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 |
|---|---|---|---|---|
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $751.80 | $1,253.00 | $148.14 – $1,002.40 | 16 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $1,926.00 | $3,210.00 | $355.95 – $2,568.00 | 16 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $1,250.40 | $2,084.00 | $321.81 – $1,667.20 | 16 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,042.20 | $1,737.00 | $224.37 – $1,389.60 | 16 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $165.60 | $276.00 | $32.49 – $220.80 | 16 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $170.40 | $284.00 | $33.11 – $227.20 | 16 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $878.40 | $1,464.00 | $131.48 – $1,171.20 | 15 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $637.20 | $1,062.00 | $156.01 – $1,041.88 | 15 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $406.20 | $677.00 | $69.83 – $541.60 | 16 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $321.00 | $535.00 | $68.25 – $428.00 | 16 |
| Uppr gi scope w/submuc inj CPT 43236 | $384.60 | $641.00 | $159.13 – $1,041.88 | 15 |
| Urea nitrogen CPT 84520 | $30.60 | $51.00 | $2.57 – $40.80 | 16 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $257.40 | $429.00 | $39.38 – $343.20 | 16 |
| Urethrocystography void s&i CPT 74455 | $250.20 | $417.00 | $44.62 – $333.60 | 16 |
| Uric acid blood CPT 84550 | $35.40 | $59.00 | $2.94 – $47.20 | 16 |
| Uric acid urine CPT 84560 | $24.00 | $40.00 | $3.30 – $32.00 | 16 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $22.80 | $38.00 | $1.41 – $30.40 | 16 |
| Urinalysis (with microscopy) CPT 81001 | $34.20 | $57.00 | $2.06 – $45.60 | 16 |
| Urinalysis (without microscopy) CPT 81003 | $19.20 | $32.00 | $1.46 – $25.60 | 16 |
| Urine Culture Test CPT 87086 | $57.60 | $96.00 | $5.25 – $76.80 | 16 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $22.25 – $300.61 | 8 |
| Urine pregnancy test CPT 81025 | $37.80 | $63.00 | $4.20 – $50.40 | 16 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $5,277.60 | $8,796.00 | $12.99 – $7,036.80 | 14 |
| Vaccine Administration (one shot) CPT 90471 | $103.20 | $172.00 | $1.18 – $23.92 | 14 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $262.80 | $438.00 | $10.50 – $350.40 | 15 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $112.20 | $187.00 | $10.50 – $149.60 | 15 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $105.60 | $176.00 | $10.50 – $140.80 | 15 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $247.20 | $412.00 | $10.50 – $329.60 | 15 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $25.80 | $43.00 | $10.50 – $34.40 | 16 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | $22.80 | $38.00 | $10.50 – $30.40 | 15 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $29.40 | $49.00 | $5.54 – $16.00 | 15 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | $31.20 | $52.00 | $10.50 – $41.60 | 15 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $296.40 | $494.00 | $10.50 – $395.20 | 15 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $134.40 | $224.00 | $10.50 – $179.20 | 15 |
| Vaccine mmr live subcutaneous CPT 90707 | $70.20 | $117.00 | $10.50 – $87.20 | 15 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $97.80 | $163.00 | $10.50 – $133.47 | 15 |
| Vaccine rabies im CPT 90675 | $319.20 | $532.00 | $10.50 – $425.60 | 15 |
| Vaccine tdap >=7 years im CPT 90715 | $76.80 | $128.00 | $10.50 – $73.60 | 15 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $51.00 | $85.00 | $10.50 – $42.40 | 15 |
| Vaccine typhoid vicps im CPT 90691 | $192.60 | $321.00 | $10.50 – $256.80 | 15 |
| Vaccine varicella live subcutaneous CPT 90716 | $228.60 | $381.00 | $10.50 – $304.80 | 15 |
| Vag hyst including t/o CPT 58262 | $1,713.60 | $2,856.00 | $791.68 – $2,284.80 | 14 |
| Vaginal hysterectomy CPT 58260 | $1,529.40 | $2,549.00 | $706.58 – $2,062.86 | 14 |
| Valproic acid total therapeutic drug level CPT 80164 | $93.00 | $155.00 | $8.80 – $124.00 | 16 |
| Vancomycin hcl injection HCPCS J3370 | $88.80 | $148.00 | $2.68 – $16.00 | 14 |
| Vancomycin peak therapeutic drug level CPT 80202 | $93.00 | $155.00 | $8.80 – $124.00 | 16 |
| Varicella zoster antibody igg CPT 86787 | $91.80 | $153.00 | $8.37 – $122.40 | 16 |
| Vasectomy CPT 55250 | $1,078.20 | $1,797.00 | $155.93 – $2,325.85 | 15 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $62.40 | $104.00 | $0.93 – $61.60 | 14 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $23,305.80 | $38,843.00 | $21.31 – $31,074.40 | 14 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $63.00 | $105.00 | $11.64 – $88.25 | 15 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $314.40 | $524.00 | $39.38 – $419.20 | 16 |
| Ventilator each subsequent day CPT 94003 | $288.00 | $480.00 | $68.11 – $384.00 | 15 |
| Ventilator Management (first day) CPT 94002 | $293.40 | $489.00 | $95.24 – $391.20 | 15 |
| Video Swallow Study (Modified Barium Swallow) CPT 74230 | $385.80 | $643.00 | $48.30 – $514.40 | 16 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | $12.60 | $21.00 | $4.89 – $16.80 | 14 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | $74.40 | $124.00 | $8.22 – $58.40 | 14 |
| Vinorelbine 10 mg/ml intravenous solution (wrapper) HCPCS J9390 | $522.60 | $871.00 | $7.68 – $139.20 | 14 |
| Vital capacity test CPT 94150 | $64.80 | $108.00 | $4.20 – $86.40 | 16 |
| Vitamin b-12 CPT 82607 | $105.00 | $175.00 | $9.80 – $140.00 | 16 |
| Vitamin D Test CPT 82306 | $147.00 | $245.00 | $19.24 – $196.00 | 16 |
| Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr HCPCS J3465 | $18.60 | $31.00 | $0.77 – $24.80 | 14 |
| Vulvectomy simple partial CPT 56620 | $977.40 | $1,629.00 | $451.56 – $1,677.17 | 14 |
| Walking (Gait) Training (each 15 minutes) CPT 97116 | $65.40 | $109.00 | $8.80 – $87.20 | 16 |
| Warde 1003990 aldosterone CPT 82088 | $280.20 | $467.00 | $26.49 – $373.60 | 16 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $82.20 | $137.00 | $8.38 – $109.60 | 16 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $171.00 | $285.00 | $16.41 – $228.00 | 16 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $107.40 | $179.00 | $10.08 – $143.20 | 16 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $69.00 | $115.00 | $5.79 – $92.00 | 16 |
| Warde 3400852 arsenic CPT 82175 | $129.60 | $216.00 | $12.33 – $172.80 | 15 |
| Warde 3708165 mercury urine CPT 83825 | $111.00 | $185.00 | $10.57 – $148.00 | 16 |
| Warde adenosine deaminase pleural fluid CPT 84311 | $30.60 | $51.00 | $5.26 – $40.80 | 15 |
| Warde adrenocorticotropic hormone (acth) CPT 82024 | $258.60 | $431.00 | $25.10 – $344.80 | 16 |
| Warde aldolase CPT 82085 | $73.80 | $123.00 | $6.31 – $98.40 | 16 |
| Warde analysis gene hfe common variants CPT 81256 | $474.60 | $791.00 | $53.00 – $632.80 | 16 |
| Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative CPT 81206 | $752.40 | $1,254.00 | $53.00 – $1,003.20 | 15 |
| Warde bile acids CPT 82239 | $80.40 | $134.00 | $11.13 – $107.20 | 16 |
| Warde calcitonin CPT 82308 | $181.20 | $302.00 | $17.41 – $241.60 | 16 |
| Warde calculus (stone) infrared CPT 82365 | $61.20 | $102.00 | $8.38 – $81.60 | 16 |
| Warde complement total hemolytic CPT 86162 | $142.80 | $238.00 | $13.21 – $190.40 | 16 |
| Warde copper CPT 82525 | $86.40 | $144.00 | $8.07 – $115.20 | 16 |
| Warde cryoglobulin CPT 82595 | $46.80 | $78.00 | $4.21 – $62.40 | 16 |
| Warde erythropoietin CPT 82668 | $111.00 | $185.00 | $12.21 – $148.00 | 16 |
| Warde folic acid rbc CPT 82747 | $110.40 | $184.00 | $11.47 – $147.20 | 16 |
| Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative CPT 82955 | $70.20 | $117.00 | $6.30 – $93.60 | 16 |
| Warde gastrin CPT 82941 | $120.60 | $201.00 | $11.46 – $160.80 | 16 |
| Warde growth hormone (hgh) CPT 83003 | $115.20 | $192.00 | $8.40 – $153.60 | 16 |
| Warde hemoglobin fractionation/quantitation electrophoresis CPT 83020 | $82.20 | $137.00 | $8.37 – $109.60 | 16 |
| Warde hepatitis a antibody CPT 86708 | $117.00 | $195.00 | $8.05 – $156.00 | 16 |
| Warde immunofixation electrophoresis urine CPT 86335 | $134.40 | $224.00 | $19.08 – $179.20 | 16 |
| Warde islet cell antibody zinc transporter 8 CPT 86341 | $93.00 | $155.00 | $15.32 – $124.00 | 16 |
| Warde sex hormone binding globulin CPT 84270 | $93.00 | $155.00 | $14.12 – $124.00 | 16 |
| Warde somatomedin CPT 84305 | $124.20 | $207.00 | $13.82 – $165.60 | 16 |
| Warde sugars single qualitative each specimen stool CPT 84376 | $30.60 | $51.00 | $3.58 – $40.80 | 16 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $184.20 | $307.00 | $10.24 – $245.60 | 16 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $233.40 | $389.00 | $21.00 – $311.20 | 16 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $175.80 | $293.00 | $16.95 – $234.40 | 16 |
| Warde viscosity CPT 85810 | $112.20 | $187.00 | $4.20 – $149.60 | 16 |
| Warde vitamin a CPT 84590 | $81.60 | $136.00 | $7.55 – $108.80 | 16 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $200.40 | $334.00 | $7.35 – $267.20 | 16 |
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.