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 |
|---|---|---|---|---|
| Endome abla/them without hystero guide 58353 CPT 58353 | not published | not published | $819.84 – $6,272.71 | 12 |
| Endoscopy bowel pouch/biop CPT 44386 | $1,004.40 | $1,674.00 | $74.39 – $1,506.60 | 18 |
| Endoscopy maxillary sinus CPT 31267 | not published | not published | $974.00 – $8,796.33 | 12 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | not published | not published | $611.16 – $2,191.27 | 12 |
| Endovenous laser vein addon 36479 CPT 36479 | $2,230.80 | $3,718.00 | $150.46 – $3,346.20 | 12 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $67.20 | $112.00 | $32.03 – $100.80 | 17 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $2.80 | $3.50 | $0.59 – $8.74 | 13 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $108.00 | $180.00 | $11.98 – $162.00 | 18 |
| Envrn ivntj med mgmt psyc pt CPT 90882 | $44.40 | $74.00 | $15.92 – $58.50 | 17 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | $102.00 | $170.00 | $55.84 – $153.00 | 15 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $463.20 | $772.00 | $46.14 – $749.45 | 13 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $436.00 | $545.00 | $0.48 – $14.24 | 11 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | $54.60 | $91.00 | $1.30 – $81.90 | 12 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $1,557.60 | $2,596.00 | $142.08 – $4,001.35 | 17 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $243.00 | $405.00 | $7.85 – $32.40 | 18 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $111.20 | $141.00 | $7.93 – $52.12 | 21 |
| Epstein barr early antigen antibody CPT 86663 | $32.40 | $54.00 | $13.12 – $48.60 | 18 |
| Epstein barr nuclear antigen antibody CPT 86664 | $37.20 | $62.00 | $15.29 – $55.80 | 18 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $44.40 | $74.00 | $18.14 – $66.60 | 18 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $171.20 | $214.00 | $10.61 – $95.40 | 12 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $3,431.40 | $5,719.00 | $16.15 – $50.08 | 17 |
| Ercp biliary & pancreas CPT 74330 | $929.40 | $1,549.00 | $95.91 – $1,394.10 | 11 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | $4,680.60 | $7,801.00 | $385.63 – $7,491.46 | 17 |
| Ercp remove duct calculi 43264 CPT 43264 | $1,827.60 | $3,046.00 | $303.31 – $4,787.90 | 17 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $321.60 | $402.00 | $9.86 – $361.80 | 13 |
| ER Visit (level 1, minor) CPT 99281 | $189.60 | $316.00 | $73.42 – $284.40 | 17 |
| ER Visit (level 2) CPT 99282 | $243.00 | $405.00 | $41.23 – $416.00 | 18 |
| ER Visit (level 3) CPT 99283 | $360.60 | $601.00 | $70.81 – $601.00 | 18 |
| ER Visit (level 4) CPT 99284 | $415.20 | $692.00 | $119.16 – $830.00 | 18 |
| ER Visit (level 5, high severity) CPT 99285 | $811.80 | $1,353.00 | $144.32 – $1,217.70 | 18 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $228.00 | $285.00 | $64.62 – $247.50 | 12 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $11.20 | $16.00 | $0.22 – $12.60 | 10 |
| Esophagoscopy balloon <30mm CPT 43220 | $979.80 | $1,633.00 | $98.07 – $2,387.31 | 18 |
| Esophagoscopy control bleed CPT 43227 | $979.80 | $1,633.00 | $137.20 – $2,387.31 | 18 |
| Esophagoscopy flex biopsy CPT 43202 | $979.80 | $1,633.00 | $85.74 – $2,387.31 | 18 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $979.80 | $1,633.00 | $72.82 – $1,469.70 | 18 |
| Esophagoscopy flex remove fb CPT 43215 | $979.80 | $1,633.00 | $117.60 – $2,387.31 | 17 |
| Esophagoscopy snare les remv CPT 43217 | $979.80 | $1,633.00 | $133.32 – $2,387.31 | 18 |
| Esophagus endoscopy/ligation CPT 43205 | $979.80 | $1,633.00 | $116.91 – $2,387.31 | 17 |
| Esophagus motility study CPT 91010 | $420.00 | $700.00 | $34.38 – $1,625.87 | 18 |
| Esoph egd dilation <30 mm CPT 43249 | $979.80 | $1,633.00 | $127.75 – $2,387.31 | 17 |
| Esoph endoscopy dilation CPT 43226 | $979.80 | $1,633.00 | $108.30 – $2,387.31 | 18 |
| Esoph imped function test CPT 91037 | $253.80 | $423.00 | $126.11 – $2,193.68 | 18 |
| Esoph imped funct test > 1hr CPT 91038 | $712.20 | $1,187.00 | $91.48 – $2,193.68 | 18 |
| Established Patient Office Visit (level 1) CPT 99211 | $67.20 | $112.00 | $7.75 – $100.80 | 21 |
| Established Patient Office Visit (level 2) CPT 99212 | $97.80 | $163.00 | $30.00 – $146.70 | 16 |
| Established Patient Office Visit (level 3) CPT 99213 | $156.00 | $260.00 | $31.71 – $146.70 | 16 |
| Established Patient Office Visit (level 4) CPT 99214 | $129.60 | $216.00 | $45.92 – $194.40 | 16 |
| Established Patient Office Visit (level 5) CPT 99215 | $165.60 | $276.00 | $61.00 – $248.40 | 16 |
| Estradiol total CPT 82670 | $135.60 | $226.00 | $21.50 – $203.40 | 18 |
| Estrogens total-sendout CPT 82672 | $80.40 | $134.00 | $13.92 – $120.60 | 18 |
| Etanercept injection HCPCS J1438 | $844.00 | $1,055.00 | $580.25 – $2,710.74 | 18 |
| Ethylene glycol -sendout CPT 82693 | $201.00 | $335.00 | $14.90 – $301.50 | 17 |
| Etonogestrel implant system HCPCS J7307 | $2,363.20 | $2,954.00 | $738.50 – $2,658.60 | 11 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $3.20 | $4.00 | $0.60 – $0.94 | 12 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $886.20 | $1,477.00 | $17.42 – $1,329.30 | 17 |
| Evaluation psychiatric diagnostic CPT 90791 | $261.00 | $435.00 | $65.16 – $185.05 | 15 |
| Event monitor CPT 93270 | $112.20 | $187.00 | $9.34 – $168.30 | 18 |
| Evoked auditory tst complete CPT 92588 | $169.20 | $282.00 | $35.45 – $954.18 | 18 |
| Evoked oa emissions ltd CPT 92587 | $124.20 | $207.00 | $22.02 – $954.18 | 18 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $200.40 | $334.00 | $27.69 – $300.60 | 12 |
| Evoked potential visual not glaucoma CPT 95930 | $916.20 | $1,527.00 | $67.75 – $1,374.30 | 18 |
| Evok oa screening qual CPT 92558 | $115.20 | $192.00 | $8.54 – $172.80 | 11 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $49.38 – $4,040.20 | 14 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $146.88 – $3,636.79 | 14 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $404.33 – $3,636.79 | 12 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | not published | not published | $998.29 – $1,740.30 | 3 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | not published | not published | $67.50 – $2,058.83 | 14 |
| Exc back les sbq <3 cm 21930 CPT 21930 | not published | not published | $157.50 – $2,058.83 | 14 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | $618.07 – $3,636.79 | 12 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | not published | not published | $146.25 – $2,058.83 | 14 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | not published | not published | $148.12 – $3,636.79 | 14 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | not published | not published | $108.12 – $2,058.83 | 14 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | not published | not published | $46.88 – $2,904.64 | 14 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $3,037.20 | $5,062.00 | $68.12 – $4,555.80 | 18 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | not published | not published | $98.12 – $2,904.64 | 14 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | not published | not published | $111.25 – $2,904.64 | 14 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | not published | not published | $53.12 – $2,904.64 | 14 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | not published | not published | $45.00 – $2,904.64 | 14 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | not published | not published | $151.25 – $3,636.79 | 14 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | not published | not published | $58.12 – $2,904.64 | 14 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | not published | not published | $81.25 – $2,904.64 | 14 |
| Exc face tum deep 2cm/> 21014 CPT 21014 | not published | not published | $502.32 – $3,636.79 | 14 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | not published | not published | $116.25 – $2,904.64 | 14 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | not published | not published | $238.95 – $2,904.64 | 14 |
| Exc foot/toe tum dep 1.5cm/> CPT 28041 | not published | not published | $376.58 – $3,636.79 | 12 |
| Exchange drainage catheter CPT 49423 | $810.00 | $1,350.00 | $58.24 – $2,387.31 | 18 |
| Exchange nephrostomy cath CPT 50435 | $709.80 | $1,183.00 | $78.26 – $2,578.00 | 17 |
| Exc im tumor/back/flank/ < 5 cm 21932 CPT 21932 | not published | not published | $555.05 – $3,636.79 | 12 |
| Exc im tumor/foot/toe < 1.5 cm 28045 CPT 28045 | not published | not published | $150.00 – $3,636.79 | 14 |
| Excise inferior turbinate CPT 30130 | not published | not published | $91.88 – $4,120.95 | 14 |
| Excise wrist tendon sheath CPT 25118 | not published | not published | $845.00 – $2,033.63 | 12 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | not published | not published | $81.88 – $2,904.64 | 14 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $2,706.00 | $4,510.00 | $46.88 – $4,059.00 | 18 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | not published | not published | $67.50 – $2,904.64 | 14 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | not published | not published | $146.88 – $2,058.83 | 14 |
| Excision breast lesion CPT 19125 | not published | not published | $501.23 – $4,865.84 | 12 |
| Excision of gum lesion CPT 41826 | not published | not published | $148.12 – $4,120.95 | 14 |
| Excision olecranon bursa CPT 24105 | not published | not published | $234.38 – $4,122.90 | 14 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | not published | not published | $655.88 – $2,058.83 | 12 |
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.