healthcosts.net
UPMC Chautauqua
207 Foote Avenue, Jamestown, NY · UPMC · · NPI 1770573222
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Abdominal ultrasound CPT 76700 | $181.80 | $303.00 | $119.09 – $325.85 | 18 |
| Blood count (CBC) test CPT 85025 | $18.60 | $31.00 | $6.00 – $27.90 | 18 |
| Brain MRI (without contrast) CPT 70551 | $682.20 | $1,137.00 | $214.40 – $1,023.30 | 18 |
| Chest X-ray CPT 71046 | $139.20 | $232.00 | $29.55 – $269.80 | 18 |
| Cholesterol (lipid) test CPT 80061 | $32.40 | $54.00 | $13.39 – $48.60 | 18 |
| Colonoscopy (diagnostic) CPT 45378 | $1,500.00 | $2,500.00 | $153.62 – $2,250.00 | 18 |
| ER visit (level 4) CPT 99284 | $415.20 | $692.00 | $119.16 – $830.00 | 18 |
| Gallbladder removal (laparoscopic) CPT 47562 | not published | not published | $974.00 – $7,413.68 | 12 |
| Head CT scan CPT 70450 | $495.00 | $825.00 | $114.49 – $742.50 | 18 |
| Hernia repair (inguinal) CPT 49505 | $5,440.80 | $9,068.00 | $396.88 – $8,161.20 | 18 |
| Knee arthroscopy CPT 29881 | not published | not published | $679.38 – $4,122.90 | 14 |
| Metabolic blood panel CPT 80053 | $25.80 | $43.00 | $10.56 – $38.70 | 18 |
| Screening mammogram CPT 77067 | $205.20 | $342.00 | $116.60 – $307.80 | 13 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.