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 |
|---|---|---|---|---|
| Penile injection CPT 54235 | not published | not published | $77.10 – $622.00 | 12 |
| Pentamidine non-comp unit HCPCS J2545 | $267.20 | $334.00 | $69.73 – $300.60 | 11 |
| Perc drug-el cor stent bran HCPCS C9601 | $11,988.00 | $19,980.00 | $653.10 – $17,982.00 | 11 |
| Perc drug-el cor stent sing HCPCS C9600 | $11,263.20 | $18,772.00 | $700.23 – $16,894.80 | 11 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $442.20 | $737.00 | $40.65 – $663.30 | 12 |
| Pericardiocentesis wwo imaging CPT 33016 | $703.20 | $1,172.00 | $193.92 – $4,760.04 | 18 |
| Peripheral vascular rehab CPT 93668 | $302.40 | $504.00 | $15.37 – $453.60 | 17 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $1,062.08 – $11,750.28 | 12 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $722.13 – $11,750.28 | 14 |
| Pertussis ag if CPT 87265 | $136.20 | $227.00 | $11.98 – $204.30 | 17 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $38.40 | $64.00 | $10.32 – $57.60 | 20 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | $321.00 | $535.00 | $62.10 – $481.50 | 17 |
| Pet CT skull-mid thgh initial CPT 78815 | $3,189.60 | $5,316.00 | $892.86 – $4,784.40 | 18 |
| Pet CT whole body initial CPT 78816 | $3,189.60 | $5,316.00 | $917.09 – $4,784.40 | 18 |
| Pet image w/ct lmtd CPT 78814 | $3,189.60 | $5,316.00 | $811.07 – $4,784.40 | 18 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $21,439.80 | $35,733.00 | $19.38 – $91.80 | 13 |
| Ph body fluid CPT 83986 | $45.00 | $75.00 | $2.00 – $67.50 | 18 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $71.20 | $89.00 | $30.17 – $51.30 | 12 |
| Phenobarbital therapeutic drug level CPT 80184 | $27.60 | $46.00 | $15.30 – $41.40 | 18 |
| Phentolaine mesylate inj HCPCS J2760 | $397.60 | $497.00 | $298.20 – $1,083.46 | 17 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $0.05 | $0.06 | $0.00 – $0.01 | 10 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $295.20 | $492.00 | $0.42 – $0.90 | 12 |
| Phenytoin total therapeutic drug level CPT 80185 | $32.40 | $54.00 | $13.00 – $48.60 | 18 |
| Phlebotomy therapeutic CPT 99195 | $190.20 | $317.00 | $12.50 – $285.30 | 18 |
| Phosphorus CPT 84100 | $11.40 | $19.00 | $4.74 – $17.10 | 18 |
| Phosphorus 24 hour urine CPT 84105 | $12.60 | $21.00 | $5.78 – $18.90 | 18 |
| Phys blood bank serv reactj CPT 86078 | $181.80 | $303.00 | $41.56 – $525.08 | 18 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $108.60 | $181.00 | $66.99 – $201.43 | 18 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $90.60 | $151.00 | $66.99 – $135.90 | 18 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $98.40 | $164.00 | $66.99 – $161.15 | 18 |
| Physical Therapy Re-Evaluation CPT 97164 | $66.00 | $110.00 | $28.30 – $120.85 | 19 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $66.00 | $82.50 | $2.73 – $21.60 | 12 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | $1,095.60 | $1,826.00 | $332.44 – $1,643.40 | 16 |
| Pin finger fracture each CPT 26756 | not published | not published | $177.50 – $4,122.90 | 14 |
| Pinworm exam CPT 87172 | $13.80 | $23.00 | $4.27 – $20.70 | 17 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $31.80 | $53.00 | $1.07 – $10.80 | 12 |
| Place duod/jej tube perc CPT 49441 | $11,911.80 | $19,853.00 | $197.82 – $17,867.70 | 18 |
| Place gastrostomy tube perc CPT 49440 | $10,710.60 | $17,851.00 | $168.61 – $16,065.90 | 18 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $295.20 | $492.00 | $83.04 – $2,039.03 | 18 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $295.20 | $492.00 | $41.52 – $749.45 | 13 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $2,037.60 | $3,396.00 | $169.23 – $3,056.40 | 17 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $7,734.60 | $12,891.00 | $362.80 – $14,271.82 | 18 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $2,359.80 | $3,933.00 | $264.20 – $3,539.70 | 13 |
| Place slctv cath vertebral art uni CPT 36226 | $3,860.40 | $6,434.00 | $295.01 – $6,802.93 | 17 |
| Platelet automated CPT 85049 | $10.80 | $18.00 | $3.00 – $16.20 | 18 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $1,390.80 | $2,318.00 | $581.96 – $2,086.20 | 16 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $2,946.00 | $4,910.00 | $219.32 – $4,655.61 | 18 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $2,138.40 | $3,564.00 | $332.90 – $4,340.44 | 17 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $1,879.20 | $3,132.00 | $70.90 – $2,818.80 | 18 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $1,628.40 | $2,714.00 | $35.64 – $2,442.60 | 13 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $161.40 | $269.00 | $50.08 – $954.18 | 18 |
| Plmt nephroureteral catheter CPT 50433 | $1,574.40 | $2,624.00 | $209.91 – $4,340.44 | 17 |
| Pms2 gene dup/delet variants CPT 81319 | $1,437.00 | $2,395.00 | $177.33 – $2,155.50 | 18 |
| Pms2 gene full seq analysis CPT 81317 | $3,123.60 | $5,206.00 | $625.03 – $4,685.40 | 18 |
| #pnh-flow cytometry interp CPT 88187 | $637.20 | $1,062.00 | $29.72 – $955.80 | 12 |
| Pn soln nos 10 grams lipids HCPCS B4185 | $70.20 | $117.00 | $11.88 – $48.60 | 10 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $47.40 | $79.00 | $26.07 – $71.10 | 18 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $348.80 | $436.00 | $116.22 – $387.00 | 17 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $1,305.60 | $2,176.00 | $516.47 – $3,117.50 | 18 |
| Potassium 24 hour urine CPT 84133 | $10.20 | $17.00 | $4.73 – $15.30 | 18 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $36.60 | $61.00 | $0.11 – $0.90 | 12 |
| Potassium serum/plasma/whole blood CPT 84132 | $10.80 | $18.00 | $4.76 – $16.20 | 18 |
| Pq biliary strict dil s&i CPT 74363 | $964.20 | $1,607.00 | $107.05 – $1,446.30 | 12 |
| Pq dr cath chg w cont s&i CPT 75984 | $322.20 | $537.00 | $21.88 – $483.30 | 12 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $5,987.40 | $9,979.00 | $394.54 – $8,990.20 | 17 |
| Pq thr inj ext pse CPT 36002 | $205.80 | $343.00 | $77.10 – $778.06 | 18 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $1,937.40 | $3,229.00 | $171.71 – $2,906.10 | 12 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $2,463.60 | $4,106.00 | $1,033.67 – $4,083.26 | 17 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $2,463.60 | $4,106.00 | $1,033.67 – $4,083.26 | 17 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $2,049.60 | $3,416.00 | $228.12 – $4,083.26 | 18 |
| Pr application of long arm splint CPT 29105 | $70.20 | $117.00 | $34.49 – $198.57 | 18 |
| Pr application splint static short arm CPT 29125 | $70.20 | $117.00 | $32.50 – $162.21 | 18 |
| Pr biopsy skin punch single lesion CPT 11104 | $379.80 | $633.00 | $39.05 – $2,904.64 | 18 |
| Pr correction hammertoe CPT 28285 | not published | not published | $289.38 – $4,122.90 | 14 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $30.00 | $50.00 | $11.09 – $91.29 | 17 |
| Prcrd drg 6+yr without anomly CPT 33017 | $742.20 | $1,237.00 | $203.03 – $1,113.30 | 11 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $3,322.20 | $5,537.00 | $179.65 – $4,983.30 | 18 |
| Prealbumin CPT 84134 | $36.00 | $60.00 | $14.59 – $54.00 | 18 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $23.40 | $39.00 | $0.23 – $0.90 | 11 |
| Prednisone 1 mg tablet HCPCS J7512 | $0.80 | $1.00 | $0.01 – $0.23 | 12 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $979.80 | $1,633.00 | $166.51 – $2,387.31 | 17 |
| Pregnancy associated plasma protein-a CPT 84163 | $137.40 | $229.00 | $15.05 – $206.10 | 18 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $181.80 | $303.00 | $96.88 – $325.85 | 18 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $181.80 | $303.00 | $105.11 – $325.85 | 18 |
| Pregnancy Ultrasound (limited) CPT 76815 | $94.80 | $158.00 | $78.57 – $325.85 | 18 |
| Prep skin to 100cm2 other CPT 15004 | not published | not published | $217.64 – $1,033.67 | 12 |
| Pressure max expiratory/inspiratory CPT 94799 | $240.00 | $400.00 | $100.00 – $479.44 | 16 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $161.40 | $269.00 | $6.01 – $525.08 | 17 |
| Pretreat rbc absorption reference CPT 86978 | $165.00 | $275.00 | $13.21 – $247.50 | 17 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $118.80 | $198.00 | $65.16 – $185.05 | 16 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | not published | not published | $50.00 – $2,904.64 | 14 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | $100.62 – $2,058.83 | 14 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $285.00 | $475.00 | $84.81 – $2,904.64 | 17 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $91.80 | $153.00 | $65.62 – $2,904.64 | 18 |
| Pr incision & drainage abscess simple/single CPT 10060 | $91.80 | $153.00 | $29.38 – $2,904.64 | 18 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $189.60 | $316.00 | $117.26 – $1,033.67 | 18 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $172.80 | $288.00 | $38.12 – $2,904.64 | 18 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $249.60 | $416.00 | $12.34 – $374.40 | 12 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $845.00 – $2,481.37 | 12 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $70.00 | $87.50 | $52.20 – $739.05 | 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.