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 |
|---|---|---|---|---|
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $3,117.00 | $5,195.00 | $12.07 – $4,156.00 | 14 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $40.20 | $67.00 | $0.05 – $23.20 | 14 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $882.00 | $1,470.00 | $101.14 – $1,176.00 | 16 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $94.80 | $158.00 | $43.80 – $771.51 | 15 |
| Rpl tun-cvad w subq port CPT 36582 | $1,446.00 | $2,410.00 | $287.92 – $2,154.73 | 15 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | $1,308.60 | $2,181.00 | $604.57 – $1,744.80 | 14 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | $985.80 | $1,643.00 | $455.44 – $2,325.85 | 14 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | $954.60 | $1,591.00 | $441.03 – $2,325.85 | 14 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | $732.60 | $1,221.00 | $338.46 – $2,325.85 | 14 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | $438.00 | $730.00 | $202.36 – $771.51 | 14 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | $609.60 | $1,016.00 | $281.64 – $812.80 | 14 |
| Rpr aa hrn rcr > 10 ncr/strn CPT 49618 | $1,585.80 | $2,643.00 | $732.64 – $2,114.40 | 14 |
| Rpr aa hrn rcr > 10 rdc CPT 49617 | $1,131.60 | $1,886.00 | $522.80 – $1,508.80 | 14 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | $1,099.20 | $1,832.00 | $507.83 – $1,465.60 | 14 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | $817.80 | $1,363.00 | $377.82 – $2,325.85 | 14 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | $730.80 | $1,218.00 | $337.63 – $2,325.85 | 14 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | $808.80 | $1,348.00 | $373.67 – $2,325.85 | 14 |
| Rpr fem hernia init blocked CPT 49553 | $1,143.60 | $1,906.00 | $528.34 – $1,677.17 | 14 |
| Rpr ing hernia init reduce CPT 49500 | $690.60 | $1,151.00 | $319.06 – $1,470.59 | 15 |
| Rpr rem hernia init reduce CPT 49550 | $982.80 | $1,638.00 | $321.82 – $1,677.17 | 15 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | $603.60 | $1,006.00 | $278.86 – $1,041.88 | 14 |
| Rubella antibody igg CPT 86762 | $97.80 | $163.00 | $9.35 – $130.40 | 16 |
| Rubeola antibody igg CPT 86765 | $82.20 | $137.00 | $8.37 – $109.60 | 16 |
| Russell viper venom diluted CPT 85613 | $44.40 | $74.00 | $6.23 – $59.20 | 16 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $6,258.00 | $10,430.00 | $36.28 – $8,344.00 | 14 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $192.60 | $321.00 | $26.57 – $256.80 | 16 |
| Sargramostim injection HCPCS J2820 | $477.00 | $795.00 | $50.37 – $636.00 | 14 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $397.80 | $663.00 | $104.79 – $388.80 | 16 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $509.40 | $849.00 | $102.02 – $679.20 | 16 |
| Scan proc cranial extra CPT 61782 | $220.80 | $368.00 | $88.25 – $303.93 | 14 |
| Scope plantar fasciotomy CPT 29893 | $706.80 | $1,178.00 | $326.54 – $1,041.88 | 14 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $633.00 | $1,055.00 | $292.45 – $1,041.88 | 13 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $718.20 | $1,197.00 | $331.81 – $1,041.88 | 13 |
| Screening Mammogram CPT 77067 | $381.00 | $635.00 | $109.94 – $508.00 | 15 |
| Screening prostate cancer PSA HCPCS G0103 | $129.60 | $216.00 | $12.20 – $35.20 | 14 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $33.00 | $55.00 | $2.96 – $44.00 | 15 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $5,530.20 | $9,217.00 | $94.53 – $272.80 | 14 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $249.00 | $415.00 | $77.70 – $332.00 | 16 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $11.40 | $19.00 | $5.27 – $15.20 | 13 |
| Sedimentation rate erythrocyte automated CPT 85652 | $27.00 | $45.00 | $1.76 – $36.00 | 16 |
| Self-adher band w>=3" <5"/yd HCPCS A6454 | $11.40 | $19.00 | $1.49 – $15.20 | 14 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $81.00 | $135.00 | $34.05 – $108.00 | 15 |
| Semen analysis presence/motility CPT 89321 | $114.60 | $191.00 | $7.83 – $152.80 | 15 |
| Sequestrectomy olecrn proces CPT 24138 | $1,044.60 | $1,741.00 | $227.85 – $1,392.80 | 15 |
| Sgmdsc w/band ligation CPT 45350 | $181.80 | $303.00 | $83.99 – $2,325.85 | 13 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $369.60 | $616.00 | $13.58 – $2,094.25 | 16 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $117.00 | $195.00 | $39.90 – $2,325.85 | 15 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $97.80 | $163.00 | $20.51 – $2,325.85 | 16 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $56.40 | $94.00 | $11.64 – $2,325.85 | 16 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | $118.80 | $198.00 | $24.39 – $2,325.85 | 16 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $52.80 | $88.00 | $10.53 – $2,325.85 | 16 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $102.60 | $171.00 | $16.35 – $2,325.85 | 16 |
| Sho arthrs srg bicp tenodsis CPT 29828 | $1,636.80 | $2,728.00 | $756.20 – $2,182.40 | 14 |
| Sho arthrs srg capsulorraphy CPT 29806 | $2,060.40 | $3,434.00 | $807.63 – $2,747.20 | 15 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | $1,133.40 | $1,889.00 | $523.63 – $1,683.77 | 15 |
| Sho arthrs srg lss&rescj ads CPT 29825 | $1,155.00 | $1,925.00 | $533.61 – $1,857.83 | 15 |
| Sho arthrs srg prtl synvct CPT 29820 | $851.40 | $1,419.00 | $393.35 – $1,625.93 | 15 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | $1,157.40 | $1,929.00 | $534.72 – $1,686.23 | 14 |
| Sho arthrs srg rpr slap les CPT 29807 | $2,005.20 | $3,342.00 | $827.69 – $2,673.60 | 15 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | $1,236.60 | $2,061.00 | $570.67 – $2,286.19 | 15 |
| Shoe post-op mens m HCPCS L3260 | $186.60 | $311.00 | $43.29 – $248.80 | 14 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $141.00 | $235.00 | $13.34 – $48.80 | 16 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $192.00 | $320.00 | $28.64 – $256.00 | 16 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | $2,174.40 | $3,624.00 | $1,004.57 – $2,899.20 | 14 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $142.80 | $238.00 | $23.82 – $190.40 | 15 |
| Shoulder MRI (with and without contrast) CPT 73223 | $1,855.20 | $3,092.00 | $467.77 – $2,473.60 | 15 |
| Shoulder MRI (with contrast) CPT 73222 | $1,384.20 | $2,307.00 | $375.92 – $1,845.60 | 15 |
| Shoulder MRI (without contrast) CPT 73221 | $966.00 | $1,610.00 | $236.38 – $1,288.00 | 15 |
| Shoulder prosthesis removal CPT 23335 | $1,563.60 | $2,606.00 | $722.38 – $2,084.80 | 14 |
| Shoulder X-ray CPT 73030 | $144.60 | $241.00 | $31.80 – $192.80 | 15 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $142.20 | $237.00 | $21.73 – $189.60 | 15 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $257.40 | $429.00 | $52.23 – $343.20 | 16 |
| Sialidase enzyme assay CPT 87905 | $60.00 | $100.00 | $7.94 – $80.00 | 16 |
| Sialolithotomy 42330 CPT 42330 | $1,941.60 | $3,236.00 | $67.20 – $2,325.85 | 16 |
| Sickling rbc CPT 85660 | $37.80 | $63.00 | $3.15 – $50.40 | 16 |
| Sigmoidoscopy and biopsy CPT 45331 | $210.60 | $351.00 | $66.85 – $771.51 | 15 |
| Sigmoidoscopy for bleeding CPT 45334 | $459.00 | $765.00 | $117.60 – $771.51 | 15 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | $180.60 | $301.00 | $82.58 – $771.51 | 15 |
| Sigmoidoscopy w/ablation CPT 45346 | $420.00 | $700.00 | $194.04 – $771.51 | 13 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $396.60 | $661.00 | $128.05 – $771.51 | 15 |
| Sig w/tndsc balloon dilation CPT 45340 | $264.60 | $441.00 | $104.39 – $771.51 | 15 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $422.40 | $704.00 | $123.36 – $563.20 | 14 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,477.80 | $2,463.00 | $174.02 – $1,970.40 | 16 |
| Sinus CT scan (with contrast) CPT 70487 | $1,350.00 | $2,250.00 | $140.70 – $1,800.00 | 16 |
| Sinus CT scan (without contrast) CPT 70486 | $1,144.80 | $1,908.00 | $136.50 – $1,526.40 | 16 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | $878.40 | $1,464.00 | $345.98 – $1,443.53 | 15 |
| Sinus X-ray (complete) CPT 70220 | $177.60 | $296.00 | $35.57 – $236.80 | 16 |
| Sinus X-ray (limited) CPT 70210 | $96.00 | $160.00 | $25.53 – $128.00 | 16 |
| Skin Biopsy CPT 11102 | $357.60 | $596.00 | $31.88 – $2,094.25 | 16 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | $238.80 | $398.00 | $110.33 – $1,205.32 | 14 |
| Skull X-ray (1 to 3 views) CPT 70250 | $180.60 | $301.00 | $33.00 – $240.80 | 16 |
| Skull X-ray (complete) CPT 70260 | $190.20 | $317.00 | $42.17 – $253.60 | 16 |
| Sleeve fing rolyan med HCPCS L3933 | $127.20 | $212.00 | $40.28 – $169.60 | 14 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $37.80 | $63.00 | $17.46 – $50.40 | 13 |
| Sling suprapubic suburetheral HCPCS C1771 | $2,908.80 | $4,848.00 | $921.12 – $3,878.40 | 14 |
| Slitting of prepuce CPT 54001 | $1,693.20 | $2,822.00 | $50.40 – $1,041.88 | 16 |
| Slp pure tone screening CPT 92551 | $39.60 | $66.00 | $8.40 – $52.80 | 15 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $305.40 | $509.00 | $39.38 – $407.20 | 16 |
| Small bowel endoscopy CPT 44360 | $438.60 | $731.00 | $142.23 – $1,041.88 | 15 |
| Small bowel endoscopy CPT 44364 | $617.40 | $1,029.00 | $200.46 – $1,041.88 | 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.