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 |
|---|---|---|---|---|
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $16.80 | $28.00 | $1.07 – $16.80 | 14 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $751.20 | $1,252.00 | $85.10 – $771.51 | 16 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $120.60 | $201.00 | $41.30 – $771.51 | 15 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $337.20 | $562.00 | $74.25 – $771.51 | 15 |
| Placement of seton CPT 46020 | $426.00 | $710.00 | $183.45 – $1,192.92 | 15 |
| Platelet automated CPT 85049 | $46.20 | $77.00 | $2.91 – $61.60 | 16 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $135.60 | $226.00 | $62.65 – $180.80 | 13 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $2,651.40 | $4,419.00 | $465.00 – $3,535.20 | 14 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $243.60 | $406.00 | $112.54 – $1,355.34 | 14 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $76.80 | $128.00 | $35.48 – $771.51 | 15 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $121.80 | $203.00 | $11.64 – $73.86 | 16 |
| Pm device progr eval dual CPT 93280 | $183.00 | $305.00 | $39.96 – $244.00 | 16 |
| Pm device progr eval multi CPT 93281 | $183.00 | $305.00 | $46.35 – $244.00 | 16 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $127.20 | $212.00 | $16.95 – $169.60 | 16 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | $1,030.80 | $1,718.00 | $205.96 – $3,257.61 | 15 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | $1,030.80 | $1,718.00 | $205.96 – $3,648.34 | 15 |
| Potassium 24 hour urine CPT 84133 | $34.20 | $57.00 | $3.07 – $45.60 | 16 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $4.80 | $8.00 | $0.11 – $5.60 | 14 |
| Potassium serum/plasma/whole blood CPT 84132 | $36.60 | $61.00 | $3.09 – $48.80 | 16 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $866.40 | $1,444.00 | $400.28 – $9,456.32 | 14 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $108.60 | $181.00 | $50.17 – $144.80 | 14 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $2,036.40 | $3,394.00 | $191.62 – $1,499.20 | 16 |
| Pr application of long arm splint CPT 29105 | $307.80 | $513.00 | $19.13 – $114.80 | 16 |
| Pr application splint static short arm CPT 29125 | $220.20 | $367.00 | $13.03 – $98.03 | 16 |
| Pr biopsy skin punch single lesion CPT 11104 | $478.20 | $797.00 | $36.59 – $2,094.25 | 16 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | $1,153.20 | $1,922.00 | $532.78 – $1,687.62 | 14 |
| Pr correction hammertoe CPT 28285 | $638.40 | $1,064.00 | $243.07 – $1,192.92 | 15 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $46.20 | $77.00 | $16.14 – $61.60 | 15 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $639.00 | $1,065.00 | $150.91 – $1,041.88 | 15 |
| Prealbumin CPT 84134 | $102.60 | $171.00 | $9.48 – $136.80 | 16 |
| Pr ecg 12 lead report only CPT 93010 | $30.00 | $50.00 | $9.01 – $40.00 | 14 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | $43.20 | $72.00 | $8.06 – $137.43 | 15 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $0.60 | $1.00 | $0.23 – $0.80 | 14 |
| Prednisone 1 mg tablet HCPCS J7512 | $0.60 | $1.00 | $0.01 – $0.80 | 14 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $1,693.20 | $2,822.00 | $326.54 – $1,041.88 | 15 |
| Pregnancy associated plasma protein-a CPT 84163 | $67.20 | $112.00 | $9.78 – $89.60 | 16 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $632.40 | $1,054.00 | $81.38 – $843.20 | 16 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $445.80 | $743.00 | $88.29 – $594.40 | 16 |
| Pregnancy Ultrasound (limited) CPT 76815 | $360.60 | $601.00 | $67.20 – $480.80 | 16 |
| Prep skin to 100cm2 other CPT 15004 | $1,287.60 | $2,146.00 | $239.50 – $1,041.88 | 15 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $1,098.60 | $1,831.00 | $179.63 – $1,041.88 | 15 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | $67.80 | $113.00 | $31.32 – $771.51 | 14 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $1,020.00 | $1,700.00 | $22.18 – $2,094.25 | 16 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $202.80 | $338.00 | $40.75 – $771.51 | 16 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $780.60 | $1,301.00 | $43.80 – $2,325.85 | 15 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $188.40 | $314.00 | $33.81 – $251.20 | 16 |
| Prgrmg dev eval scrms ip CPT 93285 | $52.20 | $87.00 | $24.12 – $72.73 | 16 |
| Prgrmg eval implantable dfb CPT 93282 | $188.40 | $314.00 | $42.73 – $251.20 | 16 |
| Prgrmg eval implantable dfb CPT 93283 | $183.00 | $305.00 | $54.96 – $244.00 | 16 |
| Prgrmg eval implantable dfb CPT 93284 | $183.00 | $305.00 | $61.51 – $244.00 | 16 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $347.40 | $579.00 | $160.50 – $463.20 | 14 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $242.40 | $404.00 | $111.99 – $323.20 | 14 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $123.00 | $205.00 | $56.83 – $164.00 | 14 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $133.80 | $223.00 | $61.82 – $178.40 | 14 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $138.00 | $230.00 | $63.76 – $184.00 | 14 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $82.80 | $138.00 | $38.25 – $110.40 | 14 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $780.60 | $1,301.00 | $42.97 – $2,325.85 | 16 |
| Pr incision & drainage abscess simple/single CPT 10060 | $371.40 | $619.00 | $24.39 – $2,094.25 | 16 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $1,693.20 | $2,822.00 | $91.75 – $1,041.88 | 16 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $477.60 | $796.00 | $25.23 – $2,325.85 | 16 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $21.00 | $35.00 | $9.70 – $64.78 | 15 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $957.60 | $1,596.00 | $442.41 – $1,276.80 | 14 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $106.20 | $177.00 | $2.49 – $294.69 | 14 |
| Procalcitonin CPT 84145 | $122.40 | $204.00 | $17.69 – $163.20 | 16 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $4.80 | $8.00 | $1.81 – $6.40 | 14 |
| Proctosigmoidoscopy ablate CPT 45320 | $301.20 | $502.00 | $87.45 – $771.51 | 15 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $780.60 | $1,301.00 | $25.59 – $2,325.85 | 16 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | $119.40 | $199.00 | $55.16 – $771.51 | 15 |
| Progesterone CPT 84144 | $142.20 | $237.00 | $13.56 – $189.60 | 16 |
| Prolactin CPT 84146 | $132.60 | $221.00 | $12.60 – $176.80 | 16 |
| Prolng svc o/p 1st hour CPT 99354 | $128.40 | $214.00 | $26.61 – $76.80 | 13 |
| Prolng svc o/p ea addl 30 CPT 99355 | $126.00 | $210.00 | $26.61 – $76.80 | 13 |
| Prolonged IV inf, req pump HCPCS C8957 | $17.40 | $29.00 | $8.04 – $140.56 | 14 |
| Promethazine 25 mg tablet HCPCS Q0169 | $1.80 | $3.00 | $0.10 – $2.40 | 14 |
| Promethazine hcl injection HCPCS J2550 | $30.00 | $50.00 | $2.95 – $40.00 | 14 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $82.80 | $138.00 | $0.09 – $7.20 | 14 |
| Prostate biopsy, any mthd HCPCS G0416 | $1,301.40 | $2,169.00 | $53.00 – $1,735.20 | 14 |
| Prostatectomy (turp) CPT 52601 | $1,374.60 | $2,291.00 | $635.07 – $2,314.58 | 14 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $12.00 | $20.00 | $1.75 – $16.00 | 14 |
| Protein c activity CPT 85303 | $137.40 | $229.00 | $9.00 – $183.20 | 16 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $86.40 | $144.00 | $6.98 – $115.20 | 16 |
| Protein total 24 hour urine CPT 84156 | $40.80 | $68.00 | $2.39 – $54.40 | 16 |
| Protein total body fluid CPT 84157 | $40.20 | $67.00 | $2.60 – $53.60 | 16 |
| Protein total serum plasma whole blood CPT 84155 | $28.20 | $47.00 | $2.39 – $37.60 | 16 |
| Prothrombin complex kcentra HCPCS J7168 | $6,523.80 | $10,873.00 | $3.40 – $4,946.40 | 14 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $42.00 | $70.00 | $2.56 – $56.00 | 16 |
| Prp i/hern init block >5 yr CPT 49507 | $883.80 | $1,473.00 | $408.32 – $1,677.17 | 14 |
| Pr prolonged e&m service office outpatient each 15 minutes (g2212) HCPCS G2212 | $46.80 | $78.00 | $21.62 – $62.40 | 13 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | $492.60 | $821.00 | $227.58 – $1,041.88 | 15 |
| Pr removal drug delivery implant CPT 11982 | $160.20 | $267.00 | $74.01 – $248.73 | 15 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $352.20 | $587.00 | $20.79 – $2,325.85 | 16 |
| Pr removal intrauterine device CPT 58301 | $126.00 | $210.00 | $18.11 – $2,325.85 | 14 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $979.20 | $1,632.00 | $34.65 – $2,094.25 | 16 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $472.20 | $787.00 | $28.55 – $2,325.85 | 16 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $519.60 | $866.00 | $49.88 – $2,325.85 | 16 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $444.60 | $741.00 | $25.73 – $2,094.25 | 16 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $473.40 | $789.00 | $37.27 – $2,094.25 | 16 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | $2,722.80 | $4,538.00 | $187.39 – $1,580.10 | 15 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,693.20 | $2,822.00 | $156.06 – $1,041.88 | 15 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | $21.00 | $35.00 | $9.70 – $28.00 | 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.