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 |
|---|---|---|---|---|
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $294.60 | $491.00 | $262.99 – $659.55 | 15 |
| Amputation toe interphalangeal joint CPT 28825 | $3,816.60 | $6,361.00 | $601.84 – $5,724.90 | 17 |
| Amputation toe metatarsophalangeal joint CPT 28820 | not published | not published | $683.83 – $4,122.90 | 12 |
| Amylase CPT 82150 | $15.60 | $26.00 | $5.00 – $23.40 | 18 |
| Analysis gene f2 20210g>a variant CPT 81240 | $2,503.20 | $4,172.00 | $53.70 – $396.90 | 18 |
| Analysis gene f5 leiden variant CPT 81241 | $1,180.80 | $1,968.00 | $66.70 – $1,330.20 | 18 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | $561.00 | $935.00 | $41.29 – $841.50 | 18 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $85.80 | $143.00 | $28.07 – $128.70 | 18 |
| Anastrozole 1 mg HCPCS S0170 | $0.40 | $0.50 | $0.14 – $0.50 | 12 |
| Anca screen with reflex to titer -quest CPT 86021 | $36.60 | $61.00 | $5.00 – $54.90 | 18 |
| An fluoro guide for cvp CPT 77001 | $222.00 | $370.00 | $75.46 – $333.00 | 12 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $6,529.20 | $10,882.00 | $77.10 – $9,793.80 | 13 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $3,420.60 | $5,701.00 | $364.29 – $7,175.22 | 17 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $3,420.60 | $5,701.00 | $328.50 – $7,175.22 | 17 |
| Angiotensin ii CPT 82163 | $231.00 | $385.00 | $14.50 – $346.50 | 18 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $20,790.00 | $34,650.00 | $0.16 – $0.90 | 11 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $6,529.20 | $10,882.00 | $286.43 – $9,793.80 | 18 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $6,529.20 | $10,882.00 | $245.80 – $9,793.80 | 18 |
| Ankle X-ray CPT 73610 | $122.40 | $204.00 | $38.21 – $269.80 | 17 |
| Ankle X-ray (2 views, both ankles) CPT 73600 | $108.60 | $181.00 | $33.43 – $269.80 | 17 |
| Anoscopy control bleeding 46614 CPT 46614 | $749.40 | $1,249.00 | $52.74 – $2,904.64 | 18 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | not published | not published | $784.44 – $6,272.71 | 12 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $51.00 | $85.00 | $12.88 – $76.50 | 17 |
| Antibody elution rbc reference CPT 86860 | $81.00 | $135.00 | $8.45 – $525.08 | 18 |
| Antibody htlv-i CPT 86687 | $79.80 | $133.00 | $9.09 – $119.70 | 18 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $45.00 | $75.00 | $5.00 – $67.50 | 18 |
| Antibody id rbc panel CPT 86870 | $56.40 | $94.00 | $8.45 – $1,102.25 | 18 |
| Antibody influenza virus CPT 86710 | $33.00 | $55.00 | $13.55 – $49.50 | 17 |
| Antibody screen rbc CPT 86850 | $21.60 | $36.00 | $8.45 – $66.74 | 18 |
| Antibody tetanus CPT 86774 | $102.60 | $171.00 | $14.80 – $153.90 | 17 |
| Anti mog serum - sendout CPT 86362 | $29.40 | $49.00 | $9.64 – $44.10 | 18 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $36.60 | $61.00 | $9.64 – $54.90 | 18 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $36.60 | $61.00 | $9.64 – $54.90 | 18 |
| Antinuclear antibodies CPT 86038 | $29.40 | $49.00 | $12.09 – $44.10 | 18 |
| Antinuclear antibodies titer CPT 86039 | $27.00 | $45.00 | $11.16 – $40.50 | 18 |
| Antiphosphatidylserine antibody CPT 86148 | $39.60 | $66.00 | $16.07 – $59.40 | 17 |
| Antistreptolysin o screen CPT 86063 | $30.60 | $51.00 | $5.77 – $45.90 | 18 |
| Antistreptolysin o titer CPT 86060 | $17.40 | $29.00 | $7.00 – $26.10 | 18 |
| Antithrombin iii activity CPT 85300 | $28.80 | $48.00 | $9.40 – $43.20 | 18 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | not published | not published | $1,308.02 – $6,272.71 | 12 |
| Aortic Aneurysm Screening Ultrasound CPT 76706 | $248.40 | $414.00 | $90.50 – $372.60 | 18 |
| Aortic dysfunction/dilation CPT 81410 | $7,011.00 | $11,685.00 | $504.00 – $10,516.50 | 17 |
| Appendectomy CPT 44950 | not published | not published | $537.48 – $7,928.80 | 12 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $504.65 – $7,413.68 | 12 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $4,378.80 | $7,298.00 | $187.18 – $6,568.20 | 17 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | $3,269.40 | $5,449.00 | $47.04 – $4,904.10 | 12 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $78.00 | $130.00 | $21.25 – $1,033.67 | 12 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $320.40 | $534.00 | $164.24 – $4,607.24 | 17 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $211.20 | $352.00 | $37.63 – $1,033.67 | 12 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $78.00 | $130.00 | $14.63 – $1,033.67 | 12 |
| Application finger splntstatic 29130 CPT 29130 | $70.20 | $117.00 | $24.28 – $162.21 | 17 |
| Application long leg splint 29505 CPT 29505 | $70.20 | $117.00 | $42.39 – $198.57 | 18 |
| Application lower leg splint 29515 CPT 29515 | $70.20 | $117.00 | $40.76 – $198.57 | 18 |
| Application multi layer compression below knee (both sides) CPT 29581 | $81.00 | $135.00 | $23.15 – $198.57 | 17 |
| Application of forearm cast 29075 CPT 29075 | $154.80 | $258.00 | $51.03 – $2,904.64 | 18 |
| Application of paste boot 29580 CPT 29580 | $72.00 | $120.00 | $22.44 – $198.57 | 17 |
| Application short leg cast 29405 CPT 29405 | $165.60 | $276.00 | $48.10 – $334.22 | 18 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $211.20 | $352.00 | $143.47 – $2,302.04 | 17 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $211.20 | $352.00 | $69.78 – $2,302.04 | 17 |
| Appl unipln uni ext fixj sys CPT 20690 | not published | not published | $655.88 – $9,077.48 | 12 |
| Apply forearm splintdynamic 29126 CPT 29126 | $70.20 | $117.00 | $32.50 – $162.21 | 18 |
| Apply of finger splint 29131 CPT 29131 | $70.20 | $117.00 | $28.56 – $182.02 | 18 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | $10.40 | $13.00 | $1.64 – $6.30 | 17 |
| #aptt mix-1:1 incubated CPT 87532 | $324.60 | $541.00 | $35.09 – $486.90 | 17 |
| Aquaporin-4 antibody cba each CPT 86052 | $29.40 | $49.00 | $9.64 – $44.10 | 18 |
| Aquaporin-4 antibody elisa CPT 86051 | $29.40 | $49.00 | $9.22 – $44.10 | 18 |
| Aquatic exercise - group charge CPT 97150 | $50.40 | $84.00 | $12.73 – $81.07 | 12 |
| Arformoterol non-comp unit HCPCS J7605 | $7.00 | $8.75 | $0.71 – $7.20 | 11 |
| Argatroban nonesrd use 1mg HCPCS J0883 | $591.60 | $986.00 | $0.80 – $23.40 | 17 |
| Aripiprazole 441 mg/1.6 ml inj HCPCS J1944 | $7.60 | $11.00 | $2.93 – $941.91 | 18 |
| Arm CT Scan (with contrast, both arms) CPT 73201 | $659.40 | $1,099.00 | $219.73 – $1,094.32 | 17 |
| Arm CT Scan (without contrast, both arms) CPT 73200 | $507.60 | $846.00 | $129.93 – $761.40 | 17 |
| Arm or Leg Ultrasound (limited, left side) CPT 76882 | $122.40 | $204.00 | $17.08 – $325.85 | 17 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | $85.80 | $143.00 | $8.15 – $128.70 | 17 |
| Arterial blood draw/perc 36620 CPT 36620 | $49.80 | $83.00 | $37.02 – $77.10 | 13 |
| Artery xray of abdomen 75726-26 CPT 75726 | $3,860.40 | $6,434.00 | $46.88 – $6,802.93 | 18 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $3,860.40 | $6,434.00 | $46.88 – $5,790.60 | 18 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $3,860.40 | $6,434.00 | $46.88 – $5,790.60 | 18 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $168.60 | $281.00 | $26.88 – $371.49 | 18 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $285.60 | $476.00 | $43.37 – $871.51 | 18 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $285.60 | $476.00 | $49.50 – $428.40 | 18 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $168.60 | $281.00 | $22.50 – $371.49 | 18 |
| Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 | not published | not published | $587.83 – $4,122.90 | 14 |
| Arthrp ntrcrp/crp/mtcr ntrps CPT 25447 | not published | not published | $550.00 – $4,122.90 | 14 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | not published | not published | $161.83 – $1,268.60 | 4 |
| Asp core fat pad CPT 17999 | $27.00 | $45.00 | $24.75 – $608.87 | 16 |
| Asp & inj w/heparin pleurx cath CPT 32999 | $561.60 | $936.00 | $514.80 – $1,894.47 | 16 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $1,337.40 | $2,229.00 | $141.30 – $2,578.00 | 18 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | $558.60 | $931.00 | $34.32 – $837.90 | 18 |
| Aspirate pleura without imaging 32554 CPT 32554 | $360.60 | $601.00 | $74.81 – $778.06 | 17 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $810.00 | $1,350.00 | $61.88 – $2,904.64 | 18 |
| Aspiration peritonsillar abscess CPT 42999 | $70.80 | $118.00 | $64.90 – $711.57 | 16 |
| Aspir/inj thyroid cyst 60300 CPT 60300 | not published | not published | $46.01 – $2,904.64 | 14 |
| Asp pq spinal cord cyst/syrinx CPT 62268 | $3,037.20 | $5,062.00 | $622.00 – $4,555.80 | 17 |
| Assay dir meas fr estradiol CPT 82681 | $110.40 | $184.00 | $27.94 – $165.60 | 17 |
| Assay free hydroxyproline CPT 83500 | $162.00 | $270.00 | $22.65 – $243.00 | 18 |
| Assay myeloperoxidase CPT 83876 | $200.40 | $334.00 | $24.03 – $300.60 | 17 |
| Assay of feces porphyrins CPT 84126 | $229.80 | $383.00 | $27.03 – $344.70 | 17 |
| Assay of fluoride CPT 82735 | $281.40 | $469.00 | $8.00 – $422.10 | 18 |
| Assay of glutathione CPT 82978 | $83.40 | $139.00 | $6.75 – $125.10 | 18 |
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.