Does UPMC Horizon publish its standard charges and chargemaster?

Yes. UPMC Horizon publishes a machine-readable file with 53,894 standard-charge rows — gross charges, cash prices, and payer-negotiated rates, earning a CMS price transparency compliance grade of A. Browse the negotiated rates by procedure and payer on this page.

How much does UPMC Horizon charge for procedures?

UPMC Horizon (Greenville, PA) publishes a separately negotiated rate for each insurance payer, plus a discounted cash price and a gross (list) charge, for every procedure in its price transparency file. This page compares each procedure's negotiated median against the national median so you can see whether a price is above or below market.

▸ Hospital · PA · CCN 390178

UPMC Horizon

Greenville, PA, 16125

98 bedsAcute Care Hospitals2

Compliance grade

100/100

Rates published

53,894

last crawl 2026-05-24

Procedures tracked

156

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All PA hospitalsJSON

The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.

Source MRF: https://dam.upmc.com/-/media/upmc/locations/hospitals/documents/cdm-json-files/250523970_upmc-horizon_standardcharges.csv? · CSV

Procedures & rates

vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	vs nat'l	Neg max
behavioral
Psychoses	MS-DRG	885	8	—	—	$614	$11,354	0.89×	$12,640
emergency
ED visit level 1	CPT	99281	16	$240	$144	$51.26	$96	0.69×	$310
ED visit level 2	CPT	99282	17	$393	$235.8	$36.28	$157.2	0.66×	$334.05
ED visit level 3	CPT	99283	17	$643	$385.8	$62.31	$264.53	0.65×	$546.55
ED visit level 4	CPT	99284	17	$950	$570	$104.86	$380	0.57×	$807.5
ED visit level 5	CPT	99285	17	$1,910	$1,146	$152.61	$737.26	0.71×	$1,623.5
Critical care, first hour	CPT	99291	17	$2,124	$1,274.4	$166.79	$846.55	0.79×	$1,805.4
imaging
CT head without contrast	CPT	70450	17	$2,413	$1,447.8	$90.77	$919.36	4.4×	$2,051.05
CT head with contrast	CPT	70460	17	$2,916	$1,749.6	$147.4	$1,111	4.7×	$2,478.6
CT head with and without contrast	CPT	70470	17	$3,553	$2,131.8	$151.95	$1,353.7	5.1×	$3,020.05
CT neck with contrast	CPT	70491	17	$3,057	$1,834.2	$151.25	$1,164.72	4.3×	$2,598.45
MRI brain without contrast	CPT	70551	17	$4,118	$2,470.8	$206.32	$1,589.55	3.9×	$3,500.3
MRI brain with contrast	CPT	70552	17	$4,310	$2,586	$304.83	$1,678.75	3.5×	$3,663.5
MRI brain with and without contrast	CPT	70553	17	$6,003	$3,601.8	$304.83	$2,341.17	4.0×	$5,102.55
Chest X-ray single view	CPT	71045	17	$510	$306	$12.51	$194.82	2.1×	$433.5
Chest X-ray 2 views	CPT	71046	17	$710	$426	$22.93	$271.22	2.8×	$603.5
Chest X-ray 3 views	CPT	71047	17	$211	$126.6	$29.15	$84.4	0.88×	$227.64
CT chest without contrast	CPT	71250	17	$3,025	$1,815	$90.77	$1,152.53	5.4×	$2,571.25
CT chest with contrast	CPT	71260	17	$3,536	$2,121.6	$151.95	$1,347.22	4.8×	$3,005.6
CT chest with and without contrast	CPT	71270	17	$4,310	$2,586	$151.95	$1,642.11	5.6×	$3,663.5
MRI chest without contrast	CPT	71550	17	$5,748	$3,448.8	$206.32	$2,189.99	5.1×	$4,885.8
MRI chest with and without contrast	CPT	71552	17	$8,475	$5,085	$304.83	$3,267.12	5.4×	$7,203.75
Lumbosacral spine X-ray	CPT	72100	17	$719	$431.4	$34.16	$274.66	2.7×	$611.15
CT cervical spine without contrast	CPT	72125	17	$3,025	$1,815	$90.77	$1,152.53	5.7×	$2,571.25
CT thoracic spine without contrast	CPT	72128	17	$3,025	$1,815	$90.77	$1,152.53	5.8×	$2,571.25
CT lumbar spine without contrast	CPT	72131	17	$3,025	$1,815	$90.77	$1,152.53	5.7×	$2,571.25
MRI cervical spine without contrast	CPT	72141	17	$8,102	$4,861.2	$206.32	$3,086.86	7.8×	$6,886.7
MRI thoracic spine without contrast	CPT	72146	17	$8,102	$4,861.2	$206.32	$3,086.86	8.3×	$6,886.7
MRI lumbar spine without contrast	CPT	72148	17	$8,102	$4,861.2	$206.32	$3,086.86	8.2×	$6,886.7
MRI lumbar spine with and without contrast	CPT	72149	17	$2,953	$1,771.8	$304.83	$1,151.67	2.5×	$2,510.05
MRI cervical spine with and without contrast	CPT	72156	17	$6,003	$3,601.8	$304.83	$2,341.17	4.3×	$5,102.55
MRI lumbar spine with contrast	CPT	72158	17	$6,003	$3,601.8	$304.83	$2,341.17	4.3×	$5,102.55
CT pelvis without contrast	CPT	72192	17	$2,982	$1,789.2	$90.77	$1,149.56	5.7×	$2,534.7
CT pelvis with contrast	CPT	72193	17	$3,390	$2,034	$151.95	$1,306.85	4.6×	$2,881.5
Shoulder X-ray	CPT	73030	16	$741	$444.6	$28.68	$289.73	3.1×	$629.85
Humerus X-ray	CPT	73060	16	$405	$243	$28.11	$158.36	1.8×	$344.25
Hand X-ray 3 views	CPT	73130	16	$772	$463.2	$26.86	$301.85	3.2×	$656.2
MRI upper extremity joint without contrast	CPT	73221	16	$6,988	$4,192.8	$206.32	$2,725.32	6.5×	$5,939.8
MRI upper extremity joint with and without contrast	CPT	73223	16	$6,988	$4,192.8	$304.83	$2,725.32	4.5×	$5,939.8
Knee X-ray 1-2 views	CPT	73560	16	$600	$360	$30.28	$234.6	2.5×	$510
Ankle X-ray 3 views	CPT	73610	16	$901	$540.6	$26.35	$352.29	3.8×	$765.85
MRI lower extremity joint without contrast	CPT	73721	16	$8,102	$4,861.2	$206.32	$3,159.78	6.8×	$6,886.7
MRI lower extremity joint with and without contrast	CPT	73723	16	$6,988	$4,192.8	$304.83	$2,725.32	4.3×	$5,939.8
CT abdomen without contrast	CPT	74150	17	$2,950	$1,770	$90.77	$1,137.23	6.0×	$2,507.5
CT abdomen with contrast	CPT	74160	17	$3,458	$2,074.8	$151.95	$1,333.06	4.6×	$2,939.3
CT abdomen with and without contrast	CPT	74170	17	$4,187	$2,512.2	$151.95	$1,614.09	4.8×	$3,558.95
CT abdomen and pelvis without contrast	CPT	74176	17	$5,931	$3,558.6	$185.12	$2,289.37	6.3×	$5,041.35
CT abdomen and pelvis with contrast	CPT	74177	17	$6,848	$4,108.8	$289.48	$2,643.33	4.8×	$5,820.8
CT abdomen and pelvis with and without contrast	CPT	74178	17	$8,255	$4,953	$304.83	$3,186.43	5.5×	$7,016.75
MRI abdomen without contrast	CPT	74181	17	$4,118	$2,470.8	$206.32	$1,589.55	4.1×	$3,500.3
MRI abdomen with and without contrast	CPT	74183	17	$6,988	$4,192.8	$304.83	$2,662.43	4.7×	$5,939.8
Abdominal ultrasound complete	CPT	76700	17	$2,661	$1,596.6	$90.77	$1,016.5	6.8×	$2,261.85
Abdominal ultrasound limited	CPT	76705	17	$2,661	$1,596.6	$65.62	$1,016.5	6.9×	$2,261.85
Retroperitoneal ultrasound complete	CPT	76770	17	$850	$510	$85.58	$330.65	2.3×	$722.5
Obstetric ultrasound first trimester	CPT	76801	17	$1,646	$987.6	$90.77	$634.53	4.5×	$1,399.1
Obstetric ultrasound after first trimester	CPT	76805	17	$1,646	$987.6	$85.25	$634.53	4.2×	$1,399.1
Obstetric ultrasound with fetal anatomy	CPT	76811	17	$2,638	$1,582.8	$189.31	$1,016.95	4.3×	$2,242.3
Transvaginal ultrasound	CPT	76830	17	$1,035	$621	$80.33	$395.37	2.7×	$879.75
Pelvic ultrasound complete	CPT	76856	17	$1,964	$1,178.4	$80.33	$750.25	5.2×	$1,669.4
Scrotal ultrasound	CPT	76870	17	$1,467	$880.2	$77.7	$560.39	4.3×	$1,246.95
Diagnostic mammography unilateral	CPT	77065	16	$896	$537.6	$49	$358.4	2.4×	$761.6
Diagnostic mammography bilateral	CPT	77066	16	$985	$591	$49	$394	2.1×	$837.25
Screening mammography bilateral	CPT	77067	16	$342	$205.2	$49	$136.8	0.87×	$551.43
EKG tracing only	CPT	93005	17	$316	$189.6	$11.51	$121.82	1.0×	$268.6
Transthoracic echocardiogram complete	CPT	93306	17	$3,127	$1,876.2	$155.12	$1,205.46	2.0×	$2,657.95
Transthoracic echocardiogram	CPT	93307	17	$1,596	$957.6	$154.42	$622.44	2.5×	$1,356.6
Stress echocardiogram	CPT	93350	17	$4,638	$2,782.8	$84.15	$1,787.95	3.5×	$3,942.3
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	9	—	—	$9,312.94	$16,342	0.81×	$24,278
Intracranial hemorrhage/CVA w CC	MS-DRG	065	9	—	—	$4,678.7	$8,563.82	0.80×	$15,251
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	9	—	—	$3,169.46	$6,029.7	0.79×	$11,914
Respiratory infections & inflammations w MCC	MS-DRG	177	9	—	—	$7,236.86	$12,857	0.83×	$18,710
COPD w MCC	MS-DRG	190	9	—	—	$5,129.76	$9,321.02	0.83×	$12,623
COPD w CC	MS-DRG	191	9	—	—	$3,903.93	$7,262.54	0.82×	$11,153
COPD w/o CC/MCC	MS-DRG	192	9	—	—	$2,973.1	$5,700.1	0.81×	$9,470.42
Simple pneumonia & pleurisy w CC	MS-DRG	194	9	—	—	$3,732.12	$6,974.17	0.82×	$10,565
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	9	—	—	$2,910.58	$5,595.16	0.84×	$9,470.42
AMI discharged alive w MCC	MS-DRG	280	9	—	—	$7,428.59	$13,179	0.84×	$18,952
AMI discharged alive w CC	MS-DRG	281	9	—	—	$4,256.35	$7,854.1	0.81×	$13,073
AMI discharged alive w/o CC/MCC	MS-DRG	282	9	—	—	$3,348.68	$6,330.54	0.81×	$11,793
Heart failure & shock w MCC	MS-DRG	291	9	—	—	$5,945.28	$10,689	0.84×	$14,646
Heart failure & shock w CC	MS-DRG	292	9	—	—	$3,931.72	$7,309.18	0.82×	$9,994.68
Heart failure & shock w/o CC/MCC	MS-DRG	293	9	—	—	$2,621.15	$5,109.35	0.82×	$9,470.42
Cardiac arrhythmia w MCC	MS-DRG	308	9	—	—	$5,575.72	$10,069	0.83×	$13,591
Cardiac arrhythmia w CC	MS-DRG	309	9	—	—	$3,407.03	$6,428.47	0.83×	$9,470.42
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	9	—	—	$2,621.61	$5,110.11	0.82×	$9,470.42
GI hemorrhage w CC	MS-DRG	378	9	—	—	$4,541.62	$8,332.93	0.83×	$13,315
GI hemorrhage w/o CC/MCC	MS-DRG	379	9	—	—	$2,919.38	$5,609.95	0.82×	$9,470.42
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	9	—	—	$3,610.33	$6,769.7	0.84×	$9,470.42
Fractures of femur w/o MCC	MS-DRG	533	8	—	—	$7,260.02	$12,896	0.85×	$26,422
Kidney/UTI w MCC	MS-DRG	689	8	—	—	$5,373.35	$9,729.48	0.84×	$15,770
Kidney/UTI w/o MCC	MS-DRG	690	8	—	—	$3,748.79	$6,970.04	0.84×	$8,628.62
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	8	—	—	$8,995.72	$15,810	0.85×	$24,243
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	8	—	—	$4,738.9	$8,664.48	0.84×	$12,381
lab
Basic metabolic panel (BMP)	CPT	80048	17	$266	$159.6	$7.57	$102.54	3.2×	$226.1
Electrolyte panel	CPT	80051	17	$117	$70.2	$6.28	$44	1.8×	$99.45
Comprehensive metabolic panel	CPT	80053	17	$335	$201	$9.45	$127.97	2.9×	$284.75
Lipid panel	CPT	80061	17	$144	$86.4	$11.99	$56.09	1.5×	$122.4
Renal function panel	CPT	80069	17	$310	$186	$7.77	$119.51	4.4×	$263.5
Hepatic function panel	CPT	80076	17	$237	$142.2	$7.31	$91.36	3.4×	$201.45
Urinalysis non-automated	CPT	81002	17	$65	$39	$3.12	$25.29	3.6×	$55.25
Urinalysis automated	CPT	81003	17	$100	$60	$2.01	$38.55	2.8×	$85
Glucose quantitative	CPT	82947	17	$49	$29.4	$3.52	$19.09	1.1×	$41.65
Hemoglobin A1c	CPT	83036	17	$107	$64.2	$7	$41.68	1.5×	$90.95
Thyroid stimulating hormone (TSH)	CPT	84443	17	$167	$100.2	$15.04	$65.05	1.4×	$141.95
Complete blood count with automated differential	CPT	85025	17	$80	$48	$6	$31.12	1.2×	$68
Complete blood count without differential	CPT	85027	17	$68	$40.8	$5.79	$26.32	1.2×	$57.8
Urine culture bacterial	CPT	87086	17	$80	$48	$7.23	$31.16	1.3×	$68
Urine culture identification	CPT	87088	17	$101	$60.6	$7.24	$39.34	1.8×	$85.85
Tissue exam by pathologist level IV	CPT	88305	17	$381	$228.6	$27.89	$148.4	1.4×	$323.85
maternity
Fetal non-stress test	CPT	59025	17	$1,269	$761.4	$19.25	$489.2	2.6×	$1,078.65
office
Office visit, new patient, 15-29 min	CPT	99202	17	$434	$260.4	$36.08	$173.6	2.0×	$368.9
Office visit, new patient, 30-44 minutes	CPT	99203	17	$564	$338.4	$36.08	$225.6	1.8×	$479.4
Office visit, new patient, 45-59 min	CPT	99204	17	$723	$433.8	$36.08	$287.97	1.7×	$614.55
Office visit, new patient, 60-74 min	CPT	99205	17	$877	$526.2	$36.08	$343.78	1.6×	$745.45
Office visit, established patient, 5 min	CPT	99211	17	$235	$141	$21	$92.12	1.4×	$199.75
Office visit, established patient, 10-19 min	CPT	99212	17	$315	$189	$27.3	$123.48	1.5×	$267.75
Office visit, established patient, 20-29 minutes	CPT	99213	17	$360	$216	$36.08	$141.12	1.2×	$306
Office visit, established patient, 30-39 minutes	CPT	99214	17	$418	$250.8	$36.08	$164.75	1.1×	$355.3
Office visit, established patient, 40-54 min	CPT	99215	17	$448	$268.8	$36.08	$179.2	0.95×	$380.8
preventive
Upper GI endoscopy diagnostic	CPT	43235	17	$3,121	$1,872.6	$137.74	$1,217.19	1.3×	$2,652.85
Upper GI endoscopy with biopsy	CPT	43239	17	$4,127	$2,476.2	$163.44	$1,609.53	1.7×	$3,507.95
Sigmoidoscopy diagnostic	CPT	45330	17	$997	$598.2	$58.47	$491.32	0.58×	$1,631.07
Sigmoidoscopy with biopsy	CPT	45331	17	$3,121	$1,872.6	$70.04	$1,217.19	1.4×	$2,652.85
Colonoscopy diagnostic	CPT	45378	17	$2,500	$1,500	$198.55	$977.5	1.1×	$2,315.6
Colonoscopy with biopsy	CPT	45380	17	$4,127	$2,476.2	$247.96	$1,609.53	1.3×	$3,507.95
Colonoscopy with polyp removal	CPT	45385	17	$4,127	$2,476.2	$294.89	$1,609.53	1.3×	$3,507.95
surgery
PCI w drug-eluting stent w MCC	MS-DRG	246	1	—	—	$9,470.42	$9,470.42	0.34×	$9,470.42
PCI w drug-eluting stent w/o MCC	MS-DRG	247	1	—	—	$9,470.42	$9,470.42	0.52×	$9,470.42
Total hip replacement	CPT	27130	9	—	—	$1,556	$12,880	3.0×	$23,019
Total knee replacement	CPT	27447	9	—	—	$1,542	$12,880	3.1×	$23,019
Shoulder arthroscopy with decompression	CPT	29826	4	—	—	$808	$1,817.25	5.6×	$2,655.58
Shoulder arthroscopy with rotator cuff repair	CPT	29827	9	—	—	$1,141	$7,083.12	2.1×	$12,780
Knee arthroscopy with meniscectomy	CPT	29881	11	—	—	$597.85	$2,769.48	1.4×	$5,804.67
ACL reconstruction	CPT	29888	9	—	—	$808	$7,083.12	2.1×	$12,780
Major small/large bowel procedures w MCC	MS-DRG	329	9	—	—	$9,470.42	$36,440	0.85×	$49,800
Major small/large bowel procedures w CC	MS-DRG	330	9	—	—	$9,470.42	$19,344	0.83×	$30,624
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	9	—	—	$7,793.51	$13,791	0.84×	$23,015
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	9	—	—	$7,833.8	$13,859	0.84×	$22,064
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	9	—	—	$6,325.02	$11,326	0.84×	$18,347
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	9	—	—	$9,470.42	$27,194	0.84×	$57,789
Laparoscopic appendectomy	CPT	44970	9	—	—	$1,067.82	$5,784.86	3.7×	$10,438
Spinal fusion (non-cervical) w MCC	MS-DRG	459	1	—	—	$9,470.42	$9,470.42	0.19×	$9,470.42
Spinal fusion (non-cervical) w/o MCC	MS-DRG	460	1	—	—	$9,470.42	$9,470.42	0.28×	$9,470.42
Major joint replacement w MCC	MS-DRG	469	9	—	—	$9,470.42	$24,288	0.82×	$38,405
Major joint replacement w/o MCC	MS-DRG	470	9	—	—	$8,932.74	$15,704	0.83×	$20,854
Laparoscopic cholecystectomy	CPT	47562	9	—	—	$1,141	$5,784.86	3.3×	$10,438
Lap cholecystectomy with cholangiography	CPT	47563	9	—	—	$1,141	$5,784.86	3.1×	$10,438
Hip & femur procedures except major joint w MCC	MS-DRG	480	9	—	—	$9,470.42	$23,348	0.83×	$44,077
Hip & femur procedures except major joint w CC	MS-DRG	481	9	—	—	$9,470.42	$16,991	0.84×	$30,918
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	9	—	—	$7,553.16	$13,388	0.84×	$22,393
Lap salpingo-oophorectomy	CPT	58661	9	—	—	$1,141	$5,784.86	2.8×	$10,438
OR procedure for obesity w MCC	MS-DRG	619	8	—	—	$13,372	$23,155	0.85×	$37,835
OR procedure for obesity w CC	MS-DRG	620	8	—	—	$7,410.99	$13,150	0.81×	$22,082
OR procedure for obesity w/o CC/MCC	MS-DRG	621	8	—	—	$6,985.4	$12,435	0.82×	$17,828
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	8	—	—	$5,745.68	$10,354	0.84×	$15,096
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	8	—	—	$9,489.38	$16,562	0.87×	$18,180

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 17)

Payer	Codes covered	Median rate
Blue Cross Blue Shield	152	$450.5
upmc health plan	152	$350.56
Anthem BCBS	152	$608
Aetna	151	$404.69
pa health & wellness	151	$248.89
UnitedHealthcare	151	$287.6
amerihealth caritas	151	$226.59
Cigna	151	$638.4
upmc work partners	142	$739.67
geisinger	100	$168.71
intergroup	99	$1,069.9
prime net	99	$1,349.72
private health care systems	99	$1,316.8
health coalition partners	99	$1,152.2
First Health	99	$1,086.36
Humana	99	$1,399.1
health partners plans (jefferson health plan)	90	$156.16

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