Hospital York-Hanover, PA

UPMC Memorial

UPMC Memorial in York, PA publishes cash prices for 38 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.

1701 Innovation Drive, York, PA 17408 Collected Sep 23, 2026 Source price file

Scans and imaging

Procedure	Cash price	List price	Off list
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN / PELVIS W/CNTRST	$2,985.60	$4,976.00	40%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN / PELVIS W/CNTRST	$2,985.60	$4,976.00	40%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT BRAIN W/O CONTRAST	$796.80	$1,328.00	40%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT BRAIN W/O CONTRAST	$796.80	$1,328.00	40%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W/CONTRAST	$1,424.40	$2,374.00	40%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W/CONTRAST	$1,424.40	$2,374.00	40%
Diagnostic mammogram, both breasts both sides CPT 77066 HC BILAT DIGITAL MAMMOGRAPHY	$310.20	$517.00	40%
Diagnostic mammogram, both breasts both sides CPT 77066 HC BI DIAG MAMMO BILAT W/CAD	$310.20	$517.00	40%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC BILAT DIGITAL MAMMOGRAPHY	$310.20	$517.00	40%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC BI DIAG MAMMO BILAT W/CAD	$310.20	$517.00	40%
Diagnostic mammogram, one breast CPT 77065 HC DIAGNOSTIC MAMMOGRAPH DIG MD	$85.20	$142.00	40%
Diagnostic mammogram, one breast inpatient CPT 77065 HC DIAGNOSTIC MAMMOGRAPH DIG MD	$85.20	$142.00	40%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O CONTRAST MD	$175.80	$293.00	40%
MRI of the brain, no contrast dye CPT 70551 HC MRI Brain W/O Contrast	$1,741.80	$2,903.00	40%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN W/O CONTRAST MD	$175.80	$293.00	40%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI Brain W/O Contrast	$1,741.80	$2,903.00	40%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain W/Wo Contrast	$2,854.80	$4,758.00	40%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI Brain W/Wo Contrast	$2,854.80	$4,758.00	40%
MRI of the lower back, no contrast dye CPT 72148 HC MRI Lumbar W/O Contrast	$1,656.00	$2,760.00	40%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI Lumbar W/O Contrast	$1,656.00	$2,760.00	40%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB >/=14 WKS SINGLE FETUS	$394.20	$657.00	40%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US OB >/=14 WKS SINGLE FETUS	$394.20	$657.00	40%
Screening mammogram, both breasts both sides CPT 77067 HC BI SCRN MAMMO BILAT W/CAD	$257.40	$429.00	40%
Screening mammogram, both breasts both sides CPT 77067 HC BI SCRN MAMMO RIGHT W/CAD	$257.40	$429.00	40%
Screening mammogram, both breasts both sides CPT 77067 HC BI SCRN MAMMO LEFT W/CAD	$257.40	$429.00	40%
Screening mammogram, both breasts CPT 77067 HC SCREENING DIGITAL MAMMO W/IMPL	$257.40	$429.00	40%
Screening mammogram, both breasts CPT 77067 HC SCREENING DIG MAMMOGRAPHY	$257.40	$429.00	40%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC BI SCRN MAMMO RIGHT W/CAD	$257.40	$429.00	40%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC BI SCRN MAMMO LEFT W/CAD	$257.40	$429.00	40%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC BI SCRN MAMMO BILAT W/CAD	$257.40	$429.00	40%
Screening mammogram, both breasts inpatient CPT 77067 HC SCREENING DIG MAMMOGRAPHY	$257.40	$429.00	40%
Screening mammogram, both breasts inpatient CPT 77067 HC SCREENING DIGITAL MAMMO W/IMPL	$257.40	$429.00	40%
Sleep study in a lab (polysomnography) CPT 95810 HC DISCON SLEEP STUDY - NON DIAG	$3,755.40	$6,259.00	40%
Sleep study in a lab (polysomnography) CPT 95810 HC PEDIATRIC SLEEP STUDY AGE 6-20	$4,279.20	$7,132.00	40%
Sleep study in a lab (polysomnography) CPT 95810 HC ALL NIGHT SLEEP	$4,279.20	$7,132.00	40%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC DISCON SLEEP STUDY - NON DIAG	$3,755.40	$6,259.00	40%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC PEDIATRIC SLEEP STUDY AGE 6-20	$4,279.20	$7,132.00	40%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC ALL NIGHT SLEEP	$4,279.20	$7,132.00	40%
Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL MD	$73.80	$123.00	40%
Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL	$394.20	$657.00	40%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL MD	$73.80	$123.00	40%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL	$394.20	$657.00	40%
Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMEN COMPLETE MD	$183.60	$306.00	40%
Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMEN COMPLETE	$394.20	$657.00	40%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMEN COMPLETE MD	$183.60	$306.00	40%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMEN COMPLETE	$394.20	$657.00	40%
X-ray of the lower back, 4 or more views CPT 72110 HC LUMBAR SPINE MIN 4 VIEWS	$262.80	$438.00	40%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC LUMBAR SPINE MIN 4 VIEWS	$262.80	$438.00	40%

Lab tests

Procedure	Cash price	List price	Off list
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL	$55.20	$92.00	40%
Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL	$55.20	$92.00	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPOPROT FRACT, NMR W/LPID PNL A	$87.60	$146.00	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL	$87.60	$146.00	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC ADV LIPID PN INFLAM, CARDIO IQ - A	$87.60	$146.00	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC ADVANCED LIPID PANEL W/ INFLAMMATION, CARDIO IQ A	$87.60	$146.00	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC CARDIO IQ ADVANCED LIPID PANEL-A	$87.60	$146.00	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPOPROT FRACT, NMR W/LPID PNL A	$87.60	$146.00	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC CARDIO IQ ADVANCED LIPID PANEL-A	$87.60	$146.00	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC ADV LIPID PN INFLAM, CARDIO IQ - A	$87.60	$146.00	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL	$87.60	$146.00	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC ADVANCED LIPID PANEL W/ INFLAMMATION, CARDIO IQ A	$87.60	$146.00	40%
Complete blood count (CBC) with differential CPT 85025 HC CBC & AUTO DIFFERENTIAL	$40.20	$67.00	40%
Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC & AUTO DIFFERENTIAL	$40.20	$67.00	40%
Complete blood count (CBC), no differential CPT 85027 HC CBC AND MANUAL DIFF A	$32.40	$54.00	40%
Complete blood count (CBC), no differential CPT 85027 HC CBC AND BUFFY COAT DIFF A	$32.40	$54.00	40%
Complete blood count (CBC), no differential CPT 85027 HC CBC (HEMOGRAM)	$32.40	$54.00	40%
Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC AND MANUAL DIFF A	$32.40	$54.00	40%
Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC (HEMOGRAM)	$32.40	$54.00	40%
Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC AND BUFFY COAT DIFF A	$32.40	$54.00	40%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PANEL	$68.40	$114.00	40%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PANEL	$68.40	$114.00	40%
Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL	$56.40	$94.00	40%
Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL	$56.40	$94.00	40%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL	$54.00	$90.00	40%
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL	$54.00	$90.00	40%
Obstetric blood test panel CPT 80055 HC OBSTETRIC PANEL WITHOUT HIV SCREEN	$310.80	$518.00	40%
Obstetric blood test panel inpatient CPT 80055 HC OBSTETRIC PANEL WITHOUT HIV SCREEN	$310.80	$518.00	40%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PHI REFLEX, PSA FREE	$93.60	$156.00	40%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA % FREE & TOTAL - B	$93.60	$156.00	40%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA % FREE & TOTAL - B	$93.60	$156.00	40%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PHI REFLEX, PSA FREE	$93.60	$156.00	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE HEALTH INDEX (PHI) W/REF, SERUM	$109.80	$183.00	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN	$109.80	$183.00	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA % FREE & TOTAL - A	$109.80	$183.00	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA, POST-PROSTATECTOMY (2 DEC)	$109.80	$183.00	40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA, POST-PROSTATECTOMY (2 DEC)	$109.80	$183.00	40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN	$109.80	$183.00	40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE HEALTH INDEX (PHI) W/REF, SERUM	$109.80	$183.00	40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA % FREE & TOTAL - A	$109.80	$183.00	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC LUPUS ANTICOAG SCRN PROFILE D	$30.60	$51.00	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT-LA WITH REF TO HEXAGONAL PHASE CONF	$30.60	$51.00	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT PLASMA OR WHOLE BLOOD B	$30.60	$51.00	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC VON WILLEBRAND COMPREHENSIVE PANEL-D	$30.60	$51.00	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC VON WILLEBRAND'S PANEL - D	$30.60	$51.00	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT	$30.60	$51.00	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC VON WILLEBRAND'S PANEL - D	$30.60	$51.00	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT PLASMA OR WHOLE BLOOD B	$30.60	$51.00	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC LUPUS ANTICOAG SCRN PROFILE D	$30.60	$51.00	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT	$30.60	$51.00	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT-LA WITH REF TO HEXAGONAL PHASE CONF	$30.60	$51.00	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC VON WILLEBRAND COMPREHENSIVE PANEL-D	$30.60	$51.00	40%
Prothrombin time (PT/INR) clotting test CPT 85610 HC LUPUS ANTICOAG SCRN PROFILE A	$22.20	$37.00	40%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME	$22.20	$37.00	40%
Prothrombin time (PT/INR) clotting test CPT 85610 HC ISTAT PT INR POC	$22.20	$37.00	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC ISTAT PT INR POC	$22.20	$37.00	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME	$22.20	$37.00	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC LUPUS ANTICOAG SCRN PROFILE A	$22.20	$37.00	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH T/F	$85.80	$143.00	40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH T/F	$85.80	$143.00	40%
Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS W/MICRO	$23.40	$39.00	40%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS W/MICRO	$23.40	$39.00	40%
Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O MICRO	$17.40	$29.00	40%
Urinalysis without microscope exam, automated CPT 81003 HC SPEC GRAV URINE	$17.40	$29.00	40%
Urinalysis without microscope exam, automated CPT 81003 HC URINE DIP W/RFX TO MICROSCOPIC IF IND	$17.40	$29.00	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO W/O MICRO	$17.40	$29.00	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC SPEC GRAV URINE	$17.40	$29.00	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINE DIP W/RFX TO MICROSCOPIC IF IND	$17.40	$29.00	40%
Urinalysis without microscope exam, manual CPT 81002 HC HEMOGLOBIN URINE	$25.20	$42.00	40%
Urinalysis without microscope exam, manual CPT 81002 HC PH URINE	$25.20	$42.00	40%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC PH URINE	$25.20	$42.00	40%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC HEMOGLOBIN URINE	$25.20	$42.00	40%

Surgery and procedures

Procedure	Cash price	List price	Off list
Cesarean delivery, including prenatal and postpartum care CPT 59510 HC C/SECTION	$10,034.40	$16,724.00	40%
Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 HC C/SECTION	$10,034.40	$16,724.00	40%
Left heart catheterization, diagnostic CPT 93452 HC COR ANGIO OR LHC	$5,240.40	$8,734.00	40%
Left heart catheterization, diagnostic inpatient CPT 93452 HC COR ANGIO OR LHC	$5,240.40	$8,734.00	40%
Lower-back epidural injection, with imaging guidance CPT 62323 HC NJX INTERLUML LMBR/SAC W/IMG INJ	$2,048.40	$3,414.00	40%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC NJX INTERLUML LMBR/SAC W/IMG INJ	$2,048.40	$3,414.00	40%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ EPIDURAL L/S SINGLE	$2,647.20	$4,412.00	40%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJ EPIDURAL L/S SINGLE	$2,647.20	$4,412.00	40%
Prostate biopsy CPT 55700 HC NEEDLE BX PROSTATE	$3,295.80	$5,493.00	40%
Prostate biopsy inpatient CPT 55700 HC NEEDLE BX PROSTATE	$3,295.80	$5,493.00	40%
Upper endoscopy (EGD) with biopsy CPT 43239 HC UPPER GI ENDOSCOPY W/BIOPSY	$2,019.60	$3,366.00	40%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC UPPER GI ENDOSCOPY W/BIOPSY	$2,019.60	$3,366.00	40%
Upper endoscopy (EGD), diagnostic CPT 43235 HC UPPER GI ENDOSCOPY EGD/EGJ	$1,509.00	$2,515.00	40%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC UPPER GI ENDOSCOPY EGD/EGJ	$1,509.00	$2,515.00	40%

Doctor visits and therapy

Procedure	Cash price	List price	Off list
Psychotherapy session, 60 minutes CPT 90837 HC INDIVID PSYCHO 60MIN MD	$302.40	$504.00	40%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC INDIVID PSYCHO 60MIN MD	$302.40	$504.00	40%

Source file: https://dam.upmc.com/-/media/upmc/locations/hospitals/documents/cdm-json-files/machine-readable-csv-not-json/820912090_upmc-memorial_standardcharges.csv?