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 |
|---|---|---|---|---|
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $2,605.20 | $4,342.00 | $30.23 – $176.00 | 15 |
| Graft axiofill 1000mg HCPCS J3590 | $46,342.20 | $77,237.00 | $3,451.14 – $9,960.00 | 14 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $4,795.20 | $7,992.00 | $1,518.48 – $6,393.60 | 14 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $1,327.80 | $2,213.00 | $420.47 – $1,770.40 | 14 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $1,835.40 | $3,059.00 | $45.32 – $2,447.20 | 14 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $204.00 | $340.00 | $94.25 – $272.00 | 15 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $385.20 | $642.00 | $138.74 – $513.60 | 14 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $3,100.80 | $5,168.00 | $82.84 – $348.80 | 14 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $984.60 | $1,641.00 | $311.79 – $1,312.80 | 14 |
| Granisetron hcl injection HCPCS J1626 | $30.00 | $50.00 | $0.19 – $40.00 | 14 |
| Great toe with reduction 28495 CPT 28495 | $1,693.20 | $2,822.00 | $79.28 – $2,325.85 | 16 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $1,575.00 | $2,625.00 | $24.89 – $104.80 | 14 |
| Gw stiffened micro access kit HCPCS C1894 | $291.60 | $486.00 | $92.34 – $388.80 | 14 |
| Gynecomastia (males) 19300 CPT 19300 | $709.80 | $1,183.00 | $327.93 – $1,470.59 | 14 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $7.20 | $12.00 | $0.80 – $9.60 | 14 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | $78.00 | $130.00 | $4.99 – $23.00 | 14 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $70.20 | $117.00 | $22.08 – $92.80 | 16 |
| Hand X-ray CPT 73130 | $140.40 | $234.00 | $33.56 – $187.20 | 15 |
| Hand X-ray (2 views, both hands) CPT 73120 | $125.40 | $209.00 | $28.91 – $167.20 | 15 |
| Hcg qualitative CPT 84703 | $54.60 | $91.00 | $4.89 – $72.80 | 16 |
| Hcg quantitative CPT 84702 | $93.00 | $155.00 | $9.78 – $124.00 | 16 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | $5,625.00 | $9,375.00 | $1,220.15 – $7,500.00 | 15 |
| Head CT scan (with and without contrast) CPT 70470 | $1,671.60 | $2,786.00 | $167.00 – $2,228.80 | 16 |
| Head CT scan (with contrast) CPT 70460 | $1,234.80 | $2,058.00 | $140.70 – $1,646.40 | 16 |
| Head CT scan (without contrast) CPT 70450 | $753.00 | $1,255.00 | $115.89 – $1,004.00 | 16 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $118.80 | $198.00 | $26.72 – $158.40 | 15 |
| Helicobacter pylori antibody igm CPT 86677 | $103.80 | $173.00 | $10.95 – $138.40 | 16 |
| Hematocrit CPT 85014 | $19.20 | $32.00 | $1.54 – $25.60 | 16 |
| Hemoglobin CPT 85018 | $19.20 | $32.00 | $1.54 – $24.80 | 16 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $33.00 | $55.00 | $3.15 – $44.00 | 16 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $393.00 | $655.00 | $48.30 – $2,325.85 | 15 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | $642.60 | $1,071.00 | $263.80 – $2,325.85 | 15 |
| Hepagam b im injection HCPCS J1571 | $991.20 | $1,652.00 | $51.28 – $148.00 | 14 |
| Heparin bolus from bag HCPCS J1644 | $10.20 | $17.00 | $0.21 – $0.80 | 14 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $4.20 | $7.00 | $0.02 – $5.60 | 14 |
| Hepatitis a antibody igm CPT 86709 | $106.80 | $178.00 | $7.32 – $142.40 | 16 |
| Hepatitis b core antibody igm CPT 86705 | $111.00 | $185.00 | $7.65 – $148.00 | 16 |
| Hepatitis b core antibody total CPT 86704 | $114.60 | $191.00 | $7.83 – $152.80 | 16 |
| Hepatitis b surface antibody CPT 86706 | $102.60 | $171.00 | $6.98 – $136.80 | 16 |
| Hepatitis c antibody CPT 86803 | $129.60 | $216.00 | $9.28 – $172.80 | 16 |
| Hernia Repair (Inguinal) CPT 49505 | $918.00 | $1,530.00 | $333.38 – $1,470.59 | 15 |
| Herpes simplex type 1 antibody igg CPT 86695 | $105.00 | $175.00 | $8.57 – $140.00 | 16 |
| Herpes simplex type 2 antibody igg CPT 86696 | $184.20 | $307.00 | $12.58 – $245.60 | 16 |
| Herpes simplex virus isolation CPT 87255 | $312.00 | $520.00 | $22.01 – $416.00 | 16 |
| Heterophile antibodies screening CPT 86308 | $40.80 | $68.00 | $3.37 – $54.40 | 16 |
| Hfo nontorsion jnts pre cst HCPCS L3929 | $328.80 | $548.00 | $104.12 – $438.40 | 15 |
| High compres band w>=3"<5"yd HCPCS A6452 | $16.80 | $28.00 | $7.76 – $22.40 | 14 |
| Hinge extension/flex wrist/f HCPCS L3900 | $5,184.60 | $8,641.00 | $1,641.79 – $6,912.80 | 15 |
| Hip and Pelvis X-ray (2 views, both hips) CPT 73521 | $155.40 | $259.00 | $31.52 – $207.20 | 16 |
| Hip and Pelvis X-ray (3 to 4 views, both hips) CPT 73522 | $175.80 | $293.00 | $38.94 – $234.40 | 16 |
| Hip and Pelvis X-ray (single view, left side) CPT 73501 | $129.60 | $216.00 | $29.97 – $172.80 | 15 |
| Hip X-ray CPT 73502 | $148.80 | $248.00 | $43.08 – $198.40 | 15 |
| Histochemical stains add-on CPT 88314 | $174.00 | $290.00 | $31.62 – $232.00 | 16 |
| Homocysteine CPT 83090 | $161.40 | $269.00 | $11.65 – $215.20 | 16 |
| Homovanillic acid (hva) CPT 83150 | $105.00 | $175.00 | $7.88 – $140.00 | 16 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $69.60 | $116.00 | $0.36 – $92.80 | 14 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $23.40 | $39.00 | $5.60 – $31.20 | 14 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $19.80 | $33.00 | $2.22 – $21.31 | 14 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $63.00 | $105.00 | $0.10 – $4.80 | 14 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $99.00 | $165.00 | $45.74 – $132.00 | 14 |
| Hydromorphone injection HCPCS J1170 | $6.00 | $10.00 | $2.77 – $8.00 | 14 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $13.80 | $23.00 | $6.38 – $18.40 | 14 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $119.40 | $199.00 | $7.35 – $159.20 | 16 |
| Hymenotomy CPT 56442 | $94.80 | $158.00 | $43.80 – $771.51 | 14 |
| Hyoid myotomy & suspension CPT 21685 | $1,848.60 | $3,081.00 | $854.05 – $2,464.80 | 14 |
| Hysterosalpingography s&i CPT 74740 | $213.00 | $355.00 | $90.06 – $284.00 | 15 |
| Hysteroscopy ablation CPT 58563 | $660.60 | $1,101.00 | $305.20 – $1,470.59 | 15 |
| Hysteroscopy biopsy CPT 58558 | $515.40 | $859.00 | $238.11 – $1,192.92 | 14 |
| Hysteroscopy dx sep proc CPT 58555 | $366.60 | $611.00 | $169.37 – $771.51 | 15 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $270.00 | $450.00 | $10.50 – $360.00 | 15 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $83.40 | $139.00 | $38.53 – $111.20 | 13 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | $33.00 | $55.00 | $11.76 – $44.00 | 16 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $28,351.80 | $47,253.00 | $8,978.07 – $37,802.40 | 14 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $33,408.60 | $55,681.00 | $10,579.39 – $44,544.80 | 14 |
| Icd crtp serena MRI HCPCS C2621 | $5,940.00 | $9,900.00 | $1,881.00 – $7,920.00 | 14 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | $1,460.40 | $2,434.00 | $93.97 – $1,017.60 | 16 |
| Idarubicin hcl injection HCPCS J9211 | $268.20 | $447.00 | $36.67 – $357.60 | 14 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | $1,037.40 | $1,729.00 | $92.92 – $1,383.20 | 15 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $422.40 | $704.00 | $195.15 – $771.51 | 14 |
| Igh gene rearrange amp meth CPT 81261 | $891.60 | $1,486.00 | $53.00 – $1,188.80 | 16 |
| Igh@ var region somatic mutation analy CPT 81263 | $1,366.20 | $2,277.00 | $53.00 – $1,821.60 | 16 |
| Igk rearrangeabn clonal pop CPT 81264 | $674.40 | $1,124.00 | $53.00 – $899.20 | 16 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $193.20 | $322.00 | $53.00 – $257.60 | 16 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $411.00 | $685.00 | $53.00 – $548.00 | 16 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $219.60 | $366.00 | $53.00 – $292.80 | 16 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | $1,809.00 | $3,015.00 | $835.76 – $2,412.00 | 14 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $187.80 | $313.00 | $59.47 – $250.40 | 15 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $69.60 | $116.00 | $22.04 – $160.53 | 15 |
| Immune complex assay CPT 86332 | $178.20 | $297.00 | $15.84 – $237.60 | 16 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $6,568.80 | $10,948.00 | $45.31 – $2,898.40 | 14 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $2,854.20 | $4,757.00 | $78.80 – $1,902.40 | 14 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $193.20 | $322.00 | $13.53 – $257.60 | 16 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $198.60 | $331.00 | $13.53 – $264.80 | 16 |
| Immunodiffusion nes CPT 86329 | $135.60 | $226.00 | $9.13 – $180.80 | 16 |
| Immunofixation electrophoresis serum CPT 86334 | $106.80 | $178.00 | $14.52 – $142.40 | 16 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $181.20 | $302.00 | $26.77 – $241.60 | 16 |
| Implant open hernia repair w/mesh 49568 CPT 49568 | $420.60 | $701.00 | $194.32 – $1,470.59 | 13 |
| Implant spine infusion pump CPT 62361 | $612.60 | $1,021.00 | $283.02 – $1,041.88 | 14 |
| Implant spine infusion pump CPT 62362 | $678.00 | $1,130.00 | $313.24 – $1,041.88 | 14 |
| Implant ureth bulk agent HCPCS L8606 | $445.80 | $743.00 | $141.17 – $594.40 | 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.