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 |
|---|---|---|---|---|
| Tc-99m diag per dose HCPCS A4641 | $77.40 | $129.00 | $342.72 – $342.72 | 1 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $7,144.80 | $11,908.00 | $1,060.38 – $1,664.51 | 7 |
| Tc-99m fanolesomab diag HCPCS A9566 | $6,315.00 | $10,525.00 | $186.39 – $2,072.52 | 4 |
| Tc-99m labeled rbc HCPCS A9560 | $590.40 | $984.00 | $95.27 – $670.77 | 6 |
| Tc-99m maa HCPCS A9540 | $576.00 | $960.00 | $4.96 – $284.42 | 6 |
| Tc-99m mebrofenin HCPCS A9537 | $94.80 | $158.00 | $56.42 – $300.89 | 6 |
| Tc-99m medronate HCPCS A9503 | $54.60 | $91.00 | $13.26 – $210.28 | 6 |
| Tc-99m mertiatide HCPCS A9562 | $1,284.60 | $2,141.00 | $96.18 – $1,449.95 | 5 |
| Tc-99m oxidronate HCPCS A9561 | $88.80 | $148.00 | $40.98 – $77.67 | 6 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $415.20 | $692.00 | $11.76 – $78.06 | 6 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $2.40 | $4.00 | $0.83 – $24.30 | 6 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $232.20 | $387.00 | $19.89 – $185.08 | 6 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $201.00 | $335.00 | $108.89 – $668.53 | 6 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $1,749.60 | $2,916.00 | $191.84 – $862.09 | 6 |
| Tc-99m sulfur colloid HCPCS A9541 | $469.20 | $782.00 | $97.38 – $816.98 | 6 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $247.20 | $412.00 | $86.98 – $749.62 | 6 |
| Tc-99m tilmanocept diag HCPCS A9520 | $1,043.40 | $1,739.00 | $583.77 – $951.48 | 5 |
| Tcd emboli detect without inj CPT 93892 | $240.60 | $401.00 | $106.35 – $452.63 | 12 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $261.60 | $436.00 | $48.59 – $339.89 | 14 |
| T cells absolute cd 4 count CPT 86361 | $148.80 | $248.00 | $27.69 – $193.68 | 14 |
| T cells total count CPT 86359 | $210.00 | $350.00 | $39.02 – $272.90 | 14 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | $24,312.00 | $40,520.00 | $69.48 – $347.34 | 11 |
| Telavancin injection HCPCS J3095 | $367.80 | $613.00 | $3.59 – $11.38 | 11 |
| Telehealth original site facility fee HCPCS Q3014 | $84.60 | $141.00 | $12.73 – $40.94 | 4 |
| Telethx isodose plan cplx CPT 77307 | $1,189.20 | $1,982.00 | $68.84 – $816.89 | 14 |
| Telethx isodose plan simple CPT 77306 | $766.80 | $1,278.00 | $37.53 – $561.63 | 14 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | $601.80 | $1,003.00 | $0.09 – $16.62 | 11 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $1,200.00 | $2,000.00 | $26.71 – $79.63 | 11 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $4,559.40 | $7,599.00 | $86.51 – $275.55 | 11 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $105.41 – $2,455.41 | 12 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $11.40 | $19.00 | $2.61 – $10.98 | 9 |
| Testicular imaging w/vasc flow CPT 78761 | $1,228.80 | $2,048.00 | $124.45 – $1,005.17 | 14 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $51.00 | $85.00 | $5.42 – $91.14 | 7 |
| Test stress cardiovascular tracing only CPT 93017 | $953.40 | $1,589.00 | $39.84 – $477.76 | 12 |
| Test urine for porphyrins CPT 84119 | $48.60 | $81.00 | $7.50 – $52.52 | 14 |
| Tetanus immune globulin inj HCPCS J1670 | $389.40 | $649.00 | $151.50 – $948.80 | 11 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $1,269.00 | $2,115.00 | $6.41 – $28.82 | 11 |
| Theophylline therapeutic drug level CPT 80198 | $101.40 | $169.00 | $11.00 – $102.36 | 14 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $80.40 | $134.00 | $16.51 – $148.00 | 10 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $73.80 | $123.00 | $10.64 – $148.00 | 10 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $50.40 | $84.00 | $10.57 – $115.00 | 5 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $50.40 | $84.00 | $10.57 – $115.00 | 5 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $74.93 – $4,975.65 | 12 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $389.40 | $649.00 | $29.48 – $536.61 | 15 |
| Ther/proph/diag inj ia CPT 96373 | $369.00 | $615.00 | $13.72 – $323.25 | 12 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $2.40 | $4.00 | $0.41 – $3.47 | 10 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $188.40 | $314.00 | $12.14 – $419.44 | 13 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $2,304.60 | $3,841.00 | $329.04 – $1,221.53 | 9 |
| Thoracotomy with cardiac massage CPT 32160 | $3,385.80 | $5,643.00 | $750.07 – $2,716.56 | 5 |
| Three-Phase Bone Scan (Nuclear Medicine) CPT 78315 | $1,228.80 | $2,048.00 | $155.89 – $1,495.96 | 14 |
| Throat x-ray & fluoroscopy CPT 70370 | $188.40 | $314.00 | $15.06 – $349.37 | 15 |
| Thrombectmy crnry perq mechanical CPT 92973 | $6,847.20 | $11,412.00 | $163.49 – $1,188.38 | 5 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $12,394.80 | $20,658.00 | $355.68 – $8,747.50 | 13 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $24,300.00 | $40,500.00 | $446.44 – $17,399.15 | 13 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $24,300.00 | $40,500.00 | $521.00 – $27,549.92 | 13 |
| Thromb/endar/neck inc/car/vert/subc35301 CPT 35301 | $6,882.60 | $11,471.00 | $1,122.67 – $3,289.72 | 4 |
| Thrombin time CPT 85670 | $29.40 | $49.00 | $5.97 – $41.82 | 14 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $32.40 | $54.00 | $6.69 – $46.42 | 14 |
| Thyroglobulin antibody CPT 86800 | $88.80 | $148.00 | $16.46 – $115.05 | 14 |
| Thyroid imaging CPT 78013 | $1,228.80 | $2,048.00 | $110.28 – $1,148.80 | 14 |
| Thyroid met imaging CPT 78015 | $1,228.80 | $2,048.00 | $55.67 – $1,014.98 | 14 |
| Thyroid met imaging/studies CPT 78016 | $1,228.80 | $2,048.00 | $74.08 – $1,598.79 | 14 |
| Thyroid mets imag whole body CPT 78018 | $1,574.40 | $2,624.00 | $74.02 – $1,613.77 | 14 |
| Thyroid met uptake CPT 78020 | $407.40 | $679.00 | $23.67 – $369.38 | 11 |
| Thyroid (TSH) Test CPT 84443 | $85.80 | $143.00 | $17.37 – $121.54 | 14 |
| Thyroid Ultrasound CPT 76536 | $394.20 | $657.00 | $66.78 – $498.04 | 15 |
| Thyroid uptake measurement CPT 78012 | $1,228.80 | $2,048.00 | $49.96 – $616.50 | 14 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $1,186.20 | $1,977.00 | $239.95 – $3,386.11 | 11 |
| Thyroxine binding globulin (tbg) CPT 84442 | $75.00 | $125.00 | $10.00 – $106.97 | 14 |
| Tib/per revasc stent & ather 37231 CPT 37231 | $66,098.40 | $110,164.00 | $1,016.56 – $27,549.92 | 8 |
| Tib/per revasc stnt & ather CPT 37235 | $21,287.40 | $35,479.00 | $434.02 – $6,370.17 | 3 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | $14,982.00 | $24,970.00 | $367.02 – $12,611.03 | 4 |
| Tigecycline injection HCPCS J3243 | $93.60 | $156.00 | $0.39 – $1.58 | 9 |
| Tilt table study CPT 93660 | $920.40 | $1,534.00 | $140.33 – $1,151.02 | 8 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | $4,113.60 | $6,856.00 | $56.60 – $302.02 | 11 |
| Tissue culture placenta CPT 88235 | $543.00 | $905.00 | $155.46 – $1,065.24 | 14 |
| Tissue culture skin/biopsy CPT 88233 | $1,007.40 | $1,679.00 | $145.55 – $1,018.07 | 14 |
| Tissue exam koh skin/hair/nails CPT 87220 | $238.80 | $398.00 | $3.90 – $25.02 | 14 |
| Tissue transglutaminase iga CPT 86364 | $58.80 | $98.00 | $3.98 – $57.13 | 11 |
| Tixagev and cilgav inj HCPCS M0220 | $309.60 | $516.00 | $27.65 – $175.37 | 8 |
| Tl-201 thallium diag per mci HCPCS A9505 | $45.60 | $76.00 | $33.31 – $179.86 | 6 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $1,016.56 – $15,973.31 | 9 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $1,016.56 – $15,973.31 | 9 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $49.80 | $83.00 | $0.81 – $10.21 | 10 |
| Tobramycin non-comp unit HCPCS J7682 | $1.80 | $3.00 | $1.47 – $58.45 | 10 |
| Tobramycin peak therapeutic drug level CPT 80200 | $115.80 | $193.00 | $16.69 – $116.58 | 14 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $783.00 | $1,305.00 | $5.71 – $9.14 | 11 |
| Toe X-ray (both feet) CPT 73660 | $188.40 | $314.00 | $11.79 – $419.44 | 13 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $65.40 | $109.00 | $13.20 – $63.38 | 8 |
| Tomosynthesis breast screen bilateral CPT 77063 | $65.40 | $109.00 | $13.20 – $156.51 | 13 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $711.55 – $4,975.65 | 9 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $590.39 – $9,076.05 | 9 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $141.00 | $235.00 | $1.10 – $45.40 | 9 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | $889.20 | $1,482.00 | $12.36 – $63.06 | 11 |
| Total Hip Replacement CPT 27130 | not published | not published | $1,016.56 – $19,740.78 | 8 |
| Total hysterectomy CPT 58150 | not published | not published | $679.24 – $5,025.66 | 5 |
| Total Knee Replacement CPT 27447 | not published | not published | $1,016.56 – $19,740.78 | 9 |
| Toxoplasma antibody igg CPT 86777 | $80.40 | $134.00 | $14.89 – $104.15 | 14 |
| Toxoplasma antibody igm CPT 86778 | $80.40 | $134.00 | $14.90 – $104.20 | 14 |
| Tpmt gene com vrnts CPT 81335 | $1,009.80 | $1,683.00 | $90.35 – $1,070.05 | 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.