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 |
|---|---|---|---|---|
| Assay of interleukin-6 (il-6) CPT 83529 | $31.80 | $53.00 | $17.27 – $47.70 | 17 |
| Assay of osteocalcin CPT 83937 | $169.20 | $282.00 | $29.85 – $253.80 | 18 |
| Assay of prostaglandin CPT 84150 | $795.60 | $1,326.00 | $11.00 – $1,193.40 | 18 |
| Assay of sialic acid CPT 84275 | $191.40 | $319.00 | $13.44 – $287.10 | 18 |
| Assay of somatostatin CPT 84307 | $218.40 | $364.00 | $18.28 – $327.60 | 18 |
| Assay of tyrosine CPT 84510 | $144.60 | $241.00 | $2.00 – $216.90 | 18 |
| Assay of urine sulfate CPT 84392 | $15.60 | $26.00 | $5.49 – $23.40 | 17 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $171.00 | $285.00 | $62.50 – $256.50 | 13 |
| Assess cyst contrast inject CPT 49424 | $201.00 | $335.00 | $31.43 – $301.50 | 13 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $37.20 | $62.00 | $4.27 – $55.80 | 18 |
| Ast/sgot CPT 84450 | $12.60 | $21.00 | $5.18 – $18.90 | 18 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $223.20 | $372.00 | $80.75 – $334.80 | 17 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $126.00 | $210.00 | $0.07 – $0.90 | 12 |
| Audiometry air + bone CPT 92553 | $78.60 | $131.00 | $17.50 – $479.44 | 18 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $5,987.40 | $9,979.00 | $423.85 – $8,990.20 | 17 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | $181.20 | $302.00 | $86.76 – $271.80 | 17 |
| Av fusion direct any site CPT 36821 | not published | not published | $974.00 – $3,999.51 | 12 |
| Avul nail plate addl CPT 11732 | $56.40 | $94.00 | $14.59 – $2,904.64 | 13 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $56.40 | $94.00 | $32.19 – $2,904.64 | 18 |
| Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial HCPCS J9038 | $94.80 | $158.00 | $55.65 – $142.20 | 15 |
| Azacitidine injection HCPCS J9025 | $1,486.20 | $2,477.00 | $0.49 – $21.60 | 12 |
| Azathioprine 50 mg tablet HCPCS J7500 | $1.40 | $1.75 | $0.06 – $14.62 | 11 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $16.40 | $20.50 | $2.04 – $18.00 | 13 |
| Azithromycin dihydrate, oral HCPCS Q0144 | $96.00 | $120.00 | $0.22 – $24.27 | 12 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $12.80 | $16.00 | $2.53 – $14.40 | 10 |
| Bacterial meningitis antigen CPT 86403 | $24.60 | $41.00 | $9.61 – $36.90 | 18 |
| Bacterial vaginosis pcr CPT 87801 | $315.00 | $525.00 | $38.80 – $472.50 | 18 |
| #bac vag cand-c. albicans naa CPT 87481 | $497.40 | $829.00 | $35.09 – $746.10 | 18 |
| Balance and Coordination Retraining (each 15 minutes) CPT 97112 | $75.00 | $125.00 | $20.94 – $112.50 | 19 |
| Barium Enema (Colon X-ray, barium and air) CPT 74280 | $545.40 | $909.00 | $81.25 – $818.10 | 18 |
| Barium Enema (Colon X-ray, barium only) CPT 74270 | $392.40 | $654.00 | $46.88 – $588.60 | 18 |
| Barium Swallow (Esophagus X-ray) CPT 74220 | $291.00 | $485.00 | $46.88 – $545.49 | 18 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | not published | not published | $203.75 – $4,040.20 | 14 |
| Bartonella dna pcr-sendout CPT 87471 | $306.00 | $510.00 | $35.09 – $459.00 | 18 |
| Basic vestibular evaluation CPT 92540 | $209.40 | $349.00 | $17.67 – $479.44 | 18 |
| B cells total count CPT 86355 | $93.00 | $155.00 | $37.73 – $139.50 | 18 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | $14.60 | $18.25 | $3.72 – $16.20 | 17 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | $52.20 | $87.00 | $1.88 – $78.30 | 17 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | $69.60 | $116.00 | $13.49 – $104.40 | 17 |
| Benign lesion paring 2-4 CPT 11056 | $56.40 | $94.00 | $18.68 – $2,904.64 | 18 |
| Benign lesion paring 4+ CPT 11057 | $575.40 | $959.00 | $24.16 – $2,904.64 | 18 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $144.00 | $240.00 | $14.36 – $107.10 | 12 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $62.40 | $104.00 | $25.45 – $93.60 | 18 |
| Beta-2 microglobulin CPT 82232 | $39.60 | $66.00 | $16.18 – $59.40 | 18 |
| Beta-amyloid 1-40 CPT 82233 | $1,578.00 | $2,630.00 | $657.50 – $2,367.00 | 10 |
| Beta-amyloid 1-42 CPT 82234 | $1,578.00 | $2,630.00 | $657.50 – $2,367.00 | 10 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $31.00 | $38.75 | $6.71 – $34.20 | 12 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $212.80 | $266.00 | $68.60 – $239.40 | 17 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $339.60 | $566.00 | $24.57 – $509.40 | 17 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | $168.60 | $281.00 | $25.77 – $252.90 | 17 |
| B-hexosaminidase ea assay CPT 83080 | $236.40 | $394.00 | $16.87 – $354.60 | 17 |
| Bilateral n block inj occipital 64405 CPT 64405 | $1,109.40 | $1,849.00 | $43.75 – $1,664.10 | 18 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $349.20 | $582.00 | $16.25 – $622.00 | 18 |
| Biliary endoscopy thru skin CPT 47555 | $4,399.20 | $7,332.00 | $521.71 – $6,598.80 | 17 |
| Bilirubin direct CPT 82248 | $12.00 | $20.00 | $5.02 – $18.00 | 18 |
| Bilirubin total CPT 82247 | $18.00 | $30.00 | $5.02 – $27.00 | 18 |
| Biopsy abdominal mass CPT 49180 | $622.80 | $1,038.00 | $101.21 – $2,039.03 | 18 |
| Biopsy bone trocar/needle superficial CPT 20220 | $532.80 | $888.00 | $78.75 – $2,039.03 | 18 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | not published | not published | $75.44 – $2,904.64 | 14 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $1,646.40 | $2,744.00 | $63.89 – $3,601.82 | 18 |
| Biopsy muscle percutaneous needle CPT 20206 | $525.00 | $875.00 | $46.58 – $2,039.03 | 18 |
| Biopsy needle liver percutaneous CPT 47000 | $622.80 | $1,038.00 | $112.06 – $2,039.03 | 18 |
| Biopsy needle lymph node superficial CPT 38505 | $525.00 | $875.00 | $84.29 – $2,039.03 | 18 |
| Biopsy of nail unit 11755 CPT 11755 | $2,876.40 | $4,794.00 | $50.78 – $4,314.60 | 18 |
| Biopsy of prostate CPT 55700 | $891.00 | $1,485.00 | $111.88 – $2,578.00 | 18 |
| Biopsy of rectum wall anal approach 45100 CPT 45100 | not published | not published | $188.12 – $3,484.74 | 14 |
| Biopsy of salivary gland 42400 CPT 42400 | $696.00 | $1,160.00 | $43.75 – $2,904.64 | 18 |
| Biopsy/removal lymph nodes CPT 38525 | not published | not published | $195.00 – $4,865.84 | 14 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $622.80 | $1,038.00 | $171.39 – $2,039.03 | 18 |
| Biopsy skin incisional single lesion CPT 11106 | $498.00 | $830.00 | $47.31 – $2,904.64 | 18 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | $1,093.80 | $1,823.00 | $43.12 – $2,039.03 | 18 |
| Biopsy vaginal mucosa xtnsv CPT 57105 | not published | not published | $87.50 – $4,040.20 | 14 |
| Biospy of bladder CPT 53899 | $240.00 | $400.00 | $220.00 – $745.25 | 16 |
| Bladder Catheter Insertion (simple) CPT 51702 | $42.00 | $70.00 | $25.07 – $394.97 | 18 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $118.80 | $198.00 | $35.40 – $622.00 | 18 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $133.20 | $222.00 | $21.52 – $199.80 | 12 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | $292.80 | $488.00 | $129.79 – $439.20 | 17 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $2,461.80 | $4,103.00 | $90.06 – $200.70 | 13 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $4,831.20 | $8,052.00 | $149.53 – $430.20 | 13 |
| Bln dil 900ml preperitnl HCPCS C1727 | $570.60 | $951.00 | $235.95 – $386.10 | 10 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $4,409.40 | $7,349.00 | $1,010.80 – $4,788.00 | 13 |
| Bln press regulation 71-80cm HCPCS C1815 | $20,024.40 | $33,374.00 | $1,131.83 – $5,361.30 | 13 |
| Bln ureth 5ml 28f 2wy ltx st HCPCS A4338 | $31.20 | $52.00 | $4.95 – $8.10 | 10 |
| Blood Clotting (PT/INR) Test CPT 85610 | $9.60 | $16.00 | $4.00 – $14.40 | 18 |
| Blood Clotting (PTT) Test CPT 85730 | $14.40 | $24.00 | $6.01 – $21.60 | 18 |
| Blood Count (CBC) Test CPT 85025 | $18.60 | $31.00 | $6.00 – $27.90 | 18 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $15.60 | $26.00 | $6.47 – $23.40 | 18 |
| Blood Culture Test CPT 87040 | $25.20 | $42.00 | $10.32 – $37.80 | 18 |
| Blood Draw (Venipuncture) CPT 36415 | $7.20 | $12.00 | $2.55 – $10.80 | 20 |
| Blood gases o2 saturation direct measurement CPT 82805 | $514.80 | $858.00 | $33.05 – $772.20 | 18 |
| Blood gases ph venous CPT 82800 | $20.40 | $34.00 | $11.00 – $30.60 | 18 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $39.00 | $65.00 | $2.80 – $58.50 | 18 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $20.40 | $34.00 | $3.63 – $30.60 | 18 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $20.40 | $34.00 | $3.47 – $30.60 | 18 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $7.80 | $13.00 | $3.63 – $13.34 | 18 |
| Blood split unit HCPCS P9011 | $275.40 | $459.00 | $60.48 – $434.49 | 17 |
| Blood Transfusion CPT 36430 | $378.00 | $630.00 | $31.62 – $1,339.62 | 18 |
| Blood typing abo CPT 86900 | $7.20 | $12.00 | $2.99 – $111.65 | 18 |
| Blood typing ag donor ea ag CPT 86902 | $171.60 | $286.00 | $2.82 – $321.63 | 18 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $9.00 | $15.00 | $3.28 – $321.63 | 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.