healthcosts.net

UPMC Chautauqua

207 Foote Avenue, Jamestown, NY · UPMC · · NPI 1770573222

Source: hospital's published price file ↗ · Published unknown · Ingested Aug 13, 2026

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
Infect ag eia influenza a or b ea CPT 87400 $29.40 $49.00 $6.09 – $44.10 18
Infect ag genotype na hiv-1 other region CPT 87906 $316.20 $527.00 $30.05 – $474.30 18
Infect ag genotype na hiv-1 revr trn/prt CPT 87901 $633.60 $1,056.00 $257.45 – $950.40 18
Infect ag if hep delta agent CPT 87380 $235.80 $393.00 $18.36 – $353.70 18
Infect ag if legionella pneumophila CPT 87278 $28.80 $48.00 $15.60 – $43.20 17
Infect ag if pneumocystis carinii CPT 87281 $108.00 $180.00 $11.98 – $162.00 18
Infect ag na herpes simplex quant CPT 87530 $397.80 $663.00 $42.84 – $596.70 17
Infect ag na hpv high-risk types CPT 87624 $102.60 $171.00 $35.09 – $153.90 18
Infect ag na influenza r/amp 1st 2 types CPT 87502 $211.20 $352.00 $66.09 – $316.80 18
Infect ag na resp virus 12-25 targets CPT 87633 $1,032.00 $1,720.00 $416.78 – $1,548.00 18
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 $67.80 $113.00 $11.98 – $101.70 17
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 $29.40 $49.00 $13.21 – $44.10 17
Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 $29.40 $49.00 $11.98 – $44.10 18
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 $35.40 $59.00 $14.38 – $53.10 17
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 $43.80 $73.00 $10.33 – $65.70 18
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 $34.20 $57.00 $24.08 – $60.39 18
Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 $29.40 $49.00 $11.98 – $44.10 17
Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 $29.40 $49.00 $11.98 – $44.10 17
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 $29.40 $49.00 $11.98 – $44.10 18
Infectious agent nucleic acid amplified probe CPT 87798 $85.80 $143.00 $23.19 – $128.70 18
Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 $85.80 $143.00 $23.19 – $128.70 18
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 $99.00 $165.00 $37.27 – $148.50 18
Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 $85.80 $143.00 $35.09 – $128.70 17
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 $99.00 $165.00 $35.09 – $148.50 18
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 $85.80 $143.00 $41.68 – $128.70 17
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 $85.80 $143.00 $23.19 – $128.70 18
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 $75.00 $125.00 $35.49 – $128.68 17
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 $210.00 $350.00 $112.86 – $357.70 17
Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 $99.00 $165.00 $35.09 – $148.50 17
Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 $211.20 $352.00 $35.09 – $316.80 18
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 $138.60 $231.00 $76.77 – $207.90 15
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 $454.20 $757.00 $416.35 – $1,045.24 17
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 $1,088.40 $1,814.00 $230.71 – $1,632.60 17
Infectious agent nucleic acid quantification bk virus CPT 87799 $105.00 $175.00 $36.09 – $148.50 17
Infectious agent nucleic acid quantification hepatitis b CPT 87517 $105.00 $175.00 $39.65 – $157.50 18
Infectious agent nucleic acid quantification hepatitis c CPT 87522 $105.00 $175.00 $39.65 – $157.50 18
Infectious agent nucleic acid quantification hiv-1 CPT 87536 $210.60 $351.00 $48.37 – $315.90 18
Infliximab 100 mg intravenous solution HCPCS J1745 $660.00 $825.00 $31.09 – $1,135.97 21
Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 $1,002.00 $1,670.00 $20.41 – $149.40 17
Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 $1,440.60 $2,401.00 $19.10 – $216.00 17
Influenza dna amp prob addl CPT 87503 $321.00 $535.00 $23.38 – $481.50 18
Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 $40.00 $50.00 $12.50 – $45.00 11
Inf lwr xtr fscl pln blk uni w/wo image CPT 64474 $127.20 $212.00 $62.97 – $190.80 10
Inf thrc fascial pln blk bi w/wo image CPT 64469 $138.60 $231.00 $68.47 – $207.90 10
Inf thrc fascial pln blk uni w/wo image CPT 64467 $132.00 $220.00 $65.29 – $198.00 10
Inj, abilify maintena, 1 mg HCPCS J0401 $15.40 $19.25 $6.31 – $2,777.90 18
Inj andexxa, 10 mg HCPCS J7169 $445.80 $743.00 $127.50 – $668.70 17
Inj anifrolumab-fnia 1mg HCPCS J0491 $43.80 $55.00 $15.90 – $48.60 17
Inj, aspara, rylaze, 0.1 mg HCPCS J9021 $94.20 $157.00 $45.79 – $141.30 17
Inj atezolizumb 5mg hya-tqjs HCPCS J9024 $51.60 $86.00 $31.58 – $79.20 15
Inj aval alfa-nqpt 4mg HCPCS J0219 $148.20 $247.00 $71.40 – $222.30 17
Inj., benralizumab, 1 mg HCPCS J0517 $12,991.20 $21,652.00 $164.59 – $649.80 17
Inj, bezlotoxumab, 10 mg HCPCS J0565 $109.80 $183.00 $39.26 – $164.70 17
Inj., brexanolone, 1 mg HCPCS J1632 $181.20 $302.00 $72.10 – $271.80 13
Inj, bupivacaine liposome HCPCS J0666 $4.20 $5.25 $1.47 – $4.51 15
Inj cefazolin sodium, baxter HCPCS J0689 $15.40 $19.25 $1.19 – $17.10 12
Inj, cefepime hcl (b braun) HCPCS J0703 $23.40 $29.25 $4.96 – $26.10 12
Inj ceftolozane tazobactam HCPCS J0695 $18.00 $22.50 $6.25 – $22.75 17
Inj, clindamycin (baxter) HCPCS J0737 $6.60 $8.25 $2.21 – $7.20 10
Inj cntr knee arthro incl ct/mri CPT 27369 $201.00 $335.00 $33.29 – $301.50 12
Inj cyclophosphamd (ingenus) HCPCS J9073 $10.80 $18.00 $0.78 – $16.20 15
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 $639.60 $1,066.00 $81.48 – $2,122.01 17
Injection arthrography hip without anesthesia (both sides) CPT 27093 $201.00 $335.00 $63.28 – $622.00 12
Injection, doxercalciferol HCPCS J1270 $74.40 $124.00 $0.32 – $27.90 12
Injection during cath supravalvular aortography CPT 93567 $163.80 $273.00 $50.22 – $1,788.00 12
Injection, edaravone, 1 mg HCPCS J1301 $1,401.00 $2,335.00 $20.99 – $2,101.50 17
Injection epidural blood patch or clot CPT 62273 $480.60 $801.00 $60.00 – $871.51 18
Injection for arthrography wrist (both sides) CPT 25246 $201.00 $335.00 $55.90 – $301.50 12
Injection for bladder x-ray CPT 51600 $201.00 $335.00 $40.00 – $749.45 13
Injection for hip x-ray CPT 27095 not published not published $77.64 – $2,904.64 4
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 $201.00 $335.00 $46.75 – $622.00 12
Injection, fulvestrant HCPCS J9395 $390.00 $650.00 $6.73 – $585.00 17
Injection, inclisiran, 1 mg HCPCS J1306 $22.80 $38.00 $11.86 – $34.20 20
Injection, isavuconazonium HCPCS J1833 $783.60 $1,306.00 $0.94 – $1,175.40 17
Injection,onabotulinumtoxina HCPCS J0585 $2,987.40 $4,979.00 $6.13 – $20.70 17
Injection, renflexis HCPCS Q5104 $216.00 $270.00 $27.00 – $243.00 17
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 $472.20 $787.00 $432.85 – $871.51 17
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 $1,544.40 $2,574.00 $51.98 – $2,316.60 18
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 $291.00 $485.00 $26.25 – $871.51 18
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 $480.60 $801.00 $118.80 – $1,120.40 18
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 $165.60 $276.00 $53.20 – $248.40 12
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 $465.60 $776.00 $77.10 – $1,120.40 17
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 $165.60 $276.00 $45.85 – $248.40 12
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 $465.60 $776.00 $77.10 – $1,120.40 17
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 $1,967.40 $3,279.00 $111.50 – $2,951.10 18
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 $1,408.80 $2,348.00 $101.65 – $2,113.20 18
Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 $171.60 $286.00 $32.70 – $371.49 18
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 $171.60 $286.00 $31.52 – $371.49 18
Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 $596.40 $994.00 $35.79 – $894.60 18
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 $60.00 $100.00 $10.00 – $90.00 11
Inject sacroiliac joint CPT 27096 not published not published $68.94 – $193.78 4
Inj epidural sgl cerv-thor without img CPT 62320 $1,515.60 $2,526.00 $103.38 – $2,273.40 18
Inj epidural sgl lumb-sacral without img CPT 62322 $1,845.60 $3,076.00 $88.94 – $2,768.40 18
Inj, factor x, (human), 1iu HCPCS J7175 $30.60 $51.00 $8.46 – $45.90 17
Inj, focinvez, 1mg HCPCS J1434 $5.40 $9.00 $2.84 – $8.10 15
Inj for ext venography CPT 36005 $201.00 $335.00 $39.47 – $301.50 13
Inj., fremanezumab-vfrm 1 mg HCPCS J3031 $6.00 $10.00 $2.87 – $9.00 12
Inj imip 4 cilas 4 releb 2mg HCPCS J0742 $4.80 $8.00 $2.35 – $7.20 17
Inj. inebilizumab-cdon, 1 mg HCPCS J1823 $822.60 $1,371.00 $455.44 – $1,242.79 17
Inj ivig privigen 500 mg HCPCS J1459 $266.40 $444.00 $38.66 – $399.60 20

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.