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 |
|---|---|---|---|---|
| Exc mandible 21025 CPT 21025 | $1,345.20 | $2,242.00 | $621.48 – $1,793.60 | 14 |
| Exc neck tum deep < 5 cm CPT 21556 | $910.80 | $1,518.00 | $126.00 – $1,214.40 | 15 |
| Exc neck tum deep 5 cm/> CPT 21554 | $1,053.60 | $1,756.00 | $486.76 – $1,404.80 | 14 |
| Exc prtl bn phlnx toe CPT 28124 | $1,527.60 | $2,546.00 | $288.29 – $2,094.25 | 15 |
| Exc rect tum transanal part CPT 45171 | $1,128.00 | $1,880.00 | $521.14 – $1,504.00 | 14 |
| Exc shoulder tum deep < 5 cm CPT 23076 | $1,015.20 | $1,692.00 | $123.38 – $1,353.60 | 15 |
| Exc skn hdrdnt ax smpl/ntrm CPT 11450 | $321.60 | $536.00 | $65.97 – $1,041.88 | 16 |
| Exc snhfg mal+mrg 1.1-2 11622 CPT 11622 | $877.20 | $1,462.00 | $42.13 – $2,094.25 | 16 |
| Exc snhfg mal+mrg 3.1-4 11624 CPT 11624 | $319.20 | $532.00 | $147.47 – $1,041.88 | 15 |
| Exc snhfg mal+mrg >4 cm 11626 CPT 11626 | $376.80 | $628.00 | $76.78 – $1,041.88 | 16 |
| Exc sq tum/leg or ankle area <3 cm 27618 CPT 27618 | $515.40 | $859.00 | $56.70 – $1,041.88 | 15 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | $1,498.20 | $2,497.00 | $332.36 – $1,041.88 | 15 |
| Exc sq tum/neck or ant thorax <3cm 21555 CPT 21555 | $763.80 | $1,273.00 | $39.38 – $1,041.88 | 15 |
| Exc sq tumor/foot or toe < 1.5 cm 28039 CPT 28039 | $637.80 | $1,063.00 | $294.66 – $1,041.88 | 14 |
| Exc sq tumor/forearm/wrist/<3cm 25075 CPT 25075 | $741.60 | $1,236.00 | $123.38 – $1,041.88 | 15 |
| Exc sq tumor/leg/ankle 3cm/> 27632 CPT 27632 | $774.60 | $1,291.00 | $357.87 – $1,041.88 | 14 |
| Exc sq tumor/shoulder area 3cm/> 23071 CPT 23071 | $808.20 | $1,347.00 | $373.39 – $1,077.60 | 14 |
| Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337 | $748.20 | $1,247.00 | $345.67 – $1,041.88 | 14 |
| Exc sq tum/vasc malform/hand/fngr 26111 CPT 26111 | $531.00 | $885.00 | $245.32 – $1,041.88 | 14 |
| Exc subq tum/sft tis/pel/hip 3cm/> 27043 CPT 27043 | $878.40 | $1,464.00 | $405.82 – $1,171.20 | 14 |
| Exc tendon sheath or cap lesion 26160 CPT 26160 | $840.00 | $1,400.00 | $388.08 – $1,192.92 | 14 |
| Exc thigh/knee les sc<3cm 27327 CPT 27327 | $654.60 | $1,091.00 | $123.38 – $1,041.88 | 15 |
| Exc thigh/knee tum deep <5cm CPT 27328 | $924.60 | $1,541.00 | $126.00 – $1,232.80 | 15 |
| Exc thigh/knee tum dep 5cm/> CPT 27339 | $1,209.60 | $2,016.00 | $558.84 – $1,612.80 | 14 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | $1,266.00 | $2,110.00 | $33.54 – $2,325.85 | 16 |
| Exc tmr sft tiss shldr subq <3cm CPT 23075 | $450.00 | $750.00 | $56.70 – $1,041.88 | 15 |
| Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 | $2,616.60 | $4,361.00 | $62.92 – $1,041.88 | 16 |
| Exercise tst brncspsm w/ecg CPT 94617 | $216.60 | $361.00 | $77.93 – $288.80 | 16 |
| Ex palate/uvula lesion without closure 42104 CPT 42104 | $241.20 | $402.00 | $90.83 – $1,041.88 | 15 |
| Expl lap celiotomy w/wo bx 49000 CPT 49000 | $1,378.80 | $2,298.00 | $637.01 – $1,838.40 | 14 |
| Exploration maxillary sinus CPT 31030 | $913.80 | $1,523.00 | $404.77 – $1,369.56 | 15 |
| Exploration maxillary sinus CPT 31256 | $390.60 | $651.00 | $180.46 – $1,192.92 | 14 |
| Exploration of ankle joint CPT 27612 | $1,025.40 | $1,709.00 | $428.40 – $1,406.11 | 15 |
| Exploration of foot joint CPT 28020 | $597.00 | $995.00 | $174.82 – $1,041.88 | 15 |
| Exploration of foot joint CPT 28022 | $553.20 | $922.00 | $144.38 – $2,325.85 | 15 |
| Exploration of knee joint CPT 27310 | $1,357.80 | $2,263.00 | $400.05 – $1,813.00 | 15 |
| Exploration of toe joint CPT 28024 | $657.60 | $1,096.00 | $144.38 – $2,325.85 | 15 |
| Explore deep node(s) neck CPT 38542 | $858.60 | $1,431.00 | $396.67 – $1,144.80 | 14 |
| Explore parathyroid glands CPT 60500 | $1,693.80 | $2,823.00 | $782.54 – $2,900.50 | 14 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $1,834.80 | $3,058.00 | $297.99 – $1,041.88 | 15 |
| Explore small intestine 44020 CPT 44020 | $1,671.00 | $2,785.00 | $772.00 – $2,228.00 | 14 |
| Explore/treat ankle joint CPT 27620 | $799.20 | $1,332.00 | $352.80 – $1,470.59 | 15 |
| Explore/treat finger joint CPT 26080 | $717.60 | $1,196.00 | $164.85 – $1,470.59 | 15 |
| Ex sq tumor/face or scalp < 2 cm 21011 CPT 21011 | $445.80 | $743.00 | $198.62 – $1,041.88 | 15 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | $581.40 | $969.00 | $268.61 – $1,041.88 | 15 |
| External chromosome analysis 20-25 cells CPT 88264 | $622.20 | $1,037.00 | $53.00 – $829.60 | 16 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | $11,619.60 | $19,366.00 | $53.00 – $15,492.80 | 16 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $646.20 | $1,077.00 | $53.00 – $861.60 | 16 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $175.80 | $293.00 | $11.65 – $234.40 | 16 |
| Eye implant band 40 HCPCS C1784 | $2,530.20 | $4,217.00 | $801.23 – $3,373.60 | 14 |
| Eye Socket (Orbit) X-ray CPT 70200 | $170.40 | $284.00 | $35.55 – $227.20 | 16 |
| Eye Socket, Pituitary or Ear CT Scan (with and without contrast) CPT 70482 | $1,327.20 | $2,212.00 | $229.77 – $1,769.60 | 16 |
| Eye Socket, Pituitary or Ear CT Scan (with contrast) CPT 70481 | $1,199.40 | $1,999.00 | $202.51 – $1,599.20 | 16 |
| Eye Socket, Pituitary or Ear CT Scan (without contrast) CPT 70480 | $904.80 | $1,508.00 | $175.82 – $1,206.40 | 16 |
| F-18 fdg pet diag HCPCS A9552 | $354.00 | $590.00 | $163.55 – $472.00 | 14 |
| Face bone graft CPT 21210 | $1,479.60 | $2,466.00 | $683.58 – $2,325.85 | 14 |
| Face, Eye Socket and Neck MRI (with and without contrast) CPT 70543 | $1,897.20 | $3,162.00 | $414.84 – $2,529.60 | 16 |
| Face, Eye Socket and Neck MRI (without contrast) CPT 70540 | $1,318.20 | $2,197.00 | $280.13 – $1,757.60 | 16 |
| Facial Bones X-ray (1 to 2 views) CPT 70140 | $145.80 | $243.00 | $28.81 – $194.40 | 16 |
| Facial Bones X-ray (complete) CPT 70150 | $138.60 | $231.00 | $35.97 – $184.80 | 16 |
| Factor ix complex HCPCS J7194 | $3.60 | $6.00 | $1.66 – $4.80 | 14 |
| Factor viii CPT 85240 | $122.40 | $204.00 | $11.63 – $163.20 | 16 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $5,716.80 | $9,528.00 | $29.98 – $7,622.40 | 14 |
| Fat/lipids feces qualitative CPT 82705 | $40.20 | $67.00 | $3.31 – $53.60 | 16 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $118.20 | $197.00 | $1.10 – $7.20 | 14 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $1,846.20 | $3,077.00 | $1.11 – $2,461.60 | 14 |
| Ferritin CPT 82728 | $94.80 | $158.00 | $8.86 – $126.40 | 16 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $2,971.80 | $4,953.00 | $0.32 – $3,962.40 | 14 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $445.80 | $743.00 | $112.45 – $594.40 | 16 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $780.60 | $1,301.00 | $32.02 – $1,040.80 | 16 |
| Fetal fibronectin CPT 82731 | $294.00 | $490.00 | $21.00 – $392.00 | 16 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $77.40 | $129.00 | $5.02 – $103.20 | 16 |
| Fetal monitor w/report CPT 59050 | $384.00 | $640.00 | $25.50 – $512.00 | 15 |
| #_fet/norfentcnfrmur CPT 80354 | $62.40 | $104.00 | $9.91 – $83.20 | 15 |
| Fibrin degradation products CPT 85362 | $49.80 | $83.00 | $4.48 – $66.40 | 16 |
| Fibrin degrade semiquant CPT 85378 | $74.40 | $124.00 | $6.32 – $99.20 | 16 |
| Fibrinogen activity CPT 85384 | $61.80 | $103.00 | $6.32 – $82.40 | 16 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $545.40 | $909.00 | $0.30 – $727.20 | 15 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $1,323.00 | $2,205.00 | $1.00 – $1,329.60 | 14 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $1,093.20 | $1,822.00 | $0.37 – $910.40 | 15 |
| Filleted finger/toe flap CPT 14350 | $1,014.60 | $1,691.00 | $468.75 – $1,462.10 | 14 |
| Filter vena cava fem denali HCPCS C1880 | $1,237.20 | $2,062.00 | $391.78 – $1,649.60 | 14 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $87.60 | $146.00 | $40.47 – $2,325.85 | 15 |
| Fine needle asp without image guide 10021 CPT 10021 | $144.60 | $241.00 | $30.21 – $2,325.85 | 16 |
| Finger X-ray (both hands) CPT 73140 | $124.20 | $207.00 | $34.22 – $165.60 | 15 |
| Fixation of knee joint CPT 27570 | $284.40 | $474.00 | $104.47 – $771.51 | 15 |
| Flexible Sigmoidoscopy CPT 45330 | $176.40 | $294.00 | $55.81 – $2,325.85 | 15 |
| Floor of mouth biopsy 41108 CPT 41108 | $165.60 | $276.00 | $38.33 – $2,325.85 | 15 |
| Flow cytometry interp 16 or more CPT 88189 | $385.20 | $642.00 | $53.00 – $513.60 | 16 |
| Flow cytometry marker each additional CPT 88185 | $2,496.00 | $4,160.00 | $14.29 – $205.60 | 16 |
| Flow cytometry one marker technical component CPT 88184 | $248.40 | $414.00 | $39.00 – $331.20 | 16 |
| Flt3 gene CPT 81245 | $565.80 | $943.00 | $53.00 – $754.40 | 16 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $144.60 | $241.00 | $2.26 – $192.80 | 14 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $812.40 | $1,354.00 | $68.20 – $1,083.20 | 14 |
| Fluidotherapy charges pt CPT 97022 | $82.20 | $137.00 | $14.63 – $109.60 | 16 |
| Fluid pressure muscle 20950 CPT 20950 | $131.40 | $219.00 | $27.72 – $226.52 | 16 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $252.00 | $420.00 | $52.80 – $192.80 | 16 |
| Fluoroguide needle placement CPT 77002 | $258.60 | $431.00 | $58.16 – $196.00 | 16 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $252.00 | $420.00 | $19.95 – $336.00 | 16 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $15.00 | $25.00 | $1.99 – $9.60 | 14 |
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.