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 |
|---|---|---|---|---|
| Bln ureth 5ml 28f 2wy ltx st HCPCS A4338 | $21.00 | $35.00 | $9.70 – $28.00 | 14 |
| Block plantar digital nerve CPT 64455 | $84.60 | $141.00 | $39.09 – $112.80 | 14 |
| Block tap inj(s) w/wo img uni CPT 64486 | $67.80 | $113.00 | $31.32 – $771.51 | 14 |
| Blood clot retraction CPT 85170 | $40.20 | $67.00 | $2.10 – $53.60 | 16 |
| Blood Clotting (PT/INR) Test CPT 85610 | $30.60 | $51.00 | $2.79 – $40.80 | 16 |
| Blood Clotting (PTT) Test CPT 85730 | $44.40 | $74.00 | $3.91 – $59.20 | 16 |
| Blood Count (CBC) Test CPT 85025 | $42.60 | $71.00 | $5.05 – $56.80 | 16 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $46.80 | $78.00 | $4.21 – $62.40 | 16 |
| Blood Culture Test CPT 87040 | $73.80 | $123.00 | $6.71 – $98.40 | 16 |
| Blood Draw (Venipuncture) CPT 36415 | $18.00 | $30.00 | $1.95 – $23.20 | 15 |
| Blood gases o2 saturation direct measurement CPT 82805 | $130.20 | $217.00 | $40.80 – $173.60 | 16 |
| Blood gases ph venous CPT 82800 | $65.40 | $109.00 | $7.15 – $87.20 | 16 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $74.40 | $124.00 | $2.94 – $99.20 | 16 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $13.80 | $23.00 | $2.75 – $18.40 | 16 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $19.80 | $33.00 | $2.85 – $18.40 | 16 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $34.20 | $57.00 | $3.46 – $45.60 | 16 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $27.00 | $45.00 | $2.47 – $36.00 | 16 |
| Blood Transfusion CPT 36430 | $311.40 | $519.00 | $24.12 – $145.32 | 16 |
| Blood typing abo CPT 86900 | $21.60 | $36.00 | $1.94 – $28.80 | 16 |
| Blood typing ag donor ea ag CPT 86902 | $91.80 | $153.00 | $2.96 – $122.40 | 16 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $24.00 | $40.00 | $2.49 – $32.00 | 16 |
| Blood typing rh (d) CPT 86901 | $75.00 | $125.00 | $1.94 – $100.00 | 16 |
| Bone Age X-ray (hand and wrist) CPT 77072 | $145.80 | $243.00 | $17.40 – $194.40 | 16 |
| Bone biopsy open superficial CPT 20240 | $515.40 | $859.00 | $99.75 – $1,041.88 | 16 |
| Bone Density Scan (DEXA) CPT 77080 | $351.60 | $586.00 | $38.28 – $468.80 | 16 |
| Bone/joint imaging ltd area CPT 78300 | $595.80 | $993.00 | $72.45 – $794.40 | 16 |
| Bone marrow;aspiration only 38220 CPT 38220 | $279.00 | $465.00 | $39.92 – $771.51 | 16 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $207.00 | $345.00 | $42.41 – $771.51 | 16 |
| Bone survey-lead poisoning CPT 77074 | $301.20 | $502.00 | $49.29 – $401.60 | 16 |
| Boot heel care softcare one sz HCPCS E0191 | $49.80 | $83.00 | $23.01 – $66.40 | 13 |
| Boot softgait shrt m HCPCS L4387 | $107.40 | $179.00 | $34.01 – $204.99 | 15 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $80.40 | $134.00 | $11.07 – $107.20 | 16 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $3,991.20 | $6,652.00 | $2.27 – $5,321.60 | 14 |
| Bowel imaging CPT 78290 | $1,179.00 | $1,965.00 | $78.75 – $1,572.00 | 16 |
| Brace afo lg left 6607 HCPCS L1930 | $383.40 | $639.00 | $121.41 – $511.20 | 15 |
| Brace ank air stirrup univ HCPCS L4350 | $232.80 | $388.00 | $73.72 – $310.40 | 15 |
| Brace or Splint Fitting and Training (each 15 minutes) CPT 97760 | $107.40 | $179.00 | $43.30 – $143.20 | 15 |
| Brace wrist classic lft sm HCPCS L3908 | $283.80 | $473.00 | $89.87 – $378.40 | 15 |
| Braf gene CPT 81210 | $737.40 | $1,229.00 | $53.00 – $983.20 | 16 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $2,076.00 | $3,460.00 | $407.17 – $2,768.00 | 16 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $1,384.20 | $2,307.00 | $276.76 – $1,845.60 | 16 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $1,230.00 | $2,050.00 | $263.06 – $1,640.00 | 16 |
| Brain MRI (with and without contrast) CPT 70553 | $1,909.80 | $3,183.00 | $355.95 – $2,546.40 | 16 |
| Brain MRI (with contrast) CPT 70552 | $1,243.20 | $2,072.00 | $319.01 – $1,657.60 | 16 |
| Brain MRI (without contrast) CPT 70551 | $977.40 | $1,629.00 | $230.42 – $1,303.20 | 16 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $419.40 | $699.00 | $145.83 – $1,041.88 | 15 |
| Breastbone (Sternum) X-ray CPT 71120 | $140.40 | $234.00 | $19.95 – $187.20 | 16 |
| Breath hydrogen test 91065 CPT 91065 | $196.20 | $327.00 | $17.85 – $200.80 | 16 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $31,562.40 | $52,604.00 | $102.50 – $42,083.20 | 15 |
| Brief comunicaj tech-bsd svc CPT 98016 | $18.60 | $31.00 | $8.59 – $24.80 | 13 |
| Bronchial challenge CPT 94070 | $114.60 | $191.00 | $19.95 – $195.04 | 16 |
| Bundled special stain group 1 microorganisms CPT 88312 | $220.80 | $368.00 | $29.51 – $294.40 | 16 |
| Bundled special stain group 2 CPT 88313 | $180.60 | $301.00 | $23.46 – $240.80 | 16 |
| Buprenorphine and metabolite - sendout CPT 80348 | $99.00 | $165.00 | $10.63 – $132.00 | 15 |
| Buprenorphine hydrochloride HCPCS J0592 | $20.40 | $34.00 | $4.17 – $27.20 | 14 |
| Buprenorphine oral 1mg HCPCS J0571 | $9.60 | $16.00 | $0.77 – $12.80 | 14 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $6.00 | $10.00 | $2.77 – $8.00 | 14 |
| Bx bone trocar/ndl deep CPT 20225 | $363.00 | $605.00 | $102.90 – $1,041.88 | 15 |
| Bx breast 1st lesion strtctc CPT 19081 | $421.80 | $703.00 | $155.72 – $1,041.88 | 15 |
| Bx breast add lesion strtctc CPT 19082 | $337.80 | $563.00 | $73.90 – $1,041.88 | 15 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $334.20 | $557.00 | $69.43 – $1,041.88 | 15 |
| Bx breast perq without image 19100 CPT 19100 | $183.00 | $305.00 | $37.98 – $771.51 | 16 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | $939.00 | $1,565.00 | $142.80 – $1,252.00 | 15 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | $411.00 | $685.00 | $83.44 – $1,041.88 | 15 |
| Bx liver with other CPT 47001 | $213.00 | $355.00 | $97.00 – $771.51 | 15 |
| Bx muscle CPT 20200 | $347.40 | $579.00 | $85.05 – $1,041.88 | 15 |
| Bx nasopharynx/unknown pri lesion 42806 CPT 42806 | $262.20 | $437.00 | $64.05 – $1,041.88 | 15 |
| Bx of breast open 19101 CPT 19101 | $1,693.20 | $2,822.00 | $54.89 – $1,041.88 | 16 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $46.80 | $78.00 | $21.62 – $2,325.85 | 15 |
| Bx skin punch ea sep/ addl les CPT 11105 | $258.60 | $431.00 | $19.40 – $2,094.25 | 16 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $39.00 | $65.00 | $18.02 – $2,325.85 | 15 |
| Bx/soft tis/forearm/wrist/superfic 25065 CPT 25065 | $293.40 | $489.00 | $36.23 – $771.51 | 15 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $93.60 | $156.00 | $43.24 – $2,325.85 | 15 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | not published | not published | $58.29 – $1,731.69 | 8 |
| Bypass temp external fem-fem CPT 37799 | $74.40 | $124.00 | $34.37 – $99.20 | 13 |
| C1 esterase inhibitor func - sendout CPT 86161 | $119.40 | $199.00 | $7.80 – $159.20 | 16 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $35,520.60 | $59,201.00 | $227.28 – $47,360.80 | 14 |
| Cable cath 22-pin diag HCPCS C1730 | $570.60 | $951.00 | $180.69 – $760.80 | 14 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $6.60 | $11.00 | $1.70 – $8.80 | 14 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $4,067.40 | $6,779.00 | $59.60 – $172.00 | 14 |
| Calcium 24 hour urine CPT 82340 | $44.40 | $74.00 | $3.92 – $59.20 | 16 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $29.40 | $49.00 | $0.04 – $39.20 | 14 |
| Calcium ionized CPT 82330 | $94.80 | $158.00 | $8.89 – $126.40 | 16 |
| Calcium total CPT 82310 | $40.20 | $67.00 | $3.35 – $53.60 | 16 |
| Calculi urinary-sendout CPT 82360 | $124.20 | $207.00 | $8.37 – $165.60 | 16 |
| Calculus analysis qual CPT 82355 | $138.60 | $231.00 | $7.53 – $184.80 | 16 |
| Caloric vstblr test w/rec CPT 92538 | $13.80 | $23.00 | $6.38 – $26.88 | 16 |
| Calprotectin fecal CPT 83993 | $178.80 | $298.00 | $12.76 – $238.40 | 16 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $3,813.00 | $6,355.00 | $1,761.61 – $5,084.00 | 13 |
| Cap nerve 2x15mm HCPCS C1763 | $3,820.20 | $6,367.00 | $798.76 – $3,363.20 | 14 |
| Capsulectomy/capsulotomy hip CPT 27036 | $1,843.80 | $3,073.00 | $851.84 – $2,458.40 | 14 |
| Capsulotomy; interphalangeal joint, each joint (separate proc) CPT 28272 | $507.00 | $845.00 | $111.30 – $2,325.85 | 15 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | $754.20 | $1,257.00 | $135.45 – $2,325.85 | 15 |
| Carbamazepine total therapeutic drug level CPT 80156 | $100.80 | $168.00 | $9.47 – $134.40 | 16 |
| Carbon dioxide CPT 82374 | $37.80 | $63.00 | $3.17 – $50.40 | 16 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $16.20 | $27.00 | $2.47 – $21.60 | 14 |
| Carboxyhemoglobin quantitative CPT 82375 | $75.00 | $125.00 | $5.88 – $100.00 | 16 |
| Carcinoembryonic ag (cea) CPT 82378 | $129.60 | $216.00 | $12.32 – $172.80 | 16 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $1,367.40 | $2,279.00 | $255.09 – $1,823.20 | 16 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $110.40 | $184.00 | $16.16 – $147.20 | 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.