Procedure Prices at UPMC PASSAVANT
VENIPUNCTURE ROUTINE PCI STAFF
CPT 36415
$1.92
CBC & PLT & AUTO COMP DIFF
CPT 85025
$6.3
Therapeutic Exercises
CPT 97110
$8.8
COMPREHENSIVE METABOLIC PANEL
CPT 80053
$9.58
EKG Tracing
CPT 93005
$10.98
Therapeutic Activities
CPT 97530
$13.65
Chest X-Ray (1 view)
CPT 71045
$17.03
F/U NURSE L3 RX
CPT 99213
$18.94
Thoracic Spine X-Ray
CPT 72072
$22.58
Chest X-Ray (2 views)
CPT 71046
$26
ER Visit — Low-Moderate Complexity
CPT 99283
$36.75
Abdominal Ultrasound — Limited
CPT 76705
$39.38
OB Ultrasound
CPT 76805
$48.83
Retroperitoneal Ultrasound
CPT 76770
$51.45
ER Visit — Moderate Complexity
CPT 99284
$52.5
ER Visit — High Complexity
CPT 99285
$52.5
Abdominal Ultrasound
CPT 76700
$60.38
CT Chest
CPT 71250
$87.26
Echocardiogram
CPT 93307
$99.75
Echocardiogram w/ Doppler
CPT 93306
$103.05
MRI Brain w/o Contrast
CPT 70551
$191.83
MRI Joint of Lower Extremity
CPT 73721
$191.83
CT Abdomen & Pelvis
CPT 74177
$202.37
Colonoscopy
CPT 45378
$205
INJ TRANSFRMN EPI LUM/SAC SNGL
CPT 64483
$229.17
Upper GI Endoscopy w/ Biopsy
CPT 43239
$254.04
Colonoscopy w/ Biopsy
CPT 45380
$254.04
MRI Brain w/ Contrast
CPT 70553
$282.45
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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.