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 |
|---|---|---|---|---|
| Ghs IV inf sq injection, on-body injector CPT 96377 | $145.20 | $242.00 | $18.89 – $193.60 | 15 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | $1,020.00 | $1,700.00 | $338.72 – $1,360.00 | 16 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $1,020.00 | $1,700.00 | $338.72 – $1,360.00 | 16 |
| Ghs IV infusion sotrovimab HCPCS M0247 | $1,020.00 | $1,700.00 | $378.00 – $1,360.00 | 16 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $1,693.20 | $2,822.00 | $33.08 – $1,041.88 | 16 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $745.20 | $1,242.00 | $25.73 – $2,325.85 | 16 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $745.20 | $1,242.00 | $25.73 – $2,325.85 | 16 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $811.20 | $1,352.00 | $33.08 – $2,325.85 | 16 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $925.80 | $1,543.00 | $49.88 – $2,325.85 | 16 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $910.20 | $1,517.00 | $37.27 – $2,325.85 | 16 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $1,084.80 | $1,808.00 | $49.88 – $2,325.85 | 16 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $1,693.20 | $2,822.00 | $48.83 – $1,041.88 | 16 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $1,693.20 | $2,822.00 | $50.92 – $1,041.88 | 16 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $1,693.20 | $2,822.00 | $64.58 – $1,041.88 | 16 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $1,693.20 | $2,822.00 | $96.60 – $1,041.88 | 16 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $1,693.20 | $2,822.00 | $96.60 – $1,041.88 | 16 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $1,693.20 | $2,822.00 | $96.60 – $1,041.88 | 16 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $1,693.20 | $2,822.00 | $96.60 – $1,041.88 | 16 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $1,720.20 | $2,867.00 | $96.60 – $1,041.88 | 16 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $1,717.80 | $2,863.00 | $96.60 – $1,077.12 | 16 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $84.00 | $140.00 | $5.59 – $112.00 | 16 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $35.40 | $59.00 | $16.35 – $97.83 | 15 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $118.80 | $198.00 | $54.89 – $158.40 | 15 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $18.60 | $31.00 | $8.59 – $24.80 | 15 |
| Ghs musc test done w/n test comp CPT 95886 | $104.40 | $174.00 | $21.62 – $122.20 | 16 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $86.40 | $144.00 | $18.85 – $76.87 | 16 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $90.00 | $150.00 | $19.40 – $108.42 | 16 |
| Ghs nailbed repair/nail removal CPT 11760 | $1,266.00 | $2,110.00 | $24.15 – $2,325.85 | 16 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $1,266.00 | $2,110.00 | $38.25 – $771.51 | 16 |
| Ghs nerve blk intercostal, single level CPT 64420 | $105.00 | $175.00 | $21.62 – $771.51 | 16 |
| Ghs nerve block axillary nerve CPT 64417 | $102.60 | $171.00 | $22.05 – $771.51 | 15 |
| Ghs nerve block brachial plexus CPT 64415 | $180.60 | $301.00 | $26.61 – $771.51 | 16 |
| Ghs nerve block interscaline CPT 64510 | $132.60 | $221.00 | $27.44 – $771.51 | 16 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $255.00 | $425.00 | $56.70 – $771.51 | 15 |
| Ghs nerve block suprascapular CPT 64418 | $166.80 | $278.00 | $36.75 – $222.40 | 15 |
| Ghs ng placement w fluoro guidance CPT 43752 | $146.40 | $244.00 | $38.81 – $112.00 | 14 |
| Ghs opcc repair cvp w subq port CPT 36576 | $457.20 | $762.00 | $182.81 – $1,041.88 | 15 |
| Ghs optokenetic CPT 92544 | $65.40 | $109.00 | $14.14 – $57.96 | 16 |
| Ghs oscillating trac CPT 92545 | $60.00 | $100.00 | $13.03 – $52.81 | 16 |
| Ghs ot prosthetic training/15 min CPT 97761 | $99.00 | $165.00 | $39.87 – $132.00 | 15 |
| Ghs ot work hardening-additional hours CPT 97546 | $127.20 | $212.00 | $45.00 – $169.60 | 15 |
| Ghs pacing - transcutaneous CPT 92953 | $676.20 | $1,127.00 | $2.49 – $315.28 | 15 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $147.00 | $245.00 | $67.91 – $196.00 | 14 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $126.00 | $210.00 | $58.21 – $168.00 | 14 |
| Ghs peritonsillar abscess i andd CPT 42700 | $1,266.00 | $2,110.00 | $36.04 – $771.51 | 16 |
| Ghs phenylketonurid CPT 84030 | $55.80 | $93.00 | $3.58 – $74.40 | 16 |
| Ghs plngl fx pm cl CPT 26725 | $1,061.40 | $1,769.00 | $75.40 – $2,325.85 | 16 |
| Ghs pos nystagmus CPT 92542 | $80.40 | $134.00 | $18.06 – $89.66 | 16 |
| Ghs ppd (tb intradermal) CPT 86580 | $29.40 | $49.00 | $4.99 – $21.19 | 16 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $70.20 | $117.00 | $6.28 – $93.60 | 16 |
| Ghs protoporphyrins fract CPT 84202 | $138.00 | $230.00 | $9.33 – $184.00 | 16 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $105.00 | $175.00 | $7.35 – $140.00 | 16 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $248.40 | $414.00 | $45.00 – $331.20 | 15 |
| Ghs quinidine CPT 80194 | $100.80 | $168.00 | $9.49 – $134.40 | 16 |
| Ghs refill of implantable pump CPT 95990 | $77.40 | $129.00 | $17.19 – $101.57 | 16 |
| Ghs removal intranasal foreign body CPT 30300 | $657.60 | $1,096.00 | $23.62 – $135.17 | 16 |
| Ghs removal pharyngeal foreign body CPT 42809 | $604.80 | $1,008.00 | $34.65 – $1,041.88 | 16 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $1,941.60 | $3,236.00 | $232.57 – $1,674.40 | 16 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | $943.80 | $1,573.00 | $436.04 – $1,470.59 | 14 |
| Ghs reticulocyte count CPT 85044 | $34.20 | $57.00 | $2.80 – $45.60 | 16 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $111.60 | $186.00 | $9.04 – $148.80 | 15 |
| Ghs semen analysis fert CPT 89320 | $82.80 | $138.00 | $8.00 – $110.40 | 15 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $1,693.20 | $2,822.00 | $96.60 – $1,041.88 | 16 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $1,693.20 | $2,822.00 | $96.60 – $1,041.88 | 16 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $1,693.20 | $2,822.00 | $96.60 – $1,041.88 | 16 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $1,693.20 | $2,822.00 | $96.60 – $1,041.88 | 16 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $609.60 | $1,016.00 | $49.88 – $2,325.85 | 16 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $554.40 | $924.00 | $50.92 – $2,325.85 | 16 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $765.00 | $1,275.00 | $64.58 – $1,041.88 | 16 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $1,693.20 | $2,822.00 | $96.60 – $1,041.88 | 16 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $1,693.20 | $2,822.00 | $96.60 – $1,041.88 | 16 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $131.40 | $219.00 | $38.67 – $175.20 | 15 |
| Ghs sphenopalatine ganglion block CPT 64505 | $106.80 | $178.00 | $22.18 – $174.94 | 16 |
| Ghs spont nystagmus CPT 92541 | $79.80 | $133.00 | $17.46 – $75.82 | 16 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $249.60 | $416.00 | $106.42 – $332.80 | 15 |
| Ghs strapping shoulder - 29240 CPT 29240 | $220.20 | $367.00 | $20.48 – $106.40 | 16 |
| Ghs st - re-eval for alt comm CPT 92597 | $321.00 | $535.00 | $73.56 – $428.00 | 15 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $1,266.00 | $2,110.00 | $98.70 – $771.51 | 16 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $123.90 – $1,714.16 | 8 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $1,941.60 | $3,236.00 | $199.31 – $906.08 | 16 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $988.80 | $1,648.00 | $76.65 – $2,325.85 | 16 |
| Ghs urine, porphyrins quant CPT 84120 | $81.60 | $136.00 | $7.88 – $108.80 | 16 |
| Ghs vaginal delivery only CPT 59409 | $3,411.00 | $5,685.00 | $685.79 – $1,979.20 | 15 |
| Ghs windowing of cast CPT 29730 | $220.20 | $367.00 | $15.25 – $95.33 | 15 |
| Gi inhouse confirmation CPT 87045 | $67.80 | $113.00 | $6.14 – $90.40 | 16 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $1,944.60 | $3,241.00 | $271.38 – $1,654.65 | 16 |
| Gi trc img intral esophagus CPT 91111 | $1,794.60 | $2,991.00 | $78.17 – $1,076.01 | 15 |
| Glove finger flexion right lg xl HCPCS L3912 | $429.60 | $716.00 | $24.42 – $572.80 | 15 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $121.80 | $203.00 | $45.18 – $182.45 | 14 |
| Glucose 1 hr post dose CPT 82950 | $37.80 | $63.00 | $3.09 – $50.40 | 16 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $16.80 | $28.00 | $2.10 – $22.40 | 16 |
| Glucose blood quantitative CPT 82947 | $30.60 | $51.00 | $2.55 – $40.80 | 16 |
| Glucose body fluid CPT 82945 | $41.40 | $69.00 | $2.55 – $55.20 | 16 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $178.20 | $297.00 | $44.25 – $237.60 | 16 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $90.00 | $150.00 | $8.37 – $120.00 | 16 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $20.40 | $34.00 | $2.55 – $27.20 | 16 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $4,977.60 | $8,296.00 | $11.04 – $6,636.80 | 14 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $127.20 | $212.00 | $12.08 – $169.60 | 16 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $126.00 | $210.00 | $12.04 – $168.00 | 16 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $3,877.80 | $6,463.00 | $651.14 – $1,879.20 | 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.