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 |
|---|---|---|---|---|
| Mayo thyroglobulin CPT 84432 | $75.00 | $125.00 | $10.44 – $100.00 | 16 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $190.20 | $317.00 | $6.62 – $253.60 | 16 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $117.00 | $195.00 | $8.05 – $156.00 | 15 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $192.60 | $321.00 | $8.40 – $256.80 | 16 |
| Md inr test revie inter mgmt HCPCS G0250 | $18.00 | $30.00 | $7.88 – $24.00 | 13 |
| Md service required for pmd HCPCS G0372 | $27.00 | $45.00 | $7.21 – $20.80 | 14 |
| Measurement post void urine by ultrasound CPT 51798 | $60.00 | $100.00 | $14.77 – $88.25 | 16 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $66.00 | $110.00 | $0.62 – $88.00 | 14 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $282.60 | $471.00 | $130.56 – $376.80 | 14 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | $66.60 | $111.00 | $30.77 – $134.89 | 14 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $3.60 | $6.00 | $1.66 – $15.69 | 14 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $49.20 | $82.00 | $0.42 – $33.60 | 14 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $82.20 | $137.00 | $1.59 – $109.60 | 14 |
| Metabolic Blood Panel (Basic) CPT 80048 | $81.60 | $136.00 | $5.50 – $108.80 | 16 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $100.80 | $168.00 | $6.86 – $134.40 | 16 |
| Metatarsal joint implant HCPCS L8641 | $3,246.00 | $5,410.00 | $1,027.90 – $4,328.00 | 14 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | $88.20 | $147.00 | $0.95 – $117.60 | 14 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $6.60 | $11.00 | $0.19 – $8.80 | 14 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $112.80 | $188.00 | $2.82 – $150.40 | 14 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $124.80 | $208.00 | $5.35 – $166.40 | 14 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $9.60 | $16.00 | $4.44 – $20.72 | 14 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $213.00 | $355.00 | $0.46 – $242.40 | 15 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $22.80 | $38.00 | $0.12 – $18.40 | 14 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $80.40 | $134.00 | $0.21 – $1.60 | 14 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $1.80 | $3.00 | $0.83 – $2.40 | 14 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $6.60 | $11.00 | $0.03 – $8.80 | 14 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $234.60 | $391.00 | $0.26 – $312.80 | 14 |
| Microdissection manual CPT 88381 | $497.40 | $829.00 | $53.00 – $663.20 | 15 |
| Mid and Lower Back (Thoracolumbar Spine) X-ray CPT 72080 | $141.60 | $236.00 | $27.82 – $188.80 | 16 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $15.60 | $26.00 | $0.15 – $1.60 | 14 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $19.20 | $32.00 | $1.45 – $25.60 | 14 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | $16,516.20 | $27,527.00 | $69.49 – $22,021.60 | 14 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $3,525.00 | $5,875.00 | $20.35 – $2,349.60 | 14 |
| Mitomycin instillation HCPCS J9281 | $3,525.00 | $5,875.00 | $318.53 – $4,700.00 | 14 |
| Mlh1 gene CPT 81288 | $843.60 | $1,406.00 | $53.00 – $1,124.80 | 15 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | $106.20 | $177.00 | $49.06 – $141.60 | 14 |
| Mnl prep&insj i-artic rx dev CPT 20704 | $192.60 | $321.00 | $88.98 – $256.80 | 14 |
| Mnpj anes sho jt fixj aprats CPT 23700 | $382.20 | $637.00 | $134.40 – $771.51 | 15 |
| Mnpj elbow under anes CPT 24300 | $708.00 | $1,180.00 | $285.06 – $944.00 | 15 |
| Mopath procedure level 3 CPT 81402 | $828.60 | $1,381.00 | $53.00 – $1,104.80 | 15 |
| Mopath procedure level 5 CPT 81404 | $1,691.40 | $2,819.00 | $53.00 – $2,255.20 | 15 |
| Mopath procedure level 6 CPT 81405 | $2,264.40 | $3,774.00 | $53.00 – $3,019.20 | 15 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $76.80 | $128.00 | $1.39 – $4.00 | 14 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $3.60 | $6.00 | $1.66 – $4.80 | 14 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $443.40 | $739.00 | $4.16 – $12.05 | 14 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $910.80 | $1,518.00 | $53.00 – $1,214.40 | 16 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $369.60 | $616.00 | $53.00 – $492.80 | 16 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $262.20 | $437.00 | $53.00 – $349.60 | 16 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | $46,632.00 | $77,720.00 | $654.63 – $2,072.00 | 14 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | $552.60 | $921.00 | $186.38 – $1,041.88 | 15 |
| M/phmtrc alys ishquant/semiq CPT 88373 | $474.60 | $791.00 | $48.11 – $632.80 | 16 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $1,052.40 | $1,754.00 | $53.00 – $1,403.20 | 16 |
| M/phmtrc alysishquant/semiq CPT 88369 | $514.80 | $858.00 | $53.00 – $686.40 | 16 |
| MRA abdomen post contrast CPT 74185 | $1,538.40 | $2,564.00 | $401.05 – $1,845.60 | 16 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $1,525.80 | $2,543.00 | $396.26 – $2,034.40 | 16 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $1,536.60 | $2,561.00 | $399.35 – $2,048.80 | 15 |
| MRA pelvis CPT 72198 | $1,536.60 | $2,561.00 | $399.30 – $2,048.80 | 15 |
| MRA upper extremity post contrast-bil CPT 73225 | $1,561.20 | $2,602.00 | $406.52 – $2,081.60 | 14 |
| MRI breast c-+ w/cad uni CPT 77048 | $1,966.80 | $3,278.00 | $320.42 – $2,622.40 | 16 |
| MRI breast without cont bi CPT 77047 | $2,153.40 | $3,589.00 | $207.69 – $2,871.20 | 16 |
| MRI breast w IV cont bi CPT 77049 | $2,153.40 | $3,589.00 | $327.63 – $2,871.20 | 16 |
| MRI chest without contrast CPT 71550 | $1,335.60 | $2,226.00 | $303.21 – $1,780.80 | 16 |
| MRI chest without & w/contrast CPT 71552 | $2,042.40 | $3,404.00 | $516.77 – $2,723.20 | 16 |
| MRI chest w IV cont CPT 71551 | $1,421.40 | $2,369.00 | $412.09 – $1,895.20 | 16 |
| MRI guid ndl plc s&i CPT 77021 | $1,377.60 | $2,296.00 | $270.46 – $1,836.80 | 16 |
| MRI loex nonjt w IV cont CPT 73719 | $1,384.20 | $2,307.00 | $325.34 – $1,845.60 | 15 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $1,230.00 | $2,050.00 | $276.68 – $1,640.00 | 15 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $1,844.40 | $3,074.00 | $418.82 – $2,459.20 | 15 |
| MRI tmj CPT 70336 | $1,240.20 | $2,067.00 | $304.21 – $1,653.60 | 16 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $1,230.00 | $2,050.00 | $298.36 – $1,640.00 | 15 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $1,844.40 | $3,074.00 | $497.19 – $2,459.20 | 15 |
| MRI upper extremity w/dye CPT 73219 | $1,384.20 | $2,307.00 | $399.40 – $1,845.60 | 15 |
| Mr safety determination physician/other qhp CPT 76016 | $160.20 | $267.00 | $43.84 – $213.60 | 14 |
| Mr safety implant elec prepj CPT 76018 | $167.40 | $279.00 | $77.34 – $223.20 | 14 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $19.20 | $32.00 | $8.87 – $46.33 | 14 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $45.00 | $75.00 | $9.61 – $60.00 | 14 |
| Mr sfty med physics xm cstmz CPT 76017 | $439.80 | $733.00 | $184.41 – $586.40 | 14 |
| Mucin synovial fluid CPT 83872 | $43.20 | $72.00 | $3.81 – $57.60 | 16 |
| Mumps antibody igg CPT 86735 | $94.80 | $158.00 | $8.48 – $126.40 | 15 |
| Muscle-skin graft leg CPT 15738 | $2,275.20 | $3,792.00 | $1,051.14 – $3,033.60 | 14 |
| Muscle-skin graft trunk CPT 15734 | $2,112.60 | $3,521.00 | $976.02 – $5,106.31 | 14 |
| Muscle test cran nerv unilat CPT 95867 | $214.20 | $357.00 | $26.25 – $154.69 | 16 |
| Muscle test larynx CPT 95865 | $231.00 | $385.00 | $87.24 – $308.00 | 16 |
| Mycoplasma antibody igm CPT 86738 | $91.80 | $153.00 | $8.61 – $122.40 | 16 |
| Myelography via inj w/s&i cervical CPT 62302 | $954.60 | $1,591.00 | $98.03 – $1,272.80 | 16 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $941.40 | $1,569.00 | $98.03 – $1,255.20 | 16 |
| Myelography via inj w/s&i thoracic CPT 62303 | $982.80 | $1,638.00 | $98.03 – $1,310.40 | 16 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $106.80 | $178.00 | $7.49 – $142.40 | 15 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $4.20 | $7.00 | $1.94 – $5.60 | 14 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $147.00 | $245.00 | $30.77 – $2,325.85 | 16 |
| Nasal/sinus endoscopy surg CPT 31287 | $321.00 | $535.00 | $65.70 – $1,192.92 | 15 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | $385.80 | $643.00 | $55.16 – $1,041.88 | 15 |
| Nasal/sinus endo spendt remove tiss 31288 CPT 31288 | $531.60 | $886.00 | $75.12 – $1,192.92 | 15 |
| Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 | $222.00 | $370.00 | $45.18 – $1,041.88 | 15 |
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | $536.40 | $894.00 | $247.82 – $1,192.92 | 14 |
| Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255 | $792.00 | $1,320.00 | $365.90 – $2,252.46 | 14 |
| Nasal/sinus endo w/front sinus expl 31276 CPT 31276 | $999.60 | $1,666.00 | $141.37 – $1,419.24 | 15 |
| Nasal/sinus maxillary endoscopy dx 31233 CPT 31233 | $210.00 | $350.00 | $42.97 – $1,041.88 | 16 |
| Nasal/sinus sphenoid endoscopy dx 31235 CPT 31235 | $393.00 | $655.00 | $181.57 – $771.51 | 14 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $99.00 | $165.00 | $20.51 – $126.64 | 15 |
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.