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 |
|---|---|---|---|---|
| Blood typing rh (d) CPT 86901 | $7.20 | $12.00 | $2.99 – $47.49 | 18 |
| Bone Age X-ray (hand and wrist) CPT 77072 | $146.40 | $244.00 | $20.71 – $325.85 | 18 |
| Bone biopsy open superficial CPT 20240 | $3,851.40 | $6,419.00 | $118.75 – $5,777.10 | 18 |
| Bone Density Scan (DEXA) CPT 77080 | $240.00 | $400.00 | $38.35 – $360.00 | 18 |
| Bone/joint imaging ltd area CPT 78300 | $480.60 | $801.00 | $86.25 – $1,231.28 | 18 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $229.20 | $382.00 | $59.31 – $2,039.03 | 18 |
| Bone survey-lead poisoning CPT 77074 | $134.40 | $224.00 | $58.67 – $325.85 | 18 |
| Boot j walker l HCPCS L4386 | $1,374.60 | $2,291.00 | $93.38 – $2,061.90 | 11 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $784.20 | $1,307.00 | $173.63 – $1,176.30 | 11 |
| Borrelia antibody CPT 86619 | $199.20 | $332.00 | $13.38 – $298.80 | 17 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $42.00 | $70.00 | $17.03 – $63.00 | 18 |
| Borrelia miyamotoi amp prb CPT 87478 | $85.80 | $143.00 | $28.07 – $128.70 | 18 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $157.60 | $197.00 | $2.79 – $177.30 | 18 |
| Brace ank air stirrup univ HCPCS L4350 | $284.40 | $474.00 | $56.48 – $426.60 | 11 |
| Brace ankle stablizing lg HCPCS L1902 | $285.00 | $475.00 | $52.60 – $427.50 | 11 |
| Brace knee extender plus 22-30in HCPCS L1832 | $253.20 | $422.00 | $80.18 – $379.80 | 11 |
| Brace or Splint Fitting and Training (each 15 minutes) CPT 97760 | $75.00 | $125.00 | $29.93 – $112.50 | 18 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $109.80 | $183.00 | $34.77 – $164.70 | 11 |
| Brace wrist classic lft sm HCPCS L3908 | $210.60 | $351.00 | $37.14 – $315.90 | 11 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $981.60 | $1,636.00 | $360.00 – $1,472.40 | 18 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $737.40 | $1,229.00 | $248.37 – $1,106.10 | 18 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $682.20 | $1,137.00 | $235.53 – $1,023.30 | 18 |
| Brain MRI (with and without contrast) CPT 70553 | $975.00 | $1,625.00 | $350.00 – $1,462.50 | 18 |
| Brain MRI (with contrast) CPT 70552 | $736.20 | $1,227.00 | $296.37 – $1,104.30 | 18 |
| Brain MRI (without contrast) CPT 70551 | $682.20 | $1,137.00 | $214.40 – $1,023.30 | 18 |
| Brca1&2 gen ful dup/del alys CPT 81164 | $2,287.20 | $3,812.00 | $467.38 – $3,430.80 | 18 |
| Brcassure comprehensive panel-sendout CPT 81162 | $1,920.00 | $3,200.00 | $1,622.11 – $4,576.62 | 18 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $975.00 | $1,625.00 | $173.61 – $2,039.03 | 18 |
| Breastbone (Sternum) X-ray CPT 71120 | $146.40 | $244.00 | $23.75 – $269.80 | 18 |
| Breast punct aspir cyst, bil CPT 19000 | $294.60 | $491.00 | $35.63 – $885.45 | 18 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $367.20 | $612.00 | $202.46 – $648.64 | 17 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | not published | not published | $55.97 – $749.45 | 7 |
| Bronch ebus samplng 1/2 node CPT 31652 | not published | not published | $184.93 – $4,684.98 | 14 |
| Bronch ebus samplng 3/> node CPT 31653 | not published | not published | $205.01 – $4,684.98 | 14 |
| Bronchial challenge CPT 94070 | $375.00 | $625.00 | $23.75 – $954.18 | 18 |
| Bronchoscopy clear airways 31645 CPT 31645 | $3,021.60 | $5,036.00 | $184.75 – $4,532.40 | 18 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | not published | not published | $219.75 – $4,684.98 | 14 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | not published | not published | $234.24 – $4,684.98 | 14 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | not published | not published | $197.26 – $2,191.27 | 14 |
| Br punct aspir ea add, l CPT 19001 | $130.80 | $218.00 | $17.67 – $196.20 | 13 |
| Budesonide non-comp unit HCPCS J7626 | $10.00 | $12.50 | $0.76 – $11.25 | 12 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $4.60 | $5.75 | $0.37 – $1.80 | 15 |
| Bundled special stain group 1 microorganisms CPT 88312 | $131.40 | $219.00 | $4.80 – $197.10 | 18 |
| Bundled special stain group 2 CPT 88313 | $103.80 | $173.00 | $3.61 – $394.97 | 18 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $0.60 | $0.75 | $0.01 – $0.02 | 10 |
| Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572 | $7.60 | $9.50 | $4.09 – $8.55 | 18 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | $12.20 | $15.25 | $7.08 – $13.72 | 18 |
| Buprenorphine X-ray over 100 mg HCPCS Q9992 | $7,850.40 | $10,402.00 | $1,691.55 – $8,831.70 | 20 |
| Buprenorph X-ray 100 mg or less HCPCS Q9991 | $7,850.40 | $10,402.00 | $1,691.55 – $8,831.70 | 20 |
| Bur rotalink 2.15mm HCPCS C1724 | $9,690.00 | $16,150.00 | $546.85 – $6,460.00 | 13 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $92.80 | $116.00 | $2.92 – $18.00 | 12 |
| Bx bone trocar/ndl deep CPT 20225 | $1,093.80 | $1,823.00 | $122.50 – $2,039.03 | 18 |
| Bx breast 1st lesion strtctc CPT 19081 | $2,336.40 | $3,894.00 | $185.38 – $3,504.60 | 18 |
| Bx breast add lesion strtctc CPT 19082 | $2,336.40 | $3,894.00 | $69.15 – $3,504.60 | 13 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $975.00 | $1,625.00 | $64.42 – $1,462.50 | 13 |
| Bx breast perq without image 19100 CPT 19100 | not published | not published | $76.56 – $2,058.83 | 14 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | not published | not published | $132.43 – $2,904.64 | 14 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | not published | not published | $170.00 – $4,865.84 | 14 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | not published | not published | $314.90 – $4,865.84 | 12 |
| Bx of cervix w/scope leep 57460 CPT 57460 | not published | not published | $160.10 – $4,040.20 | 14 |
| Bx perianal mass CPT 46999 | not published | not published | $1,092.34 – $2,793.68 | 10 |
| Bx pleura pq ndl CPT 32400 | $605.40 | $1,009.00 | $101.30 – $2,039.03 | 18 |
| Bx prst8 ndl sat sampling CPT 55706 | not published | not published | $383.42 – $4,382.58 | 12 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $226.20 | $377.00 | $25.86 – $2,904.64 | 13 |
| Bx skin punch ea sep/ addl les CPT 11105 | not published | not published | $21.37 – $2,904.64 | 6 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $559.20 | $932.00 | $81.88 – $2,904.64 | 18 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | not published | not published | $59.82 – $1,106.45 | 14 |
| Bx vulva or perineum/ea add lesion 56606 CPT 56606 | not published | not published | $24.39 – $2,904.64 | 7 |
| Bypass temp external fem-fem CPT 37799 | $1,657.80 | $2,763.00 | $755.40 – $2,486.70 | 16 |
| C1 esterase inhibitor func - sendout CPT 86161 | $29.40 | $49.00 | $12.00 – $44.10 | 18 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $362.40 | $604.00 | $192.52 – $570.00 | 17 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $3.20 | $4.00 | $0.83 – $3.60 | 12 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $7,715.20 | $9,644.00 | $484.97 – $1,748.83 | 17 |
| Calcium 24 hour urine CPT 82340 | $27.60 | $46.00 | $6.03 – $41.40 | 18 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $0.80 | $1.00 | $0.04 – $0.90 | 11 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $0.80 | $1.00 | $0.08 – $0.90 | 11 |
| Calcium ionized CPT 82330 | $39.60 | $66.00 | $8.85 – $59.40 | 18 |
| Calcium total CPT 82310 | $27.60 | $46.00 | $5.16 – $41.40 | 18 |
| Calprotectin fecal CPT 83993 | $165.00 | $275.00 | $19.63 – $247.50 | 18 |
| Campylobacter antibody CPT 86625 | $124.20 | $207.00 | $13.12 – $186.30 | 18 |
| Candida dna CPT 87480 | $67.80 | $113.00 | $20.05 – $101.70 | 18 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $481.80 | $803.00 | $152.57 – $722.70 | 13 |
| Cap nerve 2x15mm HCPCS C1763 | $2,195.40 | $3,659.00 | $424.52 – $3,293.10 | 13 |
| Cap trach decann 15mm HCPCS C1750 | $1,223.40 | $2,039.00 | $105.83 – $501.30 | 13 |
| Carbamazepine free CPT 80157 | $66.60 | $111.00 | $10.99 – $99.90 | 18 |
| Carbamazepine free -sendout CPT 80161 | $39.60 | $66.00 | $18.64 – $59.40 | 17 |
| Carbamazepine total therapeutic drug level CPT 80156 | $35.40 | $59.00 | $14.57 – $53.10 | 18 |
| Carbohydrate urine - sendout CPT 84377 | $27.00 | $45.00 | $5.50 – $40.50 | 18 |
| Carbon dioxide CPT 82374 | $12.00 | $20.00 | $4.88 – $18.00 | 18 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $28.40 | $35.50 | $2.37 – $20.70 | 12 |
| Carboxyhemoglobin quantitative CPT 82375 | $30.60 | $51.00 | $5.60 – $45.90 | 18 |
| Carcinoembryonic ag (cea) CPT 82378 | $46.80 | $78.00 | $17.00 – $70.20 | 18 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $742.80 | $1,238.00 | $261.14 – $4,000.25 | 18 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $91.20 | $152.00 | $13.68 – $385.82 | 17 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $66.60 | $111.00 | $9.19 – $385.82 | 17 |
| Cardiolipin antibody iga CPT 86147 | $62.40 | $104.00 | $25.45 – $93.60 | 18 |
| Cardioversion (Scheduled Heart Rhythm Shock) CPT 92960 | $412.80 | $688.00 | $77.10 – $823.52 | 18 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | $105.00 | $175.00 | $44.05 – $157.50 | 11 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | $52.20 | $87.00 | $23.65 – $81.07 | 11 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $106.20 | $177.00 | $43.32 – $159.30 | 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.