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 |
|---|---|---|---|---|
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $171.00 | $285.00 | $34.16 – $228.00 | 16 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $292.80 | $488.00 | $38.45 – $390.40 | 16 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $180.60 | $301.00 | $36.75 – $240.80 | 16 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $162.60 | $271.00 | $29.17 – $216.80 | 15 |
| Lumbar Spinal Fusion (single level) CPT 22612 | $2,020.20 | $3,367.00 | $401.11 – $4,018.01 | 15 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $155.40 | $259.00 | $19.95 – $207.20 | 16 |
| Lung Function Test (Spirometry) CPT 94010 | $100.20 | $167.00 | $15.75 – $92.23 | 16 |
| Lung perfusion imaging CPT 78580 | $801.60 | $1,336.00 | $82.95 – $1,068.80 | 16 |
| Lymphatics/lymph node imaging CPT 78195 | $1,177.80 | $1,963.00 | $189.00 – $1,570.40 | 16 |
| Lysis of labial adhesions CPT 56441 | $223.20 | $372.00 | $66.15 – $771.51 | 15 |
| Macroscopic exam arthropod CPT 87168 | $43.20 | $72.00 | $2.78 – $57.60 | 15 |
| Macroscopic exam parasite CPT 87169 | $24.00 | $40.00 | $2.80 – $32.00 | 15 |
| Magnesium CPT 83735 | $48.60 | $81.00 | $4.36 – $64.80 | 16 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $19.80 | $33.00 | $0.48 – $7.20 | 14 |
| Manipulat palm cord post inj CPT 26341 | $66.00 | $110.00 | $13.31 – $2,325.85 | 15 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $4.20 | $7.00 | $1.94 – $5.60 | 14 |
| Mapping io sentinel lymph node CPT 38900 | $267.60 | $446.00 | $123.63 – $771.51 | 14 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | $6,553.80 | $10,923.00 | $52.49 – $8,738.40 | 14 |
| Marker biop eviva buckle ss HCPCS A4648 | $150.00 | $250.00 | $47.50 – $200.00 | 14 |
| Mastectomy partial CPT 19301 | $1,033.20 | $1,722.00 | $477.34 – $1,377.60 | 14 |
| Mast mod rad CPT 19307 | $1,968.00 | $3,280.00 | $909.22 – $2,624.00 | 14 |
| Mastoidectomy CPT 69501 | $1,014.00 | $1,690.00 | $468.47 – $2,325.85 | 14 |
| Mastoids complete CPT 70130 | $248.40 | $414.00 | $58.28 – $331.20 | 15 |
| Mast simple complete CPT 19303 | $1,554.00 | $2,590.00 | $717.95 – $2,072.00 | 14 |
| Mayo aathr protein s free CPT 85306 | $150.60 | $251.00 | $9.96 – $200.80 | 16 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $76.80 | $128.00 | $7.29 – $102.40 | 15 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $103.80 | $173.00 | $9.61 – $138.40 | 15 |
| Mayo alpha 1 antitrypsin CPT 82103 | $93.00 | $155.00 | $8.74 – $124.00 | 16 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $144.60 | $241.00 | $9.80 – $192.80 | 16 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $565.80 | $943.00 | $53.00 – $754.40 | 15 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $414.00 | $690.00 | $53.00 – $552.00 | 16 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $100.80 | $168.00 | $9.49 – $134.40 | 16 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $50.40 | $84.00 | $7.09 – $67.20 | 15 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $37.80 | $63.00 | $6.62 – $50.40 | 16 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $91.80 | $153.00 | $8.57 – $122.40 | 16 |
| Mayo c1 esterase inhibitor CPT 83883 | $186.60 | $311.00 | $8.84 – $248.80 | 15 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $57.00 | $95.00 | $8.72 – $76.00 | 15 |
| Mayo ceruloplasmin CPT 82390 | $76.80 | $128.00 | $6.98 – $102.40 | 16 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $124.20 | $207.00 | $8.37 – $165.60 | 15 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $58.20 | $97.00 | $7.68 – $77.60 | 16 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $124.20 | $207.00 | $8.24 – $165.60 | 16 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $526.20 | $877.00 | $53.00 – $701.60 | 16 |
| Mayo chromium CPT 82495 | $35.40 | $59.00 | $6.30 – $47.20 | 16 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $60.00 | $100.00 | $7.93 – $80.00 | 15 |
| Mayo cortisol free CPT 82530 | $79.20 | $132.00 | $10.86 – $105.60 | 16 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $151.20 | $252.00 | $11.72 – $201.60 | 16 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $175.80 | $293.00 | $16.43 – $234.40 | 16 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | $73.80 | $123.00 | $6.27 – $98.40 | 15 |
| Mayo estriol CPT 82677 | $165.60 | $276.00 | $15.72 – $220.80 | 16 |
| Mayo estrone CPT 82679 | $117.00 | $195.00 | $13.65 – $156.00 | 16 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $111.60 | $186.00 | $10.62 – $148.80 | 16 |
| Mayo factor viii vw factor antigen CPT 85246 | $108.00 | $180.00 | $14.91 – $144.00 | 16 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $108.00 | $180.00 | $14.91 – $144.00 | 16 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $108.00 | $180.00 | $14.91 – $144.00 | 16 |
| Mayo fat/lipids feces quantitative CPT 82710 | $115.80 | $193.00 | $4.22 – $154.40 | 16 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $348.00 | $580.00 | $53.00 – $464.00 | 14 |
| Mayo hemosiderin qualitative urine CPT 83070 | $48.60 | $81.00 | $3.09 – $64.80 | 16 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $180.60 | $301.00 | $12.60 – $240.80 | 16 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $183.00 | $305.00 | $17.66 – $244.00 | 16 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $61.80 | $103.00 | $11.23 – $82.40 | 15 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $141.60 | $236.00 | $9.74 – $188.80 | 16 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $198.60 | $331.00 | $13.53 – $264.80 | 16 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $98.40 | $164.00 | $13.53 – $131.20 | 16 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $163.80 | $273.00 | $22.81 – $218.40 | 16 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $197.40 | $329.00 | $27.85 – $263.20 | 16 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $235.20 | $392.00 | $46.92 – $313.60 | 16 |
| Mayo inhab inhibin a CPT 86336 | $865.20 | $1,442.00 | $10.13 – $1,153.60 | 15 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $62.40 | $104.00 | $8.61 – $83.20 | 16 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $88.20 | $147.00 | $8.31 – $117.60 | 16 |
| Mayo legionella antibody CPT 86713 | $105.00 | $175.00 | $9.95 – $140.00 | 16 |
| Mayo lipoprotein electrophoresis CPT 83700 | $88.20 | $147.00 | $7.32 – $117.60 | 16 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $168.00 | $280.00 | $10.07 – $224.00 | 16 |
| Mayo metanephrines plasma CPT 83835 | $117.00 | $195.00 | $11.01 – $156.00 | 16 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $69.60 | $116.00 | $8.53 – $92.80 | 15 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $132.60 | $221.00 | $8.31 – $176.80 | 16 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $94.80 | $158.00 | $12.12 – $126.40 | 16 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $644.40 | $1,074.00 | $53.00 – $859.20 | 15 |
| Mayo muramidase CPT 85549 | $129.60 | $216.00 | $12.19 – $172.80 | 16 |
| Mayo myoglobin CPT 83874 | $90.00 | $150.00 | $8.40 – $120.00 | 16 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $57.00 | $95.00 | $11.05 – $76.00 | 15 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $82.80 | $138.00 | $9.22 – $110.40 | 15 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $204.00 | $340.00 | $13.79 – $272.00 | 16 |
| Mayo oxalate 24 hour urine CPT 83945 | $90.00 | $150.00 | $9.39 – $120.00 | 16 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $104.40 | $174.00 | $9.77 – $139.20 | 16 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $86.40 | $144.00 | $7.83 – $115.20 | 16 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $319.80 | $533.00 | $22.81 – $426.40 | 16 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $60.00 | $100.00 | $2.10 – $80.00 | 16 |
| Mayo pregnenolone CPT 84140 | $202.80 | $338.00 | $13.44 – $270.40 | 16 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $114.60 | $191.00 | $10.78 – $152.80 | 16 |
| Mayo psaft prostate specific antigen free CPT 84154 | $171.00 | $285.00 | $11.95 – $228.00 | 16 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $229.20 | $382.00 | $11.96 – $305.60 | 15 |
| Mayo renin CPT 84244 | $154.20 | $257.00 | $12.60 – $205.60 | 16 |
| Mayo repu protein electrophoresis urine CPT 84166 | $86.40 | $144.00 | $11.59 – $115.20 | 16 |
| Mayo selenium CPT 84255 | $136.80 | $228.00 | $16.59 – $182.40 | 15 |
| Mayo serotonin CPT 84260 | $208.80 | $348.00 | $20.14 – $278.40 | 16 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $63.00 | $105.00 | $8.92 – $84.00 | 16 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $33.00 | $55.00 | $2.78 – $44.00 | 16 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $940.80 | $1,568.00 | $53.00 – $1,254.40 | 15 |
| Mayo tgrp testosterone free CPT 84402 | $175.80 | $293.00 | $16.56 – $234.40 | 16 |
| Mayo tgrp testosterone total CPT 84403 | $174.60 | $291.00 | $16.78 – $232.80 | 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.