UPMC for You: disclosed hospital rates

iDirect answer

Based on the published hospital price files, UPMC for You appears in disclosed negotiated rates across 1 hospital and 66 services. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

66 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
ABATACEPT 250 MG IV SOLR Outpatient	Penn Medicine Lancaster General Health	J0129 HCPCS	$4,483	$4,483	$44.11 – $13,500	—
ALPROSTADIL 500 MCG/ML IJ SOLN Outpatient	Penn Medicine Lancaster General Health	J0270 HCPCS	$369	$369	$0.79 – $13,500	—
AZTREONAM 1 G IJ SOLR Outpatient	Penn Medicine Lancaster General Health	J0457 HCPCS	$93.10	$93.10	$2.23 – $13,500	—
AZTREONAM 2 G IJ SOLR Outpatient	Penn Medicine Lancaster General Health	J0457 HCPCS	$175	$175	$2.23 – $13,500	—
BELATACEPT 250 MG IV SOLR Outpatient	Penn Medicine Lancaster General Health	J0485 HCPCS	$2,775	$2,775	$3.89 – $13,500	—
BEZLOTOXUMAB 1000 MG/40ML IV SOLN Outpatient	Penn Medicine Lancaster General Health	J0565 HCPCS	$11,411	$11,411	$39.83 – $13,500	—
CAPECITABINE 150 MG ORAL TABS Outpatient	Penn Medicine Lancaster General Health	J8522 HCPCS	$105	$105	$0.03 – $13,500	—
CAPECITABINE 500 MG ORAL TABS Outpatient	Penn Medicine Lancaster General Health	J8522 HCPCS	$194	$194	$0.03 – $13,500	—
CASPOFUNGIN ACETATE 50 MG IV SOLR Outpatient	Penn Medicine Lancaster General Health	J0637 HCPCS	$944	$944	$2.27 – $13,500	—
CASPOFUNGIN ACETATE 70 MG IV SOLR Outpatient	Penn Medicine Lancaster General Health	J0637 HCPCS	$984	$984	$2.27 – $13,500	—
CLINDAMYCIN PHOSPHATE 300 MG/2ML IJ SOLN Outpatient	Penn Medicine Lancaster General Health	J0736 HCPCS	$15.55	$15.55	$1.67 – $13,500	—
CLINDAMYCIN PHOSPHATE IN D5W 300 MG/50ML IV SOLN Outpatient	Penn Medicine Lancaster General Health	J0736 HCPCS	$91.95	$91.95	$1.67 – $13,500	—
CLINDAMYCIN PHOSPHATE IN D5W 600 MG/50ML IV SOLN Outpatient	Penn Medicine Lancaster General Health	J0736 HCPCS	$109	$109	$1.67 – $13,500	—
CLINDAMYCIN PHOSPHATE IN D5W 900 MG/50ML IV SOLN Outpatient	Penn Medicine Lancaster General Health	J0736 HCPCS	$120	$120	$1.67 – $13,500	—
DONANEMAB-AZBT 350 MG/20ML IV SOLN Outpatient	Penn Medicine Lancaster General Health	J0175 HCPCS	$2,147	$2,147	$4.13 – $13,500	—
ELOTUZUMAB 300 MG IV SOLR Outpatient	Penn Medicine Lancaster General Health	J9176 HCPCS	$6,500	$6,500	$7.88 – $13,500	—
ELOTUZUMAB 400 MG IV SOLR Outpatient	Penn Medicine Lancaster General Health	J9176 HCPCS	$9,169	$9,169	$7.88 – $13,500	—
EPIRUBICIN HCL 50 MG/25ML IV SOLN Outpatient	Penn Medicine Lancaster General Health	J9178 HCPCS	$160	$160	$1.59 – $13,500	—
ERTAPENEM SODIUM 1 G IJ SOLR Outpatient	Penn Medicine Lancaster General Health	J1335 HCPCS	$374	$374	$9.02 – $13,500	—
GEMTUZUMAB OZOGAMICIN 4.5 MG IV SOLR Outpatient	Penn Medicine Lancaster General Health	J9203 HCPCS	$25,936	$25,936	$237 – $26,148	—
HYDROCORTISONE SOD SUC (PF) 100 MG IJ SOLR Outpatient	Penn Medicine Lancaster General Health	J1720 HCPCS	$73.60	$73.60	$13.98 – $13,500	—
HYDROCORTISONE SOD SUC (PF) 250 MG IJ SOLR Outpatient	Penn Medicine Lancaster General Health	J1720 HCPCS	$126	$126	$21.20 – $13,500	—
IBUTILIDE FUMARATE 1 MG/10ML IV SOLN Outpatient	Penn Medicine Lancaster General Health	J1742 HCPCS	$254	$254	$48.32 – $13,500	—
IMIPENEM-CILASTATIN-RELEBACTAM 1.25 G IV SOLR Outpatient	Penn Medicine Lancaster General Health	J0742 HCPCS	$793	$793	$2.60 – $13,500	—
INFLIXIMAB-ABDA 100 MG IV SOLR Outpatient	Penn Medicine Lancaster General Health	Q5104 HCPCS	$1,663	$1,663	$23.59 – $13,500	—