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 |
|---|---|---|---|---|
| Mayo hemosiderin qualitative urine CPT 83070 | $65.40 | $109.00 | $3.00 – $98.10 | 18 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $191.40 | $319.00 | $35.09 – $287.10 | 17 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $166.20 | $277.00 | $35.09 – $249.30 | 17 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $30.60 | $51.00 | $13.79 – $45.90 | 18 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $63.60 | $106.00 | $12.00 – $95.40 | 18 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $56.40 | $94.00 | $8.89 – $84.60 | 21 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $45.00 | $75.00 | $13.52 – $67.50 | 21 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $66.60 | $111.00 | $20.50 – $99.90 | 18 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $31.80 | $53.00 | $17.27 – $45.00 | 17 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $72.00 | $120.00 | $14.43 – $108.00 | 18 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $51.00 | $85.00 | $20.81 – $76.50 | 18 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $51.00 | $85.00 | $20.81 – $76.50 | 18 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | $931.80 | $1,553.00 | $35.09 – $1,397.70 | 15 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $102.00 | $170.00 | $16.07 – $153.00 | 17 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $99.00 | $165.00 | $11.98 – $148.50 | 18 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $85.80 | $143.00 | $35.09 – $128.70 | 18 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $85.80 | $143.00 | $28.07 – $128.70 | 18 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $540.00 | $900.00 | $35.09 – $810.00 | 17 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $105.00 | $175.00 | $42.84 – $157.50 | 18 |
| Mayo infliximab therapeutic drug level CPT 80230 | $698.40 | $1,164.00 | $38.57 – $1,047.60 | 17 |
| Mayo inhab inhibin a CPT 86336 | $343.20 | $572.00 | $15.59 – $514.80 | 17 |
| Mayo insft insulin free CPT 83527 | $36.60 | $61.00 | $12.95 – $54.90 | 18 |
| Mayo insulin antibodies CPT 86337 | $61.20 | $102.00 | $11.00 – $91.80 | 18 |
| Mayo iodine CPT 83789 | $44.40 | $74.00 | $24.11 – $66.60 | 17 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $33.60 | $56.00 | $27.11 – $67.99 | 17 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $32.40 | $54.00 | $13.25 – $48.60 | 18 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $32.40 | $54.00 | $11.00 – $48.60 | 18 |
| Mayo legionella antibody CPT 86713 | $86.40 | $144.00 | $15.30 – $129.60 | 18 |
| Mayo lipoprotein electrophoresis CPT 83700 | $154.20 | $257.00 | $11.26 – $231.30 | 18 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $37.80 | $63.00 | $15.49 – $56.70 | 18 |
| Mayo manganese CPT 83785 | $60.60 | $101.00 | $26.65 – $90.90 | 17 |
| Mayo metanephrines plasma CPT 83835 | $41.40 | $69.00 | $13.00 – $62.10 | 18 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $294.00 | $490.00 | $12.05 – $441.00 | 18 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $90.60 | $151.00 | $14.72 – $135.90 | 16 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $90.60 | $151.00 | $7.91 – $135.90 | 18 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $33.60 | $56.00 | $15.30 – $50.40 | 18 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $3,787.20 | $6,312.00 | $88.55 – $343.58 | 17 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | $752.40 | $1,254.00 | $185.20 – $726.30 | 17 |
| Mayo muramidase CPT 85549 | $248.40 | $414.00 | $16.44 – $372.60 | 18 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $33.00 | $55.00 | $18.40 – $49.50 | 15 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $44.40 | $74.00 | $18.05 – $66.60 | 18 |
| Mayo myoglobin CPT 83874 | $31.20 | $52.00 | $12.92 – $46.80 | 18 |
| Mayo nickel CPT 83885 | $178.20 | $297.00 | $11.00 – $267.30 | 18 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $40.20 | $67.00 | $18.20 – $60.30 | 18 |
| Mayo oxalate 24 hour urine CPT 83945 | $83.40 | $139.00 | $13.00 – $125.10 | 18 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $36.60 | $61.00 | $15.03 – $54.90 | 18 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $29.40 | $49.00 | $12.05 – $44.10 | 18 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $138.00 | $230.00 | $35.09 – $207.00 | 18 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $258.00 | $430.00 | $17.98 – $387.00 | 18 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $33.60 | $56.00 | $13.00 – $50.40 | 18 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $20.40 | $34.00 | $2.00 – $30.60 | 18 |
| Mayo pregnenolone CPT 84140 | $70.80 | $118.00 | $20.67 – $106.20 | 18 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $40.80 | $68.00 | $16.59 – $61.20 | 18 |
| Mayo proinsulin CPT 84206 | $99.00 | $165.00 | $8.00 – $148.50 | 18 |
| Mayo psaft prostate specific antigen free CPT 84154 | $45.00 | $75.00 | $18.39 – $67.50 | 18 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $33.00 | $55.00 | $18.40 – $49.50 | 17 |
| Mayo receptor assay transferrin soluble CPT 84238 | $90.60 | $151.00 | $22.00 – $135.90 | 18 |
| Mayo renin CPT 84244 | $53.40 | $89.00 | $12.00 – $80.10 | 18 |
| Mayo repu protein electrophoresis urine CPT 84166 | $43.80 | $73.00 | $17.31 – $65.70 | 18 |
| Mayo selenium CPT 84255 | $63.00 | $105.00 | $25.53 – $94.50 | 17 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | $178.20 | $297.00 | $15.50 – $267.30 | 17 |
| Mayo serotonin CPT 84260 | $75.60 | $126.00 | $30.98 – $113.40 | 18 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $47.40 | $79.00 | $19.35 – $71.10 | 18 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $96.00 | $160.00 | $13.73 – $144.00 | 18 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $72.00 | $120.00 | $30.00 – $108.00 | 10 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $10.20 | $17.00 | $4.00 – $15.30 | 18 |
| Mayo tau phosphorylated 217 each CPT 84393 | $31.80 | $53.00 | $13.25 – $47.70 | 10 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $765.00 | $1,275.00 | $208.92 – $1,147.50 | 17 |
| Mayo tgrp testosterone free CPT 84402 | $122.40 | $204.00 | $25.47 – $183.60 | 18 |
| Mayo tgrp testosterone total CPT 84403 | $63.60 | $106.00 | $25.81 – $95.40 | 18 |
| Mayo thyroglobulin CPT 84432 | $39.60 | $66.00 | $16.06 – $59.40 | 18 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $24.60 | $41.00 | $10.18 – $36.90 | 18 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $74.40 | $124.00 | $12.39 – $111.60 | 17 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $104.40 | $174.00 | $14.16 – $156.60 | 18 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $33.00 | $55.00 | $13.54 – $49.50 | 18 |
| Mayo vasoactive intestinal peptide CPT 84586 | $115.20 | $192.00 | $35.33 – $172.80 | 18 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $49.80 | $83.00 | $8.00 – $74.70 | 18 |
| Mayo vitamin b3 (niacin) CPT 84591 | $74.40 | $124.00 | $17.06 – $111.60 | 17 |
| Mayo vitamin k CPT 84597 | $130.20 | $217.00 | $13.72 – $195.30 | 17 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $32.40 | $54.00 | $13.25 – $48.60 | 18 |
| Measurement post void urine by ultrasound CPT 51798 | $54.60 | $91.00 | $10.17 – $81.90 | 18 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $306.60 | $511.00 | $0.32 – $2.70 | 18 |
| Megestrol 20 mg tabs 100 each bottle HCPCS S0179 | $0.80 | $1.00 | $0.19 – $0.90 | 11 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $10.40 | $13.00 | $5.90 – $15.69 | 12 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $8,127.60 | $13,546.00 | $28.84 – $104.40 | 17 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $27.60 | $34.50 | $0.42 – $17.10 | 13 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $21.00 | $26.25 | $1.51 – $23.40 | 12 |
| Metabolic Blood Panel (Basic) CPT 80048 | $20.40 | $34.00 | $8.46 – $30.60 | 18 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $25.80 | $43.00 | $10.56 – $38.70 | 18 |
| Metered dose inhaler drug HCPCS J3535 | $1,821.60 | $2,277.00 | $2.72 – $71.33 | 11 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | $222.00 | $370.00 | $0.83 – $333.00 | 11 |
| Methadone oral 5mg HCPCS S0109 | $0.40 | $0.50 | $0.14 – $0.23 | 11 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $0.60 | $0.75 | $0.16 – $0.68 | 12 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $316.00 | $395.00 | $1.84 – $42.30 | 13 |
| Methotrexate therapeutic drug level CPT 80204 | $33.60 | $56.00 | $30.80 – $96.73 | 17 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $255.20 | $319.00 | $0.55 – $21.89 | 16 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $26.20 | $32.75 | $19.20 – $28.80 | 12 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $5.60 | $7.00 | $1.23 – $2.70 | 12 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $6.20 | $9.00 | $0.11 – $1.62 | 12 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $0.40 | $0.50 | $0.12 – $8.20 | 16 |
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.