Inf lwr xtr fscl pln blk uni w/wo image cost at US hospitals
HC INF LWR XTR FSCL PLN BLK UNI W/WO IMAGE · CPT 64474
$133.80
lowest cash price
$135.00
national median
$179.40
highest cash price
5
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $133.80–$179.40 — the variation is the story.
Median cash price over time
Mar 1, 2026 ($135.00) → Mar 1, 2026 ($135.00)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Pennsylvania | 5 | $133.80 | $135.00 | $179.40 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Williamsport | Williamsport, PA | $133.80 | $60.21 – $200.76 |
| UPMC Mercy | Pittsburgh, PA | $135.00 | $56.25 – $223.52 |
| UPMC Passavant-McCandless | Pittsburgh, PA | $135.00 | $56.25 – $200.76 |
| UPMC St. Margaret | Pittsburgh, PA | $135.00 | $56.25 – $200.76 |
| UPMC Presbyterian | Pittsburgh, PA | $179.40 | $53.82 – $254.15 |