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 |
|---|---|---|---|---|
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $70.80 | $118.00 | $70.80 – $749.45 | 18 |
| Control throat bleeding CPT 42962 | not published | not published | $99.38 – $4,120.95 | 14 |
| Convert nephrostomy catheter CPT 50434 | $3,120.60 | $5,201.00 | $157.72 – $4,680.90 | 17 |
| Coombs direct CPT 86880 | $13.20 | $22.00 | $5.39 – $47.49 | 18 |
| Coombs indirect titer reference CPT 86886 | $12.60 | $21.00 | $5.18 – $192.84 | 18 |
| Copper intrauterine device HCPCS J7300 | $2,529.60 | $3,162.00 | $790.50 – $2,845.80 | 11 |
| Core ndl bx lng/med perq CPT 32408 | $2,880.00 | $4,800.00 | $127.60 – $4,320.00 | 18 |
| Cor hlx vlgs double osteot CPT 28299 | not published | not published | $1,365.00 – $9,077.48 | 12 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | not published | not published | $974.00 – $9,077.48 | 12 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $4,666.80 | $7,778.00 | $826.68 – $7,000.20 | 17 |
| Coronary angio/lv gram/lt heart CPT 93458 | $4,666.80 | $7,778.00 | $745.02 – $7,000.20 | 17 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $4,666.80 | $7,778.00 | $860.80 – $7,000.20 | 17 |
| Cortisol acth stimulation test - sendout CPT 80400 | $80.40 | $134.00 | $32.62 – $120.60 | 18 |
| Cortisol total am CPT 82533 | $40.20 | $67.00 | $12.00 – $60.30 | 18 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $338.40 | $423.00 | $24.78 – $380.70 | 12 |
| Counseling smoke cess interm >10mins CPT 99407 | $48.00 | $80.00 | $21.13 – $91.29 | 18 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $24.00 | $40.00 | $22.00 – $127.23 | 15 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose HCPCS M0249 | $1,020.00 | $1,700.00 | $550.43 – $1,530.00 | 15 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose HCPCS M0250 | $1,020.00 | $1,700.00 | $550.43 – $1,530.00 | 15 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $31.80 | $53.00 | $13.03 – $47.70 | 17 |
| CPAP or BiPAP Setup (first day) CPT 94660 | $250.20 | $417.00 | $41.11 – $623.24 | 17 |
| C-peptide CPT 84681 | $51.00 | $85.00 | $20.81 – $76.50 | 18 |
| CPR (Cardiopulmonary Resuscitation) CPT 92950 | $152.40 | $254.00 | $139.70 – $954.18 | 16 |
| Crbrospnl fld flw imag cistern CPT 78630 | $1,176.60 | $1,961.00 | $141.32 – $1,764.90 | 18 |
| C-reactive protein CPT 86140 | $12.60 | $21.00 | $3.00 – $18.90 | 18 |
| C-reactive protein high sensitivity CPT 86141 | $56.40 | $94.00 | $10.53 – $84.60 | 18 |
| Create eardrum opening CPT 69436 | not published | not published | $123.12 – $1,882.25 | 14 |
| Creatine kinase CPT 82550 | $15.60 | $26.00 | $6.51 – $23.40 | 18 |
| Creatine kinase isoenzymes CPT 82552 | $62.40 | $104.00 | $13.39 – $93.60 | 18 |
| Creatine kinase mb CPT 82553 | $27.60 | $46.00 | $10.08 – $41.40 | 18 |
| Creatine - sendout CPT 82540 | $90.60 | $151.00 | $4.64 – $135.90 | 17 |
| Creatinine CPT 82565 | $12.60 | $21.00 | $5.12 – $18.90 | 18 |
| Creatinine 24 hour urine CPT 82570 | $12.60 | $21.00 | $5.18 – $18.90 | 18 |
| Creatinine clearance urine CPT 82575 | $22.80 | $38.00 | $9.46 – $34.20 | 18 |
| #creutz-prot.,western blot CPT 84182 | $156.60 | $261.00 | $24.55 – $234.90 | 18 |
| Critical care each additional 30 minutes CPT 99292 | $757.20 | $1,262.00 | $89.62 – $1,135.80 | 13 |
| Critical Care (first 30 to 74 minutes) CPT 99291 | $1,895.40 | $3,159.00 | $189.54 – $2,843.10 | 18 |
| Cryocautery of cervix 57511 CPT 57511 | $510.00 | $850.00 | $64.38 – $2,904.64 | 18 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $56.40 | $94.00 | $5.00 – $84.60 | 18 |
| Cryoprecipitate each unit HCPCS P9012 | $118.20 | $197.00 | $77.67 – $194.79 | 16 |
| Cryptococcus abs qn - sendout CPT 86641 | $35.40 | $59.00 | $14.41 – $53.10 | 18 |
| Cryptosporidium antigen CPT 87272 | $29.40 | $49.00 | $11.98 – $44.10 | 17 |
| Crystal identification light microscopy CPT 89060 | $17.40 | $29.00 | $7.33 – $26.10 | 18 |
| CT 3d report other modality w/workstation CPT 76377 | $181.80 | $303.00 | $70.26 – $272.70 | 11 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $540.60 | $901.00 | $217.51 – $810.90 | 17 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $1,114.80 | $1,858.00 | $377.32 – $1,672.20 | 18 |
| CT Angiogram of the Abdomen CPT 74175 | $799.20 | $1,332.00 | $217.51 – $1,198.80 | 18 |
| CT Angiogram of the Abdomen and Both Legs CPT 75635 | $540.60 | $901.00 | $217.51 – $810.90 | 18 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $799.20 | $1,332.00 | $217.51 – $1,198.80 | 18 |
| CT Angiogram of the Head CPT 70496 | $796.80 | $1,328.00 | $217.51 – $1,195.20 | 18 |
| CT Angiogram of the Neck CPT 70498 | $796.80 | $1,328.00 | $217.51 – $1,195.20 | 18 |
| CT angio pelvis CPT 72191 | $799.20 | $1,332.00 | $217.51 – $1,198.80 | 18 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $798.60 | $1,331.00 | $217.51 – $1,197.90 | 17 |
| CT guidance for needle placement CPT 77012 | $490.20 | $817.00 | $139.40 – $735.30 | 12 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $299.40 | $499.00 | $21.88 – $449.10 | 12 |
| CT lwr extremity w/o&w/dye CPT 73702 | $795.00 | $1,325.00 | $212.32 – $1,192.50 | 17 |
| CT scan for therapy guide CPT 77014 | $252.00 | $420.00 | $105.00 – $378.00 | 12 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $627.60 | $1,046.00 | $376.56 – $1,094.32 | 18 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $474.60 | $791.00 | $328.95 – $1,094.32 | 18 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $249.60 | $416.00 | $191.38 – $740.68 | 18 |
| CT t-spine w /wo contrast CPT 72130 | $794.40 | $1,324.00 | $216.56 – $1,191.60 | 18 |
| CT uppr extremity w/o&w/dye CPT 73202 | $795.00 | $1,325.00 | $217.51 – $1,192.50 | 17 |
| Culture aerobic additional method definitive id each CPT 87077 | $19.80 | $33.00 | $7.10 – $29.70 | 18 |
| Culture afb any source CPT 87116 | $26.40 | $44.00 | $7.50 – $39.60 | 18 |
| Culture anaerobic additional method definitive id each CPT 87076 | $19.80 | $33.00 | $8.08 – $29.70 | 18 |
| Culture anaerobic except blood CPT 87075 | $22.80 | $38.00 | $9.47 – $34.20 | 18 |
| Culture bact stool aero addl path ea CPT 87046 | $22.80 | $38.00 | $2.61 – $34.20 | 18 |
| Culture body fluid CPT 87070 | $21.00 | $35.00 | $6.90 – $31.50 | 18 |
| Culture fungi definitive id mold CPT 87107 | $25.20 | $42.00 | $10.32 – $37.80 | 18 |
| Culture fungi definitive id yeast CPT 87106 | $25.20 | $42.00 | $9.70 – $37.80 | 18 |
| Culture fungi other (except blood) CPT 87102 | $20.40 | $34.00 | $8.41 – $30.60 | 18 |
| Culture fungi skin/hair/nail CPT 87101 | $18.60 | $31.00 | $7.71 – $27.90 | 18 |
| Culture mycoplasma any source CPT 87109 | $51.00 | $85.00 | $15.39 – $76.50 | 18 |
| Culture screening strep group a CPT 87081 | $16.20 | $27.00 | $5.20 – $17.10 | 18 |
| Culture typing immunologic CPT 87147 | $33.00 | $55.00 | $3.00 – $49.50 | 18 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $490.80 | $818.00 | $24.03 – $736.20 | 18 |
| Cutter lead HCPCS C1773 | $706.80 | $1,178.00 | $72.80 – $459.00 | 13 |
| Cv line/pic reposition CPT 36597 | $666.60 | $1,111.00 | $49.76 – $1,955.67 | 18 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $36.60 | $61.00 | $14.32 – $54.90 | 18 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $3.40 | $4.25 | $1.00 – $3.60 | 13 |
| Cyclic citrullinated peptide antibody CPT 86200 | $31.80 | $53.00 | $12.95 – $47.70 | 18 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $7.20 | $12.00 | $0.90 – $10.80 | 11 |
| Cyclosporine 2 hour CPT 80158 | $175.20 | $292.00 | $17.09 – $262.80 | 18 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $8.40 | $11.00 | $0.34 – $5.40 | 12 |
| Cyclosporine oral 100 mg HCPCS J7502 | $73.20 | $91.50 | $1.72 – $9.00 | 12 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $10,723.20 | $17,872.00 | $37.81 – $179.10 | 13 |
| Cyp2c19 gene com variants CPT 81225 | $1,195.80 | $1,993.00 | $291.36 – $1,793.70 | 17 |
| Cyp2c9 gene com variants CPT 81227 | $1,764.60 | $2,941.00 | $174.81 – $2,347.20 | 17 |
| Cyp2d6 gene com variants CPT 81226 | $254.40 | $424.00 | $233.20 – $1,130.84 | 17 |
| Cystatin c CPT 82610 | $130.20 | $217.00 | $15.20 – $195.30 | 18 |
| Cystine urine quantitative CPT 82131 | $94.20 | $157.00 | $22.98 – $141.30 | 18 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $228.60 | $381.00 | $42.36 – $1,094.32 | 18 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $520.00 – $11,750.28 | 14 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $226.88 – $4,382.58 | 14 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $191.88 – $4,382.58 | 14 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $270.00 – $4,382.58 | 14 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $337.51 – $4,382.58 | 14 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $563.12 – $6,459.72 | 14 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $309.79 – $2,603.03 | 14 |
| Cystoscopy and treatment CPT 52310 | $3,780.60 | $6,301.00 | $161.25 – $5,670.90 | 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.