Ghs layer closure 2.5 cm or less - 12041 cost in Pennsylvania
GHS LAYER CLOSURE 2.5 CM OR LESS - 12041 · CPT 12041
$289.20
lowest in Pennsylvania
$543.60
state median
$1,152.00
highest in Pennsylvania
$583.10
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| UPMC Bedford | Everett | $289.20 | $25.73 – $433.80 | 20 |
| UPMC Mercy | Pittsburgh | $308.40 | $26.95 – $418.99 | 9 |
| UPMC Kane | Kane | $363.00 | $26.95 – $1,104.38 | 10 |
| UPMC Magee | Pittsburgh | $377.40 | $26.95 – $411.37 | 11 |
| UPMC Northwest | Seneca | $388.80 | $26.95 – $399.94 | 10 |
| UPMC Jameson | New Castle | $421.80 | $26.95 – $604.90 | 14 |
| UPMC St. Margaret | Pittsburgh | $477.00 | $26.95 – $418.99 | 9 |
| UPMC Community Osteopathic | Harrisburg | $520.80 | $31.11 – $737.80 | 17 |
| UPMC Hanover | Hanover | $520.80 | $31.11 – $689.06 | 14 |
| UPMC Lititz | Lititz | $520.80 | $31.11 – $689.06 | 12 |
| UPMC Memorial | York | $520.80 | $31.11 – $689.06 | 12 |
| UPMC Somerset | Somerset | $520.80 | $26.95 – $604.90 | 8 |
| UPMC Carlisle | Carlisle | $520.80 | $31.11 – $737.80 | 19 |
| UPMC Hamot | Erie | $539.40 | $26.95 – $554.00 | 16 |
| UPMC East | Monroeville | $543.60 | $26.95 – $724.80 | 16 |
| WellSpan Gettysburg Hospital | Gettysburg | $560.80 | $30.63 – $716.00 | 23 |
| UPMC McKeesport | Mckeesport | $564.00 | $26.95 – $418.99 | 9 |
| UPMC Altoona | Altoona | $574.80 | $24.50 – $766.40 | 14 |
| WellSpan Good Samaritan Hospital | Lebanon | $618.40 | $30.63 – $1,131.20 | 22 |
| UPMC Horizon-Greenville | Greenville | $626.40 | $26.95 – $411.37 | 13 |
| Uniontown Hospital | Uniontown | $629.88 | $26.95 – $818.38 | 31 |
| UPMC Cole | Coudersport | $745.20 | $25.73 – $2,325.85 | 16 |
| UPMC Passavant-McCandless | Pittsburgh | $763.20 | $26.95 – $418.99 | 12 |
| UPMC Muncy | Muncy | $825.60 | $26.95 – $673.28 | 8 |
| UPMC Williamsport | Williamsport | $825.60 | $26.95 – $673.28 | 12 |
| UPMC Presbyterian | Pittsburgh | $852.60 | $26.95 – $631.20 | 14 |
| UPMC Wellsboro | Wellsboro | $998.40 | $26.95 – $673.28 | 8 |
| WellSpan Chambersburg Hospital | Chambersburg | $1,034.40 | $30.63 – $1,837.46 | 23 |
| WellSpan Waynesboro Hospital | Waynesboro | $1,034.40 | $25.73 – $1,448.30 | 21 |
| WellSpan Ephrata Community Hospital | Ephrata | $1,152.00 | $30.63 – $5,627.00 | 22 |
| WellSpan Newberry Hospital | Etters | not published | not published | 0 |