Upmc Shadyside
,
Upmc Shadyside. This page also lists hospital-published cash prices for services and billing-code line items.
Overview
- CCN390055
Procedures & prices
Hospital-published price lines. These are billing-code items from the hospital transparency file, not a personalized estimate. Cash is the self-pay price; gross is the pre-discount list price.
Price definitions
- Cash
- — self-pay price (no insurance)
- Gross
- — chargemaster list price; the pre-discount sticker rate, rarely what anyone pays
- Negotiated range
- — min–max of rates the hospital negotiated with insurers
- Payers
- — number of insurers with a published rate (“0” / “—” = none)
Available here:CashGross listInsurer-negotiated rates were not published for these rows.
- Technetium tc-99m Pertechnetate, Diagnostic, Per MillicurieSupply / DMEHCPCS A9512Hospital-published line item$11cashGross $14
- Gradient Compression Stocking, Waist Length, 18-30 Mmhg, EachSupply / DMEHCPCS A6539Hospital-published line item$12cashGross $15
- Gauze >16<=48 No Withsal Without BSupply / DMEHCPCS A6223Hospital-published line item$12cashGross $15
- Ostomy Skin Barrier, Solid 4 X 4 OR Equivalent, Extended Wear, Without Built-In Convexity, EachSupply / DMEHCPCS A4385Hospital-published line item$12cashGross $15
- Ostomy Pouch, Drainable; For Use On Barrier With Non-Locking Flange, With Filter (2 Piece System), EachSupply / DMEHCPCS A4425Hospital-published line item$14cashGross $18
- Collj Capillary Blood SpecProcedureCPT 36416Hospital-published line item$15cashGross $19
- Admin Influenza Virus VacProcedureHCPCS G0008Hospital-published line item$16cashGross $20
- Immunization AdminProcedureCPT 90471Hospital-published line item$16cashGross $20
- Immunization Admin Each AddProcedureCPT 90472Hospital-published line item$16cashGross $20
- Admin Pneumococcal VaccineProcedureHCPCS G0009Hospital-published line item$16cashGross $20
| Service / code | Self-pay cash↑ | Gross list |
|---|---|---|
Technetium tc-99m Pertechnetate, Diagnostic, Per Millicurie Supply / DMEHCPCS A9512Hospital-published line item | $11 | $14 |
Gradient Compression Stocking, Waist Length, 18-30 Mmhg, Each Supply / DMEHCPCS A6539Hospital-published line item | $12 | $15 |
Gauze >16<=48 No Withsal Without B Supply / DMEHCPCS A6223Hospital-published line item | $12 | $15 |
Ostomy Skin Barrier, Solid 4 X 4 OR Equivalent, Extended Wear, Without Built-In Convexity, Each Supply / DMEHCPCS A4385Hospital-published line item | $12 | $15 |
Ostomy Pouch, Drainable; For Use On Barrier With Non-Locking Flange, With Filter (2 Piece System), Each Supply / DMEHCPCS A4425Hospital-published line item | $14 | $18 |
Collj Capillary Blood Spec ProcedureCPT 36416Hospital-published line item | $15 | $19 |
Admin Influenza Virus Vac ProcedureHCPCS G0008Hospital-published line item | $16 | $20 |
Immunization Admin ProcedureCPT 90471Hospital-published line item | $16 | $20 |
Immunization Admin Each Add ProcedureCPT 90472Hospital-published line item | $16 | $20 |
Admin Pneumococcal Vaccine ProcedureHCPCS G0009Hospital-published line item | $16 | $20 |
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