Lsh w/t/o ut 250 g or less cost in Pennsylvania

Lsh w/t/o ut 250 g or less · CPT 58542

Hospital City Cash price Negotiated range Payers
WellSpan Ephrata Community Hospital Ephrata not published $14,381.00 – $14,381.00 1
WellSpan Evangelical Community Hospital Lewisburg not published $853.60 – $24,338.00 8
UPMC Bedford Everett not published $1,331.89 – $10,719.92 10
UPMC Altoona Altoona not published $1,331.89 – $10,719.92 8
UPMC Carlisle Carlisle not published $1,016.56 – $15,935.33 12
UPMC Memorial York not published $1,016.56 – $15,973.31 9
UPMC Hamot Erie not published $1,331.89 – $14,436.44 13
UPMC East Monroeville not published $1,331.89 – $10,918.43 10
UPMC Community Osteopathic Harrisburg not published $1,016.56 – $15,488.55 11