UPMC Greene
UPMC Greene in Waynesburg, PA publishes cash prices for 41 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
250 Bonor Avenue Waynesburg, PA 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 CT ABD W PELVIS W | $973.00 | $1,390.00 | 30% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELVIS-ENTEROGRAPHY | $973.00 | $1,390.00 | 30% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD W PELVIS W | $834.00 | $1,390.00 | 40% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/PELVIS-ENTEROGRAPHY | $834.00 | $1,390.00 | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT BRAIN W/O STROKE PROTOCOL | $896.03 | $1,280.05 | 30% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT BRAIN W/O CONTRA | $896.03 | $1,280.05 | 30% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT BRAIN W/O STROKE PROTOCOL | $768.03 | $1,280.05 | 40% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT BRAIN W/O CONTRA | $768.03 | $1,280.05 | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W | $896.03 | $1,280.05 | 30% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W | $768.03 | $1,280.05 | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 BILAT DIAG MAMMO CALL BACK-E | $408.10 | $583.00 | 30% |
| Diagnostic mammogram, both breasts CPT 77066 MAMMOGRAM DIAG CALL BACK-BIL | $408.10 | $583.00 | 30% |
| Diagnostic mammogram, both breasts CPT 77066 MAMMOGRAM DIAG BASELINE-BIL | $408.10 | $583.00 | 30% |
| Diagnostic mammogram, both breasts CPT 77066 MAMMOGRAM DIAGNOSTIC-BIL | $408.10 | $583.00 | 30% |
| Diagnostic mammogram, both breasts CPT 77066 MAMMOGRAM BIL DIAGNOSTIC-E | $408.10 | $583.00 | 30% |
| Diagnostic mammogram, both breasts CPT 77066 MAMMOGRAM DIAG BASELINE-E | $408.10 | $583.00 | 30% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 BILAT DIAG MAMMO CALL BACK-E | $349.80 | $583.00 | 40% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 MAMMOGRAM DIAG BASELINE-BIL | $349.80 | $583.00 | 40% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 MAMMOGRAM DIAG BASELINE-E | $349.80 | $583.00 | 40% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 MAMMOGRAM BIL DIAGNOSTIC-E | $349.80 | $583.00 | 40% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 MAMMOGRAM DIAGNOSTIC-BIL | $349.80 | $583.00 | 40% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 MAMMOGRAM DIAG CALL BACK-BIL | $349.80 | $583.00 | 40% |
| Diagnostic mammogram, one breast CPT 77065 LT DIAG MAMMO CALL BACK-E | $333.90 | $477.00 | 30% |
| Diagnostic mammogram, one breast CPT 77065 RT DIAG MAMMO CALL BACK-E | $333.90 | $477.00 | 30% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMOGRAM DIAG CALL BACK-RT | $333.90 | $477.00 | 30% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMOGRAM DIAG CALL BACK-LT | $333.90 | $477.00 | 30% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMOGRAM LT DIAGNOSTIC-E | $333.90 | $477.00 | 30% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMOGRAM DIAGNOSTIC-LT | $333.90 | $477.00 | 30% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMOGRAM RT DIAGNOSTIC-E | $333.90 | $477.00 | 30% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMOGRAM DIAGNOSTIC-RT | $333.90 | $477.00 | 30% |
| Diagnostic mammogram, one breast inpatient CPT 77065 RT DIAG MAMMO CALL BACK-E | $286.20 | $477.00 | 40% |
| Diagnostic mammogram, one breast inpatient CPT 77065 LT DIAG MAMMO CALL BACK-E | $286.20 | $477.00 | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMOGRAM RT DIAGNOSTIC-E | $286.20 | $477.00 | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMOGRAM LT DIAGNOSTIC-E | $286.20 | $477.00 | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMOGRAM DIAG CALL BACK-LT | $286.20 | $477.00 | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMOGRAM DIAG CALL BACK-RT | $286.20 | $477.00 | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMOGRAM DIAGNOSTIC-LT | $286.20 | $477.00 | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMOGRAM DIAGNOSTIC-RT | $286.20 | $477.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOW EXT ANY JT W/O | $1,554.42 | $2,220.60 | 30% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOW EXT ANY JT W/O | $1,332.36 | $2,220.60 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOWER EXTREMITY JOINT W/WO | $2,125.24 | $3,036.05 | 30% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LOWER EXTREMITY JOINT W/WO | $1,821.63 | $3,036.05 | 40% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN/HEAD W/O CONTRAST | $1,554.42 | $2,220.60 | 30% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO STROKE PROTOCOL | $1,554.42 | $2,220.60 | 30% |
| MRI of the brain, no contrast dye CPT 70551 MRI IAC'S W/O CONTRAST | $1,686.51 | $2,409.30 | 30% |
| MRI of the brain, no contrast dye CPT 70551 MRI PITUITARY W/O | $1,686.51 | $2,409.30 | 30% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO STROKE PROTOCOL | $1,332.36 | $2,220.60 | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN/HEAD W/O CONTRAST | $1,332.36 | $2,220.60 | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI PITUITARY W/O | $1,445.58 | $2,409.30 | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI IAC'S W/O CONTRAST | $1,445.58 | $2,409.30 | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI PITUITARY W W/O | $1,686.51 | $2,409.30 | 30% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W & W/OUT CONTRAST | $2,125.24 | $3,036.05 | 30% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI IAC'S W & W/O CONTRAST | $2,125.24 | $3,036.05 | 30% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI PITUITARY W W/O | $1,445.58 | $2,409.30 | 40% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W & W/OUT CONTRAST | $1,821.63 | $3,036.05 | 40% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI IAC'S W & W/O CONTRAST | $1,821.63 | $3,036.05 | 40% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O CONTRAST | $1,554.42 | $2,220.60 | 30% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINE W/O CONTRAST | $1,332.36 | $2,220.60 | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 PELVIS-COMP FETAL & MAT EVAL-E | $275.52 | $393.60 | 30% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 COMPONENT CANNOT INACTIVATE | $275.52 | $393.60 | 30% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB COMPLETE | $275.52 | $393.60 | 30% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 COMPONENT CANNOT INACTIVATE | $236.16 | $393.60 | 40% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB COMPLETE | $236.16 | $393.60 | 40% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 PELVIS-COMP FETAL & MAT EVAL-E | $236.16 | $393.60 | 40% |
| Screening mammogram, both breasts CPT 77067 MAMMOGRAM SCREENING-BIL | $371.00 | $530.00 | 30% |
| Screening mammogram, both breasts CPT 77067 MAMMOGRAM BIL BASELINE-E | $371.00 | $530.00 | 30% |
| Screening mammogram, both breasts CPT 77067 MAMMOGRAM BIL SCREEN-E | $371.00 | $530.00 | 30% |
| Screening mammogram, both breasts CPT 77067 MAMMOGRAM BASELINE-BIL | $371.00 | $530.00 | 30% |
| Screening mammogram, both breasts one side CPT 77067 MAMMOGRAM LT SCREEN-E | $371.00 | $530.00 | 30% |
| Screening mammogram, both breasts one side CPT 77067 MAMMOGRAM RT SCREEN-E | $371.00 | $530.00 | 30% |
| Screening mammogram, both breasts inpatient CPT 77067 MAMMOGRAM BIL SCREEN-E | $318.00 | $530.00 | 40% |
| Screening mammogram, both breasts inpatient CPT 77067 MAMMOGRAM SCREENING-BIL | $318.00 | $530.00 | 40% |
| Screening mammogram, both breasts inpatient CPT 77067 MAMMOGRAM BASELINE-BIL | $318.00 | $530.00 | 40% |
| Screening mammogram, both breasts inpatient CPT 77067 MAMMOGRAM BIL BASELINE-E | $318.00 | $530.00 | 40% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MAMMOGRAM RT SCREEN-E | $318.00 | $530.00 | 40% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MAMMOGRAM LT SCREEN-E | $318.00 | $530.00 | 40% |
| Transvaginal pelvic ultrasound CPT 76830 PELVIC TRANSVAGINAL | $275.52 | $393.60 | 30% |
| Transvaginal pelvic ultrasound CPT 76830 COMPONENT CANNOT INACTIVE | $381.54 | $545.05 | 30% |
| Transvaginal pelvic ultrasound CPT 76830 COMPONENT CANNOT INACTIVATE | $381.54 | $545.05 | 30% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 PELVIC TRANSVAGINAL | $236.16 | $393.60 | 40% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 COMPONENT CANNOT INACTIVE | $327.03 | $545.05 | 40% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 COMPONENT CANNOT INACTIVATE | $327.03 | $545.05 | 40% |
| Ultrasound of the abdomen, complete CPT 76700 COMPLETE ABD- ULTRA | $607.32 | $867.60 | 30% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 COMPLETE ABD- ULTRA | $520.56 | $867.60 | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 LUM-SAC SP W/OBL | $296.80 | $424.00 | 30% |
| X-ray of the lower back, 4 or more views CPT 72110 LUMBAR W/O OBL AND BENDING | $296.80 | $424.00 | 30% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBAR W/O OBL AND BENDING | $254.40 | $424.00 | 40% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 LUM-SAC SP W/OBL | $254.40 | $424.00 | 40% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $27.58 | $39.40 | 30% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $23.64 | $39.40 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE | $42.66 | $60.95 | 30% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE | $36.57 | $60.95 | 40% |
| Complete blood count (CBC) with differential CPT 85025 HGB-HCT MICRO | $17.64 | $25.20 | 30% |
| Complete blood count (CBC) with differential CPT 85025 HEMOGRAM | $20.93 | $29.90 | 30% |
| Complete blood count (CBC) with differential CPT 85025 CBC AND DIFF | $24.71 | $35.30 | 30% |
| Complete blood count (CBC) with differential CPT 85025 CBC | $24.71 | $35.30 | 30% |
| Complete blood count (CBC) with differential CPT 85025 CBC MICRO | $24.71 | $35.30 | 30% |
| Complete blood count (CBC) with differential CPT 85025 HEMOGRAM-MICRO | $24.71 | $35.30 | 30% |
| Complete blood count (CBC) with differential CPT 85025 HEMOGRAM-E | $24.71 | $35.30 | 30% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HGB-HCT MICRO | $15.12 | $25.20 | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HEMOGRAM | $17.94 | $29.90 | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HEMOGRAM-MICRO | $21.18 | $35.30 | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC | $21.18 | $35.30 | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC AND DIFF | $21.18 | $35.30 | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC MICRO | $21.18 | $35.30 | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HEMOGRAM-E | $21.18 | $35.30 | 40% |
| Complete blood count (CBC), no differential CPT 85027 CBC ONLY | $12.53 | $17.90 | 30% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC ONLY | $10.74 | $17.90 | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $81.48 | $116.40 | 30% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL | $69.84 | $116.40 | 40% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $27.37 | $39.10 | 30% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $23.46 | $39.10 | 40% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $30.59 | $43.70 | 30% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $26.22 | $43.70 | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 FREE PSA-E | $66.64 | $95.20 | 30% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 FREE PSA-E | $57.12 | $95.20 | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 TOTAL PSA-E | $58.59 | $83.70 | 30% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN | $58.59 | $83.70 | 30% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ANTIGEN | $50.22 | $83.70 | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 TOTAL PSA-E | $50.22 | $83.70 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 APTT-E | $18.97 | $27.10 | 30% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 ACTIVATED PTT (E) | $18.97 | $27.10 | 30% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT-E | $16.26 | $27.10 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 ACTIVATED PTT (E) | $16.26 | $27.10 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TM (E) | $12.39 | $17.70 | 30% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT-E | $12.39 | $17.70 | 30% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT-E | $10.62 | $17.70 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TM (E) | $10.62 | $17.70 | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TRH STIMULATION-E | $53.48 | $76.40 | 30% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $53.48 | $76.40 | 30% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $45.84 | $76.40 | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TRH STIMULATION-E | $45.84 | $76.40 | 40% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS | $11.13 | $15.90 | 30% |
| Urinalysis with microscope exam, automated CPT 81001 IRINALYSIS & MICRO | $11.13 | $15.90 | 30% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS | $9.54 | $15.90 | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 IRINALYSIS & MICRO | $9.54 | $15.90 | 40% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS | $7.98 | $11.40 | 30% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS-E | $7.98 | $11.40 | 30% |
| Urinalysis without microscope exam, automated CPT 81003 SP GRAVITY-UR | $11.06 | $15.80 | 30% |
| Urinalysis without microscope exam, automated CPT 81003 BILIRUBIN-UR | $15.89 | $22.70 | 30% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS | $6.84 | $11.40 | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS-E | $6.84 | $11.40 | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 SP GRAVITY-UR | $9.48 | $15.80 | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 BILIRUBIN-UR | $13.62 | $22.70 | 40% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS- DIPSTICK | $7.98 | $11.40 | 30% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS- NO MICRO | $9.17 | $13.10 | 30% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS- DIPSTICK | $6.84 | $11.40 | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS- NO MICRO | $7.86 | $13.10 | 40% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Left heart catheterization, diagnostic CPT 93452 LV ONLY | $2,421.86 | $3,459.80 | 30% |
| Left heart catheterization, diagnostic inpatient CPT 93452 LV ONLY | $2,075.88 | $3,459.80 | 40% |
| Lower-back epidural injection, with imaging guidance CPT 62323 LP FOR NUC CISTERNOGRAM | $1,484.00 | $2,120.00 | 30% |
| Lower-back epidural injection, with imaging guidance CPT 62323 LUMBAR EPIDURAL STEROID INJ | $1,484.00 | $2,120.00 | 30% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 LP FOR NUC CISTERNOGRAM | $1,272.00 | $2,120.00 | 40% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 LUMBAR EPIDURAL STEROID INJ | $1,272.00 | $2,120.00 | 40% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 L-S SELECTIVE NERVE BLOCK | $1,054.06 | $1,505.80 | 30% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 TRANSFORAMINAL ESI | $1,054.06 | $1,505.80 | 30% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 L-S SELECTIVE NERVE BLOCK | $903.48 | $1,505.80 | 40% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 TRANSFORAMINAL ESI | $903.48 | $1,505.80 | 40% |
| Prostate biopsy CPT 55700 BIOPSY PROSTRATE | $616.42 | $880.60 | 30% |
| Prostate biopsy CPT 55700 ULTRA GUIDE- PROSTATE BIOPSY-E | $4,266.50 | $6,095.00 | 30% |
| Prostate biopsy inpatient CPT 55700 BIOPSY PROSTRATE | $528.36 | $880.60 | 40% |
| Prostate biopsy inpatient CPT 55700 ULTRA GUIDE- PROSTATE BIOPSY-E | $3,657.00 | $6,095.00 | 40% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Group psychotherapy session CPT 90853 PSYCH GROUP SOP VBH EA 15M | $26.18 | $37.40 | 30% |
| Group psychotherapy session CPT 90853 IOP PSYCHOTHERAPY GROUP | $104.65 | $149.50 | 30% |
| Group psychotherapy session CPT 90853 PSYCHOTHERAPY GROUP | $204.05 | $291.50 | 30% |
| Group psychotherapy session inpatient CPT 90853 PSYCH GROUP SOP VBH EA 15M | $22.44 | $37.40 | 40% |
| Group psychotherapy session inpatient CPT 90853 IOP PSYCHOTHERAPY GROUP | $89.70 | $149.50 | 40% |
| Group psychotherapy session inpatient CPT 90853 PSYCHOTHERAPY GROUP | $174.90 | $291.50 | 40% |
| New patient office visit, about 30 minutes CPT 99203 ANNUAL PHYSICAL EXAM II | $52.36 | $74.80 | 30% |
| New patient office visit, about 30 minutes CPT 99203 PREPLACEMENT EXAM III | $63.07 | $90.10 | 30% |
| New patient office visit, about 30 minutes CPT 99203 INSURANCE EXAM- PORTAMEDIC | $65.52 | $93.60 | 30% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE VISIT LEVEL III NEW PT | $187.81 | $268.30 | 30% |
| New patient office visit, about 30 minutes inpatient CPT 99203 ANNUAL PHYSICAL EXAM II | $44.88 | $74.80 | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 PREPLACEMENT EXAM III | $54.06 | $90.10 | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 INSURANCE EXAM- PORTAMEDIC | $56.16 | $93.60 | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE VISIT LEVEL III NEW PT | $160.98 | $268.30 | 40% |
| New patient office visit, about 45 minutes CPT 99204 ANNUAL PHYSICAL EXAM III | $63.07 | $90.10 | 30% |
| New patient office visit, about 45 minutes CPT 99204 PREPLACEMENT EXAM IV | $76.44 | $109.20 | 30% |
| New patient office visit, about 45 minutes inpatient CPT 99204 ANNUAL PHYSICAL EXAM III | $54.06 | $90.10 | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 PREPLACEMENT EXAM IV | $65.52 | $109.20 | 40% |
| New patient office visit, about 60 minutes CPT 99205 ANNUAL PHYSICAL EXAM IV | $91.70 | $131.00 | 30% |
| New patient office visit, about 60 minutes CPT 99205 PREPLACEMENT EXAM V | $95.55 | $136.50 | 30% |
| New patient office visit, about 60 minutes CPT 99205 MANAGEMENT HEALTH EXAM | $141.40 | $202.00 | 30% |
| New patient office visit, about 60 minutes inpatient CPT 99205 ANNUAL PHYSICAL EXAM IV | $78.60 | $131.00 | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 PREPLACEMENT EXAM V | $81.90 | $136.50 | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 MANAGEMENT HEALTH EXAM | $121.20 | $202.00 | 40% |
| Psychotherapy session, 30 minutes CPT 90832 PSYTX PT&/FAM 30 MIN RC | $204.05 | $291.50 | 30% |
| Psychotherapy session, 30 minutes CPT 90832 SOCIAL SERVICE THERAPY- 30 MIN | $333.90 | $477.00 | 30% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX PT&/FAM 30 MIN RC | $174.90 | $291.50 | 40% |
| Psychotherapy session, 45 minutes CPT 90834 PSYTX PT&/FAM 45 MIN RC | $222.60 | $318.00 | 30% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX PT&/FAM 45 MIN RC | $190.80 | $318.00 | 40% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 RETURN TO WORK EXTENDED | $80.22 | $114.60 | 30% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 RETURN TO WORK EXTENDED- WC | $87.88 | $125.55 | 30% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 RETURN TO WORK EXTENDED | $68.76 | $114.60 | 40% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 RETURN TO WORK EXTENDED- WC | $75.33 | $125.55 | 40% |
Source file: https://whs.org/wp-content/uploads/2026/03/437884840_upmc-greene_standardcharges.csv