Procedure Prices at UPMC LOCK HAVEN
VENIPUNCTURE ROUTINE SPEC COLL
CPT 36415
$3
CBC & PLT & AUTO COMP DIFF
CPT 85025
$6.6
COMPREHENSIVE METABOLIC PANEL
CPT 80053
$10.56
EKG Tracing
CPT 93005
$11.51
Mechanical Traction
CPT 97012
$15.39
Chest X-Ray (1 view)
CPT 71045
$17.03
Therapeutic Exercises
CPT 97110
$21.52
Screening Mammogram (bilateral)
CPT 77067
$22.3
Chest X-Ray (2 views)
CPT 71046
$26
Therapeutic Activities
CPT 97530
$26.41
Thoracic Spine X-Ray
CPT 72072
$34.68
ER Visit — Low-Moderate Complexity
CPT 99283
$38.5
Diagnostic Mammogram (unilateral)
CPT 77065
$38.53
Diagnostic Mammogram (bilateral)
CPT 77066
$47.34
ER Visit — Moderate Complexity
CPT 99284
$55
ER Visit — High Complexity
CPT 99285
$55
Abdominal Ultrasound — Limited
CPT 76705
$68.75
OB Ultrasound
CPT 76805
$85.25
Retroperitoneal Ultrasound
CPT 76770
$89.65
Abdominal Ultrasound
CPT 76700
$104.8
CT Chest
CPT 71250
$108.75
Echocardiogram
CPT 93307
$154.42
Echocardiogram w/ Doppler
CPT 93306
$155.12
Colonoscopy
CPT 45378
$163
Recurrent Inguinal Hernia Repair
CPT 49520
$199.97
MRI Brain w/o Contrast
CPT 70551
$229.84
MRI Joint of Lower Extremity
CPT 73721
$229.84
Colonoscopy w/ Biopsy
CPT 45380
$230.81
Upper GI Endoscopy w/ Biopsy
CPT 43239
$285.9
CT Abdomen & Pelvis
CPT 74177
$289.48
MRI Brain w/ Contrast
CPT 70553
$367.83
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.