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 |
|---|---|---|---|---|
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $682.16 – $8,951.31 | 9 |
| Tx atrial fib pulm vein isol CPT 93656 | $30,975.00 | $51,625.00 | $759.67 – $37,638.43 | 9 |
| Tx closed hip disl traumatic without anes CPT 27250 | $1,249.20 | $2,082.00 | $239.91 – $983.23 | 12 |
| Tx closed tib shaft fx without manip CPT 27750 | $1,408.20 | $2,347.00 | $180.97 – $699.63 | 12 |
| Tx l/r atrial fib addl CPT 93657 | $4,257.00 | $7,095.00 | $284.77 – $733.99 | 5 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $4,150.20 | $6,917.00 | $226.06 – $4,978.02 | 12 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | $6,223.80 | $10,373.00 | $150.50 – $4,978.02 | 12 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | not published | not published | $284.48 – $4,978.02 | 12 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $509.40 | $849.00 | $106.05 – $1,016.56 | 12 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | $1,047.00 | $1,745.00 | $22.74 – $113.20 | 11 |
| Ultrasound breast complete CPT 76641 | $394.20 | $657.00 | $36.80 – $589.04 | 13 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $280.20 | $467.00 | $28.19 – $334.53 | 15 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $257.40 | $429.00 | $28.20 – $185.47 | 15 |
| Ultrasound elastography parenchyma CPT 76981 | $202.20 | $337.00 | $36.78 – $533.90 | 12 |
| Ultrasound encephalogram CPT 76506 | $394.20 | $657.00 | $62.23 – $379.51 | 15 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $394.20 | $657.00 | $83.17 – $645.27 | 15 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $394.20 | $657.00 | $53.83 – $337.41 | 15 |
| Ultrasound Guidance for a Needle Procedure CPT 76942 | $591.00 | $985.00 | $50.92 – $908.81 | 12 |
| Ultrasound guidance for vascular access CPT 76937 | $663.60 | $1,106.00 | $16.53 – $130.17 | 12 |
| Ultrasound guide intraoperative CPT 76998 | $890.40 | $1,484.00 | $54.27 – $748.17 | 5 |
| Ultrasound guide tissue ablation CPT 76940 | $649.80 | $1,083.00 | $140.02 – $511.38 | 6 |
| Ultrasound hips infant dynamic CPT 76885 | $280.20 | $467.00 | $83.31 – $379.51 | 15 |
| Ultrasound infant hips ltd without stress CPT 76886 | $280.20 | $467.00 | $69.43 – $379.91 | 12 |
| Ultrasound joint complete left CPT 76881 | $394.20 | $657.00 | $86.70 – $550.20 | 12 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $976.80 | $1,628.00 | $55.82 – $638.95 | 12 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $304.80 | $508.00 | $28.79 – $202.86 | 12 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $819.60 | $1,366.00 | $119.76 – $702.87 | 15 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $394.20 | $657.00 | $52.11 – $379.19 | 15 |
| Ultrasound prostate/transrectal CPT 76872 | $394.20 | $657.00 | $70.94 – $594.41 | 15 |
| Ultrasound spinal canal and contents CPT 76800 | $394.20 | $657.00 | $66.78 – $415.14 | 15 |
| Ultrasound transabd ea addl gest CPT 76812 | $343.20 | $572.00 | $59.24 – $385.40 | 12 |
| Umbilicoplasty 15847 CPT 15847 | not published | not published | $340.60 – $5,773.99 | 4 |
| Unlisted CT procedure CPT 76497 | $2,254.20 | $3,757.00 | $61.04 – $643.18 | 11 |
| Unlisted dx gi procedure CPT 91299 | $613.20 | $1,022.00 | $15.15 – $240.05 | 8 |
| Unlisted fetal invas px w/us CPT 59897 | $348.60 | $581.00 | $142.34 – $638.96 | 7 |
| Unlisted fluoroscopic px CPT 76496 | $226.20 | $377.00 | $30.22 – $508.24 | 9 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | not published | $126.00 – $18,531.45 | 8 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | not published | not published | $1,329.69 – $8,951.31 | 8 |
| Unlisted laps px ovidct ovry CPT 58679 | not published | not published | $1,329.69 – $8,951.31 | 8 |
| Unlisted mr procedure CPT 76498 | $568.20 | $947.00 | $53.48 – $2,133.06 | 9 |
| Unlisted procedure liver CPT 47399 | $2,287.20 | $3,812.00 | $518.59 – $2,234.78 | 8 |
| Unlisted procedure microbiology CPT 87999 | $112.20 | $187.00 | $75.11 – $308.94 | 4 |
| Unlisted procedure rectum CPT 45999 | not published | not published | $15.15 – $1,398.78 | 8 |
| Unlisted procedure spine CPT 22899 | not published | not published | $15.15 – $368.03 | 8 |
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | $15.15 – $368.03 | 8 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $165.43 – $2,381.90 | 8 |
| Unlisted px biliary tract CPT 47999 | $1,788.00 | $2,980.00 | $15.15 – $1,438.45 | 8 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $15.15 – $368.03 | 8 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $15.15 – $368.03 | 8 |
| Unlisted px med radj physics CPT 77399 | $404.40 | $674.00 | $15.15 – $203.70 | 8 |
| Unlisted px middle ear CPT 69799 | not published | not published | $15.15 – $356.29 | 8 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $15.15 – $368.03 | 8 |
| Unlisted transfusion med px CPT 86999 | $32.40 | $54.00 | $9.45 – $37.57 | 8 |
| Unlisted ultrasound procedure CPT 76999 | $280.20 | $467.00 | $15.15 – $135.09 | 8 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $2,160.60 | $3,601.00 | $98.47 – $1,644.55 | 8 |
| Upgrade pm system CPT 33214 | $15,540.60 | $25,901.00 | $728.40 – $38,529.29 | 9 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $188.40 | $314.00 | $15.06 – $419.44 | 13 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | $1,424.40 | $2,374.00 | $114.62 – $1,701.76 | 16 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $876.00 | $1,460.00 | $106.35 – $1,185.55 | 16 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $2,713.80 | $4,523.00 | $352.39 – $3,296.77 | 16 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $2,713.80 | $4,523.00 | $352.39 – $2,607.04 | 16 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,656.00 | $2,760.00 | $241.76 – $2,122.79 | 16 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $262.80 | $438.00 | $26.45 – $163.15 | 15 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $262.80 | $438.00 | $28.16 – $165.40 | 15 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $1,509.00 | $2,515.00 | $159.03 – $1,438.45 | 12 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $2,019.60 | $3,366.00 | $188.70 – $1,438.45 | 12 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $427.80 | $713.00 | $52.40 – $527.13 | 15 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $427.80 | $713.00 | $51.09 – $432.60 | 15 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $192.47 – $1,438.45 | 12 |
| Urea nitrogen CPT 84520 | $21.00 | $35.00 | $4.09 – $28.54 | 14 |
| Urea nitrogen 24 hour urine CPT 84540 | $28.80 | $48.00 | $4.44 – $34.34 | 11 |
| Ureteral reflux study CPT 78740 | $1,228.80 | $2,048.00 | $65.50 – $1,038.25 | 14 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $547.80 | $913.00 | $29.48 – $398.41 | 15 |
| Urethrocystography void s&i CPT 74455 | $547.80 | $913.00 | $36.02 – $444.24 | 15 |
| Uric acid blood CPT 84550 | $23.40 | $39.00 | $4.68 – $32.65 | 14 |
| Uric acid urine CPT 84560 | $25.80 | $43.00 | $4.50 – $25.02 | 14 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $8.40 | $14.00 | $2.24 – $15.66 | 14 |
| Urinalysis (with microscopy) CPT 81001 | $23.40 | $39.00 | $3.00 – $22.94 | 14 |
| Urinalysis (without microscopy) CPT 81003 | $17.40 | $29.00 | $2.32 – $16.25 | 14 |
| Urine Culture Test CPT 87086 | $45.00 | $75.00 | $8.00 – $58.41 | 14 |
| Urine pregnancy test CPT 81025 | $63.00 | $105.00 | $4.00 – $45.78 | 14 |
| Urography, antegrade CPT 74425 | $896.40 | $1,494.00 | $29.48 – $547.92 | 15 |
| Urography inf drip &/or bolus CPT 74410 | $427.80 | $713.00 | $36.02 – $542.76 | 15 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $46.20 | $77.00 | $7.26 – $20.78 | 11 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $16,705.20 | $27,842.00 | $155.82 – $28,373.55 | 10 |
| Vaccine Administration (one shot) CPT 90471 | $115.20 | $192.00 | $1.18 – $109.18 | 8 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $193.20 | $322.00 | $42.00 – $1,024.73 | 12 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | $193.20 | $322.00 | $42.00 – $1,024.73 | 12 |
| Vaccine dtap < 7 years im CPT 90700 | $32.40 | $54.00 | $10.50 – $44.25 | 11 |
| Vaccine dtap-ipv/hib im CPT 90698 | $66.00 | $110.00 | $10.50 – $180.85 | 11 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $9.00 | $15.00 | $10.50 – $28.12 | 11 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $46.80 | $78.00 | $10.50 – $124.71 | 11 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $43.80 | $73.00 | $10.50 – $58.30 | 11 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $40.80 | $68.00 | $10.50 – $494.25 | 13 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $33.00 | $55.00 | $10.50 – $216.08 | 13 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | $76.20 | $127.00 | $12.70 – $515.45 | 12 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $51.00 | $85.00 | $12.42 – $56.79 | 10 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $267.00 | $445.00 | $10.50 – $333.72 | 11 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $93.60 | $156.00 | $10.50 – $234.50 | 11 |
| Vaccine mmr live subcutaneous CPT 90707 | $54.00 | $90.00 | $10.50 – $141.92 | 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.