UPMC LITITZ
Acute Care Hospitals
Procedure Prices at UPMC LITITZ
HC Venipuncture T/F
CPT 36415
$2
EKG Interpretation
CPT 93010
$5
HC Cbc & Auto Differential
CPT 85025
$6
HC Comprehensive Metabolic Panel
CPT 80053
$8
Chest X-Ray (1 view)
CPT 71045
$9
Therapeutic Activities
CPT 97530
$10
EKG Tracing
CPT 93005
$12
Chest X-Ray (2 views)
CPT 71046
$16
Therapeutic Exercises
CPT 97110
$17
EKG
CPT 93000
$22
Thoracic Spine X-Ray
CPT 72072
$25
ER Visit — Low-Moderate Complexity
CPT 99283
$42
Abdominal Ultrasound — Limited
CPT 76705
$43
HC Ehs F/U Inter P/F
CPT 99213
$45
OB Ultrasound
CPT 76805
$53
Retroperitoneal Ultrasound
CPT 76770
$56
ER Visit — Moderate Complexity
CPT 99284
$60
ER Visit — High Complexity
CPT 99285
$60
Abdominal Ultrasound
CPT 76700
$66
Diagnostic Mammogram (unilateral)
CPT 77065
$73
Screening Mammogram (bilateral)
CPT 77067
$86
CT Chest
CPT 71250
$96
Diagnostic Mammogram (bilateral)
CPT 77066
$104
Telehlth Individ Psycho 60min
CPT 90837
$105
HC Inj Epidural L/S Single
CPT 64483
$109
Echocardiogram
CPT 93307
$109
Echocardiogram w/ Doppler
CPT 93306
$113
MRI Brain w/o Contrast
CPT 70551
$121
Upper GI Endoscopy w/ Biopsy
CPT 43239
$149
Colonoscopy
CPT 45378
$208
CT Abdomen & Pelvis
CPT 74177
$222
Appendectomy
CPT 44950
$242
MRI Brain w/ Contrast
CPT 70553
$309
MRI Joint of Lower Extremity
CPT 73721
$309
C-Section
CPT 59510
$437
Laparoscopic Cholecystectomy
CPT 47562
$707
Prices sourced from federally mandated hospital price transparency files. Cash prices reflect self-pay discounted rates. Negotiated rates vary by insurance plan. Data may not reflect current pricing — always confirm with the hospital before scheduling.