UPMC Western Maryland — price list
← Hospital overviewVerified from UPMC Western Maryland’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
1,500 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| *dacriose Inpatient | 73020901 CDM | $26.00 | $20.80 | $26.00 – $26.00 | — | |
| *dacriose Outpatient | 73020901 CDM | $26.00 | $20.80 | $26.00 – $26.00 | — | |
| Aa 5%/cal/electrolyte-tpn/d20w Inpatient | 73072441 CDM | $32.00 | $25.60 | $32.00 – $32.00 | — | |
| Aa 5%/cal/electrolyte-tpn/d20w Outpatient | 73072441 CDM | $32.00 | $25.60 | $32.00 – $32.00 | — | |
| Abatacept/maltose inj Inpatient | 73072985 CDM | $1,191 | $953 | $1,191 – $1,191 | — | |
| Abatacept/maltose inj Outpatient | 73072985 CDM | $1,191 | $953 | $1,191 – $1,191 | — | |
| Acetaminophen (apap) liquid Inpatient | 73080446 CDM | $1.00 | $0.80 | $1.00 – $1.00 | — | |
| Acetaminophen (apap) liquid Outpatient | 73080446 CDM | $1.00 | $0.80 | $1.00 – $1.00 | — | |
| Acetaminophen infusion Inpatient | 73072442 CDM | $7.00 | $5.60 | $7.00 – $7.00 | — | |
| Acetaminophen infusion Outpatient | 73072442 CDM | $7.00 | $5.60 | $7.00 – $7.00 | — | |
| acetaZOLAMIDE SOD INJ Inpatient | 73031041 CDM | $37.00 | $29.60 | $37.00 – $37.00 | — | |
| acetaZOLAMIDE SOD INJ Outpatient | 73031041 CDM | $37.00 | $29.60 | $37.00 – $37.00 | — | |
| Acetic acid Inpatient | 73023459 CDM | $19.00 | $15.20 | $19.00 – $19.00 | — | |
| Acetic acid Outpatient | 73023459 CDM | $19.00 | $15.20 | $19.00 – $19.00 | — | |
| Acetylcysteine 10% sol Inpatient | 73081945 CDM | $10.00 | $8.00 | $10.00 – $10.00 | — | |
| Acetylcysteine 10% sol Outpatient | 73081945 CDM | $10.00 | $8.00 | $10.00 – $10.00 | — | |
| Acetylcysteine 10% sol Inpatient | 73072978 CDM | $4.00 | $3.20 | $4.00 – $4.00 | — | |
| Acetylcysteine 10% sol Outpatient | 73072978 CDM | $4.00 | $3.20 | $4.00 – $4.00 | — | |
| Acetylcysteine 20% sol Inpatient | 73026045 CDM | $5.00 | $4.00 | $5.00 – $5.00 | — | |
| Acetylcysteine 20% sol Outpatient | 73026045 CDM | $5.00 | $4.00 | $5.00 – $5.00 | — | |
| Acetylcysteine 20% sol Inpatient | 73021493 CDM | $3.00 | $2.40 | $3.00 – $3.00 | — | |
| Acetylcysteine 20% sol Outpatient | 73021493 CDM | $3.00 | $2.40 | $3.00 – $3.00 | — | |
| Acetylcysteine inj (200mg/ml) Inpatient | 73081519 CDM | $34.00 | $27.20 | $34.00 – $34.00 | — | |
| Acetylcysteine inj (200mg/ml) Outpatient | 73081519 CDM | $34.00 | $27.20 | $34.00 – $34.00 | — | |
| Acorn nebulizer Inpatient | 73081275 CDM | $1.00 | $0.80 | $1.00 – $1.00 | — | |
| Acorn nebulizer Outpatient | 73081275 CDM | $1.00 | $0.80 | $1.00 – $1.00 | — | |
| Acyclovir Inpatient | 73072525 CDM | $30.00 | $24.00 | $30.00 – $30.00 | — | |
| Acyclovir Outpatient | 73072525 CDM | $30.00 | $24.00 | $30.00 – $30.00 | — | |
| Acyclovir inj Inpatient | 73033503 CDM | $2.00 | $1.60 | $2.00 – $2.00 | — | |
| Acyclovir inj Outpatient | 73033503 CDM | $2.00 | $1.60 | $2.00 – $2.00 | — |