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 |
|---|---|---|---|---|
| Drug test prsmv instrmnt CPT 80306 | $100.80 | $168.00 | $11.14 – $134.40 | 16 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $265.80 | $443.00 | $40.39 – $354.40 | 16 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $219.60 | $366.00 | $98.03 – $480.33 | 14 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $509.40 | $849.00 | $148.64 – $679.20 | 16 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $10,483.80 | $17,473.00 | $85.12 – $3,354.40 | 14 |
| Ear canal biopsy 69105 CPT 69105 | $94.80 | $158.00 | $19.40 – $2,325.85 | 16 |
| Ear irrigation 69209 CPT 69209 | $17.40 | $29.00 | $8.04 – $98.03 | 14 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $19.20 | $32.00 | $5.31 – $43.65 | 16 |
| Ecg < 30 days transmission & analysis CPT 93271 | $732.60 | $1,221.00 | $78.88 – $976.80 | 16 |
| Ecg external < 48 hours recording CPT 93225 | $207.00 | $345.00 | $19.16 – $276.00 | 16 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $376.80 | $628.00 | $41.75 – $502.40 | 16 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $207.00 | $345.00 | $9.55 – $276.00 | 16 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $207.00 | $345.00 | $9.18 – $276.00 | 16 |
| Ecg/review interpret only CPT 93272 | $58.20 | $97.00 | $26.89 – $81.42 | 14 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $837.00 | $1,395.00 | $148.07 – $1,116.00 | 16 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $295.20 | $492.00 | $38.33 – $393.60 | 16 |
| Echocardiography doppler color flow mapping CPT 93325 | $105.60 | $176.00 | $19.51 – $242.77 | 16 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $67.20 | $112.00 | $29.71 – $129.33 | 16 |
| Echo exam uterus 76831- CPT 76831 | $330.00 | $550.00 | $75.68 – $218.40 | 15 |
| Echo transesophageal CPT 93313 | $125.40 | $209.00 | $13.34 – $167.20 | 15 |
| Echo transthoracic CPT 93303 | $511.20 | $852.00 | $165.11 – $681.60 | 16 |
| Echo transthoracic CPT 93304 | $351.60 | $586.00 | $38.33 – $468.80 | 16 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | $16,242.00 | $27,070.00 | $44.82 – $21,656.00 | 14 |
| Ed svc ckd grp per session HCPCS G0421 | $39.00 | $65.00 | $8.04 – $26.43 | 14 |
| Ed svc ckd ind per session HCPCS G0420 | $161.40 | $269.00 | $32.43 – $112.90 | 14 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $997.80 | $1,663.00 | $95.00 – $1,330.40 | 16 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $122.40 | $204.00 | $56.55 – $163.20 | 14 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $896.40 | $1,494.00 | $23.62 – $1,195.20 | 16 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $1,100.40 | $1,834.00 | $122.71 – $1,467.20 | 16 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $936.00 | $1,560.00 | $23.62 – $1,248.00 | 16 |
| Eeg recording awake and asleep CPT 95819 | $1,054.80 | $1,758.00 | $23.62 – $1,406.40 | 16 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | $1,123.20 | $1,872.00 | $84.00 – $1,497.60 | 15 |
| Egd control bleeding any CPT 43255 | $789.00 | $1,315.00 | $244.12 – $1,052.00 | 15 |
| Egd dilate stricture CPT 43245 | $379.20 | $632.00 | $172.01 – $1,041.88 | 15 |
| Egd endo mucosal resection CPT 43254 | $480.00 | $800.00 | $221.76 – $1,041.88 | 14 |
| Egd endoscopic stent place CPT 43266 | $417.60 | $696.00 | $192.93 – $1,041.88 | 14 |
| Egd guide wire insertion CPT 43248 | $526.20 | $877.00 | $243.10 – $1,041.88 | 14 |
| Egd injection varices CPT 43243 | $480.00 | $800.00 | $221.76 – $1,041.88 | 14 |
| Egd lesion ablation CPT 43270 | $435.60 | $726.00 | $201.25 – $1,192.92 | 14 |
| Egd remove foreign body CPT 43247 | $561.00 | $935.00 | $182.73 – $1,041.88 | 15 |
| Egd remove lesion snare CPT 43251 | $642.60 | $1,071.00 | $198.82 – $1,072.14 | 15 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | $343.80 | $573.00 | $158.84 – $1,072.14 | 14 |
| Egd varices ligation CPT 43244 | $822.00 | $1,370.00 | $379.76 – $1,096.00 | 14 |
| Egfr gene com variants CPT 81235 | $1,104.60 | $1,841.00 | $53.00 – $1,472.80 | 16 |
| EKG (Electrocardiogram) CPT 93000 | $154.20 | $257.00 | $16.94 – $71.96 | 16 |
| EKG (Tracing Only) CPT 93005 | $154.20 | $257.00 | $7.51 – $71.96 | 16 |
| Elbow arthroscopy/surgery CPT 29837 | $1,032.00 | $1,720.00 | $476.78 – $1,376.00 | 15 |
| Elbow arthroscopy/surgery CPT 29838 | $1,057.80 | $1,763.00 | $488.70 – $1,410.40 | 14 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $128.40 | $214.00 | $26.90 – $171.20 | 15 |
| Elbow X-ray (3 or more views, both sides) CPT 73080 | $154.20 | $257.00 | $29.88 – $205.60 | 15 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | $54.00 | $90.00 | $10.53 – $1,041.88 | 16 |
| Elect analysis of infusion pump 62367 CPT 62367 | $40.20 | $67.00 | $8.59 – $1,041.88 | 15 |
| Electrical Stimulation Therapy (each 15 minutes) CPT 97032 | $65.40 | $109.00 | $15.21 – $87.20 | 15 |
| Electrical stimulation/unattended 97014 CPT 97014 | $135.60 | $226.00 | $13.01 – $180.80 | 15 |
| Electrolyte panel CPT 80051 | $66.60 | $111.00 | $4.56 – $88.80 | 16 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | $7,555.20 | $12,592.00 | $7.88 – $7,555.20 | 14 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $160.20 | $267.00 | $33.54 – $308.08 | 16 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | $192.00 | $320.00 | $39.09 – $365.45 | 16 |
| Emg cranial nerve bilateral CPT 95868 | $257.40 | $429.00 | $59.28 – $297.53 | 16 |
| Emg needle test 1-extremity CPT 95860 | $122.40 | $204.00 | $25.78 – $195.80 | 16 |
| Emg needle test 4-extremities CPT 95864 | $237.00 | $395.00 | $48.23 – $477.51 | 16 |
| Emg thor paraspinal without t1/t2 CPT 95869 | $54.00 | $90.00 | $10.53 – $168.30 | 16 |
| Endo cholangiopancreatograph CPT 43261 | $1,015.20 | $1,692.00 | $469.02 – $1,353.60 | 14 |
| Endo cholangiopancreatograph CPT 43262 | $1,192.20 | $1,987.00 | $550.80 – $1,589.60 | 14 |
| Endoscopic injection/implant CPT 51715 | $360.60 | $601.00 | $166.60 – $771.51 | 15 |
| Endoscopic pancreatoscopy CPT 43273 | $225.00 | $375.00 | $103.95 – $771.51 | 14 |
| Endoscopy maxillary sinus CPT 31267 | $626.40 | $1,044.00 | $88.98 – $1,192.92 | 15 |
| Endoscopy of bowel pouch 44385 CPT 44385 | $306.60 | $511.00 | $98.41 – $771.51 | 15 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $382.20 | $637.00 | $54.89 – $771.51 | 15 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $10,491.60 | $17,486.00 | $36.74 – $9,325.60 | 14 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $309.00 | $515.00 | $0.59 – $82.40 | 14 |
| Enterectomy small intestine single 44120 CPT 44120 | $1,956.00 | $3,260.00 | $903.67 – $2,608.00 | 14 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | $2,347.80 | $3,913.00 | $226.13 – $3,130.40 | 14 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | $2,757.00 | $4,595.00 | $1,273.73 – $3,676.00 | 14 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | $1,425.60 | $2,376.00 | $658.63 – $1,900.80 | 14 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $193.20 | $322.00 | $28.55 – $771.51 | 16 |
| Epidural lysis on single day 62264 CPT 62264 | $438.00 | $730.00 | $202.36 – $1,083.94 | 14 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $1,098.60 | $1,831.00 | $7.85 – $88.00 | 15 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $2,661.60 | $4,436.00 | $8.54 – $384.00 | 14 |
| Epstein barr early antigen antibody CPT 86663 | $126.00 | $210.00 | $8.53 – $168.00 | 16 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $124.20 | $207.00 | $11.79 – $165.60 | 16 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $682.20 | $1,137.00 | $8.88 – $290.40 | 14 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $4,701.60 | $7,836.00 | $19.97 – $6,268.80 | 14 |
| Ercp biliary & pancreas CPT 74330 | $555.60 | $926.00 | $165.35 – $740.80 | 15 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | $858.60 | $1,431.00 | $172.48 – $1,144.80 | 14 |
| Ercp ea duct/ampulla dilate CPT 43277 | $724.80 | $1,208.00 | $334.86 – $1,041.88 | 14 |
| Ercp remove duct calculi 43264 CPT 43264 | $1,431.00 | $2,385.00 | $661.12 – $1,908.00 | 14 |
| Ercp remove forgn body duct 43275 CPT 43275 | $706.80 | $1,178.00 | $326.54 – $1,041.88 | 14 |
| Ercp stent exchange w/dilate CPT 43276 | $891.00 | $1,485.00 | $411.64 – $1,188.00 | 14 |
| Ercp w/specimen collection CPT 43260 | $969.00 | $1,615.00 | $447.68 – $1,292.00 | 14 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $3,510.60 | $5,851.00 | $89.34 – $4,680.80 | 14 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $163.20 | $272.00 | $9.86 – $69.60 | 14 |
| 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 |
| Esophagoscopy balloon <30mm CPT 43220 | $233.40 | $389.00 | $107.83 – $771.51 | 15 |
| Esophagoscopy flex biopsy CPT 43202 | $350.40 | $584.00 | $106.55 – $771.51 | 15 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $320.40 | $534.00 | $98.14 – $771.51 | 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.