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 |
|---|---|---|---|---|
| Procalcitonin CPT 84145 | $66.00 | $110.00 | $22.21 – $99.00 | 18 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $64.20 | $80.25 | $1.81 – $72.00 | 12 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | $2.40 | $4.00 | $0.35 – $3.60 | 11 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | $2,850.60 | $4,751.00 | $65.39 – $4,275.90 | 18 |
| Progesterone CPT 84144 | $51.00 | $85.00 | $17.00 – $76.50 | 18 |
| Prolactin CPT 84146 | $47.40 | $79.00 | $19.38 – $71.10 | 18 |
| Promethazine hcl injection HCPCS J2550 | $4.20 | $5.25 | $1.62 – $4.50 | 13 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $0.80 | $1.00 | $0.09 – $0.90 | 12 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $62.80 | $78.50 | $8.00 – $70.20 | 12 |
| Prostate biopsy, any mthd HCPCS G0416 | $910.20 | $1,517.00 | $305.55 – $1,365.30 | 17 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $1,198.00 – $6,459.72 | 12 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $31.20 | $52.00 | $1.60 – $9.00 | 12 |
| Protein c activity CPT 85303 | $33.60 | $56.00 | $13.84 – $50.40 | 18 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $25.80 | $43.00 | $10.74 – $38.70 | 18 |
| Protein s total CPT 85305 | $114.60 | $191.00 | $11.61 – $171.90 | 18 |
| Protein total 24 hour urine CPT 84156 | $9.00 | $15.00 | $3.67 – $13.50 | 18 |
| Protein total body fluid CPT 84157 | $9.00 | $15.00 | $4.00 – $13.50 | 18 |
| Protein total serum plasma whole blood CPT 84155 | $9.00 | $15.00 | $3.67 – $13.50 | 18 |
| Prothrombin complex kcentra HCPCS J7168 | $7.40 | $9.25 | $2.14 – $8.10 | 17 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $9.60 | $16.00 | $3.94 – $14.40 | 18 |
| Prp i/hern init block >5 yr CPT 49507 | $7,428.00 | $12,380.00 | $1,196.22 – $11,142.00 | 17 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $10,461.00 | $17,435.00 | $715.52 – $15,691.50 | 11 |
| Pr removal drug delivery implant CPT 11982 | $1,429.20 | $2,382.00 | $61.80 – $2,143.80 | 18 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $40.80 | $68.00 | $37.50 – $2,904.64 | 18 |
| Pr removal intrauterine device CPT 58301 | $90.60 | $151.00 | $21.56 – $2,904.64 | 18 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $217.80 | $363.00 | $41.25 – $2,904.64 | 18 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $83.40 | $139.00 | $39.38 – $2,904.64 | 18 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $83.40 | $139.00 | $48.50 – $2,904.64 | 18 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $100.20 | $167.00 | $30.62 – $2,904.64 | 18 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $100.20 | $167.00 | $44.38 – $2,904.64 | 18 |
| Pr robotic surgical system HCPCS S2900 | not published | not published | $330.87 – $330.87 | 1 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $367.20 | $612.00 | $130.24 – $1,955.67 | 17 |
| PSA (Prostate) Test CPT 84153 | $45.00 | $75.00 | $18.39 – $67.50 | 18 |
| Psychotherapy group therapy CPT 90853 | $44.40 | $74.00 | $24.76 – $107.41 | 20 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $158.40 | $264.00 | $32.50 – $237.60 | 16 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $212.40 | $354.00 | $48.75 – $318.60 | 16 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $240.00 | $400.00 | $65.00 – $360.00 | 16 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | $255.00 | $425.00 | $75.85 – $382.50 | 19 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | $157.20 | $262.00 | $24.95 – $235.80 | 19 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $91.20 | $152.00 | $14.10 – $136.80 | 18 |
| Pt wheelchair management each 15 minutes CPT 97542 | $122.40 | $204.00 | $16.77 – $183.60 | 18 |
| Pulmonary vent imaging CPT 78579 | $552.00 | $920.00 | $161.22 – $1,231.28 | 18 |
| Pulse ox continuous overnight monitoring CPT 94762 | $168.00 | $280.00 | $28.28 – $479.44 | 17 |
| Pulse ox multiple CPT 94761 | $142.20 | $237.00 | $3.26 – $213.30 | 12 |
| Pulse ox single CPT 94760 | $29.40 | $49.00 | $2.28 – $44.10 | 12 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $18.60 | $31.00 | $13.00 – $749.45 | 17 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $91.80 | $153.00 | $30.00 – $2,904.64 | 18 |
| Puncture spinal lumbar diagnostic CPT 62270 | $261.60 | $436.00 | $52.50 – $871.51 | 18 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $574.80 | $958.00 | $278.90 – $1,649.37 | 18 |
| Quest t3 uptake CPT 84479 | $15.60 | $26.00 | $6.47 – $23.40 | 18 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $829.60 | $1,037.00 | $12.50 – $933.30 | 18 |
| Racepinephrine hcl soln nebu 2.25% (base equivalent) HCPCS J7699 | $6.60 | $8.25 | $2.00 – $7.20 | 10 |
| Radiation physics consult CPT 77336 | $325.80 | $543.00 | $61.25 – $488.70 | 13 |
| Radiation therapy dose plan CPT 77300 | $239.40 | $399.00 | $45.62 – $359.10 | 13 |
| Radiation treatment aid(s) CPT 77332 | $257.40 | $429.00 | $34.82 – $386.10 | 13 |
| Radiation treatment aid(s) CPT 77334 | $543.00 | $905.00 | $111.64 – $814.50 | 13 |
| Radiation treatment delivery CPT 77412 | $483.60 | $806.00 | $55.00 – $725.40 | 13 |
| Radiology port images(s) CPT 77417 | $48.00 | $80.00 | $11.11 – $72.00 | 12 |
| Radiotherapy dose plan imrt CPT 77301 | $3,494.40 | $5,824.00 | $158.97 – $5,241.60 | 13 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $336.00 | $560.00 | $153.14 – $504.00 | 16 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,617.60 | $2,696.00 | $137.47 – $4,000.25 | 18 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $2,764.20 | $4,607.00 | $692.42 – $4,146.30 | 18 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $2,764.20 | $4,607.00 | $307.87 – $4,146.30 | 18 |
| Radphm lcl tumor plr sgl day CPT 78800 | $648.00 | $1,080.00 | $107.20 – $1,231.28 | 18 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $186.60 | $311.00 | $64.57 – $279.90 | 17 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $1,675.80 | $2,793.00 | $326.75 – $946.78 | 17 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $692.80 | $866.00 | $219.78 – $779.40 | 17 |
| Rbc count only automated CPT 85041 | $9.00 | $15.00 | $3.02 – $10.80 | 18 |
| Rbc o2 co2 reduced HCPCS P9027 | $1,213.20 | $2,022.00 | $595.15 – $1,819.80 | 15 |
| Realignment of tendons CPT 26437 | not published | not published | $762.08 – $4,122.90 | 12 |
| Red blood cells each unit HCPCS P9021 | $273.00 | $455.00 | $37.50 – $442.22 | 17 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $253.80 | $423.00 | $187.82 – $557.68 | 16 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $321.00 | $535.00 | $259.71 – $783.82 | 16 |
| Reduce testis torsion CPT 54600 | not published | not published | $784.44 – $4,382.58 | 12 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $889.20 | $1,482.00 | $3.02 – $334.80 | 12 |
| Release palm contracture CPT 26121 | not published | not published | $1,198.00 – $4,122.90 | 12 |
| Release palm contracture CPT 26123 | not published | not published | $1,198.00 – $4,122.90 | 12 |
| Release palm contracture CPT 26125 | not published | not published | $251.63 – $1,580.63 | 4 |
| Release palm/finger tendon CPT 26440 | not published | not published | $223.75 – $2,033.63 | 14 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $17.00 | $21.25 | $5.42 – $18.90 | 16 |
| Remote 30 day ecg tech supp CPT 93229 | $190.20 | $317.00 | $174.35 – $991.96 | 17 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $666.60 | $1,111.00 | $262.72 – $999.90 | 17 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | not published | not published | $230.11 – $1,973.94 | 14 |
| Removal cerumen impacted (both sides) CPT 69210 | $42.00 | $70.00 | $32.91 – $77.10 | 17 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $42.00 | $70.00 | $16.96 – $608.87 | 18 |
| Removal foreign body foot subcutaneous right CPT 28190 | $521.40 | $869.00 | $38.12 – $2,904.64 | 18 |
| Removal implant superficial separate procedure CPT 20670 | not published | not published | $65.22 – $2,058.83 | 14 |
| Removal mamma implant mat 19330 CPT 19330 | $3,195.60 | $5,326.00 | $558.98 – $4,819.05 | 17 |
| Removal of adenoids CPT 42830 | not published | not published | $456.50 – $4,120.95 | 12 |
| Removal of adenoids CPT 42831 | not published | not published | $478.86 – $4,120.95 | 12 |
| Removal of bone for graft CPT 20900 | not published | not published | $298.13 – $9,077.48 | 14 |
| Removal of breast lesion CPT 19120 | not published | not published | $216.25 – $4,865.84 | 14 |
| Removal of foot lesion CPT 28090 | not published | not published | $193.12 – $2,033.63 | 14 |
| Removal of foot lesion CPT 28104 | not published | not published | $674.51 – $4,122.90 | 12 |
| Removal of heel bone CPT 28118 | not published | not published | $1,198.00 – $4,122.90 | 12 |
| Removal of hip foreign body 27087 CPT 27087 | $4,595.40 | $7,659.00 | $81.25 – $6,893.10 | 18 |
| Removal of hydrocele CPT 55040 | not published | not published | $698.73 – $4,655.61 | 12 |
| Removal of hydrocele CPT 55500 | not published | not published | $523.58 – $4,382.58 | 12 |
| Removal of implant deep CPT 20680 | not published | not published | $214.38 – $3,636.79 | 14 |
| Removal of knee cyst CPT 27345 | not published | not published | $358.75 – $4,122.90 | 14 |
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.