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 |
|---|---|---|---|---|
| Knee arthroscopy/surgery CPT 29876 | $1,200.00 | $2,000.00 | $554.40 – $2,017.35 | 14 |
| Knee arthroscopy/surgery CPT 29879 | $1,639.20 | $2,732.00 | $757.31 – $2,185.60 | 14 |
| Knee arthroscopy/surgery CPT 29880 | $1,742.40 | $2,904.00 | $804.99 – $2,323.20 | 14 |
| Knee arthroscopy/surgery CPT 29884 | $1,129.20 | $1,882.00 | $521.69 – $1,567.48 | 15 |
| Knee arthroscopy/surgery CPT 29888 | $2,967.00 | $4,945.00 | $1,192.92 – $3,956.00 | 14 |
| Knee arthroscopy/surgery CPT 29889 | $3,067.80 | $5,113.00 | $1,192.92 – $4,090.40 | 14 |
| Knee MRI (with and without contrast) CPT 73723 | $1,857.00 | $3,095.00 | $468.12 – $2,476.00 | 15 |
| Knee MRI (with contrast) CPT 73722 | $1,384.20 | $2,307.00 | $379.08 – $1,845.60 | 15 |
| Knee MRI (without contrast) CPT 73721 | $966.60 | $1,611.00 | $236.03 – $1,288.80 | 15 |
| Knee X-ray CPT 73564 | $215.40 | $359.00 | $42.48 – $287.20 | 15 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $118.80 | $198.00 | $31.66 – $158.40 | 15 |
| Knee X-ray (3 views, both knees) CPT 73562 | $161.40 | $269.00 | $37.32 – $215.20 | 15 |
| Knee X-ray (standing, both knees) CPT 73565 | $107.40 | $179.00 | $26.67 – $143.20 | 16 |
| Kras gene addl variants CPT 81276 | $673.20 | $1,122.00 | $53.00 – $897.60 | 16 |
| Kras gene variants exon 2 CPT 81275 | $720.00 | $1,200.00 | $53.00 – $960.00 | 16 |
| Kyleena, 19.5 mg HCPCS J7296 | $3,024.00 | $5,040.00 | $1,384.68 – $4,032.00 | 14 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | $478.20 | $797.00 | $19.92 – $223.16 | 15 |
| Lab draw <3 yrs scalp vein 36405 CPT 36405 | $83.40 | $139.00 | $16.83 – $56.80 | 15 |
| Lactate dehydrogenase (ldh) CPT 83615 | $44.40 | $74.00 | $3.93 – $59.20 | 16 |
| Lactated ringers intravenous solution HCPCS J7120 | $18.00 | $30.00 | $2.41 – $8.80 | 14 |
| Lactic acid CPT 83605 | $107.40 | $179.00 | $7.52 – $143.20 | 16 |
| Lam facetec & foramot lumbar CPT 63047 | $1,967.40 | $3,279.00 | $908.94 – $5,009.59 | 14 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $10,980.00 | $18,300.00 | $34.05 – $14,640.00 | 14 |
| Laparo-asst vag hysterectomy CPT 58550 | $1,644.00 | $2,740.00 | $759.53 – $2,192.00 | 14 |
| Laparo cholecystectomy/graph CPT 47563 | $1,084.80 | $1,808.00 | $501.18 – $1,677.17 | 14 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | not published | not published | $1,470.59 – $5,169.25 | 2 |
| Laparoscopy aspiration CPT 49322 | not published | not published | $777.81 – $3,269.73 | 4 |
| Laparoscopy biopsy CPT 49321 | $652.20 | $1,087.00 | $301.32 – $1,470.59 | 14 |
| Laparoscopy excise lesions CPT 58662 | $1,321.80 | $2,203.00 | $610.67 – $1,762.40 | 14 |
| Laparoscopy gastrostomy CPT 43653 | $910.20 | $1,517.00 | $420.51 – $1,213.60 | 14 |
| Laparoscopy lysis CPT 58660 | $1,035.60 | $1,726.00 | $478.45 – $1,677.17 | 14 |
| Laparoscopy remove adnexa CPT 58661 | $1,213.80 | $2,023.00 | $560.78 – $1,677.17 | 14 |
| Laparoscopy tubal block 58671 CPT 58671 | $678.60 | $1,131.00 | $313.51 – $1,192.92 | 14 |
| Laparo-vag hyst incl t/o CPT 58552 | not published | not published | $1,582.65 – $6,682.70 | 4 |
| Lap colostomy 44188 CPT 44188 | $2,200.20 | $3,667.00 | $1,016.49 – $2,933.60 | 14 |
| Lap enterolysis CPT 44180 | $1,672.80 | $2,788.00 | $772.83 – $2,230.40 | 14 |
| Lap inc hernia repair 49654 CPT 49654 | $1,597.80 | $2,663.00 | $738.18 – $2,325.85 | 13 |
| Lap inc hernia repair recurr 49656 CPT 49656 | $1,604.40 | $2,674.00 | $741.23 – $2,325.85 | 13 |
| Lap inc hern recur comp 49657 CPT 49657 | $2,316.00 | $3,860.00 | $1,069.99 – $3,088.00 | 13 |
| Lap inc hern repair comp 49655 CPT 49655 | $1,926.00 | $3,210.00 | $889.81 – $2,568.00 | 13 |
| Lap ing hernia repair init CPT 49650 | $771.60 | $1,286.00 | $356.48 – $1,470.59 | 14 |
| Lap ing hernia repair recur CPT 49651 | $998.40 | $1,664.00 | $461.26 – $2,325.85 | 14 |
| Lap insert tunnel ip cath CPT 49324 | $600.00 | $1,000.00 | $277.20 – $1,470.59 | 14 |
| Lap mobil splenic fl add-on 44213 CPT 44213 | $312.00 | $520.00 | $144.14 – $1,677.17 | 14 |
| Lap part colectomy w/stoma 44206 CPT 44206 | $2,172.00 | $3,620.00 | $1,003.46 – $2,896.00 | 14 |
| Lap revision perm ip cath CPT 49325 | $553.20 | $922.00 | $255.58 – $1,470.59 | 14 |
| Lap vent/abd hernia repair 49652 CPT 49652 | $1,393.80 | $2,323.00 | $643.94 – $1,858.40 | 13 |
| Lap vent/abd hern proc comp 49653 CPT 49653 | $1,737.60 | $2,896.00 | $802.77 – $2,325.85 | 13 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $230.40 | $384.00 | $15.80 – $109.80 | 16 |
| Laryngoscope w/vc inj CPT 31570 | $430.20 | $717.00 | $198.45 – $1,041.88 | 15 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $1,266.00 | $2,110.00 | $123.90 – $771.51 | 16 |
| Laryngoscopy w/biopsy CPT 31535 | $370.80 | $618.00 | $171.31 – $1,041.88 | 14 |
| Laryngoscopy w/bx & op scope CPT 31536 | $412.80 | $688.00 | $190.71 – $1,192.92 | 15 |
| Laryngoscopy w/exc of tumor CPT 31540 | $475.20 | $792.00 | $219.54 – $1,192.92 | 15 |
| Laryngoscopy w/fb removal CPT 31530 | $384.00 | $640.00 | $177.41 – $1,041.88 | 14 |
| Laryngoscopy with biopsy CPT 31576 | $289.80 | $483.00 | $58.77 – $1,041.88 | 16 |
| Larynscop remve cart + scop CPT 31561 | $598.80 | $998.00 | $276.65 – $1,982.68 | 15 |
| Larynscop w/tumr exc + scope CPT 31541 | $520.80 | $868.00 | $240.61 – $1,470.59 | 15 |
| Laser surgery of prostate CPT 52648 | $1,527.60 | $2,546.00 | $705.75 – $2,314.58 | 14 |
| Laser surg penis lesion(s) CPT 54057 | $151.20 | $252.00 | $29.40 – $771.51 | 15 |
| Lavage cannulation maxillary sinus CPT 31000 | $133.80 | $223.00 | $27.72 – $2,325.85 | 16 |
| Lead capillary CPT 83655 | $150.60 | $251.00 | $7.87 – $200.80 | 16 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $691.20 | $1,152.00 | $218.88 – $921.60 | 14 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $651.00 | $1,085.00 | $154.15 – $868.00 | 16 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $724.20 | $1,207.00 | $192.20 – $965.60 | 15 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $525.60 | $876.00 | $148.34 – $700.80 | 15 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $495.00 | $825.00 | $153.99 – $660.00 | 16 |
| Lens, intraocular (new tech) HCPCS C1780 | $336.00 | $560.00 | $53.20 – $224.00 | 14 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $39.00 | $65.00 | $3.22 – $52.00 | 14 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $32,065.80 | $53,443.00 | $176.45 – $1,499.20 | 14 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $30,538.80 | $50,898.00 | $1,722.24 – $4,970.40 | 14 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $22.80 | $38.00 | $0.04 – $16.00 | 14 |
| Levetiracetam therapeutic drug level CPT 80177 | $64.20 | $107.00 | $8.61 – $85.60 | 16 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $34.80 | $58.00 | $1.05 – $17.60 | 14 |
| Liberta rc ipg HCPCS C1820 | $22,258.80 | $37,098.00 | $7,048.62 – $29,678.40 | 14 |
| Lidocaine injection HCPCS J2001 | $12.00 | $20.00 | $0.03 – $16.00 | 14 |
| Lifileucel til/dose 7.5b-72b snij HCPCS J9999 | $25,349.40 | $42,249.00 | $2,927.79 – $8,449.60 | 14 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | $679.80 | $1,133.00 | $314.07 – $1,677.17 | 14 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $405.60 | $676.00 | $81.22 – $1,041.88 | 16 |
| Ligation/major artery/extremity 37618 CPT 37618 | $651.00 | $1,085.00 | $300.76 – $1,192.92 | 14 |
| Lipase CPT 83690 | $49.80 | $83.00 | $4.48 – $66.40 | 16 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | $637.80 | $1,063.00 | $294.66 – $1,329.36 | 15 |
| Lipoprotein direct measurement hdl CPT 83718 | $58.20 | $97.00 | $5.32 – $77.60 | 16 |
| Lipoprotein direct measurement ldl CPT 83721 | $105.00 | $175.00 | $6.83 – $140.00 | 16 |
| Lithium therapeutic drug level CPT 80178 | $76.80 | $128.00 | $4.30 – $102.40 | 16 |
| Liver Function Test CPT 80076 | $79.20 | $132.00 | $5.31 – $105.60 | 16 |
| Liver imaging CPT 78201 | $664.20 | $1,107.00 | $70.29 – $885.60 | 16 |
| Liver imaging (3d) CPT 78205 | $740.40 | $1,234.00 | $342.06 – $987.20 | 13 |
| Liver/spleen imag static only CPT 78215 | $674.40 | $1,124.00 | $72.72 – $899.20 | 16 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | $885.60 | $1,476.00 | $341.77 – $1,192.92 | 15 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $54.00 | $90.00 | $1.30 – $6.40 | 14 |
| Low back disk surgery CPT 63030 | $1,207.80 | $2,013.00 | $240.89 – $2,732.95 | 15 |
| Low cost skin substitute app HCPCS C5275 | $1,344.00 | $2,240.00 | $620.93 – $2,094.25 | 14 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $768.60 | $1,281.00 | $120.74 – $1,024.80 | 16 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,130.40 | $1,884.00 | $204.80 – $1,507.20 | 16 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $961.20 | $1,602.00 | $158.08 – $1,281.60 | 16 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $771.60 | $1,286.00 | $145.52 – $1,028.80 | 16 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $1,907.40 | $3,179.00 | $355.95 – $2,543.20 | 16 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $1,237.80 | $2,063.00 | $320.31 – $1,650.40 | 16 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,032.00 | $1,720.00 | $223.32 – $1,376.00 | 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.