healthcosts.net
UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
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 |
|---|---|---|---|---|
| Abdominal CT scan (with and without contrast) CPT 74170 | $969.00 | $1,615.00 | $185.29 – $1,292.00 | 16 |
| Abdominal CT scan (with contrast) CPT 74160 | $754.20 | $1,257.00 | $156.50 – $1,005.60 | 16 |
| Abdominal CT scan (without contrast) CPT 74150 | $590.40 | $984.00 | $135.45 – $787.20 | 16 |
| Abdominal MRI (with and without contrast) CPT 74183 | $1,915.20 | $3,192.00 | $423.03 – $2,553.60 | 16 |
| Abdominal MRI (with contrast) CPT 74182 | $1,393.80 | $2,323.00 | $377.41 – $1,858.40 | 16 |
| Abdominal MRI (without contrast) CPT 74181 | $1,335.60 | $2,226.00 | $240.06 – $1,780.80 | 16 |
| Abdominal Ultrasound (complete) CPT 76700 | $439.20 | $732.00 | $100.03 – $585.60 | 16 |
| Abdominal Ultrasound (limited) CPT 76705 | $280.80 | $468.00 | $65.62 – $374.40 | 16 |
| Ankle X-ray CPT 73610 | $140.40 | $234.00 | $33.86 – $187.20 | 15 |
| Appendix Removal (Laparoscopic) CPT 44970 | $805.20 | $1,342.00 | $372.00 – $1,677.17 | 14 |
| Blood Clotting (PT/INR) Test CPT 85610 | $30.60 | $51.00 | $2.79 – $40.80 | 16 |
| Blood Clotting (PTT) Test CPT 85730 | $44.40 | $74.00 | $3.91 – $59.20 | 16 |
| Blood Count (CBC) Test CPT 85025 | $42.60 | $71.00 | $5.05 – $56.80 | 16 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $46.80 | $78.00 | $4.21 – $62.40 | 16 |
| Blood Culture Test CPT 87040 | $73.80 | $123.00 | $6.71 – $98.40 | 16 |
| Bone Density Scan (DEXA) CPT 77080 | $351.60 | $586.00 | $38.28 – $468.80 | 16 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $2,076.00 | $3,460.00 | $407.17 – $2,768.00 | 16 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $1,384.20 | $2,307.00 | $276.76 – $1,845.60 | 16 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $1,230.00 | $2,050.00 | $263.06 – $1,640.00 | 16 |
| Brain MRI (with and without contrast) CPT 70553 | $1,909.80 | $3,183.00 | $355.95 – $2,546.40 | 16 |
| Brain MRI (with contrast) CPT 70552 | $1,243.20 | $2,072.00 | $319.01 – $1,657.60 | 16 |
| Brain MRI (without contrast) CPT 70551 | $977.40 | $1,629.00 | $230.42 – $1,303.20 | 16 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $419.40 | $699.00 | $145.83 – $1,041.88 | 15 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $1,027.20 | $1,712.00 | $406.23 – $1,369.60 | 16 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,119.60 | $1,866.00 | $279.43 – $1,492.80 | 16 |
| CT Angiogram of the Head CPT 70496 | $999.00 | $1,665.00 | $275.78 – $1,332.00 | 16 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $1,848.00 | $3,080.00 | $349.36 – $2,464.00 | 16 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $1,431.00 | $2,385.00 | $276.32 – $1,908.00 | 16 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $1,185.60 | $1,976.00 | $176.70 – $1,580.80 | 16 |
| Cardiac Stress Test CPT 93015 | $233.40 | $389.00 | $83.36 – $312.76 | 15 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $481.20 | $802.00 | $155.25 – $641.60 | 16 |
| Carpal Tunnel Release Surgery CPT 64721 | $763.80 | $1,273.00 | $315.00 – $1,041.88 | 15 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,992.60 | $3,321.00 | $175.74 – $2,656.80 | 16 |
| Chest CT scan (with contrast) CPT 71260 | $1,725.00 | $2,875.00 | $152.41 – $2,300.00 | 16 |
| Chest CT scan (without contrast) CPT 71250 | $751.80 | $1,253.00 | $140.27 – $1,002.40 | 16 |
| Chest X-ray CPT 71046 | $150.60 | $251.00 | $24.82 – $200.80 | 16 |
| Chest X-ray (single view) CPT 71045 | $102.60 | $171.00 | $16.25 – $136.80 | 16 |
| Cholesterol (Lipid) Test CPT 80061 | $97.80 | $163.00 | $8.70 – $130.40 | 16 |
| Circumcision (newborn) CPT 54150 | $283.80 | $473.00 | $82.95 – $2,325.85 | 14 |
| Colonoscopy (diagnostic) CPT 45378 | $609.00 | $1,015.00 | $189.53 – $1,041.88 | 15 |
| Colonoscopy (with biopsy) CPT 45380 | $727.20 | $1,212.00 | $236.69 – $1,041.88 | 15 |
| Colonoscopy (with polyp removal) CPT 45385 | $862.80 | $1,438.00 | $281.48 – $1,152.55 | 15 |
| Cystoscopy (Bladder Scope) CPT 52000 | $400.80 | $668.00 | $78.75 – $771.51 | 15 |
| Diabetes (HbA1c) Test CPT 83036 | $75.00 | $125.00 | $6.31 – $100.00 | 16 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $458.40 | $764.00 | $136.34 – $611.20 | 15 |
| Diagnostic Mammogram (one breast) CPT 77065 | $360.00 | $600.00 | $107.53 – $480.00 | 15 |
| EKG (Electrocardiogram) CPT 93000 | $154.20 | $257.00 | $16.94 – $71.96 | 16 |
| ER Visit (level 1, minor) CPT 99281 | $136.20 | $227.00 | $18.26 – $103.74 | 15 |
| ER Visit (level 2) CPT 99282 | $210.00 | $350.00 | $30.27 – $203.78 | 16 |
| ER Visit (level 3) CPT 99283 | $274.20 | $457.00 | $39.46 – $272.94 | 16 |
| ER Visit (level 4) CPT 99284 | $357.00 | $595.00 | $56.38 – $432.27 | 16 |
| ER Visit (level 5, high severity) CPT 99285 | $630.00 | $1,050.00 | $56.38 – $553.93 | 16 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $837.00 | $1,395.00 | $148.07 – $1,116.00 | 16 |
| Established Patient Office Visit (level 1) CPT 99211 | $84.00 | $140.00 | $19.64 – $70.40 | 16 |
| Established Patient Office Visit (level 2) CPT 99212 | $110.40 | $184.00 | $27.30 – $96.80 | 16 |
| Established Patient Office Visit (level 3) CPT 99213 | $183.00 | $305.00 | $36.75 – $128.00 | 16 |
| Established Patient Office Visit (level 4) CPT 99214 | $273.00 | $455.00 | $51.57 – $190.40 | 16 |
| Established Patient Office Visit (level 5) CPT 99215 | $367.80 | $613.00 | $59.28 – $256.00 | 16 |
| Flexible Sigmoidoscopy CPT 45330 | $176.40 | $294.00 | $55.81 – $2,325.85 | 15 |
| Foot X-ray CPT 73630 | $144.60 | $241.00 | $31.67 – $192.80 | 15 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $1,009.80 | $1,683.00 | $466.53 – $1,677.17 | 14 |
| Hand X-ray CPT 73130 | $140.40 | $234.00 | $33.56 – $187.20 | 15 |
| Head CT scan (with and without contrast) CPT 70470 | $1,671.60 | $2,786.00 | $167.00 – $2,228.80 | 16 |
| Head CT scan (with contrast) CPT 70460 | $1,234.80 | $2,058.00 | $140.70 – $1,646.40 | 16 |
| Head CT scan (without contrast) CPT 70450 | $753.00 | $1,255.00 | $115.89 – $1,004.00 | 16 |
| Hernia Repair (Inguinal) CPT 49505 | $918.00 | $1,530.00 | $333.38 – $1,470.59 | 15 |
| Hip X-ray CPT 73502 | $148.80 | $248.00 | $43.08 – $198.40 | 15 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $405.00 | $675.00 | $85.58 – $540.00 | 16 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | $1,536.60 | $2,561.00 | $709.91 – $2,048.80 | 14 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | $1,639.20 | $2,732.00 | $570.67 – $2,185.60 | 15 |
| Knee MRI (with and without contrast) CPT 73723 | $1,857.00 | $3,095.00 | $468.12 – $2,476.00 | 15 |
| Knee MRI (with contrast) CPT 73722 | $1,384.20 | $2,307.00 | $379.08 – $1,845.60 | 15 |
| Knee MRI (without contrast) CPT 73721 | $966.60 | $1,611.00 | $236.03 – $1,288.80 | 15 |
| Knee X-ray CPT 73564 | $215.40 | $359.00 | $42.48 – $287.20 | 15 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $495.00 | $825.00 | $153.99 – $660.00 | 16 |
| Liver Function Test CPT 80076 | $79.20 | $132.00 | $5.31 – $105.60 | 16 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,130.40 | $1,884.00 | $204.80 – $1,507.20 | 16 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $961.20 | $1,602.00 | $158.08 – $1,281.60 | 16 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $771.60 | $1,286.00 | $145.52 – $1,028.80 | 16 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $1,907.40 | $3,179.00 | $355.95 – $2,543.20 | 16 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $1,237.80 | $2,063.00 | $320.31 – $1,650.40 | 16 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,032.00 | $1,720.00 | $223.32 – $1,376.00 | 16 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $171.00 | $285.00 | $34.16 – $228.00 | 16 |
| Lumbar Spinal Fusion (single level) CPT 22612 | $2,020.20 | $3,367.00 | $401.11 – $4,018.01 | 15 |
| Lung Function Test (Spirometry) CPT 94010 | $100.20 | $167.00 | $15.75 – $92.23 | 16 |
| Metabolic Blood Panel (Basic) CPT 80048 | $81.60 | $136.00 | $5.50 – $108.80 | 16 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $100.80 | $168.00 | $6.86 – $134.40 | 16 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $1,086.00 | $1,810.00 | $204.80 – $1,448.00 | 16 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $1,012.80 | $1,688.00 | $158.08 – $1,350.40 | 16 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $751.80 | $1,253.00 | $140.27 – $1,002.40 | 16 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $1,924.20 | $3,207.00 | $355.95 – $2,565.60 | 16 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $1,257.00 | $2,095.00 | $323.92 – $1,676.00 | 16 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $981.60 | $1,636.00 | $224.02 – $1,308.80 | 16 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $2,076.00 | $3,460.00 | $421.17 – $2,768.00 | 16 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $1,384.20 | $2,307.00 | $296.49 – $1,845.60 | 16 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $1,230.00 | $2,050.00 | $263.82 – $1,640.00 | 16 |
| New Patient Office Visit (level 2) CPT 99202 | $183.00 | $305.00 | $37.10 – $140.00 | 16 |
| New Patient Office Visit (level 3) CPT 99203 | $271.80 | $453.00 | $56.06 – $190.40 | 16 |
| New Patient Office Visit (level 4) CPT 99204 | $420.00 | $700.00 | $61.30 – $300.00 | 16 |
| New Patient Office Visit (level 5) CPT 99205 | $526.20 | $877.00 | $65.78 – $385.60 | 16 |
| Nuclear Stress Test (Heart) CPT 78452 | $1,858.20 | $3,097.00 | $357.84 – $2,477.60 | 16 |
| PSA (Prostate) Test CPT 84153 | $125.40 | $209.00 | $11.95 – $167.20 | 16 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $886.20 | $1,477.00 | $167.00 – $1,181.60 | 16 |
| Pelvic CT scan (with contrast) CPT 72193 | $679.80 | $1,133.00 | $147.09 – $906.40 | 16 |
| Pelvic CT scan (without contrast) CPT 72192 | $599.40 | $999.00 | $118.12 – $799.20 | 16 |
| Pelvic MRI (with and without contrast) CPT 72197 | $1,912.20 | $3,187.00 | $422.26 – $2,549.60 | 16 |
| Pelvic MRI (with contrast) CPT 72196 | $1,384.20 | $2,307.00 | $297.96 – $1,845.60 | 16 |
| Pelvic MRI (without contrast) CPT 72195 | $1,230.00 | $2,050.00 | $284.41 – $1,640.00 | 16 |
| Pelvic Ultrasound (complete) CPT 76856 | $316.80 | $528.00 | $80.33 – $422.40 | 16 |
| Pelvic Ultrasound (limited) CPT 76857 | $280.20 | $467.00 | $33.60 – $373.60 | 16 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $632.40 | $1,054.00 | $81.38 – $843.20 | 16 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $445.80 | $743.00 | $88.29 – $594.40 | 16 |
| Rapid Strep Test CPT 87880 | $59.40 | $99.00 | $6.62 – $79.20 | 16 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $633.00 | $1,055.00 | $292.45 – $1,041.88 | 13 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $718.20 | $1,197.00 | $331.81 – $1,041.88 | 13 |
| Screening Mammogram CPT 77067 | $381.00 | $635.00 | $109.94 – $508.00 | 15 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | $2,174.40 | $3,624.00 | $1,004.57 – $2,899.20 | 14 |
| Shoulder MRI (with and without contrast) CPT 73223 | $1,855.20 | $3,092.00 | $467.77 – $2,473.60 | 15 |
| Shoulder MRI (with contrast) CPT 73222 | $1,384.20 | $2,307.00 | $375.92 – $1,845.60 | 15 |
| Shoulder MRI (without contrast) CPT 73221 | $966.00 | $1,610.00 | $236.38 – $1,288.00 | 15 |
| Shoulder X-ray CPT 73030 | $144.60 | $241.00 | $31.80 – $192.80 | 15 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,477.80 | $2,463.00 | $174.02 – $1,970.40 | 16 |
| Sinus CT scan (with contrast) CPT 70487 | $1,350.00 | $2,250.00 | $140.70 – $1,800.00 | 16 |
| Sinus CT scan (without contrast) CPT 70486 | $1,144.80 | $1,908.00 | $136.50 – $1,526.40 | 16 |
| Skin Biopsy CPT 11102 | $357.60 | $596.00 | $31.88 – $2,094.25 | 16 |
| Thyroid (TSH) Test CPT 84443 | $78.60 | $131.00 | $10.92 – $104.80 | 16 |
| Thyroid Ultrasound CPT 76536 | $339.60 | $566.00 | $80.17 – $452.80 | 16 |
| Tonsillectomy (age 12+) CPT 42826 | $461.40 | $769.00 | $213.17 – $1,470.59 | 14 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $557.45 – $5,167.85 | 4 |
| Total Hip Replacement CPT 27130 | $3,477.00 | $5,795.00 | $1,606.37 – $4,895.36 | 14 |
| Total Knee Replacement CPT 27447 | $3,271.80 | $5,453.00 | $1,511.57 – $5,731.96 | 14 |
| Tubal Ligation (Laparoscopic) CPT 58670 | $678.00 | $1,130.00 | $313.24 – $1,192.92 | 14 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $1,926.00 | $3,210.00 | $355.95 – $2,568.00 | 16 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $1,250.40 | $2,084.00 | $321.81 – $1,667.20 | 16 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,042.20 | $1,737.00 | $224.37 – $1,389.60 | 16 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $878.40 | $1,464.00 | $131.48 – $1,171.20 | 15 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $637.20 | $1,062.00 | $156.01 – $1,041.88 | 15 |
| Urinalysis (with microscopy) CPT 81001 | $34.20 | $57.00 | $2.06 – $45.60 | 16 |
| Urinalysis (without microscopy) CPT 81003 | $19.20 | $32.00 | $1.46 – $25.60 | 16 |
| Urine Culture Test CPT 87086 | $57.60 | $96.00 | $5.25 – $76.80 | 16 |
| Vasectomy CPT 55250 | $1,078.20 | $1,797.00 | $155.93 – $2,325.85 | 15 |
| Vitamin D Test CPT 82306 | $147.00 | $245.00 | $19.24 – $196.00 | 16 |
| Wrist X-ray CPT 73110 | $140.40 | $234.00 | $37.24 – $187.20 | 15 |
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.