Drug test for drugs of abuse at UPMC Williamsport

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

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Generated: October 20, 2026

Original text from hospital filings

KETAMINE & NORKETAMINE P5603

Williamsport, PA

See all hospitals reporting HCPCS G0480 →

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Pricing by billing methodology

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How this price compares nationally

UPMC Williamsport’s median price of $279 is 132% above the median hospital's median price ($120), higher than 93% of the 2,117 hospitals reporting HCPCS G0480. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS G0480 at UPMC Williamsport

Negotiated rates from the hospital’s own file: 7 payers, 29 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient	$72	$72	—	—	—	$72 – $72
2	UnitedHealthcare pa medicaid facility · fee schedule · outpatient	$82	$82	—	—	—	$82 – $82
3	Highmark medicaid facility · fee schedule · outpatient	$90	$90	—	—	—	$90 – $90
4	Highmark community blue medicare advantage/complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage/together blue medicare advantage facility · fee schedule · outpatient	$116	$116	—	—	—	$116 – $116
5	Aetna medicare facility · fee schedule · outpatient	$118	$118	—	—	—	$118 – $118
6	Amerihealth Caritas medicare facility · fee schedule · outpatient	$118	$118	—	—	—	$118 – $118
7	UnitedHealthcare medicare facility · fee schedule · outpatient	$122	$122	—	—	—	$122 – $122
8	Highmark medicare facility · fee schedule · outpatient	$124	$124	—	—	—	$124 – $124
9	Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges	$143	$144	$8	5%	—	$143 – $197
10	Aetna pebtf custom network facility · percent of total billed charges · outpatientfrom % of charges	$162	$162	$4	3%	—	$162 – $223
11	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$190	$190	$5	3%	—	$190 – $262
12	First Health commercial facility · percent of total billed charges · outpatientfrom % of charges	$200	$200	$5	3%	—	$200 – $276
13	Highmark managed care - social mission facility · percent of total billed charges · outpatientfrom % of charges	$210	$210	$6	3%	—	$210 – $290
14	Aetna pebtf custom network facility · percent of total billed charges · inpatientfrom % of charges	$226	$227	$6	3%	—	$226 – $312
15	Highmark bluecare hmo/fplic ppo/traditional products facility · percent of total billed charges · outpatientfrom % of charges	$247	$248	$7	3%	—	$247 – $342
16	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$266	$267	$7	3%	—	$266 – $367
17	First Health commercial facility · percent of total billed charges · inpatientfrom % of charges	$279	$280	$7	3%	—	$279 – $386
18	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$293	$294	$8	3%	—	$293 – $405
19	Aetna first health facility · percent of total billed charges · inpatientfrom % of charges	$348	$349	$9	3%	—	$348 – $481
20	Aetna first health facility · percent of total billed charges · outpatientfrom % of charges	$348	$349	$9	3%	—	$348 – $481
21	First Health fh-medical rental facility · percent of total billed charges · inpatientfrom % of charges	$355	$356	$9	3%	—	$355 – $491
22	First Health fh-medical rental facility · percent of total billed charges · outpatientfrom % of charges	$355	$356	$9	3%	—	$355 – $491
23	UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$361	$362	$10	3%	—	$361 – $499
24	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$362	$362	$10	3%	—	$362 – $499
25	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$362	$362	$10	3%	—	$362 – $499

Page 1 of 2 · 29 rates

Last updated: Mar 6, 2026

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