasc lithotr-ather tib/per HCPCS C9774 | $36,522.60 | $60,871.00 | $4,551.70 – $27,549.92 | 7 |
| Revasc lithotrip-stent-ather HCPCS C9767 | $36,839.40 | $61,399.00 | $4,551.70 – $27,549.92 | 7 |
| Revasc lithotrip tibi/perone HCPCS C9772 | $22,833.60 | $38,056.00 | $3,466.47 – $17,399.15 | 7 |
| Revasc lithotr-stent tib/per HCPCS C9773 | $36,522.60 | $60,871.00 | $4,551.70 – $27,549.92 | 7 |
| Revasc lith-sten-ath tib/per HCPCS C9775 | $36,522.60 | $60,871.00 | $4,551.70 – $27,549.92 | 7 |
| Revise arm/leg nerve CPT 64708 | not published | not published | $594.82 – $2,996.02 | 9 |
| Revise breast reconst 19380 CPT 19380 | not published | not published | $1,004.69 – $10,005.49 | 9 |
| Revise eye muscle CPT 67311 | not published | not published | $594.55 – $3,579.33 | 12 |
| Revise eye muscle CPT 67314 | not published | not published | $614.04 – $3,579.33 | 12 |
| Revise eye muscle(s) add-on CPT 67320 | not published | not published | $243.61 – $1,937.20 | 9 |
| Revise lower leg tendon CPT 27691 | not published | not published | $840.28 – $10,960.19 | 9 |
| Revise/replace knee joint CPT 27486 | not published | not published | $1,016.56 – $5,437.97 | 4 |
| Revise/replace knee joint CPT 27487 | not published | not published | $1,140.36 – $6,365.57 | 4 |
| Revise two eye muscles CPT 67312 | not published | not published | $801.67 – $5,785.62 | 12 |
| Revision of big toe CPT 28310 | not published | not published | $316.87 – $10,960.19 | 12 |
| Revision of calf tendon CPT 27687 | not published | not published | $413.38 – $4,978.02 | 12 |
| Revision of cervix CPT 59320 | $7,368.60 | $12,281.00 | $446.74 – $5,151.61 | 9 |
| Revision of colostomy CPT 44340 | not published | not published | $614.39 – $5,616.80 | 9 |
| Revision of cornea CPT 65600 | not published | not published | $329.87 – $3,579.33 | 12 |
| Revision of knee joint CPT 27442 | not published | not published | $865.50 – $19,740.78 | 12 |
| Revision of knee joint CPT 27446 | not published | not published | $1,016.56 – $19,740.78 | 9 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $559.43 – $10,960.19 | 12 |
| Revision tips CPT 37183 | $7,508.40 | $12,514.00 | $639.25 – $8,747.50 | 9 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $1,117.68 – $19,740.78 | 7 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $1,208.36 – $2,597.09 | 4 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $294.13 – $5,276.27 | 9 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $287.80 – $5,276.27 | 9 |
| Revsc opn/prq tib/pero stent CPT 37234 | $8,640.60 | $14,401.00 | $305.78 – $5,955.40 | 3 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $5,661.00 | $9,435.00 | $221.80 – $2,996.02 | 9 |
| Rheumatoid factor qualitative CPT 86430 | $33.60 | $56.00 | $6.35 – $41.07 | 14 |
| Rheumatoid factor quantitative CPT 86431 | $31.80 | $53.00 | $5.87 – $41.07 | 14 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $48.00 | $80.00 | $4.86 – $17.63 | 9 |
| Rho d immune globulin inj HCPCS J2790 | $70.80 | $118.00 | $64.66 – $114.44 | 9 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $262.80 | $438.00 | $21.61 – $589.04 | 13 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $262.80 | $438.00 | $21.61 – $218.16 | 15 |
| Rib X-ray (3 views, both sides) CPT 71110 | $262.80 | $438.00 | $21.61 – $165.40 | 15 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $106.80 | $178.00 | $0.14 – $0.16 | 6 |
| Right ventric recording CPT 93603 | $2,545.80 | $4,243.00 | $141.88 – $1,862.56 | 9 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $588.00 | $980.00 | $5.64 – $23.90 | 11 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $55.80 | $93.00 | $53.31 – $120.35 | 11 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | $337.20 | $562.00 | $26.65 – $58.70 | 11 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $50.40 | $84.00 | $29.38 – $47.01 | 11 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $42.60 | $71.00 | $26.51 – $44.82 | 11 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $42.60 | $71.00 | $27.84 – $49.72 | 11 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $444.23 – $2,455.41 | 9 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $2,080.80 | $3,468.00 | $38.73 – $2,485.84 | 12 |
| Rmvl icd by tv extr CPT 33244 | $4,589.40 | $7,649.00 | $1,016.56 – $15,318.41 | 9 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $34,564.20 | $57,607.00 | $395.75 – $44,742.49 | 9 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $48,933.60 | $81,556.00 | $410.90 – $49,190.16 | 9 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $34,564.20 | $57,607.00 | $380.61 – $34,437.84 | 9 |
| Rmvl icd pulse gen only CPT 33241 | $4,523.40 | $7,539.00 | $351.42 – $5,583.55 | 9 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $2,304.60 | $3,841.00 | $266.34 – $2,769.59 | 9 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | not published | not published | $62.92 – $208.36 | 4 |
| Rmvl perm pm pulse gen CPT 33233 | $11,583.60 | $19,306.00 | $302.62 – $12,697.34 | 9 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $27,759.00 | $46,265.00 | $380.22 – $1,016.56 | 4 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $17,467.80 | $29,113.00 | $349.93 – $1,016.56 | 4 |
| Rmvl pq iabp CPT 33968 | $243.00 | $405.00 | $35.27 – $85.20 | 4 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $512.40 | $854.00 | $145.41 – $312.51 | 4 |
| Rmvl sq defib electrode CPT 33272 | $4,831.80 | $8,053.00 | $613.65 – $5,583.55 | 8 |
| Rmvl subq card rhythm mntr CPT 33286 | $2,304.60 | $3,841.00 | $66.14 – $1,785.22 | 9 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | $319.68 – $4,391.07 | 12 |
| Rmvl tv pm lead dual CPT 33235 | $4,523.40 | $7,539.00 | $931.98 – $6,258.11 | 9 |
| Rmvl tv pm lead sgl CPT 33234 | $4,523.40 | $7,539.00 | $733.47 – $5,583.55 | 9 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | $1,918.80 | $3,198.00 | $12.60 – $49.25 | 11 |
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.