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 |
|---|---|---|---|---|
| PSA (Prostate) Test CPT 84153 | $125.40 | $209.00 | $11.95 – $167.20 | 16 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $64.20 | $107.00 | $6.25 – $85.60 | 15 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $69.00 | $115.00 | $20.34 – $92.00 | 15 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $96.00 | $160.00 | $14.78 – $128.00 | 15 |
| Pt application of modality traction mechanical CPT 97012 | $65.40 | $109.00 | $14.87 – $87.20 | 15 |
| Pten gene known fam variant CPT 81322 | $200.40 | $334.00 | $46.06 – $267.20 | 15 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $100.80 | $168.00 | $38.01 – $134.40 | 14 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $97.80 | $163.00 | $30.77 – $88.80 | 14 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $65.40 | $109.00 | $17.59 – $87.20 | 16 |
| Pt wheelchair management each 15 minutes CPT 97542 | $72.00 | $120.00 | $30.81 – $96.00 | 15 |
| Pulmonary vent imaging CPT 78579 | $642.00 | $1,070.00 | $135.43 – $856.00 | 16 |
| Pulse ox continuous overnight monitoring CPT 94762 | $79.80 | $133.00 | $27.56 – $106.40 | 15 |
| Pulse ox multiple CPT 94761 | $45.00 | $75.00 | $4.05 – $60.00 | 16 |
| Pulse ox single CPT 94760 | $20.40 | $34.00 | $2.08 – $27.20 | 16 |
| Punc of shunt for asp or inj CPT 61070 | $98.40 | $164.00 | $45.46 – $771.51 | 15 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $103.20 | $172.00 | $13.65 – $771.51 | 16 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $408.60 | $681.00 | $25.20 – $2,094.25 | 16 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,266.00 | $2,110.00 | $33.54 – $771.51 | 16 |
| Pvb thoracic 2nd+ inj site CPT 64462 | $72.00 | $120.00 | $33.26 – $110.43 | 15 |
| Pvb thoracic single inj site CPT 64461 | $136.20 | $227.00 | $62.92 – $771.51 | 15 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $20.40 | $34.00 | $6.05 – $27.20 | 14 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $1,030.80 | $1,718.00 | $234.28 – $1,374.40 | 16 |
| Quant diff pulm perf w/imaging CPT 78597 | $654.60 | $1,091.00 | $152.99 – $872.80 | 16 |
| Quest t3 uptake CPT 84479 | $46.80 | $78.00 | $4.21 – $62.40 | 16 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $4,266.60 | $7,111.00 | $10.50 – $1,137.60 | 15 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,200.00 | $2,000.00 | $115.48 – $1,488.00 | 16 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $1,448.40 | $2,414.00 | $286.83 – $1,931.20 | 16 |
| Radphm lcl tumor plr sgl day CPT 78800 | $631.20 | $1,052.00 | $90.05 – $841.60 | 16 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | $1,050.60 | $1,751.00 | $485.38 – $1,507.57 | 14 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $18,318.00 | $30,530.00 | $74.36 – $4,884.80 | 14 |
| Rapid Strep Test CPT 87880 | $59.40 | $99.00 | $6.62 – $79.20 | 16 |
| Rbc count only automated CPT 85041 | $22.80 | $38.00 | $1.96 – $30.40 | 16 |
| Rbc osmotic fragility CPT 85555 | $49.80 | $83.00 | $3.15 – $66.40 | 16 |
| Realignment of tendons CPT 26437 | $1,330.20 | $2,217.00 | $614.55 – $1,773.60 | 14 |
| Reconstruct ankle joint CPT 27702 | $2,048.40 | $3,414.00 | $946.36 – $3,421.99 | 14 |
| Reconstruct elbow med ligmnt CPT 24346 | $1,941.60 | $3,236.00 | $897.02 – $2,588.80 | 14 |
| Reconstruct head of radius CPT 24366 | $1,902.00 | $3,170.00 | $636.26 – $2,536.00 | 15 |
| Reconstruction knee CPT 27427 | $1,380.60 | $2,301.00 | $637.84 – $2,124.78 | 15 |
| Reconstruction knee CPT 27428 | $1,971.00 | $3,285.00 | $747.60 – $2,628.00 | 15 |
| Reconstruction knee CPT 27429 | $2,335.80 | $3,893.00 | $1,050.00 – $3,114.40 | 15 |
| Reconstruction of nail bed CPT 11762 | $1,693.20 | $2,822.00 | $48.30 – $2,325.85 | 16 |
| Reconstruction of nose CPT 30420 | $2,494.20 | $4,157.00 | $1,152.32 – $3,361.85 | 14 |
| Reconstruct shoulder joint CPT 23472 | $2,881.80 | $4,803.00 | $1,331.39 – $4,297.36 | 14 |
| Reconstruct ulna/radioulnar CPT 25337 | $1,557.00 | $2,595.00 | $719.33 – $2,076.00 | 14 |
| Refill maint impl spine pump CPT 95991 | $82.80 | $138.00 | $18.02 – $152.13 | 15 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $49.80 | $83.00 | $3.02 – $66.40 | 14 |
| Reinsertion of spinal fixation device 22849 CPT 22849 | $1,665.00 | $2,775.00 | $331.53 – $2,396.22 | 15 |
| Release of midfoot joint CPT 28260 | $981.60 | $1,636.00 | $453.50 – $1,308.80 | 14 |
| Release of midfoot joint CPT 28264 | $1,221.60 | $2,036.00 | $564.38 – $1,848.23 | 14 |
| Release palm contracture CPT 26123 | $1,440.60 | $2,401.00 | $665.56 – $1,920.80 | 14 |
| Release palm contracture 26045 CPT 26045 | $891.60 | $1,486.00 | $316.05 – $1,315.52 | 15 |
| Release wrist/forearm tendon CPT 25295 | $829.80 | $1,383.00 | $383.37 – $1,192.92 | 14 |
| Relieve bladder contracture CPT 52640 | $456.00 | $760.00 | $210.67 – $1,389.77 | 14 |
| Rem/biv cast full arm/leg CPT 29705 | $220.20 | $367.00 | $36.59 – $105.60 | 14 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $194.40 | $324.00 | $39.36 – $771.51 | 15 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $525.00 | $875.00 | $193.29 – $771.51 | 15 |
| Removal cerumen impacted (both sides) CPT 69210 | $153.00 | $255.00 | $9.70 – $98.03 | 15 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $67.80 | $113.00 | $6.38 – $48.00 | 15 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | $140.40 | $234.00 | $32.02 – $2,325.85 | 15 |
| Removal foreign body extrn auditory canal with anes CPT 69205 | $133.80 | $223.00 | $27.72 – $771.51 | 16 |
| Removal foreign body foot subcutaneous right CPT 28190 | $816.60 | $1,361.00 | $32.02 – $2,325.85 | 16 |
| Removal foreign body mouth CPT 40805 | $281.40 | $469.00 | $68.25 – $1,041.88 | 15 |
| Removal implant superficial separate procedure CPT 20670 | $307.20 | $512.00 | $98.17 – $771.51 | 15 |
| Removal of adenoids CPT 42830 | not published | not published | $417.01 – $3,890.21 | 4 |
| Removal of adenoids CPT 42831 | $409.80 | $683.00 | $189.33 – $1,470.59 | 14 |
| Removal of adenoids CPT 42836 | $339.00 | $565.00 | $156.62 – $1,470.59 | 14 |
| Removal of anal tags CPT 46230 | $298.20 | $497.00 | $60.38 – $2,325.85 | 15 |
| Removal of bone for graft CPT 20900 | $895.80 | $1,493.00 | $258.58 – $1,194.40 | 15 |
| Removal of bone for graft CPT 20902 | $1,157.40 | $1,929.00 | $332.87 – $1,543.20 | 15 |
| Removal of bone lesion CPT 23140 | $973.20 | $1,622.00 | $182.70 – $1,470.59 | 15 |
| Removal of breast lesion CPT 19120 | $620.40 | $1,034.00 | $181.65 – $1,192.92 | 15 |
| Removal of calcium deposits CPT 23000 | $658.20 | $1,097.00 | $201.60 – $1,041.88 | 15 |
| Removal of epididymis CPT 54860 | $727.80 | $1,213.00 | $336.24 – $1,192.92 | 14 |
| Removal of ethmoid sinus CPT 31200 | $977.40 | $1,629.00 | $263.02 – $1,303.20 | 15 |
| Removal of ethmoid sinus CPT 31201 | $1,273.80 | $2,123.00 | $242.55 – $1,698.40 | 15 |
| Removal of finger lesion CPT 26210 | $753.00 | $1,255.00 | $182.70 – $1,041.88 | 15 |
| Removal of foot fascia CPT 28062 | $753.00 | $1,255.00 | $292.43 – $1,272.02 | 15 |
| Removal of foot joint lining CPT 28070 | $585.60 | $976.00 | $248.85 – $1,192.92 | 15 |
| Removal of foot lesion CPT 28080 | $727.80 | $1,213.00 | $184.28 – $1,192.92 | 15 |
| Removal of foot lesion CPT 28090 | $628.80 | $1,048.00 | $162.22 – $1,192.92 | 15 |
| Removal of foot lesion CPT 28104 | not published | not published | $872.29 – $2,315.32 | 4 |
| Removal of forearm lesion CPT 25120 | $979.20 | $1,632.00 | $452.39 – $1,305.60 | 14 |
| Removal of foreign body CPT 27372 | $778.80 | $1,298.00 | $124.42 – $2,325.85 | 15 |
| Removal of gallbladder 47600 CPT 47600 | $1,238.40 | $2,064.00 | $572.14 – $1,819.51 | 14 |
| Removal of gum tissue CPT 41830 | $531.60 | $886.00 | $245.60 – $771.51 | 13 |
| Removal of heel bone CPT 28118 | $827.40 | $1,379.00 | $382.26 – $1,470.59 | 14 |
| Removal of heel spur CPT 28119 | $690.00 | $1,150.00 | $303.45 – $1,470.59 | 15 |
| Removal of humerus lesion CPT 23150 | $1,230.00 | $2,050.00 | $291.38 – $1,774.12 | 15 |
| Removal of hydrocele CPT 55040 | $650.40 | $1,084.00 | $300.48 – $1,192.92 | 14 |
| Removal of hydroceles CPT 55041 | $787.80 | $1,313.00 | $363.96 – $1,677.17 | 14 |
| Removal of impacted wax md HCPCS G0268 | $48.00 | $80.00 | $9.70 – $98.03 | 14 |
| Removal of implant deep CPT 20680 | $727.80 | $1,213.00 | $180.07 – $1,192.92 | 15 |
| Removal of intranasal lesion CPT 30117 | $939.00 | $1,565.00 | $90.83 – $1,252.00 | 15 |
| Removal of kneecap bursa CPT 27340 | $697.80 | $1,163.00 | $198.45 – $1,192.92 | 15 |
| Removal of metatarsal heads CPT 28114 | $1,185.60 | $1,976.00 | $467.25 – $1,826.54 | 15 |
| Removal of nose polyp(s) 30115 CPT 30115 | $772.80 | $1,288.00 | $357.03 – $1,041.88 | 14 |
| Removal of ovary/tube(s) CPT 58720 | $1,324.20 | $2,207.00 | $611.78 – $1,765.60 | 14 |
| Removal of sesamoid bone CPT 28315 | $618.60 | $1,031.00 | $210.53 – $1,470.59 | 15 |
| Removal of skin tags each add'l 10 CPT 11201 | $24.00 | $40.00 | $7.48 – $2,325.85 | 16 |
| Removal of small intestine 44125 CPT 44125 | $2,036.40 | $3,394.00 | $940.82 – $2,715.20 | 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.