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 |
|---|---|---|---|---|
| Dna trichomonas CPT 87660 | $67.80 | $113.00 | $20.05 – $101.70 | 18 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $49.80 | $83.00 | $6.43 – $18.00 | 12 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $60.40 | $87.00 | $0.46 – $67.50 | 12 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $42.60 | $71.00 | $0.67 – $3.60 | 12 |
| Doppler echo complete CPT 93320 | $331.80 | $553.00 | $49.36 – $497.70 | 12 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $436.20 | $727.00 | $114.44 – $654.30 | 18 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $189.60 | $316.00 | $60.99 – $394.97 | 18 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | $3.00 | $5.00 | $1.25 – $4.50 | 10 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $534.00 | $890.00 | $217.21 – $801.00 | 17 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $57.20 | $71.50 | $2.39 – $23.40 | 12 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $1,388.40 | $2,314.00 | $78.06 – $2,082.60 | 17 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $0.78 | $0.98 | $0.11 – $0.88 | 10 |
| Dpyd gene common variants CPT 81232 | $1,535.40 | $2,559.00 | $174.81 – $2,303.10 | 17 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $684.00 | $1,140.00 | $33.12 – $2,904.64 | 18 |
| Drainage external ear simple 69000 CPT 69000 | $218.40 | $364.00 | $53.75 – $2,904.64 | 18 |
| Drainage mouth roof lesion CPT 42000 | $3,780.60 | $6,301.00 | $25.00 – $5,670.90 | 18 |
| Drainage of arm bursa 23931 CPT 23931 | $1,223.40 | $2,039.00 | $49.38 – $2,039.03 | 18 |
| Drainage of kidney lesion CPT 50390 | $622.80 | $1,038.00 | $114.44 – $934.20 | 18 |
| Drainage of mouth lesion CPT 41008 | $2,941.80 | $4,903.00 | $29.38 – $4,412.70 | 18 |
| Drainage of mouth lesion CPT 41017 | $2,850.60 | $4,751.00 | $29.38 – $4,275.90 | 18 |
| Drainage of nose lesion sept 30020 CPT 30020 | $8,451.00 | $14,085.00 | $91.88 – $12,676.50 | 18 |
| Drainage of rectal abscess CPT 45005 | $771.60 | $1,286.00 | $117.50 – $1,483.84 | 18 |
| Drain blood from under nail 11740 CPT 11740 | $27.00 | $45.00 | $26.10 – $162.21 | 18 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $2,755.80 | $4,593.00 | $171.45 – $4,133.70 | 18 |
| Drain cath image guided visceral pq CPT 49405 | $1,274.40 | $2,124.00 | $162.20 – $2,039.03 | 18 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $791.40 | $1,319.00 | $46.25 – $1,187.10 | 18 |
| Drain finger abscess;simple 26010 CPT 26010 | $89.40 | $149.00 | $33.12 – $250.06 | 18 |
| Drain thigh/knee lesion 27301 CPT 27301 | $1,914.60 | $3,191.00 | $110.62 – $3,601.82 | 18 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $97.20 | $162.00 | $92.55 – $1,033.67 | 18 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $97.20 | $162.00 | $25.00 – $2,904.64 | 18 |
| Drng of eyelid abscess 67700 CPT 67700 | $199.80 | $333.00 | $68.94 – $2,904.64 | 17 |
| Drng of finger abscess comp 26011 CPT 26011 | $795.60 | $1,326.00 | $100.00 – $2,039.03 | 18 |
| Drng of scrotum abscess 55100 CPT 55100 | $795.60 | $1,326.00 | $43.75 – $2,039.03 | 18 |
| Drng salivary gland submax/subling 42310 CPT 42310 | $2,892.00 | $4,820.00 | $63.75 – $4,338.00 | 18 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $21.60 | $27.00 | $7.63 – $24.30 | 12 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $1,493.40 | $2,489.00 | $3.60 – $1,082.70 | 10 |
| Drug test def 1-7 classes HCPCS G0480 | $49.80 | $83.00 | $46.80 – $286.98 | 18 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $52.80 | $88.00 | $19.70 – $79.20 | 21 |
| Drvvt confirm - quest CPT 85597 | $109.80 | $183.00 | $17.98 – $164.70 | 18 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $1,220.40 | $2,034.00 | $77.10 – $2,457.51 | 17 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $436.20 | $727.00 | $126.21 – $654.30 | 18 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $436.20 | $727.00 | $176.95 – $740.68 | 18 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $192.00 | $320.00 | $76.70 – $288.00 | 17 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $168.94 – $2,191.27 | 14 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $4,104.60 | $6,841.00 | $168.94 – $6,156.90 | 18 |
| Dx bronchoscope/wash 31622 CPT 31622 | $740.40 | $1,234.00 | $167.32 – $2,170.20 | 18 |
| Ear irrigation 69209 CPT 69209 | $47.40 | $79.00 | $15.05 – $77.10 | 17 |
| Ecg < 30 days transmission & analysis CPT 93271 | $1,456.80 | $2,428.00 | $93.90 – $2,185.20 | 18 |
| Ecg external < 48 hours recording CPT 93225 | $153.00 | $255.00 | $21.40 – $394.97 | 18 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $146.40 | $244.00 | $42.12 – $219.60 | 18 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $69.60 | $116.00 | $11.38 – $120.28 | 18 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $114.00 | $190.00 | $10.93 – $171.00 | 18 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,352.40 | $2,254.00 | $176.28 – $2,028.60 | 18 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $594.00 | $990.00 | $45.62 – $891.00 | 18 |
| Echocardiography doppler color flow mapping CPT 93325 | $382.80 | $638.00 | $22.70 – $574.20 | 12 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,329.60 | $2,216.00 | $965.31 – $2,420.90 | 16 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $507.00 | $845.00 | $436.35 – $1,094.32 | 16 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $264.60 | $441.00 | $24.44 – $396.90 | 12 |
| Echo exam of fetal heart CPT 76825 | $728.40 | $1,214.00 | $40.00 – $1,680.09 | 18 |
| Echograp trans r pros study CPT 76873 | $363.60 | $606.00 | $108.62 – $545.40 | 17 |
| Echo stress CPT 93350 | $591.00 | $985.00 | $95.62 – $1,680.09 | 18 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $928.80 | $1,548.00 | $272.21 – $1,680.09 | 18 |
| Echo transesophageal intraop CPT 93318 | $2,356.20 | $3,927.00 | $224.71 – $3,534.30 | 17 |
| Echo transthoracic CPT 93303 | $543.60 | $906.00 | $196.56 – $1,680.09 | 18 |
| Echo transthoracic CPT 93304 | $412.80 | $688.00 | $45.62 – $1,680.09 | 18 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | $518.40 | $864.00 | $27.71 – $777.60 | 17 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $590.40 | $984.00 | $28.12 – $954.18 | 18 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $576.00 | $960.00 | $146.09 – $954.18 | 18 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $607.20 | $1,012.00 | $28.12 – $954.18 | 18 |
| Eeg recording awake and asleep CPT 95819 | $691.80 | $1,153.00 | $28.12 – $1,037.70 | 18 |
| E equine encephalitis igg CPT 86652 | $32.40 | $54.00 | $13.19 – $48.60 | 18 |
| Egd balloon dil esoph30 mm/> CPT 43233 | $979.80 | $1,633.00 | $190.86 – $2,387.31 | 17 |
| Egd control bleeding any CPT 43255 | $979.80 | $1,633.00 | $167.22 – $2,387.31 | 18 |
| Egd dilate stricture CPT 43245 | $979.80 | $1,633.00 | $146.02 – $2,387.31 | 18 |
| Egd guide wire insertion CPT 43248 | $979.80 | $1,633.00 | $138.13 – $1,469.70 | 17 |
| Egd injection varices CPT 43243 | $979.80 | $1,633.00 | $197.34 – $2,387.31 | 17 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | $979.80 | $1,633.00 | $118.59 – $2,387.31 | 18 |
| Egd remove foreign body CPT 43247 | $979.80 | $1,633.00 | $147.30 – $1,469.70 | 18 |
| Egd remove lesion snare CPT 43251 | $979.80 | $1,633.00 | $163.17 – $2,387.31 | 18 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | $979.80 | $1,633.00 | $141.32 – $2,387.31 | 17 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | not published | not published | $218.90 – $2,410.49 | 12 |
| Egd varices ligation CPT 43244 | $979.80 | $1,633.00 | $204.15 – $2,387.31 | 17 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $85.80 | $143.00 | $28.07 – $128.70 | 18 |
| EKG (Tracing Only) CPT 93005 | $128.40 | $214.00 | $6.70 – $192.60 | 18 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $57.00 | $95.00 | $30.30 – $269.80 | 17 |
| Elbow X-ray (3 or more views, both sides) CPT 73080 | $122.40 | $204.00 | $33.79 – $269.80 | 17 |
| Electroacous eval hear aid/biaural 92595 CPT 92595 | $256.80 | $428.00 | $15.00 – $385.20 | 12 |
| Electrolyte panel CPT 80051 | $16.80 | $28.00 | $7.00 – $25.20 | 18 |
| Electron microscopy diagnostic CPT 88348 | $1,307.40 | $2,179.00 | $54.08 – $2,503.13 | 18 |
| Electrophysiology evaluation CPT 93641 | $833.40 | $1,389.00 | $554.58 – $1,250.10 | 11 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | $17.40 | $29.00 | $6.84 – $26.10 | 17 |
| Embolization s&i CPT 75894 | $1,596.00 | $2,660.00 | $194.44 – $2,394.00 | 12 |
| Embo or occlude vascular arterial s&i CPT 37242 | $7,500.60 | $12,501.00 | $391.76 – $22,598.08 | 18 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $7,500.60 | $12,501.00 | $547.65 – $14,271.82 | 18 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $7,500.60 | $12,501.00 | $462.99 – $14,271.82 | 18 |
| Encephalitis, western equine igg/igm CPT 86654 | $32.40 | $54.00 | $13.19 – $48.60 | 18 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | $2,230.80 | $3,718.00 | $974.00 – $3,961.05 | 17 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | not published | not published | $974.00 – $3,999.51 | 12 |
| Endocervical curettage 57505 CPT 57505 | not published | not published | $27.50 – $2,904.64 | 14 |
| Endo cholangiopancreatograph CPT 43262 | $1,827.60 | $3,046.00 | $298.08 – $4,787.90 | 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.