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 |
|---|---|---|---|---|
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $436.20 | $727.00 | $138.13 – $581.60 | 14 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $289.80 | $483.00 | $91.77 – $386.40 | 14 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | $191.40 | $319.00 | $60.61 – $255.20 | 14 |
| Orthovisc inj per dose HCPCS J7324 | $190.20 | $317.00 | $87.87 – $253.60 | 14 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $1,635.00 | $2,725.00 | $421.61 – $1,775.20 | 14 |
| Oscillation chest wall mechanical per session CPT 94669 | $166.80 | $278.00 | $25.51 – $222.40 | 15 |
| Osmolality blood CPT 83930 | $48.00 | $80.00 | $3.15 – $64.00 | 16 |
| Osmolality urine CPT 83935 | $49.80 | $83.00 | $3.15 – $66.40 | 16 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | $591.60 | $986.00 | $240.45 – $1,192.92 | 15 |
| Osteochondral talus autogrft CPT 28446 | $2,128.20 | $3,547.00 | $983.23 – $2,837.60 | 14 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | $1,117.20 | $1,862.00 | $341.25 – $1,877.78 | 15 |
| Other immunoelectrophoresis CPT 86325 | $211.20 | $352.00 | $13.65 – $281.60 | 16 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $98.40 | $164.00 | $45.00 – $131.20 | 15 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | $28.20 | $47.00 | $7.48 – $38.15 | 15 |
| Ot re-evaluation patient/family CPT 97168 | $118.80 | $198.00 | $42.72 – $158.40 | 16 |
| Ovarian cystectomy 58925 CPT 58925 | $1,342.80 | $2,238.00 | $620.37 – $1,790.40 | 14 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $298.80 | $498.00 | $0.08 – $199.20 | 14 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $23.40 | $39.00 | $1.60 – $6.40 | 14 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $1.20 | $2.00 | $0.13 – $1.60 | 14 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $3,934.20 | $6,557.00 | $10.54 – $5,245.60 | 14 |
| Palonosetron hcl HCPCS J2469 | $498.00 | $830.00 | $0.36 – $664.00 | 14 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $40.20 | $67.00 | $9.64 – $53.60 | 14 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $18,043.80 | $30,073.00 | $173.03 – $6,014.40 | 14 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $37.20 | $62.00 | $5.19 – $49.60 | 14 |
| Papaverin hcl injection HCPCS J2440 | $25.80 | $43.00 | $11.92 – $34.40 | 14 |
| Parathormone (pth) intact CPT 83970 | $275.40 | $459.00 | $26.83 – $367.20 | 16 |
| Parathyroid planar imaging CPT 78070 | $1,032.00 | $1,720.00 | $93.72 – $1,376.00 | 16 |
| Parathyroid planar img w/tomo spect CPT 78071 | $1,220.40 | $2,034.00 | $280.89 – $1,627.20 | 16 |
| Parial mast w/lymph removal 19302 CPT 19302 | $1,530.60 | $2,551.00 | $707.14 – $2,325.85 | 14 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $150.60 | $251.00 | $8.59 – $2,094.25 | 16 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $124.42 – $1,714.94 | 8 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | $1,004.40 | $1,674.00 | $275.62 – $1,339.20 | 15 |
| Partial hysterectomy CPT 58180 | $1,747.20 | $2,912.00 | $807.21 – $2,381.68 | 14 |
| Partial removal finger bone CPT 26235 | $891.00 | $1,485.00 | $288.75 – $1,192.92 | 15 |
| Partial removal foot fascia CPT 28060 | $727.80 | $1,213.00 | $205.28 – $1,041.88 | 15 |
| Partial removal leg bone(s) CPT 27360 | $1,602.00 | $2,670.00 | $372.23 – $2,136.00 | 15 |
| Partial removal of fibula CPT 27641 | $1,402.20 | $2,337.00 | $647.82 – $1,869.60 | 14 |
| Partial removal of foot bone CPT 28288 | $793.80 | $1,323.00 | $258.82 – $1,192.92 | 15 |
| Partial removal of penis CPT 54120 | $976.80 | $1,628.00 | $451.28 – $1,474.49 | 14 |
| Partial removal of rectum CPT 45111 | $1,678.20 | $2,797.00 | $775.33 – $2,963.97 | 14 |
| Partial removal of thyroid CPT 60220 | $1,357.80 | $2,263.00 | $627.30 – $1,810.40 | 14 |
| Partial removal of thyroid CPT 60225 | $1,707.00 | $2,845.00 | $788.63 – $2,276.00 | 14 |
| Partial removal of tongue CPT 41120 | $1,902.60 | $3,171.00 | $879.00 – $2,536.80 | 14 |
| Partial thyroid excision CPT 60210 | $1,241.40 | $2,069.00 | $573.53 – $1,985.80 | 14 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | $1,875.00 | $3,125.00 | $866.25 – $2,500.00 | 14 |
| Part removal of metatarsal CPT 28110 | $544.80 | $908.00 | $251.70 – $1,192.92 | 15 |
| Part removal of metatarsal CPT 28113 | $775.80 | $1,293.00 | $240.45 – $1,192.92 | 15 |
| Part removal of metatarsal 28112 CPT 28112 | $590.40 | $984.00 | $240.45 – $1,192.92 | 15 |
| Passy muir valve metal trach HCPCS L8501 | $484.20 | $807.00 | $153.33 – $645.60 | 15 |
| Pcv21 vaccine im CPT 90684 | $360.00 | $600.00 | $10.50 – $480.00 | 15 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $15,980.40 | $26,634.00 | $58.81 – $21,307.20 | 14 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $10,395.60 | $17,326.00 | $106.33 – $13,860.80 | 14 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $5,197.80 | $8,663.00 | $99.13 – $6,930.40 | 15 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | $76,549.80 | $127,583.00 | $3,660.83 – $102,066.40 | 14 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $886.20 | $1,477.00 | $167.00 – $1,181.60 | 16 |
| Pelvic CT scan (with contrast) CPT 72193 | $679.80 | $1,133.00 | $147.09 – $906.40 | 16 |
| Pelvic CT scan (without contrast) CPT 72192 | $599.40 | $999.00 | $118.12 – $799.20 | 16 |
| Pelvic MRI (with and without contrast) CPT 72197 | $1,912.20 | $3,187.00 | $422.26 – $2,549.60 | 16 |
| Pelvic MRI (with contrast) CPT 72196 | $1,384.20 | $2,307.00 | $297.96 – $1,845.60 | 16 |
| Pelvic MRI (without contrast) CPT 72195 | $1,230.00 | $2,050.00 | $284.41 – $1,640.00 | 16 |
| Pelvic Ultrasound (complete) CPT 76856 | $316.80 | $528.00 | $80.33 – $422.40 | 16 |
| Pelvic Ultrasound (limited) CPT 76857 | $280.20 | $467.00 | $33.60 – $373.60 | 16 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $118.20 | $197.00 | $18.38 – $157.60 | 16 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $184.20 | $307.00 | $32.18 – $245.60 | 16 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $13,285.80 | $22,143.00 | $60.29 – $17,714.40 | 14 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $10,066.80 | $16,778.00 | $4.36 – $2,684.00 | 14 |
| Peng benzathine/procaine inj HCPCS J0558 | $119.40 | $199.00 | $19.52 – $159.20 | 14 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $948.00 | $1,580.00 | $24.67 – $71.20 | 14 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $7.20 | $12.00 | $0.79 – $9.60 | 14 |
| Pentamidine non-comp unit HCPCS J2545 | $209.40 | $349.00 | $60.59 – $279.20 | 14 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | $7,348.80 | $12,248.00 | $2,608.16 – $9,798.40 | 14 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $262.80 | $438.00 | $44.72 – $350.40 | 14 |
| Peri-proc device eval icd CPT 93287 | $41.40 | $69.00 | $19.13 – $58.97 | 15 |
| Peri-proc device eval pm CPT 93286 | $37.80 | $63.00 | $17.46 – $50.40 | 15 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $1,504.20 | $2,507.00 | $58.77 – $771.51 | 16 |
| Pertussis ag if CPT 87265 | $53.40 | $89.00 | $7.79 – $71.20 | 15 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $13,307.40 | $22,179.00 | $17.02 – $17,743.20 | 14 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | $34,651.80 | $57,753.00 | $62.10 – $30,800.80 | 14 |
| Pet CT skull-mid thgh initial CPT 78815 | $8,425.20 | $14,042.00 | $1,372.60 – $11,233.60 | 15 |
| Pet CT whole body initial CPT 78816 | $8,079.60 | $13,466.00 | $1,375.10 – $10,772.80 | 15 |
| Pet fdg brain metoblic eval sb CPT 78608 | $6,180.00 | $10,300.00 | $717.24 – $8,240.00 | 15 |
| Pet image w/ct lmtd CPT 78814 | $6,335.40 | $10,559.00 | $1,362.64 – $8,447.20 | 15 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $12,600.00 | $21,000.00 | $175.18 – $737.60 | 14 |
| Ph body fluid CPT 83986 | $28.20 | $47.00 | $2.10 – $37.60 | 16 |
| Phencyclidine (pcp) CPT 83992 | $62.40 | $104.00 | $13.11 – $83.20 | 16 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $33.00 | $55.00 | $15.25 – $44.00 | 14 |
| Phenobarbital therapeutic drug level CPT 80184 | $80.40 | $134.00 | $9.95 – $107.20 | 16 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $67.80 | $113.00 | $0.00 – $4.00 | 14 |
| Phenytoin total therapeutic drug level CPT 80185 | $91.80 | $153.00 | $8.61 – $122.40 | 16 |
| Phlebotomy therapeutic CPT 99195 | $298.20 | $497.00 | $10.50 – $397.60 | 16 |
| Phosphorus CPT 84100 | $37.80 | $63.00 | $3.08 – $50.40 | 16 |
| Phosphorus 24 hour urine CPT 84105 | $40.80 | $68.00 | $3.76 – $54.40 | 16 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $281.40 | $469.00 | $84.11 – $375.20 | 15 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $281.40 | $469.00 | $84.11 – $375.20 | 15 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $281.40 | $469.00 | $84.11 – $375.20 | 15 |
| Physical Therapy Re-Evaluation CPT 97164 | $125.40 | $209.00 | $43.98 – $167.20 | 16 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $61.20 | $102.00 | $2.73 – $22.40 | 14 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | $1,765.80 | $2,943.00 | $181.12 – $1,041.88 | 16 |
| Pin finger fracture each CPT 26756 | not published | not published | $149.10 – $2,316.27 | 8 |
| Pinworm exam CPT 87172 | $43.20 | $72.00 | $2.78 – $57.60 | 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.