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 |
|---|---|---|---|---|
| Impl ear abutment ba300 9mm HCPCS L8693 | $2,922.60 | $4,871.00 | $925.49 – $3,896.80 | 15 |
| Impl neurostim electr perc CPT 63650 | $785.40 | $1,309.00 | $362.85 – $1,545.57 | 15 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | $351.60 | $586.00 | $88.25 – $468.80 | 14 |
| Implnt spinl canal catheter 62350 CPT 62350 | $1,051.20 | $1,752.00 | $485.65 – $1,401.60 | 14 |
| Impl oi implt skull perq esp CPT 69714 | $1,911.00 | $3,185.00 | $882.88 – $2,548.00 | 14 |
| Implt neurostim elctr each HCPCS L8680 | $4,320.00 | $7,200.00 | $635.74 – $5,760.00 | 15 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $3,067.80 | $5,113.00 | $995.51 – $4,090.40 | 13 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $514.20 | $857.00 | $24.68 – $2,094.25 | 16 |
| Incision of achilles tendon CPT 27605 | $327.00 | $545.00 | $151.07 – $771.51 | 15 |
| Incision of achilles tendon CPT 27606 | $607.80 | $1,013.00 | $250.95 – $810.40 | 15 |
| Incision of breast lesion CPT 19020 | $1,693.20 | $2,822.00 | $76.65 – $1,041.88 | 16 |
| Incision of eardrum CPT 69420 | $153.00 | $255.00 | $31.32 – $2,325.85 | 16 |
| Incision of foot fascia CPT 28008 | $557.40 | $929.00 | $143.32 – $1,192.92 | 15 |
| Incision of foot tendon 28234 CPT 28234 | $495.00 | $825.00 | $118.12 – $2,325.85 | 15 |
| Incision of heel bone CPT 28300 | $1,222.20 | $2,037.00 | $564.66 – $1,629.60 | 14 |
| Incision of hip tendon CPT 27000 | $792.60 | $1,321.00 | $124.42 – $1,056.80 | 15 |
| Incision of metatarsal CPT 28306 | $767.40 | $1,279.00 | $322.88 – $1,470.59 | 15 |
| Incision of metatarsal CPT 28308 | $719.40 | $1,199.00 | $332.36 – $1,041.88 | 14 |
| Incision of midfoot bones CPT 28304 | $1,027.80 | $1,713.00 | $97.65 – $1,427.38 | 15 |
| Incision of small bowel 44010 CPT 44010 | $1,488.60 | $2,481.00 | $687.73 – $1,984.80 | 14 |
| Incision of spinal nerve 64772 CPT 64772 | $1,014.60 | $1,691.00 | $468.75 – $1,352.80 | 14 |
| Incision of tendon sheath CPT 25000 | $787.80 | $1,313.00 | $231.53 – $1,192.92 | 15 |
| Incision of thigh tendons CPT 27391 | $1,019.40 | $1,699.00 | $470.96 – $1,359.20 | 14 |
| Incision of tibia & fibula CPT 27709 | $2,137.80 | $3,563.00 | $987.66 – $2,850.40 | 14 |
| Incision of toe tendons 28011 CPT 28011 | $573.00 | $955.00 | $36.75 – $2,325.85 | 15 |
| Incision of tongue fold CPT 41010 | not published | not published | $47.25 – $1,714.50 | 8 |
| Incision of windpipe CPT 31610 | $1,304.40 | $2,174.00 | $275.62 – $1,739.20 | 15 |
| Incision tendon sheath CPT 26055 | $748.20 | $1,247.00 | $210.00 – $1,041.88 | 15 |
| Incisn of toe tndn CPT 28010 | $743.40 | $1,239.00 | $137.55 – $2,094.25 | 16 |
| Infect ag eia influenza a or b ea CPT 87400 | $54.60 | $91.00 | $6.39 – $72.80 | 16 |
| Infect ag ia optc obs influenza CPT 87804 | $53.40 | $89.00 | $10.76 – $71.20 | 16 |
| Infect ag na hpv high-risk types CPT 87624 | $310.80 | $518.00 | $22.81 – $414.40 | 16 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $561.60 | $936.00 | $53.00 – $748.80 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $70.20 | $117.00 | $7.79 – $93.60 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $107.40 | $179.00 | $7.79 – $143.20 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $53.40 | $89.00 | $9.35 – $71.20 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $198.00 | $330.00 | $6.71 – $264.00 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $102.60 | $171.00 | $6.71 – $136.80 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $110.40 | $184.00 | $15.65 – $147.20 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $70.20 | $117.00 | $7.79 – $93.60 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $111.60 | $186.00 | $7.79 – $148.80 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $105.00 | $175.00 | $7.79 – $140.00 | 16 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $310.80 | $518.00 | $22.81 – $414.40 | 16 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $161.40 | $269.00 | $22.81 – $215.20 | 16 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $163.80 | $273.00 | $24.23 – $218.40 | 16 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $160.20 | $267.00 | $22.81 – $213.60 | 15 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $131.40 | $219.00 | $22.81 – $175.20 | 16 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $161.40 | $269.00 | $22.81 – $215.20 | 16 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $93.00 | $155.00 | $37.26 – $124.00 | 16 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $196.80 | $328.00 | $53.00 – $262.40 | 16 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $161.40 | $269.00 | $22.81 – $215.20 | 16 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $584.40 | $974.00 | $27.85 – $779.20 | 15 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $400.80 | $668.00 | $27.85 – $534.40 | 16 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $2,907.60 | $4,846.00 | $31.09 – $102.40 | 14 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $1,245.00 | $2,075.00 | $20.41 – $1,660.00 | 14 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | $42.60 | $71.00 | $10.50 – $56.80 | 15 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $276.00 | $460.00 | $32.76 – $368.00 | 16 |
| Initial observation care CPT 99218 | $115.20 | $192.00 | $53.22 – $153.60 | 12 |
| Initial observation care CPT 99219 | $211.20 | $352.00 | $97.57 – $281.60 | 12 |
| Init pm e/m new pat 65+ yrs CPT 99387 | $192.60 | $321.00 | $88.98 – $256.80 | 14 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $13,281.60 | $22,136.00 | $18.08 – $17,708.80 | 14 |
| Inj belantamab mafodot blmf HCPCS J9037 | $33,801.60 | $56,336.00 | $50.31 – $22,534.40 | 14 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $9,462.00 | $15,770.00 | $39.83 – $12,616.00 | 14 |
| Inj ceftolozane tazobactam HCPCS J0695 | $218.40 | $364.00 | $8.55 – $291.20 | 14 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | $2,408.40 | $4,014.00 | $3.94 – $1,604.80 | 14 |
| Inj, decitabine (sun pharma) HCPCS J0893 | $4,596.00 | $7,660.00 | $0.78 – $6,128.00 | 14 |
| Inj dupuytren cord w/enzyme CPT 20527 | $55.20 | $92.00 | $11.09 – $108.09 | 15 |
| Inj, durolane 1 mg HCPCS J7318 | $24.00 | $40.00 | $6.77 – $32.00 | 14 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $320.40 | $534.00 | $81.96 – $427.20 | 14 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | not published | not published | $88.25 – $1,027.54 | 4 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $86.40 | $144.00 | $18.57 – $116.19 | 16 |
| Injection, daratumumab 10 mg HCPCS J9145 | $7,323.60 | $12,206.00 | $71.37 – $2,575.20 | 14 |
| Injection epidural blood patch or clot CPT 62273 | $1,266.00 | $2,110.00 | $50.40 – $771.51 | 16 |
| Injection for bladder x-ray CPT 51600 | not published | not published | $33.60 – $1,712.98 | 8 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | not published | not published | $88.25 – $721.86 | 4 |
| Injection, fosphenytoin sodi HCPCS S0078 | $90.00 | $150.00 | $13.86 – $40.00 | 14 |
| Injection, fulvestrant HCPCS J9395 | $2,398.80 | $3,998.00 | $6.73 – $3,198.40 | 14 |
| Injection,onabotulinumtoxina HCPCS J0585 | $810.00 | $1,350.00 | $6.50 – $22.40 | 14 |
| Injection px peyronie ds CPT 54200 | $105.00 | $175.00 | $21.62 – $123.32 | 15 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $80.40 | $134.00 | $37.14 – $771.51 | 13 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $134.40 | $224.00 | $62.09 – $179.20 | 15 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $478.20 | $797.00 | $19.40 – $149.53 | 16 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $280.20 | $467.00 | $56.83 – $771.51 | 16 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $147.00 | $245.00 | $67.91 – $196.00 | 14 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $351.60 | $586.00 | $98.03 – $468.80 | 14 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $126.00 | $210.00 | $58.21 – $168.00 | 14 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $522.60 | $871.00 | $98.03 – $696.80 | 14 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $181.20 | $302.00 | $83.71 – $771.51 | 15 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $165.60 | $276.00 | $76.51 – $771.51 | 15 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $478.20 | $797.00 | $14.69 – $98.03 | 16 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $183.00 | $305.00 | $11.64 – $116.19 | 16 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $79.20 | $132.00 | $11.64 – $116.19 | 16 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $111.00 | $185.00 | $10.93 – $61.60 | 14 |
| Inject sacroiliac joint CPT 27096 | $318.00 | $530.00 | $88.25 – $817.22 | 14 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | $17.40 | $29.00 | $3.36 – $23.20 | 14 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | $2,328.00 | $3,880.00 | $61.44 – $3,104.00 | 14 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $44.40 | $74.00 | $9.15 – $98.03 | 15 |
| Inj ivig privigen 500 mg HCPCS J1459 | $7,636.80 | $12,728.00 | $50.74 – $320.80 | 14 |
| Inj, linezolid (hospira) HCPCS J2021 | $100.20 | $167.00 | $6.34 – $133.60 | 14 |
| Inj., meropenem, vaborbactam HCPCS J2186 | $258.00 | $430.00 | $2.46 – $344.00 | 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.