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 |
|---|---|---|---|---|
| Warde hemoglobin fractionation/quantitation electrophoresis CPT 83020 | $91.80 | $153.00 | $11.00 – $92.21 | 14 |
| Warde hepatitis a antibody CPT 86708 | $69.60 | $116.00 | $12.82 – $89.63 | 14 |
| Warde hepatitis be antibody CPT 86707 | $64.80 | $108.00 | $11.96 – $83.68 | 14 |
| Warde hepatitis delta agent antibody CPT 86692 | $36.00 | $60.00 | $17.75 – $124.16 | 14 |
| Warde immunofixation electrophoresis urine CPT 86335 | $163.80 | $273.00 | $14.01 – $212.30 | 14 |
| Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn CPT 87350 | $64.80 | $108.00 | $10.00 – $83.39 | 14 |
| Warde infectious agent nucleic acid genotype hepatitis c CPT 87902 | $1,431.00 | $2,385.00 | $205.72 – $1,862.34 | 11 |
| Warde islet cell antibody zinc transporter 8 CPT 86341 | $131.40 | $219.00 | $22.33 – $143.14 | 14 |
| Warde lipoprotein (a) CPT 83695 | $72.60 | $121.00 | $10.21 – $93.69 | 14 |
| Warde lipoprotein-associated phospholipase a2 CPT 83698 | $234.60 | $391.00 | $19.18 – $245.55 | 14 |
| Warde mitochondrial antibody each CPT 86381 | $87.60 | $146.00 | $8.80 – $126.09 | 11 |
| Warde neutralization rabies CPT 86382 | $94.20 | $157.00 | $13.52 – $139.94 | 11 |
| Warde oxcarbazepine therapeutic drug level CPT 80183 | $33.60 | $56.00 | $10.88 – $89.63 | 14 |
| Warde pancreatic elastase fecal quantitative CPT 82653 | $58.80 | $98.00 | $7.94 – $113.81 | 14 |
| Warde protein c antigen CPT 85302 | $61.20 | $102.00 | $12.42 – $86.95 | 14 |
| Warde sex hormone binding globulin CPT 84270 | $110.40 | $184.00 | $22.47 – $142.69 | 14 |
| Warde somatomedin CPT 84305 | $108.00 | $180.00 | $7.20 – $142.05 | 14 |
| Warde sugars single qualitative each specimen stool CPT 84376 | $28.80 | $48.00 | $5.70 – $39.83 | 14 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $79.80 | $133.00 | $16.30 – $114.01 | 14 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $183.60 | $306.00 | $20.00 – $367.83 | 14 |
| Warde topiramate therapeutic drug level CPT 80201 | $85.80 | $143.00 | $12.33 – $86.21 | 14 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $145.20 | $242.00 | $26.96 – $188.57 | 14 |
| Warde vitamin a CPT 84590 | $58.80 | $98.00 | $12.01 – $83.88 | 14 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $108.00 | $180.00 | $7.00 – $153.64 | 14 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $143.40 | $239.00 | $29.06 – $203.24 | 14 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $49.80 | $83.00 | $7.00 – $71.49 | 14 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $195.00 | $325.00 | $39.04 – $278.45 | 14 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $72.00 | $120.00 | $10.00 – $102.56 | 14 |
| Warde zinc CPT 84630 | $57.60 | $96.00 | $11.78 – $82.39 | 14 |
| Wbc automated CPT 85048 | $13.20 | $22.00 | $2.63 – $18.38 | 14 |
| Western blot test CPT 84181 | $86.40 | $144.00 | $17.61 – $123.22 | 14 |
| Wet mounts/ w preparations HCPCS Q0111 | $109.20 | $182.00 | $5.96 – $30.87 | 13 |
| Whole blood for transfusion HCPCS P9010 | $244.20 | $407.00 | $10.70 – $345.39 | 12 |
| Whole-Body Bone Scan (Nuclear Medicine) CPT 78306 | $1,228.80 | $2,048.00 | $80.56 – $1,222.94 | 14 |
| Whole Skeleton X-ray Survey CPT 77075 | $262.80 | $438.00 | $59.24 – $436.98 | 15 |
| Wound Cleaning and Dead Tissue Removal (up to 20 sq cm) CPT 97597 | $378.60 | $631.00 | $40.06 – $304.85 | 12 |
| Wound closure by adhesive HCPCS G0168 | $486.00 | $810.00 | $11.92 – $193.93 | 4 |
| Wrist X-ray CPT 73110 | $188.40 | $314.00 | $15.06 – $419.44 | 13 |
| Wrist X-ray (2 views, both wrists) CPT 73100 | $188.40 | $314.00 | $15.06 – $419.44 | 13 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $1,177.17 – $3,499.18 | 9 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | not published | not published | $228.10 – $9,520.00 | 9 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $420.12 – $6,172.03 | 7 |
| Xe133 xenon 10mci HCPCS A9558 | $247.20 | $412.00 | $42.48 – $373.52 | 6 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | $2,925.00 | $4,875.00 | $225.43 – $2,806.48 | 12 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | not published | not published | $190.50 – $2,806.48 | 12 |
| Xm archive tissue molec anal CPT 88363 | $54.60 | $91.00 | $13.56 – $83.98 | 14 |
| X-ray abdomen >=3 views CPT 74021 | $262.80 | $438.00 | $12.38 – $163.15 | 15 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $814.20 | $1,357.00 | $21.61 – $2,006.79 | 13 |
| X-ray bone length studies CPT 77073 | $262.80 | $438.00 | $27.43 – $163.15 | 15 |
| X-ray bone survey infant CPT 77076 | $262.80 | $438.00 | $36.76 – $352.97 | 15 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $262.80 | $438.00 | $26.54 – $304.59 | 15 |
| X-ray exam entire spi 6/> vw CPT 72084 | $262.80 | $438.00 | $32.03 – $367.61 | 15 |
| X-ray exam of arm infant CPT 73092 | $262.80 | $438.00 | $14.41 – $589.04 | 13 |
| X-ray exam of femur 1 CPT 73551 | $188.40 | $314.00 | $10.24 – $419.44 | 13 |
| X-ray exam of jaw joint CPT 70328 | $188.40 | $314.00 | $21.61 – $419.44 | 13 |
| X-ray exam of jaw joint CPT 70332 | $547.80 | $913.00 | $36.02 – $370.86 | 15 |
| X-ray exam si joints CPT 72200 | $262.80 | $438.00 | $21.61 – $163.15 | 15 |
| X-ray exam thorac spine4/>vw CPT 72074 | $262.80 | $438.00 | $28.16 – $205.02 | 15 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $188.40 | $314.00 | $15.00 – $419.44 | 14 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $262.80 | $438.00 | $19.71 – $589.04 | 13 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $262.80 | $438.00 | $21.42 – $245.88 | 15 |
| X-ray joint survey 1 view CPT 77077 | $262.80 | $438.00 | $30.55 – $589.04 | 13 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $188.40 | $314.00 | $21.61 – $419.44 | 13 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $262.80 | $438.00 | $27.51 – $224.70 | 15 |
| X-ray mandible ltd <4 views CPT 70100 | $188.40 | $314.00 | $21.61 – $135.09 | 15 |
| X-ray nose to rectum for foreign body child CPT 76010 | $188.40 | $314.00 | $11.40 – $135.09 | 15 |
| X-ray optic foramina CPT 70190 | $188.40 | $314.00 | $27.51 – $149.78 | 15 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $896.40 | $1,494.00 | $29.48 – $714.57 | 15 |
| X-ray ribs 2 views left CPT 71100 | $188.40 | $314.00 | $21.61 – $419.44 | 13 |
| X-ray sella turcica CPT 70240 | $188.40 | $314.00 | $15.06 – $135.09 | 15 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $1,129.80 | $1,883.00 | $21.61 – $841.22 | 15 |
| X-ray small intestine follow-through study CPT 74248 | $490.20 | $817.00 | $20.53 – $294.07 | 12 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $188.40 | $314.00 | $15.06 – $158.54 | 15 |
| X-ray surgical specimen CPT 76098 | $1,129.80 | $1,883.00 | $13.91 – $841.22 | 15 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $188.40 | $314.00 | $13.47 – $154.55 | 15 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $427.80 | $713.00 | $29.48 – $346.82 | 15 |
| Xylose absorption test blood &/or urine CPT 84620 | $46.80 | $78.00 | $3.00 – $85.67 | 14 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | $123,585.60 | $205,976.00 | $36,325.02 – $114,681.39 | 9 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $15.60 | $26.00 | $1.38 – $2.13 | 9 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $38.40 | $64.00 | $6.83 – $31.50 | 10 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | $948.00 | $1,580.00 | $33.71 – $107.06 | 10 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $110.40 | $184.00 | $0.67 – $128.14 | 10 |
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.