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 |
|---|---|---|---|---|
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $78.80 | $98.50 | $10.68 – $88.20 | 17 |
| Claviculectomy partial CPT 23120 | not published | not published | $343.75 – $4,122.90 | 14 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $16.00 | $26.00 | $0.70 – $7.20 | 11 |
| Clip ligating vesolock lg HCPCS C1760 | $1,238.40 | $2,064.00 | $119.45 – $824.40 | 13 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $102.00 | $170.00 | $48.12 – $749.45 | 18 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $388.80 | $648.00 | $111.25 – $2,014.07 | 18 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $1,183.20 | $1,972.00 | $231.25 – $2,014.07 | 18 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $102.00 | $170.00 | $68.12 – $2,904.64 | 18 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $3,420.00 | $5,700.00 | $296.25 – $5,130.00 | 18 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $210.60 | $351.00 | $39.38 – $622.00 | 18 |
| Clos txnose fx without stablz 21315 CPT 21315 | not published | not published | $147.20 – $1,882.25 | 14 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $476.40 | $794.00 | $59.38 – $749.45 | 18 |
| Clot factor xii hageman CPT 85280 | $270.60 | $451.00 | $13.00 – $405.90 | 18 |
| Clot factor xiii fibrin stab CPT 85290 | $39.00 | $65.00 | $8.00 – $58.50 | 18 |
| Clozapine, 25 mg HCPCS S0136 | $0.80 | $1.00 | $0.27 – $0.68 | 12 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $102.00 | $170.00 | $102.00 – $749.45 | 18 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $102.00 | $170.00 | $60.62 – $749.45 | 18 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $102.00 | $170.00 | $102.00 – $749.45 | 18 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $102.00 | $170.00 | $66.25 – $301.88 | 18 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $102.00 | $170.00 | $77.10 – $301.88 | 18 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $388.80 | $648.00 | $207.50 – $2,014.07 | 18 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $388.80 | $648.00 | $250.62 – $2,014.07 | 18 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $2,992.80 | $4,988.00 | $196.25 – $4,489.20 | 18 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $102.00 | $170.00 | $102.00 – $749.45 | 18 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $102.00 | $170.00 | $102.00 – $1,033.67 | 18 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $102.00 | $170.00 | $102.00 – $2,904.64 | 18 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $102.00 | $170.00 | $102.00 – $749.45 | 18 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $388.80 | $648.00 | $148.12 – $2,014.07 | 18 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $388.80 | $648.00 | $196.25 – $2,014.07 | 18 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $3,780.60 | $6,301.00 | $188.12 – $5,670.90 | 18 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $982.80 | $1,638.00 | $173.75 – $2,014.07 | 18 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $70.80 | $118.00 | $36.23 – $749.45 | 18 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $102.00 | $170.00 | $60.62 – $301.88 | 18 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $388.80 | $648.00 | $298.75 – $2,014.07 | 18 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $2,420.40 | $4,034.00 | $140.00 – $3,630.60 | 18 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $1,134.74 – $6,272.71 | 12 |
| #cmvcul-virus inoculation shell CPT 87254 | $71.40 | $119.00 | $5.41 – $107.10 | 18 |
| Cmv pcr-sendout CPT 87496 | $85.80 | $143.00 | $35.09 – $128.70 | 18 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $5.80 | $7.25 | $2.31 – $6.67 | 17 |
| Cold agglutinin screen (arc) CPT 86156 | $88.20 | $147.00 | $5.00 – $132.30 | 18 |
| Cold agglutinin titer CPT 86157 | $19.80 | $33.00 | $8.06 – $29.70 | 18 |
| Collagen imp urinary 2.5 ml HCPCS L8603 | $1,800.00 | $3,000.00 | $268.03 – $2,700.00 | 11 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $147.00 | $245.00 | $33.43 – $269.80 | 17 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $39.60 | $66.00 | $22.13 – $162.21 | 17 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $39.60 | $66.00 | $24.66 – $394.97 | 16 |
| Colonoscopy (diagnostic) CPT 45378 | $1,500.00 | $2,500.00 | $153.62 – $2,250.00 | 18 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | $1,004.40 | $1,674.00 | $190.02 – $1,506.60 | 18 |
| Colonoscopy for bleeding 44391 CPT 44391 | $1,004.40 | $1,674.00 | $192.09 – $1,506.60 | 18 |
| Colonoscopy for foreign body CPT 44390 | $1,004.40 | $1,674.00 | $174.76 – $1,506.60 | 18 |
| Colonoscopy & polypectomy 44392 CPT 44392 | $1,004.40 | $1,674.00 | $165.50 – $1,506.60 | 18 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | $1,004.40 | $1,674.00 | $188.08 – $1,506.60 | 17 |
| Colonoscopy submucous njx CPT 45381 | $1,004.40 | $1,674.00 | $166.88 – $1,506.60 | 18 |
| Colonoscopy thru stoma spx CPT 44388 | $1,004.40 | $1,674.00 | $129.87 – $1,506.60 | 18 |
| Colonoscopy w/ablation CPT 45388 | not published | not published | $225.08 – $1,498.24 | 12 |
| Colonoscopy w/balloon dilat CPT 45386 | $1,004.40 | $1,674.00 | $175.97 – $1,506.60 | 18 |
| Colonoscopy w/control bleed CPT 45382 | $1,004.40 | $1,674.00 | $216.16 – $1,506.60 | 18 |
| Colonoscopy w/decompression CPT 44408 | $748.80 | $1,248.00 | $381.97 – $1,147.37 | 17 |
| Colonoscopy w/fb removal CPT 45379 | $1,004.40 | $1,674.00 | $199.20 – $1,506.60 | 18 |
| Colonoscopy w/injection CPT 44404 | $748.80 | $1,248.00 | $547.80 – $1,483.84 | 17 |
| Colonoscopy (with biopsy) CPT 45380 | $1,004.40 | $1,674.00 | $166.88 – $1,506.60 | 18 |
| Colonoscopy with biopsy CPT 44389 | $1,004.40 | $1,674.00 | $142.97 – $1,506.60 | 18 |
| Colonoscopy (with polyp removal) CPT 45385 | $1,004.40 | $1,674.00 | $212.11 – $1,506.60 | 18 |
| Colpopexy extraperitoneal CPT 57282 | not published | not published | $706.54 – $9,396.54 | 12 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | not published | not published | $77.10 – $1,106.45 | 14 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | not published | not published | $185.63 – $4,040.20 | 14 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $56.40 | $94.00 | $7.20 – $525.08 | 18 |
| Compatibility test each unit immediate spin technique CPT 86920 | $56.40 | $94.00 | $13.21 – $525.08 | 18 |
| Complement antigen each component c3 CPT 86160 | $29.40 | $49.00 | $12.00 – $44.10 | 18 |
| Complement fixation each CPT 86171 | $108.00 | $180.00 | $7.00 – $162.00 | 18 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $281.40 | $469.00 | $257.95 – $1,268.60 | 17 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $281.40 | $469.00 | $221.25 – $1,268.60 | 18 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $281.40 | $469.00 | $257.95 – $1,268.60 | 17 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $217.80 | $363.00 | $88.75 – $1,033.67 | 18 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $217.80 | $363.00 | $199.65 – $1,268.60 | 17 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $217.80 | $363.00 | $103.94 – $1,580.63 | 12 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $217.80 | $363.00 | $68.41 – $1,580.63 | 12 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $281.40 | $469.00 | $60.00 – $1,580.63 | 12 |
| Composite drsg >16<=48 sq in HCPCS A6204 | $3.00 | $5.00 | $2.75 – $4.50 | 10 |
| Composite drsg <= 16 sq in HCPCS A6203 | $3.60 | $6.00 | $3.00 – $5.40 | 10 |
| Comprehensive hearing test CPT 92557 | $122.40 | $204.00 | $33.65 – $479.44 | 18 |
| Concentration infection agents any type CPT 87015 | $25.80 | $43.00 | $6.68 – $38.70 | 18 |
| Conditioning play audiometry 92582 CPT 92582 | $122.40 | $204.00 | $52.71 – $479.44 | 17 |
| Condylomata destruction 56420 CPT 56420 | $90.60 | $151.00 | $63.12 – $2,904.64 | 18 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | not published | not published | $272.44 – $4,040.20 | 14 |
| Conization of cervix CPT 57520 | not published | not published | $264.38 – $4,040.20 | 14 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $811.20 | $1,014.00 | $349.79 – $983.25 | 17 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $83.40 | $139.00 | $12.02 – $2,503.13 | 18 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $24.00 | $40.00 | $11.42 – $55.99 | 12 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $66.00 | $110.00 | $19.07 – $525.08 | 18 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $96.00 | $160.00 | $12.61 – $163.72 | 18 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $3,860.40 | $6,434.00 | $48.75 – $5,790.60 | 18 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $4,310.40 | $7,184.00 | $48.75 – $6,802.93 | 18 |
| Contrast x-ray of elbow CPT 73085 | $660.00 | $1,100.00 | $118.77 – $1,094.32 | 17 |
| Contrast x-ray of hip CPT 73525 | $660.00 | $1,100.00 | $133.41 – $1,094.32 | 17 |
| Contrast x-ray of knee joint CPT 73580 | $660.00 | $1,100.00 | $155.41 – $1,094.32 | 17 |
| Contrast x-ray of wrist CPT 73115 | $660.00 | $1,100.00 | $94.25 – $1,094.32 | 17 |
| Controller infinity pt dbs HCPCS C1787 | $4,978.80 | $8,298.00 | $61.78 – $2,430.00 | 13 |
| Control nosebleed pack+caut 30905 CPT 30905 | $70.80 | $118.00 | $70.80 – $749.45 | 18 |
| Control of nosebleed ant comp 30903 CPT 30903 | $70.80 | $118.00 | $50.62 – $749.45 | 18 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $70.80 | $118.00 | $33.75 – $2,904.64 | 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.