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 |
|---|---|---|---|---|
| Warde vitamin b6 (pyridoxine) CPT 84207 | $264.60 | $441.00 | $18.27 – $352.80 | 16 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $97.20 | $162.00 | $6.43 – $129.60 | 16 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $264.60 | $441.00 | $25.03 – $352.80 | 16 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $107.40 | $179.00 | $9.22 – $143.20 | 16 |
| Warde zinc CPT 84630 | $54.60 | $91.00 | $7.40 – $72.80 | 16 |
| Wbc automated CPT 85048 | $20.40 | $34.00 | $1.65 – $27.20 | 16 |
| Wedging of cast CPT 29740 | $319.80 | $533.00 | $20.79 – $121.60 | 16 |
| Whfo nontorsion joint prefab HCPCS L3931 | $670.80 | $1,118.00 | $212.42 – $894.40 | 15 |
| Whfo w/joint(s) custom fab HCPCS L3806 | $270.00 | $450.00 | $85.50 – $360.00 | 14 |
| Whole-Body Bone Scan (Nuclear Medicine) CPT 78306 | $829.80 | $1,383.00 | $106.55 – $1,106.40 | 16 |
| Whole Skeleton X-ray Survey CPT 77075 | $301.20 | $502.00 | $68.76 – $401.60 | 16 |
| Wnd prep f/n/hf/g addl cm CPT 15005 | $134.40 | $224.00 | $62.09 – $771.51 | 14 |
| Wound Cleaning and Dead Tissue Removal (up to 20 sq cm) CPT 97597 | $235.20 | $392.00 | $13.58 – $74.04 | 16 |
| Wound closure by adhesive HCPCS G0168 | $85.20 | $142.00 | $17.45 – $113.60 | 13 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $129.00 | $215.00 | $9.15 – $48.00 | 14 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $150.60 | $251.00 | $15.25 – $70.28 | 14 |
| Wrist X-ray CPT 73110 | $140.40 | $234.00 | $37.24 – $187.20 | 15 |
| Wrist X-ray (2 views, both wrists) CPT 73100 | $125.40 | $209.00 | $31.36 – $167.20 | 15 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | $1,133.40 | $1,889.00 | $186.38 – $1,606.12 | 15 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | $987.00 | $1,645.00 | $157.50 – $1,316.00 | 15 |
| X-ray abdomen >=3 views CPT 74021 | $118.80 | $198.00 | $31.74 – $158.40 | 16 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $291.60 | $486.00 | $121.17 – $388.80 | 15 |
| X-ray bone survey infant CPT 77076 | $254.40 | $424.00 | $56.61 – $339.20 | 16 |
| X-ray exam of arm infant CPT 73092 | $129.60 | $216.00 | $29.17 – $172.80 | 15 |
| X-ray exam of salivary gland CPT 70380 | $142.80 | $238.00 | $30.49 – $190.40 | 16 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $124.20 | $207.00 | $29.42 – $165.60 | 15 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $148.80 | $248.00 | $54.16 – $198.40 | 15 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $197.40 | $329.00 | $45.14 – $263.20 | 16 |
| X-ray joint survey 1 view CPT 77077 | $160.80 | $268.00 | $38.58 – $214.40 | 16 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $144.60 | $241.00 | $29.17 – $192.80 | 15 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $370.20 | $617.00 | $32.58 – $493.60 | 16 |
| X-ray nose to rectum for foreign body child CPT 76010 | $82.80 | $138.00 | $15.22 – $110.40 | 16 |
| X-ray of mammary ducts CPT 77054 | $430.80 | $718.00 | $72.59 – $574.40 | 16 |
| X-ray optic foramina CPT 70190 | $123.00 | $205.00 | $32.18 – $164.00 | 16 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $459.60 | $766.00 | $39.38 – $612.80 | 16 |
| X-ray ribs 2 views left CPT 71100 | $84.00 | $140.00 | $27.82 – $112.00 | 16 |
| X-ray sella turcica CPT 70240 | $121.80 | $203.00 | $19.95 – $162.40 | 16 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $188.40 | $314.00 | $28.88 – $251.20 | 16 |
| X-ray small intestine follow-through study CPT 74248 | $94.20 | $157.00 | $43.52 – $125.60 | 16 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $138.60 | $231.00 | $19.95 – $184.80 | 16 |
| X-ray surgical specimen CPT 76098 | $80.40 | $134.00 | $19.65 – $107.20 | 16 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $198.60 | $331.00 | $31.06 – $264.80 | 16 |
| Xylose absorption test blood &/or urine CPT 84620 | $115.20 | $192.00 | $3.15 – $153.60 | 16 |
| Ziconotide injection HCPCS J2278 | $10,882.80 | $18,138.00 | $6.93 – $20.00 | 14 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $176.40 | $294.00 | $6.83 – $235.20 | 14 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | $7,968.00 | $13,280.00 | $7.88 – $5,312.00 | 14 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $2,229.60 | $3,716.00 | $5.06 – $384.80 | 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.