▸ Hospital · PA · CCN 390071
UPMC Lock Haven
24 CREE DRIVE, LOCK HAVEN, PA, 390071
25 beds2
Compliance grade
A
100/100
Procedures tracked
164
of 209 target codes
Payers
15
with negotiated rates
Rates published
66,226
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 7 | — | — | $10,917 | $11,676 | $23,838 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 15 | $176 | $105.6 | $33.6 | $120.56 | $231.25 |
| Psychotherapy 45 minutes | CPT | 90834 | 15 | $176 | $105.6 | $42.9 | $117.92 | $165.43 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 15 | $421 | $252.6 | $51.6 | $227.13 | $378.9 |
| ED visit level 2 | CPT | 99282 | 15 | $678 | $406.8 | $36.28 | $323.41 | $610.2 |
| ED visit level 3 | CPT | 99283 | 15 | $1,240 | $744 | $62.31 | $591.48 | $1,116 |
| ED visit level 4 | CPT | 99284 | 15 | $2,073 | $1,243.8 | $104.86 | $988.82 | $1,865.7 |
| ED visit level 5 | CPT | 99285 | 15 | $2,146 | $1,287.6 | $152.61 | $1,023.64 | $1,931.4 |
| Critical care, first hour | CPT | 99291 | 15 | $2,994 | $1,796.4 | $166.79 | $1,428.14 | $2,694.6 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 15 | $2,671 | $1,602.6 | $99.2 | $1,274.07 | $2,403.9 |
| CT head with contrast | CPT | 70460 | 15 | $3,952 | $2,371.2 | $102.4 | $1,885.1 | $3,556.8 |
| CT head with and without contrast | CPT | 70470 | 15 | $4,507 | $2,704.2 | $128 | $2,149.84 | $4,056.3 |
| CT neck with contrast | CPT | 70491 | 15 | $4,185 | $2,511 | $105.6 | $1,996.24 | $3,766.5 |
| MRI brain without contrast | CPT | 70551 | 15 | $3,997 | $2,398.2 | $232.71 | $1,906.57 | $3,597.3 |
| MRI brain with contrast | CPT | 70552 | 15 | $4,851 | $2,910.6 | $343.82 | $2,313.93 | $4,365.9 |
| MRI brain with and without contrast | CPT | 70553 | 15 | $6,340 | $3,804 | $343.82 | $3,024.18 | $5,706 |
| Chest X-ray single view | CPT | 71045 | 15 | $292 | $175.2 | $10.38 | $139.28 | $262.8 |
| Chest X-ray 2 views | CPT | 71046 | 15 | $967 | $580.2 | $19.01 | $461.26 | $870.3 |
| Chest X-ray 3 views | CPT | 71047 | 15 | $832 | $499.2 | $24.19 | $396.86 | $748.8 |
| CT chest without contrast | CPT | 71250 | 15 | $3,741 | $2,244.6 | $102.37 | $1,784.46 | $3,366.9 |
| CT chest with contrast | CPT | 71260 | 15 | $4,440 | $2,664 | $112 | $2,117.88 | $3,996 |
| CT chest with and without contrast | CPT | 71270 | 15 | $5,254 | $3,152.4 | $132.48 | $2,506.16 | $4,728.6 |
| MRI chest without contrast | CPT | 71550 | 15 | $4,190 | $2,514 | $232.71 | $1,998.63 | $3,771 |
| MRI chest with contrast | CPT | 71551 | 15 | $5,085 | $3,051 | $399.62 | $2,486.57 | $4,576.5 |
| MRI chest with and without contrast | CPT | 71552 | 15 | $6,643 | $3,985.8 | $343.82 | $3,168.71 | $5,978.7 |
| Lumbosacral spine X-ray | CPT | 72100 | 15 | $695 | $417 | $28.8 | $331.51 | $625.5 |
| CT cervical spine without contrast | CPT | 72125 | 15 | $3,514 | $2,108.4 | $102.37 | $1,676.18 | $3,162.6 |
| CT thoracic spine without contrast | CPT | 72128 | 15 | $3,457 | $2,074.2 | $102.37 | $1,648.99 | $3,111.3 |
| CT lumbar spine without contrast | CPT | 72131 | 15 | $3,419 | $2,051.4 | $102.37 | $1,630.86 | $3,077.1 |
| MRI cervical spine without contrast | CPT | 72141 | 15 | $4,040 | $2,424 | $232.71 | $1,927.08 | $3,636 |
| MRI thoracic spine without contrast | CPT | 72146 | 15 | $4,190 | $2,514 | $232.71 | $1,998.63 | $3,771 |
| MRI lumbar spine without contrast | CPT | 72148 | 15 | $4,190 | $2,514 | $232.71 | $1,998.63 | $3,771 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 15 | $5,085 | $3,051 | $343.82 | $2,486.57 | $4,576.5 |
| MRI cervical spine with and without contrast | CPT | 72156 | 15 | $6,446 | $3,867.6 | $343.82 | $3,074.74 | $5,801.4 |
| MRI lumbar spine with contrast | CPT | 72158 | 15 | $6,684 | $4,010.4 | $343.82 | $3,188.27 | $6,015.6 |
| CT pelvis without contrast | CPT | 72192 | 15 | $2,189 | $1,313.4 | $86.4 | $1,044.15 | $1,970.1 |
| CT pelvis with contrast | CPT | 72193 | 15 | $3,170 | $1,902 | $110.72 | $1,512.09 | $2,853 |
| Shoulder X-ray | CPT | 73030 | 15 | $512 | $307.2 | $21.12 | $276.23 | $460.8 |
| Humerus X-ray | CPT | 73060 | 15 | $945 | $567 | $14.72 | $509.83 | $850.5 |
| Hand X-ray 3 views | CPT | 73130 | 15 | $491 | $294.6 | $14.72 | $264.9 | $441.9 |
| MRI upper extremity joint without contrast | CPT | 73221 | 15 | $4,190 | $2,514 | $232.71 | $2,260.51 | $3,771 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 15 | $6,684 | $4,010.4 | $343.82 | $3,606.02 | $6,015.6 |
| Knee X-ray 1-2 views | CPT | 73560 | 15 | $1,014 | $608.4 | $21.12 | $547.06 | $912.6 |
| Ankle X-ray 3 views | CPT | 73610 | 15 | $512 | $307.2 | $23.97 | $276.23 | $460.8 |
| MRI lower extremity joint without contrast | CPT | 73721 | 15 | $4,190 | $2,514 | $232.71 | $2,260.51 | $3,771 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 15 | $6,684 | $4,010.4 | $343.82 | $3,606.02 | $6,015.6 |
| CT abdomen without contrast | CPT | 74150 | 15 | $3,625 | $2,175 | $99.2 | $1,729.12 | $3,262.5 |
| CT abdomen with contrast | CPT | 74160 | 15 | $4,621 | $2,772.6 | $115.2 | $2,204.22 | $4,158.9 |
| CT abdomen with and without contrast | CPT | 74170 | 15 | $5,794 | $3,476.4 | $142.72 | $2,763.74 | $5,214.6 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 15 | $5,534 | $3,320.4 | $129.37 | $2,639.72 | $4,980.6 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 15 | $7,422 | $4,453.2 | $246.69 | $3,540.29 | $6,679.8 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 15 | $9,539 | $5,723.4 | $326.02 | $4,550.1 | $8,585.1 |
| MRI abdomen without contrast | CPT | 74181 | 15 | $4,190 | $2,514 | $232.71 | $1,998.63 | $3,771 |
| MRI abdomen with and without contrast | CPT | 74183 | 15 | $6,684 | $4,010.4 | $343.82 | $3,188.27 | $6,015.6 |
| Abdominal ultrasound complete | CPT | 76700 | 15 | $1,528 | $916.8 | $73.6 | $728.86 | $1,375.2 |
| Abdominal ultrasound limited | CPT | 76705 | 15 | $1,151 | $690.6 | $48 | $549.03 | $1,035.9 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 15 | $1,221 | $732.6 | $62.72 | $582.42 | $1,098.9 |
| Obstetric ultrasound first trimester | CPT | 76801 | 15 | $1,151 | $690.6 | $49.14 | $549.03 | $1,035.9 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 15 | $1,151 | $690.6 | $59.52 | $549.03 | $1,035.9 |
| Transvaginal ultrasound | CPT | 76830 | 15 | $1,131 | $678.6 | $59.52 | $539.49 | $1,017.9 |
| Pelvic ultrasound complete | CPT | 76856 | 15 | $1,220 | $732 | $59.52 | $581.94 | $1,098 |
| Scrotal ultrasound | CPT | 76870 | 15 | $1,077 | $646.2 | $56.32 | $513.73 | $969.3 |
| Diagnostic mammography unilateral | CPT | 77065 | 14 | $528 | $316.8 | $90.89 | $321.03 | $475.2 |
| Diagnostic mammography bilateral | CPT | 77066 | 14 | $805 | $483 | $116.26 | $489.44 | $724.5 |
| Screening mammography bilateral | CPT | 77067 | 14 | $342 | $205.2 | $92.34 | $207.94 | $307.8 |
| EKG tracing only | CPT | 93005 | 15 | $453 | $271.8 | $11.51 | $58.4 | $407.7 |
| Transthoracic echocardiogram complete | CPT | 93306 | 15 | $3,775 | $2,265 | $125.62 | $1,800.67 | $3,397.5 |
| Stress echocardiogram | CPT | 93350 | 15 | $1,360 | $816 | $59.52 | $737.8 | $1,224 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 9 | — | — | $10,396 | $16,598 | $37,832 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 9 | — | — | $4,613.08 | $8,576.43 | $23,766 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 9 | — | — | $4,621.28 | $5,964.03 | $18,566 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 9 | — | — | $7,339.78 | $13,004 | $29,155 |
| COPD w MCC | MS-DRG | 190 | 9 | — | — | $6,106.17 | $9,357.18 | $19,670 |
| COPD w CC | MS-DRG | 191 | 9 | — | — | $6,765.69 | $7,481.92 | $44,427 |
| COPD w/o CC/MCC | MS-DRG | 192 | 9 | — | — | $5,259.08 | $5,815.82 | $17,709 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 9 | — | — | $6,487.61 | $7,174.41 | $16,656 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 9 | — | — | $5,157.88 | $5,703.9 | $24,716 |
| AMI discharged alive w MCC | MS-DRG | 280 | 9 | — | — | $6,126.2 | $13,336 | $29,532 |
| AMI discharged alive w CC | MS-DRG | 281 | 9 | — | — | $3,954.85 | $7,845.38 | $20,371 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 9 | — | — | $3,246.55 | $6,274.26 | $18,377 |
| Heart failure & shock w MCC | MS-DRG | 291 | 9 | — | — | $4,644.95 | $10,769 | $22,823 |
| Heart failure & shock w CC | MS-DRG | 292 | 9 | — | — | $6,810.68 | $7,531.67 | $27,352 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 9 | — | — | $4,689.42 | $5,185.85 | $13,931 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 9 | — | — | $9,471.59 | $10,474 | $21,179 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 9 | — | — | $5,961.39 | $6,592.48 | $13,338 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 9 | — | — | $4,690.17 | $5,186.68 | $10,428 |
| GI hemorrhage w CC | MS-DRG | 378 | 9 | — | — | $6,420.26 | $8,339.15 | $20,748 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 9 | — | — | $2,916.98 | $5,531.18 | $14,631 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 9 | — | — | $6,290.48 | $6,956.4 | $32,203 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 7 | — | — | $12,198 | $13,046 | $41,173 |
| Kidney/UTI w MCC | MS-DRG | 689 | 7 | — | — | $9,144.03 | $9,779.71 | $24,574 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 7 | — | — | $6,514.59 | $6,967.48 | $13,815 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 7 | — | — | $15,007 | $16,050 | $37,778 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 7 | — | — | $8,117.15 | $8,681.44 | $19,293 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 15 | $311 | $186.6 | $8.36 | $134.42 | $279.9 |
| Electrolyte panel | CPT | 80051 | 15 | $218 | $130.8 | $6.92 | $94.22 | $196.2 |
| Comprehensive metabolic panel | CPT | 80053 | 15 | $359 | $215.4 | $10.43 | $155.16 | $323.1 |
| Lipid panel | CPT | 80061 | 15 | $380 | $228 | $13.24 | $164.24 | $342 |
| Renal function panel | CPT | 80069 | 15 | $260 | $156 | $8.58 | $112.37 | $234 |
| Hepatic function panel | CPT | 80076 | 15 | $387 | $232.2 | $8.08 | $167.26 | $348.3 |
| Urinalysis non-automated | CPT | 81002 | 15 | $85 | $51 | $3.44 | $8.79 | $76.5 |
| Urinalysis automated | CPT | 81003 | 15 | $63 | $37.8 | $2.22 | $27.23 | $56.7 |
| Glucose quantitative | CPT | 82947 | 15 | $87 | $52.2 | $3.89 | $37.6 | $78.3 |
| Hemoglobin A1c | CPT | 83036 | 15 | $276 | $165.6 | $3.06 | $9.9 | $248.4 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 15 | $378 | $226.8 | $16.6 | $163.38 | $340.2 |
| Complete blood count with automated differential | CPT | 85025 | 15 | $159 | $95.4 | $6.6 | $68.72 | $143.1 |
| Complete blood count without differential | CPT | 85027 | 15 | $134 | $80.4 | $6.39 | $57.92 | $120.6 |
| Urine culture bacterial | CPT | 87086 | 15 | $364 | $218.4 | $7.98 | $157.32 | $327.6 |
| Tissue exam by pathologist level IV | CPT | 88305 | 15 | $417 | $250.2 | $11.52 | $195.41 | $375.3 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 15 | $622 | $373.2 | $6.04 | $304.16 | $559.8 |
| Vaginal delivery only | CPT | 59409 | 15 | $15,106 | $9,063.6 | $1,230 | $8,149.69 | $13,595 |
| Vaginal delivery with postpartum | CPT | 59410 | 15 | $1,688 | $1,012.8 | $455.76 | $1,145.31 | $2,951.01 |
| C-section with postpartum | CPT | 59515 | 15 | $1,688 | $1,012.8 | $455.76 | $1,145.31 | $3,380.56 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 15 | $418 | $250.8 | $38.86 | $226.77 | $376.2 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 15 | $545 | $327 | $41.85 | $124 | $490.5 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 15 | $702 | $421.2 | $41.85 | $133.24 | $631.8 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 15 | $983 | $589.8 | $41.85 | $157.8 | $884.7 |
| Office visit, established patient, 5 min | CPT | 99211 | 15 | $333 | $199.8 | $22 | $120.9 | $299.7 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 15 | $418 | $250.8 | $28.6 | $120.9 | $376.2 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 15 | $418 | $250.8 | $38.5 | $120.9 | $376.2 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 15 | $545 | $327 | $41.85 | $124 | $490.5 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 15 | $702 | $421.2 | $41.85 | $128.51 | $631.8 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 15 | $5,877 | $3,526.2 | $137.74 | $2,803.33 | $5,289.3 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 15 | $5,877 | $3,526.2 | $163.44 | $2,803.33 | $5,289.3 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 15 | $997 | $598.2 | $58.47 | $658.02 | $938.75 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 15 | $5,261 | $3,156.6 | $70.04 | $2,509.5 | $4,734.9 |
| Colonoscopy diagnostic | CPT | 45378 | 15 | $2,500 | $1,500 | $198.55 | $1,192.5 | $2,250 |
| Colonoscopy with biopsy | CPT | 45380 | 15 | $5,421 | $3,252.6 | $247.96 | $2,585.82 | $4,878.9 |
| Colonoscopy with polyp removal | CPT | 45385 | 15 | $5,421 | $3,252.6 | $294.89 | $2,585.82 | $4,878.9 |
| surgery | ||||||||
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 2 | — | — | $5,033.7 | $5,297.09 | $5,560.48 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 2 | — | — | $5,036.43 | $5,299.96 | $5,563.49 |
| Total knee replacement | CPT | 27447 | 9 | — | — | $993.28 | $12,512 | $13,248 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 4 | — | — | $695.68 | $2,548.05 | $2,719.83 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 9 | — | — | $993.28 | $6,946.9 | $7,355.55 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 10 | — | — | $597.85 | $2,184.48 | $3,340.82 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 9 | — | — | $3,906.6 | $37,323 | $78,444 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 9 | — | — | $2,642.94 | $19,694 | $47,721 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 9 | — | — | $9,052.28 | $13,968 | $35,865 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 9 | — | — | $8,765.49 | $14,038 | $34,383 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 9 | — | — | $8,460.51 | $11,426 | $28,589 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 9 | — | — | $5,797.54 | $27,789 | $86,768 |
| Laparoscopic appendectomy | CPT | 44970 | 9 | — | — | $993.28 | $5,673.61 | $6,007.35 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 2 | — | — | $15,971 | $16,807 | $17,643 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 2 | — | — | $9,125.11 | $9,602.59 | $10,080 |
| Major joint replacement w MCC | MS-DRG | 469 | 7 | — | — | $23,183 | $24,794 | $57,664 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 7 | — | — | $14,905 | $15,941 | $32,919 |
| Laparoscopic cholecystectomy | CPT | 47562 | 9 | — | — | $993.28 | $5,673.61 | $6,007.35 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 9 | — | — | $993.28 | $5,673.61 | $6,007.35 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 9 | — | — | $22,276 | $24,635 | $183,620 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 9 | — | — | $16,146 | $17,856 | $153,947 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 9 | — | — | $12,672 | $14,014 | $36,939 |
| Lap inguinal hernia repair | CPT | 49650 | 9 | — | — | $818.32 | $5,673.61 | $6,007.35 |
| Lap salpingo-oophorectomy | CPT | 58661 | 15 | $12,649 | $7,589.4 | $993.28 | $6,956.95 | $11,384 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 7 | — | — | $22,090 | $23,625 | $56,807 |
| OR procedure for obesity w CC | MS-DRG | 620 | 7 | — | — | $12,442 | $13,307 | $34,410 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 7 | — | — | $11,753 | $12,570 | $27,781 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 7 | — | — | $9,746.68 | $10,424 | $23,524 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 7 | — | — | $15,806 | $16,905 | $34,970 |
| PCI single major coronary artery | CPT | 92920 | 14 | $6,590 | $3,954 | $773.91 | $4,349.4 | $5,931 |
| PCI with drug-eluting stent | CPT | 92928 | 14 | $13,175 | $7,905 | $859.73 | $8,695.5 | $11,858 |
| PCI bypass graft | CPT | 92937 | 15 | $20,374 | $12,224 | $858.79 | $11,448 | $18,337 |
| Left heart catheterization | CPT | 93452 | 15 | $6,593 | $3,955.8 | $993.28 | $3,626.15 | $5,933.7 |
| Coronary angiography with cath | CPT | 93455 | 15 | $7,939 | $4,763.4 | $993.28 | $4,366.45 | $7,145.1 |
| Coronary angiography with bypass cath | CPT | 93458 | 15 | $8,166 | $4,899.6 | $993.28 | $4,491.3 | $7,349.4 |
Payer mix (top 15)
| Payer | Codes covered | Median rate |
|---|---|---|
| UnitedHealthcare | 160 | $425.45 |
| upmc health plan | 159 | $236.34 |
| pa health & wellness | 159 | $253.21 |
| Aetna | 159 | $614.88 |
| Blue Cross Blue Shield | 159 | $493.4 |
| amerihealth caritas | 157 | $179.33 |
| geisinger | 153 | $369.83 |
| Multiplan | 151 | $951.6 |
| upmc work partners | 148 | $820.78 |
| three rivers provider network | 117 | $758.64 |
| wirerope works | 109 | $678.6 |
| america's choice | 109 | $976.4 |
| Cigna | 109 | $836.04 |
| First Health | 109 | $774.62 |
| intergroup | 109 | $976.4 |