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 |
|---|---|---|---|---|
| Carotene CPT 82380 | $99.00 | $165.00 | $9.22 – $148.50 | 18 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $631.80 | $1,053.00 | $177.29 – $947.70 | 18 |
| Ca screen;flexi sigmoidscope HCPCS G0104 | not published | not published | $48.17 – $1,158.51 | 11 |
| Casiri and imdev repeat HCPCS M0240 | $1,020.00 | $1,700.00 | $425.00 – $1,530.00 | 12 |
| Caspofungin acetate HCPCS J0637 | $74.00 | $92.50 | $3.54 – $82.80 | 12 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $896.40 | $1,494.00 | $6.24 – $305.10 | 13 |
| Cath ablt clsfast 7fx100cmx HCPCS C1888 | $988.80 | $1,648.00 | $769.52 – $1,483.20 | 10 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $957.60 | $1,596.00 | $5.51 – $26.10 | 13 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $6,495.60 | $10,826.00 | $16.98 – $1,894.50 | 10 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | $7,765.20 | $12,942.00 | $787.33 – $11,647.80 | 17 |
| Cath council tip 16fr 5cc HCPCS A4344 | $25.20 | $42.00 | $1.90 – $9.00 | 13 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $597.00 | $995.00 | $59.85 – $130.50 | 13 |
| Cath entrl fd nutri 5fr 40cm HCPCS B4082 | $8.40 | $14.00 | $7.70 – $12.60 | 10 |
| Catheter declot mechanical CPT 36596 | not published | not published | $36.63 – $1,973.94 | 14 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $7.80 | $13.00 | $3.00 – $22.80 | 17 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $1,175.40 | $1,959.00 | $251.94 – $1,193.40 | 13 |
| Cath hawkone s directional HCPCS C1714 | $3,988.20 | $6,647.00 | $405.54 – $5,982.30 | 10 |
| Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt HCPCS C1881 | $6,612.00 | $11,020.00 | $215.47 – $9,918.00 | 13 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $1,915.20 | $3,192.00 | $42.90 – $1,276.80 | 13 |
| Cath indw foley 3 way HCPCS A4346 | $43.20 | $72.00 | $12.10 – $19.80 | 10 |
| Cath infuse micro 150cm rapidtransit HCPCS A4351 | $118.20 | $197.00 | $1.54 – $2.70 | 10 |
| Cath insertion tray w/bag HCPCS A4354 | $23.40 | $39.00 | $10.42 – $35.10 | 10 |
| Cath left heart/lv gram CPT 93452 | $5,552.40 | $9,254.00 | $601.32 – $8,328.60 | 17 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $1,806.60 | $3,011.00 | $7.70 – $606.00 | 13 |
| Cath pezzer 34fr drain bardex propor head mushrm ltx HCPCS A4340 | $55.20 | $92.00 | $8.25 – $13.50 | 10 |
| Cath place 1st order venous 36011 CPT 36011 | $80.40 | $134.00 | $77.10 – $172.67 | 13 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | $4,666.80 | $7,778.00 | $1,012.68 – $7,000.20 | 17 |
| Cath right heart w/o2 sat & card CPT 93451 | $4,666.80 | $7,778.00 | $625.19 – $7,000.20 | 17 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $201.00 | $335.00 | $46.83 – $622.00 | 13 |
| Cath steerable flex adv 12f HCPCS C1766 | $1,899.00 | $3,165.00 | $142.97 – $2,848.50 | 10 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $733.20 | $1,222.00 | $2.66 – $12.60 | 13 |
| Cath w/drainage 2-way latex HCPCS A4314 | $93.00 | $155.00 | $6.05 – $9.90 | 10 |
| Cath w/drainage 2-way silcne HCPCS A4315 | $45.00 | $75.00 | $6.05 – $9.90 | 10 |
| Cauterization chemical granulation tissue CPT 17250 | $584.40 | $974.00 | $31.03 – $2,904.64 | 18 |
| Cauterization of cervix 57510 CPT 57510 | not published | not published | $40.00 – $4,040.20 | 14 |
| Cciiv4 vac no prsv 0.5 ml im CPT 90674 | $21.00 | $35.00 | $12.50 – $32.28 | 13 |
| Cdna analysis for variants CPT 81403 | $1,433.40 | $2,389.00 | $185.20 – $1,245.60 | 17 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $22.60 | $28.25 | $0.71 – $4.50 | 13 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $78.40 | $98.00 | $1.22 – $15.30 | 13 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $53.80 | $67.25 | $4.78 – $15.30 | 12 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $222.60 | $371.00 | $3.00 – $10.61 | 17 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $12.00 | $15.00 | $1.57 – $9.90 | 13 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $70.40 | $88.00 | $0.43 – $79.20 | 13 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | $12.20 | $15.25 | $1.85 – $13.50 | 12 |
| #celiac hla-dq8 CPT 81383 | $1,607.40 | $2,679.00 | $109.13 – $2,411.10 | 18 |
| Cell count body fluid CPT 89050 | $11.40 | $19.00 | $4.50 – $17.10 | 18 |
| Cell count w differential body fluid CPT 89051 | $13.20 | $22.00 | $5.60 – $19.80 | 18 |
| Cell cryopreserve/storage CPT 88240 | $150.60 | $251.00 | $13.07 – $225.90 | 17 |
| Cell function assay w/stim CPT 86352 | $721.80 | $1,203.00 | $77.84 – $1,082.70 | 18 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | $66.00 | $110.00 | $26.82 – $99.00 | 17 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | $35.00 | $43.75 | $3.91 – $5,821.73 | 18 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $257.40 | $429.00 | $67.98 – $386.10 | 17 |
| #cf-97variants CPT 81220 | $3,167.40 | $5,279.00 | $445.28 – $1,395.90 | 18 |
| Change cystostomy tube; complex 51710 CPT 51710 | $559.80 | $933.00 | $35.00 – $840.00 | 18 |
| Change cystostomy tube simple CPT 51705 | $181.20 | $302.00 | $35.00 – $2,904.64 | 18 |
| Change g-tube to g-j perc CPT 49446 | $547.20 | $912.00 | $121.77 – $2,387.31 | 18 |
| Change nephroureteral cath CPT 50387 | $6,875.40 | $11,459.00 | $69.28 – $10,313.10 | 17 |
| Change of windpipe airway 31502 CPT 31502 | $228.60 | $381.00 | $29.26 – $2,904.64 | 17 |
| Change ureter stent percut CPT 50382 | not published | not published | $209.59 – $2,705.48 | 12 |
| Chemo extend IV infus w/pump HCPCS G0498 | $754.80 | $1,258.00 | $224.15 – $1,132.20 | 16 |
| Chest 2 vws w oblique CPT 71048 | $181.80 | $303.00 | $40.54 – $325.85 | 18 |
| Chest apical lordotic proj CPT 71047 | $165.60 | $276.00 | $37.76 – $269.80 | 18 |
| Chest CT scan (with and without contrast) CPT 71270 | $794.40 | $1,324.00 | $209.21 – $1,191.60 | 18 |
| Chest CT scan (with contrast) CPT 71260 | $669.60 | $1,116.00 | $180.86 – $1,004.40 | 18 |
| Chest CT scan (without contrast) CPT 71250 | $507.00 | $845.00 | $129.93 – $760.50 | 18 |
| Chest Physiotherapy (first session) CPT 94667 | $81.00 | $135.00 | $24.20 – $394.97 | 17 |
| Chest Physiotherapy (follow-up session) CPT 94668 | $59.40 | $99.00 | $33.28 – $394.97 | 17 |
| Chest Ultrasound CPT 76604 | $181.80 | $303.00 | $60.98 – $325.85 | 18 |
| Chest X-ray CPT 71046 | $139.20 | $232.00 | $29.55 – $269.80 | 18 |
| Chest X-ray (single view) CPT 71045 | $109.80 | $183.00 | $19.28 – $269.80 | 18 |
| Chg pr pul rehab for copd patients CPT 94626 | $170.40 | $284.00 | $29.37 – $255.60 | 16 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $274.80 | $458.00 | $105.10 – $545.49 | 18 |
| Chlamydia culture CPT 87110 | $48.00 | $80.00 | $19.60 – $72.00 | 18 |
| Chlamydia trachomatis ag if CPT 87270 | $87.60 | $146.00 | $11.98 – $131.40 | 17 |
| Chlamydia type CPT 87140 | $13.80 | $23.00 | $3.00 – $20.70 | 18 |
| Chloride CPT 82435 | $10.80 | $18.00 | $4.60 – $16.20 | 18 |
| Chloride 24 hour urine CPT 82436 | $12.00 | $20.00 | $5.75 – $18.00 | 18 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $392.80 | $491.00 | $39.45 – $441.90 | 12 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $77.00 | $96.25 | $25.27 – $86.40 | 12 |
| Chlorpromazine 100 mg tablet HCPCS Q0161 | $0.80 | $1.00 | $0.34 – $0.90 | 11 |
| Cholangiogram percutaneous compl CPT 47532 | $3,342.00 | $5,570.00 | $77.10 – $5,013.00 | 18 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $487.20 | $812.00 | $33.82 – $730.80 | 11 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $1,876.20 | $3,127.00 | $277.69 – $4,655.61 | 17 |
| Cholesterol CPT 82465 | $10.20 | $17.00 | $4.35 – $15.30 | 18 |
| Cholesterol body fluid CPT 84999 | $80.40 | $134.00 | $33.50 – $120.60 | 10 |
| Cholesterol (Lipid) Test CPT 80061 | $32.40 | $54.00 | $13.39 – $48.60 | 18 |
| Cholinesterase CPT 82480 | $118.20 | $197.00 | $6.00 – $177.30 | 18 |
| Chrom analysis CPT 88273 | $340.80 | $568.00 | $34.81 – $511.20 | 17 |
| Chromatography CPT 83021 | $45.00 | $75.00 | $18.06 – $67.50 | 18 |
| Chromogenic substrate assay CPT 85130 | $189.00 | $315.00 | $11.89 – $283.50 | 17 |
| Chromo high res and frag x - sendout CPT 81243 | $3,739.80 | $6,233.00 | $45.63 – $143.05 | 18 |
| Chromosome analysis 15-20 cell count CPT 88262 | $306.60 | $511.00 | $125.49 – $459.90 | 18 |
| Chylomicron screen, bf - sendout CPT 82664 | $198.00 | $330.00 | $27.64 – $297.00 | 17 |
| Ciliary transsleral therapy CPT 66710 | $3,835.80 | $6,393.00 | $845.00 – $5,753.70 | 17 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $10.20 | $12.75 | $1.26 – $7.20 | 12 |
| Ciprofloxacin otic susp 6 mg HCPCS J7342 | $811.20 | $1,014.00 | $30.01 – $912.60 | 11 |
| Circum 28 days or older CPT 54161 | not published | not published | $160.00 – $2,603.03 | 14 |
| Circumcision (newborn) CPT 54150 | $1,516.80 | $2,528.00 | $98.75 – $2,904.64 | 18 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $7.80 | $13.00 | $1.69 – $11.70 | 12 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $4,054.80 | $6,758.00 | $263.61 – $6,082.20 | 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.