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 |
|---|---|---|---|---|
| Removal of metatarsal CPT 28140 | not published | not published | $348.12 – $4,122.90 | 14 |
| Removal of tendon lesion CPT 27630 | not published | not published | $214.38 – $4,122.90 | 14 |
| Removal of testis CPT 54520 | not published | not published | $260.00 – $4,382.58 | 14 |
| Removal of testis CPT 54530 | not published | not published | $872.01 – $4,655.61 | 12 |
| Removal of toe lesions CPT 28092 | not published | not published | $120.62 – $2,033.63 | 14 |
| Removal/replacement ppm generator dual lead system CPT 33228 | $9,066.60 | $15,111.00 | $295.47 – $13,599.90 | 17 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | $52.20 | $87.00 | $38.75 – $2,904.64 | 18 |
| Removal sutr and stapl no anes CPT 15854 | $33.60 | $56.00 | $13.32 – $50.40 | 11 |
| Removal sutr or stapl no anes CPT 15853 | $23.40 | $39.00 | $9.46 – $35.10 | 11 |
| Removal sutr/staple req anes CPT 15851 | not published | not published | $57.76 – $2,904.64 | 12 |
| Removal tunnled intprtnl cath CPT 49422 | $1,428.00 | $2,380.00 | $418.65 – $3,961.05 | 18 |
| Remove anal fist subq CPT 46270 | not published | not published | $265.62 – $3,484.74 | 14 |
| Remove bladder stone CPT 52317 | not published | not published | $320.00 – $4,382.58 | 14 |
| Remove bladder stone CPT 52318 | not published | not published | $340.00 – $4,382.58 | 14 |
| Remove ear canal lesion(s) CPT 69145 | not published | not published | $108.12 – $3,636.79 | 14 |
| Remove epididymis lesion CPT 54840 | not published | not published | $663.33 – $2,603.03 | 12 |
| Remove ext hem groups 2+ CPT 46250 | not published | not published | $161.88 – $3,484.74 | 14 |
| Remove hip/pelvis lesion 27047 CPT 27047 | not published | not published | $67.50 – $3,636.79 | 14 |
| Remove in/ex hem groups 2+ CPT 46260 | not published | not published | $420.00 – $3,484.74 | 14 |
| Remove in/ex hem grp & fiss 46257 CPT 46257 | not published | not published | $350.00 – $3,484.74 | 14 |
| Remove int/ext hem 1 group CPT 46255 | not published | not published | $328.12 – $3,484.74 | 14 |
| Remove nasal foreign body CPT 30310 | not published | not published | $322.35 – $4,120.95 | 12 |
| Remove pilonidal cyst compl CPT 11772 | not published | not published | $291.25 – $3,636.79 | 14 |
| Remove pilonidal cyst exten CPT 11771 | not published | not published | $291.25 – $3,636.79 | 14 |
| Remove prostate regrowth CPT 52630 | not published | not published | $845.00 – $6,459.72 | 12 |
| Remove renal tube w/fluoro CPT 50389 | $231.60 | $386.00 | $44.12 – $840.00 | 17 |
| Remove/replace ur sphincter CPT 53447 | not published | not published | $622.00 – $25,577.22 | 12 |
| Remove spine eltrd perq aray CPT 63661 | not published | not published | $321.48 – $2,481.37 | 12 |
| Remove tonsils and adenoids CPT 42820 | not published | not published | $631.65 – $7,516.98 | 12 |
| Remove tonsils and adenoids CPT 42821 | not published | not published | $674.51 – $4,120.95 | 12 |
| Remove vagina tissue part CPT 57107 | not published | not published | $1,134.74 – $9,742.71 | 12 |
| Remove wrist tendon lesion CPT 25111 | not published | not published | $642.83 – $2,033.63 | 12 |
| Renal function panel CPT 80069 | $21.00 | $35.00 | $8.68 – $31.50 | 18 |
| Reopen fallopian tube CPT 58350 | not published | not published | $156.52 – $6,272.71 | 12 |
| Repair achilles tendon CPT 27650 | not published | not published | $523.75 – $9,077.48 | 14 |
| Repair biceps tendon CPT 23430 | not published | not published | $476.25 – $9,077.48 | 14 |
| Repair bladder defect CPT 57288 | not published | not published | $1,343.42 – $6,272.71 | 12 |
| Repair blood vessel dir lower extr CPT 35226 | $509.40 | $849.00 | $466.95 – $1,268.60 | 17 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $217.80 | $363.00 | $199.65 – $1,268.60 | 17 |
| Repair dental ellis ii fx CPT 41899 | $391.20 | $652.00 | $273.17 – $1,513.51 | 20 |
| Repair elbow deb/attch open CPT 24359 | not published | not published | $965.18 – $4,122.90 | 12 |
| Repair elbow perc CPT 24357 | not published | not published | $353.99 – $4,122.90 | 12 |
| Repair extns tendon finger without grft ea CPT 26418 | $1,048.20 | $1,747.00 | $289.38 – $2,014.07 | 18 |
| Repair finger/hand tendon CPT 26350 | not published | not published | $459.38 – $4,122.90 | 14 |
| Repair finger/hand tendon CPT 26356 | not published | not published | $453.75 – $4,122.90 | 14 |
| Repair finger/hand tendon CPT 26426 | not published | not published | $965.18 – $4,122.90 | 12 |
| Repair lip full thkns =<one-half vert height CPT 40652 | $4,639.80 | $7,733.00 | $384.10 – $6,959.70 | 18 |
| Repair of ankle ligament CPT 27695 | not published | not published | $845.00 – $9,077.48 | 12 |
| Repair of circumcision CPT 54163 | not published | not published | $113.66 – $2,603.03 | 14 |
| Repair of digit nerve hand/foot 1 nerve CPT 64831 | not published | not published | $515.00 – $2,481.37 | 14 |
| Repair of foot tendon CPT 28200 | not published | not published | $296.25 – $4,122.90 | 14 |
| Repair of kneecap tendon CPT 27380 | not published | not published | $535.62 – $9,077.48 | 14 |
| Repair of nasal septum CPT 30520 | not published | not published | $1,198.00 – $4,120.95 | 12 |
| Repair of penis CPT 54440 | not published | not published | $403.75 – $4,382.58 | 14 |
| Repair of ruptured tendon CPT 24342 | not published | not published | $650.00 – $9,077.48 | 14 |
| Repair of thigh muscle CPT 27385 | not published | not published | $608.12 – $9,077.48 | 14 |
| Repair rectum & vagina CPT 57250 | not published | not published | $750.90 – $6,272.71 | 12 |
| Repair rotator cuff acute CPT 23410 | not published | not published | $560.00 – $9,077.48 | 14 |
| Repair rotator cuff chronic CPT 23412 | not published | not published | $723.75 – $9,077.48 | 14 |
| Repair salivary duct CPT 42500 | not published | not published | $328.12 – $7,516.98 | 14 |
| Replace duod/jej tube perc CPT 49451 | $6,361.80 | $10,603.00 | $74.06 – $9,542.70 | 18 |
| Replace g/c tube perc CPT 49450 | $393.00 | $655.00 | $54.18 – $1,179.90 | 18 |
| Replace g-j tube perc CPT 49452 | $205.80 | $343.00 | $113.54 – $1,179.90 | 18 |
| Replace tunneled cv cath CPT 36578 | $4,131.00 | $6,885.00 | $249.15 – $6,196.50 | 18 |
| Reposition pm/icd lead CPT 33215 | $1,779.00 | $2,965.00 | $257.42 – $3,961.05 | 17 |
| Reptilase test CPT 85635 | $52.80 | $88.00 | $6.00 – $79.20 | 18 |
| Reremove wrist tendon lesion CPT 25112 | not published | not published | $226.88 – $2,033.63 | 14 |
| Rerepair ing hernia reduce CPT 49520 | not published | not published | $540.00 – $4,655.61 | 14 |
| Resect inferior turbinate CPT 30140 | not published | not published | $323.75 – $4,120.95 | 14 |
| Resp virus 6-11 targets CPT 87632 | $1,222.20 | $2,037.00 | $218.06 – $1,833.30 | 18 |
| Reticulocyte automated CPT 85045 | $9.60 | $16.00 | $3.99 – $14.40 | 18 |
| Revefenacin inh non-com 1mcg HCPCS J7677 | $7.80 | $9.75 | $0.19 – $16.60 | 12 |
| Revise/implant finger joint CPT 26536 | not published | not published | $1,067.66 – $9,077.48 | 12 |
| Revise/remove sling repair CPT 57287 | not published | not published | $757.13 – $4,040.20 | 12 |
| Revise spermatic cord veins CPT 55530 | not published | not published | $819.84 – $4,382.58 | 12 |
| Revise spermatic cord veins CPT 55535 | not published | not published | $872.01 – $7,928.80 | 12 |
| Revise ulnar nerve at wrist CPT 64719 | not published | not published | $735.99 – $2,481.37 | 12 |
| Revision of bladder neck CPT 52500 | not published | not published | $872.01 – $4,382.58 | 12 |
| Revision of foot tendon CPT 28238 | not published | not published | $868.29 – $9,077.48 | 12 |
| Revision of penis CPT 54435 | $5,661.00 | $9,435.00 | $698.73 – $8,491.50 | 17 |
| Revision of scrotum CPT 55175 | not published | not published | $622.00 – $4,382.58 | 12 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $622.00 – $4,369.92 | 12 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $203.10 – $4,369.92 | 12 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $169.56 – $4,369.92 | 12 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $3,763.80 | $6,273.00 | $192.00 – $5,983.67 | 17 |
| Rheumatoid factor quantitative CPT 86431 | $13.80 | $23.00 | $5.67 – $20.70 | 18 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $164.80 | $206.00 | $4.63 – $185.40 | 12 |
| Rho d immune globulin inj HCPCS J2790 | $736.00 | $920.00 | $76.83 – $621.90 | 12 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $191.40 | $319.00 | $33.12 – $325.85 | 18 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $134.40 | $224.00 | $34.38 – $325.85 | 18 |
| Rib X-ray (3 views, both sides) CPT 71110 | $226.20 | $377.00 | $34.38 – $339.30 | 18 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $1.68 | $2.10 | $0.14 – $1.80 | 10 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $27.00 | $33.75 | $14.94 – $37.47 | 17 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $1,905.00 | $3,175.00 | $10.98 – $1,239.37 | 18 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $222.40 | $280.00 | $75.22 – $250.20 | 17 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $372.00 | $465.00 | $29.38 – $418.50 | 17 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $186.60 | $311.00 | $26.51 – $279.90 | 17 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $7,383.60 | $12,306.00 | $25.28 – $221.40 | 17 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $48.12 – $1,498.24 | 14 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $22,299.60 | $37,166.00 | $323.30 – $33,449.40 | 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.