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 |
|---|---|---|---|---|
| Inj levocarnitine per 1 gm HCPCS J1955 | $199.20 | $249.00 | $23.61 – $224.10 | 12 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $0.07 | $0.09 | $0.01 – $0.08 | 10 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | $102.00 | $170.00 | $50.61 – $153.00 | 10 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $11.40 | $14.25 | $3.09 – $12.60 | 12 |
| Inj mogamulizumab-kpkc, 1 mg HCPCS J9204 | $579.20 | $724.00 | $212.92 – $651.60 | 17 |
| Inj multihance HCPCS A9577 | $31.80 | $53.00 | $1.74 – $47.70 | 11 |
| Inj naloxone hydrochloride HCPCS J2310 | $78.60 | $131.00 | $8.07 – $42.30 | 18 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $2,092.80 | $3,488.00 | $53.95 – $3,139.20 | 17 |
| Inj, nithiodote, 3mg / 125mg HCPCS J0211 | $3.60 | $6.00 | $2.23 – $5.59 | 15 |
| Inj nivolumab 2 mg hyaluron HCPCS J9289 | $45.60 | $76.00 | $27.36 – $68.62 | 15 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | $5,322.00 | $8,870.00 | $127.04 – $7,983.00 | 17 |
| Inj ogivri 10 mg HCPCS Q5114 | $242.40 | $404.00 | $40.29 – $363.60 | 17 |
| Inj. pemetrexed, 10 mg HCPCS J9304 | $147.60 | $246.00 | $46.32 – $221.40 | 17 |
| Inj., plazomicin, 5 mg HCPCS J0291 | $81.00 | $135.00 | $3.17 – $121.50 | 17 |
| Inj proc elbow arthro CPT 24220 | $201.00 | $335.00 | $55.52 – $301.50 | 12 |
| Inj proc myelogram lumbar CPT 62284 | $1,733.40 | $2,889.00 | $75.57 – $2,600.10 | 13 |
| Inj retro urethrocysto CPT 51610 | $201.00 | $335.00 | $43.12 – $749.45 | 13 |
| Inj scleros sol mult veins CPT 36471 | $1,074.60 | $1,791.00 | $62.40 – $2,904.64 | 18 |
| Inj scleros sol sgl vein CPT 36470 | $1,348.20 | $2,247.00 | $11.69 – $2,022.30 | 18 |
| Inj secukinumab intrav 1mg HCPCS J3247 | $31.80 | $53.00 | $17.84 – $47.70 | 15 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | $12.00 | $20.00 | $11.00 – $1,224.23 | 16 |
| Inj sulf hexa lipid microsph HCPCS Q9950 | $263.40 | $439.00 | $18.30 – $395.10 | 12 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | $724.80 | $1,208.00 | $316.72 – $1,087.20 | 17 |
| Inj testosterone cypionate HCPCS J1071 | $0.80 | $1.00 | $0.03 – $14.14 | 13 |
| Inj thrc fascial pln blk bi w/wo image CPT 64468 | $127.20 | $212.00 | $62.97 – $190.80 | 10 |
| Inj thrc fascial pln blk uni w/wo image CPT 64466 | $113.40 | $189.00 | $56.64 – $170.10 | 10 |
| Inj., tildrakizumab, 1 mg HCPCS J3245 | $408.00 | $510.00 | $127.45 – $459.00 | 17 |
| Inj, tislelizumab-jsgr HCPCS J9329 | $97.20 | $162.00 | $57.45 – $145.80 | 15 |
| Inj, tyenne, 1 mg HCPCS Q5135 | $12.00 | $15.00 | $4.42 – $13.50 | 15 |
| Inj, vancomycin hcl (mylan) HCPCS J3371 | $19.80 | $33.00 | $6.53 – $28.80 | 12 |
| Inj w/fluor eval cv device CPT 36598 | $43.20 | $72.00 | $30.28 – $271.51 | 17 |
| Ins cath ren art 1st bi CPT 36252 | $3,860.40 | $6,434.00 | $77.10 – $5,790.60 | 18 |
| Ins cath ren art 1st uni CPT 36251 | $3,860.40 | $6,434.00 | $77.10 – $5,790.60 | 18 |
| Ins cath ren art 2nd+ uni CPT 36253 | $3,860.40 | $6,434.00 | $77.10 – $6,802.93 | 18 |
| Ins cerv dilator (sep proc) CPT 59200 | $2,661.00 | $4,435.00 | $42.98 – $3,991.50 | 17 |
| Insert and remove bone pin CPT 20650 | $4,335.60 | $7,226.00 | $130.43 – $6,503.40 | 18 |
| Insert cath pleura with image CPT 32557 | $349.80 | $583.00 | $125.00 – $1,955.67 | 17 |
| Insert cath pleura without image CPT 32556 | $360.60 | $601.00 | $103.37 – $2,387.31 | 17 |
| Insert drug delivery implant CPT 11981 | $1,182.60 | $1,971.00 | $52.73 – $1,773.90 | 18 |
| Insert intrauterine device iud CPT 58300 | $148.20 | $247.00 | $21.56 – $222.30 | 13 |
| Insertion catheter bladder non indwelling CPT 51701 | $42.00 | $70.00 | $25.33 – $162.21 | 18 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | $6,456.00 | $10,760.00 | $170.23 – $9,684.00 | 17 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | $3,302.40 | $5,504.00 | $182.89 – $6,802.93 | 17 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $712.20 | $1,187.00 | $141.51 – $3,961.05 | 18 |
| Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 | $11,075.40 | $18,459.00 | $578.84 – $16,613.10 | 18 |
| Insertion of new/replacement ppm w/transvenous electrode(s) ventricular CPT 33207 | $9,196.20 | $15,327.00 | $576.48 – $13,794.30 | 18 |
| Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator CPT 33225 | not published | not published | $386.54 – $1,033.67 | 4 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $712.20 | $1,187.00 | $109.24 – $1,955.67 | 18 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $1,984.80 | $3,308.00 | $70.16 – $2,977.20 | 18 |
| Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber CPT 33249 | $28,629.60 | $47,716.00 | $761.50 – $42,944.40 | 17 |
| Insertion single tranvenous electrode/ppm/implantable defibrillator CPT 33216 | $4,527.00 | $7,545.00 | $445.85 – $10,729.38 | 18 |
| Insertion subcutaneous cardiac rhythm monitor CPT 33285 | $5,261.40 | $8,769.00 | $72.47 – $10,729.38 | 17 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $2,197.80 | $3,663.00 | $974.00 – $3,961.05 | 17 |
| Insert pessary/other device CPT 57160 | not published | not published | $18.94 – $255.62 | 14 |
| Insert/repl sq defib w/eltrd CPT 33270 | not published | not published | $468.19 – $42,162.05 | 12 |
| Insert sq defib electrode CPT 33271 | not published | not published | $375.34 – $25,359.28 | 12 |
| Insert swan-ganz cath CPT 93503 | $1,025.40 | $1,709.00 | $474.05 – $1,955.67 | 17 |
| Insert tunneled cv cath CPT 36563 | not published | not published | $419.34 – $6,868.98 | 14 |
| Insert uro/ves nck sphincter CPT 53445 | not published | not published | $622.00 – $25,577.22 | 12 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $270.60 | $451.00 | $73.38 – $405.90 | 12 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $211.80 | $353.00 | $41.16 – $525.08 | 18 |
| Ins mark abd/pel for right perq CPT 49411 | $4,664.40 | $7,774.00 | $152.60 – $6,996.60 | 17 |
| Ins picad w subq port 5yr> CPT 36571 | $1,719.60 | $2,866.00 | $974.00 – $3,961.05 | 17 |
| Ins pq tunnld ip cath w/img CPT 49418 | $1,980.00 | $3,300.00 | $167.19 – $4,655.61 | 17 |
| Ins/rpl pm gen exist dual lead CPT 33213 | not published | not published | $803.07 – $13,576.44 | 12 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | $9,196.20 | $15,327.00 | $1,395.59 – $13,794.30 | 17 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | not published | not published | $203.10 – $28,280.40 | 12 |
| Instillation anticarcinogenic agent bladder CPT 51720 | not published | not published | $68.94 – $848.15 | 14 |
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | $4,723.80 | $7,873.00 | $974.00 – $7,085.70 | 17 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $1,719.60 | $2,866.00 | $845.00 – $3,961.05 | 17 |
| Ins tun intraperit dia cath CPT 49421 | $2,823.60 | $4,706.00 | $622.00 – $4,655.61 | 17 |
| Insulin total CPT 83525 | $27.60 | $46.00 | $11.00 – $41.40 | 18 |
| Interdiscal perq aspir dx CPT 62267 | $408.60 | $681.00 | $151.64 – $885.45 | 17 |
| Interferon alfa-2b inj HCPCS J9214 | $44.40 | $74.00 | $32.05 – $66.60 | 12 |
| Interrog evl pm/ldls pm ip CPT 93288 | $86.40 | $144.00 | $30.32 – $129.60 | 18 |
| Int hrhc lig 1 hroid without img CPT 46945 | not published | not published | $57.50 – $3,484.74 | 14 |
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | $57.50 – $3,484.74 | 14 |
| Intranasal biopsy 30100 CPT 30100 | not published | not published | $48.12 – $2,904.64 | 14 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | $2,865.00 | $4,775.00 | $48.12 – $4,297.50 | 18 |
| Intrinsic factor antibody CPT 86340 | $36.60 | $61.00 | $15.08 – $54.90 | 18 |
| Intro cath dialysis circuit CPT 36901 | $925.20 | $1,542.00 | $77.10 – $1,955.67 | 18 |
| Intro cath dialysis circuit w/pta CPT 36902 | $6,529.20 | $10,882.00 | $77.10 – $9,793.80 | 18 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $13,197.00 | $21,995.00 | $77.10 – $19,795.50 | 18 |
| Intubation endotracheal emergency procedure CPT 31500 | $152.40 | $254.00 | $77.10 – $292.24 | 18 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $3.60 | $6.00 | $0.32 – $5.40 | 12 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $24.00 | $40.00 | $0.11 – $0.90 | 12 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $438.60 | $731.00 | $160.49 – $657.90 | 17 |
| Ipratropium bromide non-comp HCPCS J7644 | $0.20 | $0.25 | $0.10 – $0.39 | 12 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $1,122.40 | $1,403.00 | $1.75 – $27.00 | 12 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $118.80 | $198.00 | $59.08 – $178.20 | 17 |
| Iron CPT 83540 | $30.60 | $51.00 | $6.47 – $45.90 | 18 |
| Iron binding capacity CPT 83550 | $21.00 | $35.00 | $5.00 – $31.50 | 18 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $100.80 | $126.00 | $16.26 – $113.40 | 18 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $138.60 | $231.00 | $0.20 – $12.21 | 19 |
| Irradiation of blood product each unit reference CPT 86945 | $277.80 | $463.00 | $18.02 – $416.70 | 17 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $71.40 | $119.00 | $19.43 – $182.02 | 17 |
| IV Fluids (each additional hour) CPT 96361 | $144.00 | $240.00 | $11.25 – $325.67 | 20 |
| IV Fluids (first hour) CPT 96360 | $144.00 | $240.00 | $35.18 – $645.61 | 18 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $29.40 | $49.00 | $14.29 – $44.10 | 12 |
| IV Medicine Infusion (additional drug) CPT 96367 | $144.00 | $240.00 | $24.05 – $218.09 | 17 |
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.