UPMC MEMORIAL
Acute Care Hospitals
Procedure Prices at UPMC MEMORIAL
HC Venipuncture T/F
CPT 36415
$2
EKG Interpretation
CPT 93010
$5
HC Cbc & Auto Differential
CPT 85025
$6
Chest X-Ray (1 view)
CPT 71045
$9
Therapeutic Exercises
CPT 97110
$11
HC Comprehensive Metabolic Panel
CPT 80053
$12
EKG Tracing
CPT 93005
$12
Therapeutic Activities
CPT 97530
$12
HC Ehs F/U Inter P/F
CPT 99213
$14
Chest X-Ray (2 views)
CPT 71046
$16
Diagnostic Mammogram (unilateral)
CPT 77065
$21
EKG
CPT 93000
$21
Thoracic Spine X-Ray
CPT 72072
$24
CT Chest
CPT 71250
$36
Abdominal Ultrasound — Limited
CPT 76705
$41
Retroperitoneal Ultrasound
CPT 76770
$41
ER Visit — Low-Moderate Complexity
CPT 99283
$42
MRI Brain w/o Contrast
CPT 70551
$43
Abdominal Ultrasound
CPT 76700
$45
OB Ultrasound
CPT 76805
$51
ER Visit — Moderate Complexity
CPT 99284
$60
ER Visit — High Complexity
CPT 99285
$60
Screening Mammogram (bilateral)
CPT 77067
$62
HC Individ Psycho 60min MD
CPT 90837
$70
Diagnostic Mammogram (bilateral)
CPT 77066
$75
Appendectomy
CPT 44950
$85
Colonoscopy
CPT 45378
$101
HC Inj Epidural L/S Single
CPT 64483
$105
Echocardiogram
CPT 93307
$105
Echocardiogram w/ Doppler
CPT 93306
$108
Upper GI Endoscopy w/ Biopsy
CPT 43239
$163
CT Abdomen & Pelvis
CPT 74177
$212
MRI Brain w/ Contrast
CPT 70553
$296
MRI Joint of Lower Extremity
CPT 73721
$296
Inguinal Hernia Repair
CPT 49505
$349
C-Section
CPT 59510
$437
Laparoscopic Cholecystectomy
CPT 47562
$1,048
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.