Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) cost in Pennsylvania
HC Destruction by Neurolytic Agent W/Imaging Guidance Lumbar/Sacral Additional Bl · CPT 64636
$133.20
lowest in Pennsylvania
$2,224.80
state median
$7,348.20
highest in Pennsylvania
$1,652.35
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| UPMC Cole | Coudersport | $133.20 | $50.42 – $771.51 | 15 |
| UPMC Kane | Kane | $236.40 | $52.82 – $1,000.23 | 10 |
| WellSpan Ephrata Community Hospital | Ephrata | $892.00 | $60.02 – $163.27 | 7 |
| WellSpan Evangelical Community Hospital | Lewisburg | $1,412.80 | $52.82 – $62.43 | 7 |
| UPMC St. Margaret | Pittsburgh | $2,148.00 | $52.82 – $626.83 | 7 |
| UPMC Community Osteopathic | Harrisburg | $2,224.80 | $62.91 – $4,989.94 | 14 |
| UPMC Hanover | Hanover | $2,224.80 | $60.99 – $269.06 | 8 |
| UPMC Lititz | Lititz | $2,224.80 | $50.87 – $269.06 | 8 |
| UPMC Memorial | York | $2,224.80 | $50.87 – $506.07 | 9 |
| UPMC Somerset | Somerset | $2,224.80 | $52.82 – $614.63 | 7 |
| UPMC Carlisle | Carlisle | $2,224.80 | $60.99 – $9,539.00 | 15 |
| UPMC Horizon-Greenville | Greenville | $2,267.40 | $50.42 – $1,207.96 | 10 |
| UPMC Jameson | New Castle | $2,267.40 | $50.87 – $631.87 | 9 |
| Uniontown Hospital | Uniontown | $2,406.00 | $44.52 – $103.43 | 31 |
| UPMC McKeesport | Mckeesport | $3,012.60 | $52.82 – $626.83 | 8 |
| UPMC East | Monroeville | $3,205.20 | $52.82 – $4,273.60 | 15 |
| UPMC Williamsport | Williamsport | $3,434.40 | $52.82 – $284.01 | 9 |
| UPMC Passavant-McCandless | Pittsburgh | $4,192.80 | $52.82 – $626.83 | 8 |
| UPMC Northwest | Seneca | $4,393.20 | $52.82 – $1,611.51 | 8 |
| UPMC Presbyterian | Pittsburgh | $4,494.60 | $52.82 – $626.83 | 11 |
| UPMC Mercy | Pittsburgh | $7,348.20 | $52.82 – $620.91 | 7 |
| WellSpan Good Samaritan Hospital | Lebanon | not published | $1,101.92 – $5,834.62 | 3 |