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 |
|---|---|---|---|---|
| Excis partial tal calc CPT 28120 | not published | not published | $276.88 – $4,122.90 | 14 |
| Exc malig feenl <0.5cm 11640 CPT 11640 | not published | not published | $96.25 – $2,904.64 | 14 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | not published | not published | $168.75 – $2,904.64 | 14 |
| Exc malig feenl 3.1-4.0 11644 CPT 11644 | not published | not published | $276.25 – $2,058.83 | 14 |
| Exc malig feenl >4cm 11646 CPT 11646 | not published | not published | $320.00 – $3,636.79 | 14 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | not published | not published | $141.88 – $2,904.64 | 14 |
| Exc malig tal <0.5cm 11600 CPT 11600 | not published | not published | $100.00 – $2,904.64 | 14 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | not published | not published | $101.25 – $2,904.64 | 14 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | not published | not published | $106.88 – $2,904.64 | 14 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | not published | not published | $156.88 – $1,033.67 | 14 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | $4,335.60 | $7,226.00 | $189.34 – $6,503.40 | 18 |
| Exc rect tum transanal part CPT 45171 | not published | not published | $520.26 – $3,484.74 | 12 |
| Exc snhfg mal+mrg 1.1-2 11622 CPT 11622 | not published | not published | $140.00 – $2,904.64 | 14 |
| Exc snhfg mal+mrg >4 cm 11626 CPT 11626 | not published | not published | $300.00 – $3,636.79 | 14 |
| Exc sq tum/leg or ankle area <3 cm 27618 CPT 27618 | not published | not published | $67.50 – $2,058.83 | 14 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | not published | not published | $374.21 – $3,636.79 | 12 |
| Exc sq tum/neck or ant thorax <3cm 21555 CPT 21555 | not published | not published | $46.88 – $2,058.83 | 14 |
| Exc sq tumor/forearm/wrist/<3cm 25075 CPT 25075 | not published | not published | $146.88 – $2,058.83 | 14 |
| Exc sq tumor/shoulder area 3cm/> 23071 CPT 23071 | not published | not published | $346.57 – $2,058.83 | 12 |
| Exc tendon sheath or cap lesion 26160 CPT 26160 | not published | not published | $601.84 – $2,033.63 | 12 |
| Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 | not published | not published | $307.50 – $2,058.83 | 14 |
| Exc vagina lesion 57135 CPT 57135 | not published | not published | $178.75 – $4,040.20 | 14 |
| Exemestane, 25 mg HCPCS S0156 | $28.60 | $35.75 | $1.77 – $32.17 | 10 |
| Exploration maxillary sinus CPT 31256 | not published | not published | $974.00 – $4,684.98 | 12 |
| Explore parathyroid glands CPT 60500 | not published | not published | $1,000.68 – $7,516.98 | 12 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $1,008.60 | $1,681.00 | $287.69 – $2,039.03 | 17 |
| Explore/treat wrist joint CPT 25101 | $4,663.20 | $7,772.00 | $348.12 – $6,994.80 | 18 |
| Ex sq tumor/face or scalp < 2 cm 21011 CPT 21011 | not published | not published | $215.92 – $2,058.83 | 14 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | not published | not published | $324.73 – $2,058.83 | 14 |
| Ext ecg>48hr<7d scan a/r CPT 93243 | $114.00 | $190.00 | $80.70 – $394.97 | 18 |
| Ext ecg>7d<15d scan a/r CPT 93247 | $228.60 | $381.00 | $157.49 – $394.97 | 18 |
| External chromosome analysis 20-25 cells CPT 88264 | $369.60 | $616.00 | $137.80 – $554.40 | 18 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $310.80 | $518.00 | $106.34 – $466.20 | 18 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $43.80 | $73.00 | $17.93 – $65.70 | 18 |
| Eye Socket (Orbit) X-ray CPT 70200 | $181.80 | $303.00 | $42.33 – $325.85 | 18 |
| Eye Socket, Pituitary or Ear CT Scan (with and without contrast) CPT 70482 | $795.00 | $1,325.00 | $217.51 – $1,192.50 | 18 |
| Eye Socket, Pituitary or Ear CT Scan (with contrast) CPT 70481 | $670.20 | $1,117.00 | $196.43 – $1,005.30 | 18 |
| Eye Socket, Pituitary or Ear CT Scan (without contrast) CPT 70480 | $507.60 | $846.00 | $129.93 – $761.40 | 18 |
| F-18 fdg pet diag HCPCS A9552 | $298.20 | $497.00 | $273.35 – $447.30 | 10 |
| Face, Eye Socket and Neck MRI (with and without contrast) CPT 70543 | $979.80 | $1,633.00 | $373.79 – $1,469.70 | 18 |
| Face, Eye Socket and Neck MRI (without contrast) CPT 70540 | $685.80 | $1,143.00 | $249.31 – $1,028.70 | 18 |
| Facial Bones X-ray (complete) CPT 70150 | $181.80 | $303.00 | $42.83 – $325.85 | 18 |
| Factor ix CPT 85250 | $46.80 | $78.00 | $5.00 – $70.20 | 18 |
| Factor viii CPT 85240 | $40.20 | $67.00 | $13.00 – $60.30 | 18 |
| Family therapy without pt 50min 90846 CPT 90846 | $104.40 | $174.00 | $57.51 – $185.05 | 15 |
| Family therapy with patient 50 min 90847 CPT 90847 | $104.40 | $174.00 | $57.51 – $276.43 | 20 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $0.30 | $0.38 | $0.01 – $0.34 | 10 |
| Fat/lipids feces qualitative CPT 82705 | $12.60 | $21.00 | $5.10 – $18.90 | 18 |
| #fecal-sodium CPT 84302 | $12.00 | $20.00 | $4.86 – $18.00 | 18 |
| Fem/popl revasc w/stent CPT 37226 | $7,234.80 | $12,058.00 | $994.99 – $14,271.82 | 17 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $118.20 | $197.00 | $0.60 – $1.10 | 13 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $4.00 | $5.00 | $1.11 – $4.50 | 17 |
| Ferritin CPT 82728 | $33.60 | $56.00 | $12.00 – $50.40 | 18 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $10.60 | $13.25 | $0.32 – $11.70 | 20 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $3,416.40 | $5,694.00 | $607.24 – $5,124.60 | 18 |
| Fetal fibronectin CPT 82731 | $158.40 | $264.00 | $20.00 – $237.60 | 18 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $18.60 | $31.00 | $7.73 – $27.90 | 18 |
| Fetal hemoglobin rosette CPT 85461 | $16.20 | $27.00 | $9.17 – $24.30 | 18 |
| Fetal non stress test CPT 59025 | $268.80 | $448.00 | $13.14 – $616.42 | 18 |
| Fibrin degradation d dimer quantitative CPT 85379 | $24.60 | $41.00 | $10.18 – $36.90 | 18 |
| Fibrin degradation products CPT 85362 | $16.80 | $28.00 | $6.89 – $25.20 | 18 |
| Fibrinogen activity CPT 85384 | $20.40 | $34.00 | $9.72 – $30.60 | 18 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $197.40 | $329.00 | $3.00 – $296.10 | 18 |
| Fibrinolytic antiplasmin CPT 85410 | $116.40 | $194.00 | $7.71 – $174.60 | 18 |
| Fibrinolytic plasminogen CPT 85415 | $190.20 | $317.00 | $15.60 – $285.30 | 18 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $16.20 | $27.00 | $5.00 – $24.30 | 18 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $1.20 | $2.00 | $0.28 – $0.90 | 17 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $1,087.20 | $1,812.00 | $0.97 – $305.95 | 18 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $712.20 | $1,187.00 | $0.16 – $533.48 | 18 |
| Filter vena cava fem denali HCPCS C1880 | $4,035.60 | $6,726.00 | $46.63 – $6,053.40 | 13 |
| Finasteride, 5 mg HCPCS S0138 | $4.20 | $5.25 | $0.07 – $4.72 | 11 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $810.00 | $1,350.00 | $76.21 – $2,904.64 | 18 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $810.00 | $1,350.00 | $42.30 – $2,904.64 | 13 |
| Fine needle asp without image guide 10021 CPT 10021 | not published | not published | $45.59 – $2,904.64 | 14 |
| Finger X-ray (both hands) CPT 73140 | $91.20 | $152.00 | $26.07 – $269.80 | 17 |
| Fixation of knee joint CPT 27570 | not published | not published | $124.38 – $2,033.63 | 14 |
| Fix g/colon tube w/device CPT 49460 | $393.00 | $655.00 | $40.50 – $1,179.90 | 18 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | not published | not published | $944.68 – $4,122.90 | 12 |
| Flecainide (tambocor)-sendout CPT 80181 | $31.20 | $52.00 | $18.64 – $46.80 | 17 |
| Fl exam g/colon tube w contrast CPT 49465 | $130.80 | $218.00 | $25.24 – $306.94 | 18 |
| Flexible Sigmoidoscopy CPT 45330 | $598.20 | $997.00 | $46.53 – $2,904.64 | 18 |
| Flotufolastat f18 diag 1 mci HCPCS A9608 | $1,107.00 | $1,845.00 | $671.22 – $1,683.35 | 15 |
| Flow cytometry interp 16 or more CPT 88189 | $408.60 | $681.00 | $69.68 – $612.90 | 12 |
| Flow cytometry marker each additional CPT 88185 | $100.20 | $167.00 | $17.52 – $150.30 | 12 |
| Flow cytometry one marker technical component CPT 88184 | $165.60 | $276.00 | $37.14 – $1,102.25 | 18 |
| #flow interp 9 - 15 markers CPT 88188 | $961.20 | $1,602.00 | $51.83 – $1,441.80 | 12 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $56.20 | $83.00 | $2.26 – $29.70 | 12 |
| Fluorescent antibody titer dna CPT 86256 | $29.40 | $49.00 | $9.11 – $44.10 | 18 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $217.80 | $363.00 | $62.86 – $326.70 | 12 |
| Fluoroguide needle placement CPT 77002 | $229.80 | $383.00 | $69.24 – $344.70 | 12 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $252.00 | $420.00 | $23.75 – $740.68 | 18 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $23.40 | $39.00 | $0.60 – $2.37 | 12 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $386.40 | $517.00 | $7.30 – $92.70 | 13 |
| Fna bx w/ct gdn 1st les CPT 10009 | not published | not published | $92.98 – $2,904.64 | 13 |
| Fna bx w/mr gdn 1st les CPT 10011 | $810.00 | $1,350.00 | $167.80 – $2,904.64 | 18 |
| Folic acid CPT 82746 | $36.00 | $60.00 | $12.00 – $54.00 | 18 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $0.80 | $1.00 | $0.06 – $0.27 | 10 |
| Follow-up angiography CPT 75898 | $198.60 | $331.00 | $136.08 – $9,644.58 | 16 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $2,932.80 | $4,888.00 | $6.28 – $41.40 | 17 |
| Fondaparinux sodium HCPCS J1652 | $11.80 | $14.75 | $0.72 – $38.97 | 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.