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 |
|---|---|---|---|---|
| Esophagoscopy flex remove fb CPT 43215 | $285.00 | $475.00 | $131.67 – $771.51 | 14 |
| Esophagoscopy lesion ablate CPT 43229 | $372.00 | $620.00 | $171.86 – $1,041.88 | 14 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | $809.40 | $1,349.00 | $373.94 – $1,079.20 | 14 |
| Esophagus endoscopy/ligation CPT 43205 | $172.20 | $287.00 | $79.56 – $771.51 | 14 |
| Esoph egd dilation <30 mm CPT 43249 | $487.80 | $813.00 | $225.36 – $1,041.88 | 14 |
| Esoph endoscopy dilation CPT 43226 | $256.80 | $428.00 | $118.64 – $771.51 | 15 |
| 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 |
| Estim aid bone healg invasiv CPT 20975 | $311.40 | $519.00 | $143.87 – $1,041.88 | 14 |
| Estradiol total CPT 82670 | $193.80 | $323.00 | $18.16 – $258.40 | 16 |
| Estrogens total-sendout CPT 82672 | $204.60 | $341.00 | $14.11 – $272.80 | 16 |
| Etonogestrel implant system HCPCS J7307 | $967.20 | $1,612.00 | $446.85 – $1,289.60 | 14 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $2.40 | $4.00 | $0.94 – $3.20 | 14 |
| Euflexxa inj per dose HCPCS J7323 | $451.80 | $753.00 | $112.45 – $350.40 | 14 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $324.00 | $540.00 | $128.77 – $432.00 | 15 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $292.20 | $487.00 | $53.00 – $389.60 | 15 |
| Evaluation of speech fluency 92521 CPT 92521 | $354.60 | $591.00 | $126.83 – $472.80 | 15 |
| Event monitor CPT 93270 | $207.00 | $345.00 | $10.14 – $276.00 | 16 |
| Exam plvc w/anes othr thn lcl CPT 57410 | $200.40 | $334.00 | $41.48 – $1,041.88 | 15 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | $979.20 | $1,632.00 | $452.39 – $1,305.60 | 14 |
| Exc abd les sc 3 cm/> CPT 22903 | $696.00 | $1,160.00 | $321.55 – $1,041.88 | 14 |
| Exc abdl tum deep < 5 cm CPT 22900 | $727.20 | $1,212.00 | $335.97 – $1,470.59 | 14 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | $742.20 | $1,237.00 | $342.90 – $1,041.88 | 14 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | $860.40 | $1,434.00 | $56.70 – $1,147.20 | 15 |
| Exc back les sbq <3 cm 21930 CPT 21930 | $672.60 | $1,121.00 | $132.30 – $1,041.88 | 15 |
| Exc back tum deep 5 cm/> CPT 21933 | $1,420.20 | $2,367.00 | $656.13 – $1,893.60 | 14 |
| Exc bartholins gland/cyst CPT 56740 | $551.40 | $919.00 | $164.85 – $1,192.92 | 15 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | $279.60 | $466.00 | $56.55 – $771.51 | 16 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | $555.60 | $926.00 | $78.45 – $1,041.88 | 16 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $317.40 | $529.00 | $90.83 – $1,041.88 | 15 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $94.20 | $157.00 | $20.51 – $2,325.85 | 16 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $123.00 | $205.00 | $25.78 – $2,325.85 | 16 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $1,266.00 | $2,110.00 | $35.76 – $2,325.85 | 16 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | $308.40 | $514.00 | $93.45 – $2,325.85 | 15 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $1,266.00 | $2,110.00 | $31.32 – $2,094.25 | 16 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $265.80 | $443.00 | $37.80 – $2,325.85 | 15 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $465.00 | $775.00 | $127.05 – $1,041.88 | 15 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $1,266.00 | $2,110.00 | $28.55 – $2,094.25 | 16 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $1,266.00 | $2,110.00 | $35.48 – $2,325.85 | 16 |
| Exc breast duct fistula 19112 CPT 19112 | $465.00 | $775.00 | $207.90 – $1,192.92 | 15 |
| Exc ext ear/partial/simple repair 69110 CPT 69110 | $576.00 | $960.00 | $122.85 – $771.51 | 15 |
| Exc face tum deep < 2 cm CPT 21013 | $740.40 | $1,234.00 | $320.80 – $987.20 | 15 |
| Exc face tum deep 2cm/> 21014 CPT 21014 | $969.60 | $1,616.00 | $421.95 – $1,292.80 | 15 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | $1,371.60 | $2,286.00 | $39.09 – $2,094.25 | 16 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | $396.60 | $661.00 | $56.55 – $2,325.85 | 16 |
| Exc foot/toe tum dep 1.5cm/> CPT 28041 | $838.80 | $1,398.00 | $387.53 – $1,118.40 | 14 |
| Exc foot/toe tum subq < 1.5 cm 28043 CPT 28043 | $501.00 | $835.00 | $39.38 – $1,041.88 | 15 |
| Exc forearm les sc 3 cm/> CPT 25071 | $735.60 | $1,226.00 | $339.85 – $1,041.88 | 14 |
| Exc hand les sc < 1.5 cm CPT 26115 | $678.00 | $1,130.00 | $39.38 – $1,041.88 | 15 |
| Exc hand tum deep < 1.5 cm 26116 CPT 26116 | $977.40 | $1,629.00 | $126.00 – $1,303.20 | 15 |
| Exchange nephrostomy cath CPT 50435 | $120.00 | $200.00 | $55.44 – $771.51 | 14 |
| Exc im tumor/back/flank/ < 5 cm 21932 CPT 21932 | $1,174.80 | $1,958.00 | $542.76 – $1,566.40 | 14 |
| Exc im tumor/shoulder area 5cm/> 23073 CPT 23073 | $1,202.40 | $2,004.00 | $555.51 – $1,603.20 | 14 |
| Excise inferior turbinate CPT 30130 | $650.40 | $1,084.00 | $77.17 – $1,192.92 | 15 |
| Excise lip or cheek fold CPT 40819 | $390.60 | $651.00 | $180.46 – $771.51 | 13 |
| Excise oral mucosa for graft 40818 CPT 40818 | $511.20 | $852.00 | $236.17 – $771.51 | 14 |
| Excise parotid gland/lesion CPT 42410 | $1,119.60 | $1,866.00 | $517.26 – $1,782.34 | 14 |
| Excise parotid gland/lesion CPT 42415 | $2,053.20 | $3,422.00 | $948.58 – $2,750.39 | 14 |
| Excise parotid gland/lesion CPT 42420 | $2,452.20 | $4,087.00 | $1,132.92 – $3,269.60 | 14 |
| Excise pharynx lesion CPT 42808 | $307.80 | $513.00 | $57.23 – $1,041.88 | 15 |
| Excise/repair mouth lesion CPT 40812 | $351.00 | $585.00 | $49.90 – $2,325.85 | 16 |
| Excise submaxillary gland CPT 42440 | $845.40 | $1,409.00 | $390.57 – $1,399.17 | 15 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | $626.40 | $1,044.00 | $289.40 – $1,041.88 | 14 |
| Excise tendon forearm/wrist CPT 25109 | $966.00 | $1,610.00 | $446.29 – $1,288.00 | 14 |
| Excision addl breast lesion 19126 CPT 19126 | $297.00 | $495.00 | $137.21 – $1,192.92 | 14 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | $225.00 | $375.00 | $33.54 – $2,325.85 | 16 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $233.40 | $389.00 | $39.38 – $2,325.85 | 15 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $157.80 | $263.00 | $33.54 – $2,325.85 | 16 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $249.00 | $415.00 | $51.00 – $1,041.88 | 16 |
| Excision breast lesion CPT 19125 | $666.60 | $1,111.00 | $307.97 – $1,192.92 | 14 |
| Excision floor mouth lesion 41116 CPT 41116 | $385.20 | $642.00 | $90.83 – $771.51 | 15 |
| Excision lesion mouth roof CPT 42106 | $334.80 | $558.00 | $154.68 – $1,041.88 | 15 |
| Excision nasal polyp(s) simple 30110 CPT 30110 | $3,777.60 | $6,296.00 | $47.25 – $2,325.85 | 16 |
| Excision of anal lesion(s) CPT 46922 | $226.80 | $378.00 | $104.78 – $771.51 | 15 |
| Excision of gum lesion 41825 CPT 41825 | $207.60 | $346.00 | $95.91 – $2,325.85 | 15 |
| Excision of neck cyst CPT 42815 | $951.00 | $1,585.00 | $308.70 – $1,677.17 | 15 |
| Excision of penis lesion(s) 54060 CPT 54060 | $381.60 | $636.00 | $67.72 – $771.51 | 15 |
| Excision of tongue lesion CPT 41112 | $310.20 | $517.00 | $63.20 – $1,041.88 | 16 |
| Excision of tongue lesion w/closure 41113 CPT 41113 | not published | not published | $250.27 – $2,298.35 | 8 |
| Excision of uvula CPT 42140 | $273.00 | $455.00 | $126.13 – $1,041.88 | 14 |
| Excision olecranon bursa CPT 24105 | $633.00 | $1,055.00 | $196.88 – $1,192.92 | 15 |
| Excision radial head CPT 24130 | $888.60 | $1,481.00 | $410.53 – $1,307.88 | 14 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | $904.80 | $1,508.00 | $418.02 – $1,206.40 | 14 |
| Excis partial tal calc CPT 28120 | $786.00 | $1,310.00 | $232.57 – $2,325.85 | 15 |
| Exc leg/ankle tum subfasc<5cm 27619 CPT 27619 | $1,153.80 | $1,923.00 | $126.00 – $1,538.40 | 15 |
| Exc malig feenl <0.5cm 11640 CPT 11640 | $166.80 | $278.00 | $34.65 – $2,325.85 | 16 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | $225.00 | $375.00 | $45.74 – $2,325.85 | 16 |
| Exc malig feenl 3.1-4.0 11644 CPT 11644 | $519.60 | $866.00 | $232.05 – $1,041.88 | 15 |
| Exc malig feenl >4cm 11646 CPT 11646 | $714.00 | $1,190.00 | $268.80 – $1,041.88 | 15 |
| Exc malig snhfg 0.5cm or less 11620 CPT 11620 | $175.80 | $293.00 | $32.99 – $2,325.85 | 16 |
| Exc malig snhfg 0.6-1.0 cm 11621 CPT 11621 | $187.20 | $312.00 | $38.81 – $2,325.85 | 16 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | $352.20 | $587.00 | $119.17 – $2,325.85 | 15 |
| Exc malig tal <0.5cm 11600 CPT 11600 | $138.00 | $230.00 | $28.27 – $2,325.85 | 16 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | $172.80 | $288.00 | $36.04 – $2,325.85 | 16 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | $199.20 | $332.00 | $40.75 – $2,325.85 | 16 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | $969.60 | $1,616.00 | $45.18 – $2,094.25 | 16 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | $343.80 | $573.00 | $131.78 – $1,041.88 | 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.