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 |
|---|---|---|---|---|
| Cholesterol (Lipid) Test CPT 80061 | $87.60 | $146.00 | $13.85 – $96.96 | 14 |
| Cholinesterase CPT 82480 | $40.80 | $68.00 | $6.00 – $57.03 | 14 |
| Chorion biopsy CPT 59015 | $1,511.40 | $2,519.00 | $74.93 – $1,335.92 | 12 |
| Chromo high res and frag x - sendout CPT 81243 | $329.40 | $549.00 | $43.94 – $282.61 | 14 |
| Chromosome analys amniotic CPT 88269 | $627.00 | $1,045.00 | $179.62 – $1,203.18 | 14 |
| Chromosome analysis 15-20 cell count CPT 88262 | $897.60 | $1,496.00 | $129.79 – $901.64 | 14 |
| Chromosome karyotype study CPT 88280 | $120.60 | $201.00 | $34.61 – $181.54 | 14 |
| Chronic urticaria - sendout CPT 86343 | $24.60 | $41.00 | $9.96 – $90.17 | 11 |
| Chylomicron screen, bf - sendout CPT 82664 | $222.60 | $371.00 | $49.15 – $264.54 | 11 |
| Cidofovir injection HCPCS J0740 | $118.20 | $197.00 | $373.87 – $1,070.80 | 11 |
| Cilastatin sodium injection HCPCS J0743 | $19.80 | $33.00 | $8.94 – $20.13 | 9 |
| Circum 28 days or older CPT 54161 | not published | not published | $162.56 – $3,142.91 | 12 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | $1,219.20 | $2,032.00 | $106.05 – $1,024.06 | 10 |
| Circumcision (newborn) CPT 54150 | $1,219.20 | $2,032.00 | $100.33 – $3,142.91 | 11 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $25.80 | $43.00 | $10.68 – $35.38 | 11 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $6,678.60 | $11,131.00 | $736.40 – $4,180.96 | 3 |
| Clearance of airways CPT 31720 | $325.80 | $543.00 | $41.91 – $444.23 | 12 |
| Clip ligating vesolock lg HCPCS C1760 | $1,380.60 | $2,301.00 | $114.86 – $1,387.74 | 3 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $1,420.80 | $2,368.00 | $48.90 – $1,016.56 | 12 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | $759.00 | $1,265.00 | $239.91 – $1,016.56 | 12 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $2,055.00 | $3,425.00 | $234.95 – $2,455.41 | 12 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $447.60 | $746.00 | $147.96 – $1,016.56 | 12 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $2,055.00 | $3,425.00 | $207.01 – $2,455.41 | 12 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $520.80 | $868.00 | $69.22 – $368.03 | 12 |
| Closed tx orbit without manipulj CPT 21400 | $1,663.80 | $2,773.00 | $150.96 – $1,016.56 | 12 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $2,055.00 | $3,425.00 | $300.99 – $2,455.41 | 12 |
| Closed tx septal&nose fx CPT 21337 | $3,971.40 | $6,619.00 | $54.61 – $4,975.65 | 12 |
| Closed tx sesamoid fx 28530 CPT 28530 | $759.00 | $1,265.00 | $117.18 – $635.71 | 9 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $327.60 | $546.00 | $106.05 – $580.26 | 12 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $777.60 | $1,296.00 | $40.01 – $645.83 | 12 |
| Clos txnose fx without stablz 21315 CPT 21315 | not published | not published | $151.76 – $2,272.64 | 12 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $1,663.80 | $2,773.00 | $60.33 – $1,016.56 | 12 |
| Closure paravalvlr leak pq CPT 33999 | $5,734.80 | $9,558.00 | $15.15 – $948.56 | 8 |
| Clot factor xii hageman CPT 85280 | $97.80 | $163.00 | $13.00 – $139.97 | 14 |
| Clot factor xiii fibrin stab CPT 85290 | $82.20 | $137.00 | $8.00 – $58.56 | 14 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $856.20 | $1,427.00 | $125.73 – $1,016.56 | 12 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $1,212.00 | $2,020.00 | $239.91 – $1,712.82 | 9 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $327.60 | $546.00 | $15.15 – $443.07 | 12 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | $2,055.00 | $3,425.00 | $85.09 – $2,455.41 | 12 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $819.60 | $1,366.00 | $80.01 – $444.23 | 12 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $819.60 | $1,366.00 | $89.53 – $1,016.56 | 12 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $327.60 | $546.00 | $45.45 – $368.03 | 12 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $370.80 | $618.00 | $60.96 – $368.03 | 12 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $1,225.20 | $2,042.00 | $201.93 – $1,016.56 | 12 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $844.20 | $1,407.00 | $239.91 – $1,732.08 | 9 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $370.80 | $618.00 | $67.31 – $1,016.56 | 12 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $2,319.00 | $3,865.00 | $501.65 – $2,455.41 | 12 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | $3,354.00 | $5,590.00 | $541.82 – $2,455.41 | 12 |
| Clsd tx fracture of radius 25500 CPT 25500 | $366.60 | $611.00 | $45.45 – $1,016.56 | 12 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $370.80 | $618.00 | $69.85 – $368.03 | 12 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $370.80 | $618.00 | $75.75 – $1,016.56 | 12 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $520.80 | $868.00 | $106.05 – $1,016.56 | 12 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $2,055.00 | $3,425.00 | $210.82 – $2,455.41 | 12 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $930.00 | $1,550.00 | $145.41 – $1,016.56 | 12 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $2,055.00 | $3,425.00 | $254.63 – $2,455.41 | 12 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $993.00 | $1,655.00 | $199.39 – $1,016.56 | 12 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $1,272.60 | $2,121.00 | $239.91 – $917.80 | 12 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $759.00 | $1,265.00 | $156.84 – $1,016.56 | 12 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $759.00 | $1,265.00 | $142.24 – $1,016.56 | 12 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | $669.60 | $1,116.00 | $171.45 – $1,016.56 | 12 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $370.80 | $618.00 | $49.53 – $1,016.56 | 12 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $470.40 | $784.00 | $75.75 – $1,016.56 | 12 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $808.20 | $1,347.00 | $134.62 – $1,016.56 | 12 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $759.00 | $1,265.00 | $149.86 – $1,016.56 | 12 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $520.80 | $868.00 | $106.05 – $1,016.56 | 12 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | not published | not published | $153.37 – $4,975.65 | 12 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $2,440.80 | $4,068.00 | $184.15 – $2,455.41 | 12 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $1,225.20 | $2,042.00 | $129.54 – $529.68 | 12 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $759.00 | $1,265.00 | $166.37 – $587.97 | 12 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $2,322.60 | $3,871.00 | $250.19 – $2,455.41 | 12 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $366.60 | $611.00 | $71.12 – $1,016.56 | 12 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $370.80 | $618.00 | $75.75 – $1,016.56 | 12 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $2,055.00 | $3,425.00 | $150.50 – $2,455.41 | 12 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $496.20 | $827.00 | $92.71 – $444.23 | 12 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $2,055.00 | $3,425.00 | $199.39 – $2,455.41 | 12 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $2,055.00 | $3,425.00 | $191.13 – $2,455.41 | 12 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $2,184.60 | $3,641.00 | $176.53 – $2,455.41 | 12 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $1,225.20 | $2,042.00 | $36.80 – $745.39 | 12 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $520.80 | $868.00 | $61.59 – $368.03 | 12 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $488.40 | $814.00 | $239.91 – $1,712.37 | 9 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $2,055.00 | $3,425.00 | $303.53 – $2,455.41 | 12 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $445.80 | $743.00 | $90.84 – $1,016.56 | 12 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | $759.00 | $1,265.00 | $239.91 – $862.24 | 12 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $370.80 | $618.00 | $75.75 – $1,016.56 | 9 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $520.80 | $868.00 | $106.05 – $1,016.56 | 12 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | $597.60 | $996.00 | $239.91 – $1,016.56 | 12 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $520.80 | $868.00 | $106.05 – $1,016.56 | 12 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $494.40 | $824.00 | $127.00 – $1,016.56 | 12 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $759.00 | $1,265.00 | $239.91 – $2,228.31 | 12 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $2,440.80 | $4,068.00 | $196.85 – $2,455.41 | 12 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $2,055.00 | $3,425.00 | $199.39 – $2,455.41 | 12 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $856.20 | $1,427.00 | $140.97 – $1,016.56 | 12 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | $759.00 | $1,265.00 | $140.97 – $522.13 | 12 |
| Cltx lunate dislc w/mnpj CPT 25690 | $2,055.00 | $3,425.00 | $289.56 – $2,455.41 | 12 |
| Cltx post ankle fx CPT 27767 | $1,642.80 | $2,738.00 | $232.21 – $723.91 | 9 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $1,004.69 – $7,573.70 | 9 |
| C motor evoked lwr limbs CPT 95929 | $1,258.80 | $2,098.00 | $57.13 – $814.06 | 12 |
| C motor evoked uppr limbs CPT 95928 | $1,258.80 | $2,098.00 | $52.93 – $1,560.93 | 12 |
| C motor evoked upr&lwr limbs CPT 95939 | $2,029.20 | $3,382.00 | $319.00 – $1,560.93 | 12 |
| #cmvcul-virus inoculation shell CPT 87254 | $109.80 | $183.00 | $5.41 – $141.45 | 14 |
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.