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 |
|---|---|---|---|---|
| Folic acid CPT 82746 | $105.00 | $175.00 | $9.55 – $140.00 | 16 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $2,265.60 | $3,776.00 | $14.40 – $3,020.80 | 14 |
| Foot X-ray CPT 73630 | $144.60 | $241.00 | $31.67 – $192.80 | 15 |
| Foot X-ray (2 views, both feet) CPT 73620 | $118.80 | $198.00 | $26.38 – $158.40 | 15 |
| Forearm X-ray (both sides) CPT 73090 | $128.40 | $214.00 | $27.02 – $171.20 | 15 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | $1,884.60 | $3,141.00 | $870.69 – $2,512.80 | 14 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $220.20 | $367.00 | $0.10 – $293.60 | 14 |
| Fractionation ketosteroids CPT 83593 | $204.00 | $340.00 | $13.65 – $272.00 | 16 |
| Freeing of bowel adhesion 44005 CPT 44005 | $1,862.40 | $3,104.00 | $771.51 – $2,483.20 | 14 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $337.80 | $563.00 | $31.50 – $450.40 | 15 |
| Fructosamine glycated protein CPT 82985 | $93.00 | $155.00 | $10.89 – $124.00 | 16 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $249.00 | $415.00 | $49.60 – $332.00 | 16 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | $1,417.20 | $2,362.00 | $654.75 – $1,889.60 | 14 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | $2,512.80 | $4,188.00 | $526.68 – $1,575.58 | 15 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $1,327.20 | $2,212.00 | $613.17 – $1,769.60 | 14 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $7.20 | $12.00 | $0.02 – $5.60 | 14 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | $13.80 | $23.00 | $0.66 – $18.40 | 14 |
| Fusion of ankle joint open CPT 27870 | $1,972.20 | $3,287.00 | $609.52 – $2,629.60 | 15 |
| Fusion of big toe joint CPT 28750 | $1,111.20 | $1,852.00 | $292.43 – $1,481.60 | 15 |
| Fusion of big toe joint CPT 28755 | $635.40 | $1,059.00 | $224.18 – $1,470.59 | 15 |
| Fusion of finger joint CPT 26860 | $1,206.60 | $2,011.00 | $557.45 – $1,608.80 | 14 |
| Fusion of foot bones CPT 28730 | $1,544.40 | $2,574.00 | $349.65 – $2,059.20 | 15 |
| Fusion of foot bones CPT 28735 | $1,262.40 | $2,104.00 | $406.35 – $1,909.45 | 15 |
| Fusion of foot bones CPT 28740 | $1,143.00 | $1,905.00 | $528.07 – $1,524.00 | 14 |
| Fusion of tibiofibular joint CPT 27871 | $1,350.60 | $2,251.00 | $623.98 – $1,800.80 | 14 |
| Fusion of toes CPT 28280 | $516.00 | $860.00 | $238.39 – $1,041.88 | 14 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $481.20 | $802.00 | $153.92 – $641.60 | 13 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $9.60 | $16.00 | $0.28 – $12.80 | 14 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $25.20 | $42.00 | $1.48 – $33.60 | 14 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $1,164.00 | $1,940.00 | $254.16 – $1,552.00 | 16 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $1,646.40 | $2,744.00 | $347.56 – $2,195.20 | 16 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $1,009.80 | $1,683.00 | $466.53 – $1,677.17 | 14 |
| Gammaglobulin iga CPT 82784 | $237.00 | $395.00 | $6.05 – $316.00 | 16 |
| Gammaglobulin ige CPT 82785 | $117.00 | $195.00 | $10.70 – $156.00 | 16 |
| Gamma glutamyltransferase CPT 82977 | $52.80 | $88.00 | $4.68 – $70.40 | 16 |
| Gamunex-c/gammaked HCPCS J1561 | $3,381.60 | $5,636.00 | $48.96 – $2,486.40 | 14 |
| Gardner vag dna quant CPT 87512 | $192.60 | $321.00 | $27.14 – $256.80 | 15 |
| Gel-one HCPCS J7326 | $1,149.60 | $1,916.00 | $529.26 – $1,532.80 | 14 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $320.40 | $534.00 | $3.13 – $30.40 | 14 |
| Generator barostim neo2 2014 HCPCS C1767 | $21,645.00 | $36,075.00 | $6,854.25 – $28,860.00 | 14 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $18.00 | $30.00 | $1.94 – $5.60 | 14 |
| Gentamicin peak therapeutic drug level CPT 80170 | $112.20 | $187.00 | $10.65 – $149.60 | 16 |
| Ghs abscess perianal iandd CPT 46050 | $1,266.00 | $2,110.00 | $24.12 – $771.51 | 16 |
| Ghs abscess postoperative iandd complex CPT 10180 | $330.00 | $550.00 | $152.46 – $1,041.88 | 15 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $76.80 | $128.00 | $11.12 – $102.40 | 15 |
| Ghs aspiration bladder - needle CPT 51100 | $431.40 | $719.00 | $31.48 – $771.51 | 16 |
| Ghs bladder cath - complex-foley CPT 51703 | $534.00 | $890.00 | $45.74 – $235.40 | 16 |
| Ghs bleeding time (ivy) CPT 85002 | $46.80 | $78.00 | $3.13 – $62.40 | 16 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $123.00 | $205.00 | $25.78 – $771.51 | 16 |
| Ghs change cysto/gastrost CPT 43762 | $769.80 | $1,283.00 | $27.17 – $771.51 | 16 |
| Ghs chemo IV push, ea addtl CPT 96411 | $246.00 | $410.00 | $55.53 – $328.00 | 16 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $868.20 | $1,447.00 | $38.33 – $771.51 | 16 |
| Ghs closed reduction ankle dislocation CPT 27840 | $1,266.00 | $2,110.00 | $92.31 – $771.51 | 16 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,479.00 | $2,465.00 | $107.55 – $1,114.22 | 15 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $1,417.20 | $2,362.00 | $256.20 – $1,889.60 | 15 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $1,266.00 | $2,110.00 | $74.01 – $771.51 | 15 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $1,494.60 | $2,491.00 | $346.50 – $1,000.00 | 15 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | not published | not published | $1,041.88 – $2,449.19 | 4 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $609.00 | $1,015.00 | $164.85 – $812.00 | 15 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $1,023.60 | $1,706.00 | $40.95 – $771.51 | 16 |
| Ghs community re-entry 15 minutes CPT 97537 | $71.40 | $119.00 | $32.99 – $95.20 | 15 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $307.80 | $513.00 | $29.66 – $2,325.85 | 15 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $169.80 | $283.00 | $54.89 – $2,325.85 | 15 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $220.20 | $367.00 | $27.82 – $2,325.85 | 16 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $307.80 | $513.00 | $27.30 – $2,325.85 | 16 |
| Ghs cricothyroidotomy CPT 31605 | $1,941.60 | $3,236.00 | $177.12 – $906.08 | 16 |
| Ghs cutdown placement age 1 and over CPT 36425 | $132.60 | $221.00 | $14.70 – $121.47 | 16 |
| Ghs cutdown placement under 1 yr CPT 36420 | $187.20 | $312.00 | $46.99 – $227.20 | 16 |
| Ghs dislocation elbow closed treatment CPT 24600 | $1,266.00 | $2,110.00 | $86.76 – $771.51 | 16 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $1,123.20 | $1,872.00 | $210.00 – $1,497.60 | 15 |
| Ghs electrostagmgraphy CPT 92537 | $21.00 | $35.00 | $9.70 – $52.90 | 16 |
| Ghs elect torsion swing CPT 92546 | $114.60 | $191.00 | $23.10 – $111.87 | 16 |
| Ghs elect vertical elct CPT 92547 | $14.40 | $24.00 | $4.42 – $48.98 | 16 |
| Ghs excision ingrown nail CPT 11765 | $522.60 | $871.00 | $19.13 – $2,325.85 | 16 |
| Ghs fb removal foot - deep - left CPT 28192 | $658.80 | $1,098.00 | $68.25 – $1,041.88 | 15 |
| Ghs fb removal from muscle - complicated CPT 20525 | $492.60 | $821.00 | $126.00 – $1,192.92 | 15 |
| Ghs fb removal - incisional CPT 10121 | $1,693.20 | $2,822.00 | $68.25 – $2,325.85 | 16 |
| Ghs fb removal - non-incisional CPT 20520 | $267.00 | $445.00 | $65.62 – $2,325.85 | 15 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $71.40 | $119.00 | $4.54 – $95.20 | 16 |
| Ghs fish cytogen CPT 88271 | $127.20 | $212.00 | $13.92 – $85.60 | 15 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $200.40 | $334.00 | $33.27 – $267.20 | 15 |
| Ghs gastric intub aspiration lavage CPT 43753 | $190.20 | $317.00 | $16.08 – $98.03 | 16 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $144.60 | $241.00 | $10.07 – $192.80 | 16 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $1,693.20 | $2,822.00 | $40.42 – $1,041.88 | 16 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $1,941.60 | $3,236.00 | $113.92 – $1,192.92 | 16 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $293.40 | $489.00 | $118.12 – $2,325.85 | 15 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $559.20 | $932.00 | $37.80 – $2,325.85 | 16 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $557.40 | $929.00 | $38.25 – $2,325.85 | 16 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | $1,693.20 | $2,822.00 | $111.43 – $1,041.88 | 16 |
| Ghs inf midline insertion CPT 36140 | $1,941.60 | $3,236.00 | $64.03 – $906.08 | 16 |
| Ghs init tx 1st degree burn CPT 16000 | $225.00 | $375.00 | $18.90 – $2,325.85 | 16 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $381.60 | $636.00 | $54.61 – $771.51 | 16 |
| Ghs inj tendon origin/insertion CPT 20551 | $64.20 | $107.00 | $14.14 – $116.19 | 16 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $84.60 | $141.00 | $39.09 – $771.51 | 15 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $334.20 | $557.00 | $113.16 – $771.51 | 15 |
| Ghs insertion of needle - bone CPT 36680 | $289.20 | $482.00 | $45.18 – $213.06 | 16 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $1,693.20 | $2,822.00 | $96.60 – $1,041.88 | 16 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $1,693.20 | $2,822.00 | $70.69 – $1,041.88 | 16 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $1,693.20 | $2,822.00 | $96.60 – $1,041.88 | 16 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $226.80 | $378.00 | $8.48 – $134.23 | 16 |
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.