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UPMC WILLIAMSPORT

Hospital

700 HIGH STREET

WILLIAMSPORT, PA, 17701

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Procedure Prices at UPMC WILLIAMSPORT

VENIPUNCTURE ROUTINE SPEC COLL

CPT 36415

$2.47

CBC & PLT & AUTO COMP DIFF

CPT 85025

$6.12

Therapeutic Activities

CPT 97530

$9.13

COMPREHENSIVE METABOLIC PANEL

CPT 80053

$10.56

EKG Tracing

CPT 93005

$10.67

CLINIC VISIT EST 99213

CPT 99213

$11.03

Therapeutic Exercises

CPT 97110

$11.52

Chest X-Ray (1 view)

CPT 71045

$15.45

MRI Brain w/ Contrast

CPT 70553

$17.03

Screening Mammogram (bilateral)

CPT 77067

$18.23

Chest X-Ray (2 views)

CPT 71046

$24.11

Diagnostic Mammogram (unilateral)

CPT 77065

$27.95

Thoracic Spine X-Ray

CPT 72072

$32.16

ER Visit — Low-Moderate Complexity

CPT 99283

$35.7

Echocardiogram w/ Doppler

CPT 93306

$40.15

Diagnostic Mammogram (bilateral)

CPT 77066

$42.6

ER Visit — Moderate Complexity

CPT 99284

$51

ER Visit — High Complexity

CPT 99285

$51

Abdominal Ultrasound — Limited

CPT 76705

$60.93

OB Ultrasound

CPT 76805

$60.93

Retroperitoneal Ultrasound

CPT 76770

$64.67

Abdominal Ultrasound

CPT 76700

$68.75

CT Chest

CPT 71250

$108.75

INJ EPIDURAL LUMB PLEX SINGLE

CPT 64483

$128.98

Colonoscopy

CPT 45378

$153.25

MRI Brain w/o Contrast

CPT 70551

$211.67

MRI Joint of Lower Extremity

CPT 73721

$221.84

CT Abdomen & Pelvis

CPT 74177

$268.42

Upper GI Endoscopy w/ Biopsy

CPT 43239

$286.62

Colonoscopy w/ Biopsy

CPT 45380

$287.07

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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.