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 |
|---|---|---|---|---|
| Cardiac Stress Test CPT 93015 | $233.40 | $389.00 | $83.36 – $312.76 | 15 |
| Cardiolipin antibody iga CPT 86147 | $345.00 | $575.00 | $16.54 – $460.00 | 16 |
| Cardioversion (Scheduled Heart Rhythm Shock) CPT 92960 | $807.60 | $1,346.00 | $91.35 – $361.99 | 16 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | $102.00 | $170.00 | $32.82 – $136.00 | 14 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | $50.40 | $84.00 | $16.40 – $67.20 | 14 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $8,807.40 | $14,679.00 | $54.64 – $1,956.80 | 14 |
| Carmustine 100 mg intravenous powder for solution HCPCS J9050 | $382.20 | $637.00 | $176.58 – $509.60 | 14 |
| Carotene CPT 82380 | $65.40 | $109.00 | $5.99 – $87.20 | 16 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $481.20 | $802.00 | $155.25 – $641.60 | 16 |
| Carpal Tunnel Release Surgery CPT 64721 | $763.80 | $1,273.00 | $315.00 – $1,041.88 | 15 |
| Car seat/bed test 60 minutes CPT 94780 | $165.60 | $276.00 | $24.63 – $220.80 | 15 |
| Cast sup lng arm splint fbrg HCPCS Q4018 | $19.80 | $33.00 | $9.15 – $26.40 | 14 |
| Cast sup lng arm splnt ped f HCPCS Q4020 | $16.80 | $28.00 | $7.76 – $22.40 | 14 |
| Cast sup lng leg ped fbrgls HCPCS Q4032 | $40.80 | $68.00 | $18.85 – $54.40 | 14 |
| Cast sup lng leg splnt fbrgl HCPCS Q4042 | $36.60 | $61.00 | $16.91 – $48.80 | 14 |
| Cast sup lng leg splnt ped f HCPCS Q4044 | $21.00 | $35.00 | $9.70 – $28.00 | 14 |
| Cast sup long arm adult fbrg HCPCS Q4006 | $33.00 | $55.00 | $15.25 – $44.00 | 14 |
| Cast sup long arm ped fbrgls HCPCS Q4008 | $19.80 | $33.00 | $9.15 – $26.40 | 14 |
| Cast sup long leg fiberglass HCPCS Q4030 | $67.80 | $113.00 | $31.32 – $90.40 | 14 |
| Cast sup shrt leg ped fbrgls HCPCS Q4040 | $24.00 | $40.00 | $11.09 – $32.00 | 14 |
| Cast sup sht arm adult fbrgl HCPCS Q4010 | $22.80 | $38.00 | $10.53 – $30.40 | 14 |
| Cast sup sht arm ped fbrglas HCPCS Q4012 | $18.00 | $30.00 | $8.32 – $24.00 | 14 |
| Cast sup sht arm splint fbrg HCPCS Q4022 | $19.20 | $32.00 | $8.87 – $25.60 | 14 |
| Cast sup sht arm splnt ped f HCPCS Q4024 | $16.20 | $27.00 | $6.50 – $21.60 | 14 |
| Cast sup sht leg splnt fbrgl HCPCS Q4046 | $24.00 | $40.00 | $11.09 – $32.00 | 14 |
| Cast sup sht leg splnt ped f HCPCS Q4048 | $18.00 | $30.00 | $8.32 – $24.00 | 14 |
| Catecholamines,fractionated, urine CPT 82382 | $163.80 | $273.00 | $17.75 – $218.40 | 16 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $362.40 | $604.00 | $52.44 – $220.80 | 14 |
| Cath epdrl brevi-stf 12in .043 HCPCS C1755 | $1,069.20 | $1,782.00 | $338.58 – $1,425.60 | 14 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $450.00 | $750.00 | $142.50 – $600.00 | 14 |
| Cath impl vasc access portal HCPCS A4300 | $39.00 | $65.00 | $12.35 – $83.84 | 15 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $567.00 | $945.00 | $28.50 – $120.00 | 14 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $246.00 | $410.00 | $54.60 – $328.00 | 15 |
| Cauterization chemical granulation tissue CPT 17250 | $248.40 | $414.00 | $20.51 – $2,094.25 | 16 |
| Cdna analysis for variants CPT 81403 | $1,117.20 | $1,862.00 | $53.00 – $1,489.60 | 15 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $13.20 | $22.00 | $0.80 – $5.60 | 14 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $45.00 | $75.00 | $1.22 – $30.40 | 14 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $30.00 | $50.00 | $4.78 – $40.00 | 14 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $292.80 | $488.00 | $4.23 – $390.40 | 14 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $17.40 | $29.00 | $1.57 – $20.00 | 14 |
| Ceftazidime and avibactam HCPCS J0714 | $450.00 | $750.00 | $104.73 – $600.00 | 14 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $98.40 | $164.00 | $0.43 – $3.20 | 14 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | $7.80 | $13.00 | $1.85 – $10.40 | 14 |
| Cell count body fluid CPT 89050 | $37.80 | $63.00 | $3.07 – $50.40 | 16 |
| Cell count w differential body fluid CPT 89051 | $55.80 | $93.00 | $3.64 – $74.40 | 16 |
| Cell marker study CPT 88182 | $255.60 | $426.00 | $43.38 – $340.80 | 16 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | $14,938.20 | $24,897.00 | $3.91 – $19,917.60 | 14 |
| Cervical or vaginal cancer screening g0101 HCPCS G0101 | $81.60 | $136.00 | $26.94 – $108.80 | 14 |
| Cesarean section delivery only 59514 CPT 59514 | $1,754.40 | $2,924.00 | $658.50 – $2,615.82 | 14 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $4,044.00 | $6,740.00 | $78.37 – $2,696.00 | 14 |
| #cf-97variants CPT 81220 | $1,763.40 | $2,939.00 | $53.00 – $2,351.20 | 16 |
| Change cystostomy tube; complex 51710 CPT 51710 | $171.60 | $286.00 | $29.40 – $771.51 | 15 |
| Change cystostomy tube simple CPT 51705 | $355.80 | $593.00 | $19.68 – $2,325.85 | 16 |
| Change of windpipe airway 31502 CPT 31502 | $220.20 | $367.00 | $10.53 – $2,325.85 | 15 |
| Chemo adm cns w/lmbr punct CPT 96450 | $742.20 | $1,237.00 | $56.83 – $346.36 | 16 |
| Chemodener muscle larynx emg CPT 64617 | $143.40 | $239.00 | $29.66 – $771.51 | 15 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | $93.00 | $155.00 | $19.13 – $126.85 | 16 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | $104.40 | $174.00 | $21.62 – $154.67 | 16 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | $147.00 | $245.00 | $30.21 – $218.50 | 16 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | $134.40 | $224.00 | $27.72 – $191.73 | 16 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | $171.60 | $286.00 | $36.04 – $1,041.88 | 15 |
| Chemodenerv musc migraine 64615 CPT 64615 | $155.40 | $259.00 | $31.32 – $1,041.88 | 16 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | $220.80 | $368.00 | $44.91 – $771.51 | 15 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | $145.80 | $243.00 | $30.21 – $206.38 | 16 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | $168.00 | $280.00 | $34.10 – $238.99 | 16 |
| Chemo extend IV infus w/pump HCPCS G0498 | $1,050.60 | $1,751.00 | $254.96 – $1,400.80 | 14 |
| Chemotherapy injection 96542 CPT 96542 | $490.20 | $817.00 | $39.30 – $653.60 | 16 |
| Chest 2 vws w oblique CPT 71048 | $154.20 | $257.00 | $34.05 – $205.60 | 16 |
| Chest apical lordotic proj CPT 71047 | $154.20 | $257.00 | $31.72 – $205.60 | 16 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,992.60 | $3,321.00 | $175.74 – $2,656.80 | 16 |
| Chest CT scan (with contrast) CPT 71260 | $1,725.00 | $2,875.00 | $152.41 – $2,300.00 | 16 |
| Chest CT scan (without contrast) CPT 71250 | $751.80 | $1,253.00 | $140.27 – $1,002.40 | 16 |
| Chest Physiotherapy (first session) CPT 94667 | $102.60 | $171.00 | $23.68 – $136.80 | 15 |
| Chest Physiotherapy (follow-up session) CPT 94668 | $91.20 | $152.00 | $30.14 – $121.60 | 15 |
| Chest Ultrasound CPT 76604 | $235.80 | $393.00 | $66.80 – $314.40 | 16 |
| Chest X-ray CPT 71046 | $150.60 | $251.00 | $24.82 – $200.80 | 16 |
| Chest X-ray (single view) CPT 71045 | $102.60 | $171.00 | $16.25 – $136.80 | 16 |
| Chloride CPT 82435 | $36.60 | $61.00 | $2.99 – $48.80 | 16 |
| Chloride 24 hour urine CPT 82436 | $40.20 | $67.00 | $3.74 – $53.60 | 16 |
| Chloroprocaine hcl injection HCPCS J2401 | $4.20 | $7.00 | $0.04 – $5.60 | 14 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $156.00 | $260.00 | $39.45 – $208.00 | 14 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $72.60 | $121.00 | $25.27 – $96.80 | 14 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $297.00 | $495.00 | $112.07 – $396.00 | 15 |
| Cholesterol CPT 82465 | $34.20 | $57.00 | $2.83 – $45.60 | 16 |
| Cholesterol body fluid CPT 84999 | $61.80 | $103.00 | $2.80 – $82.40 | 14 |
| Cholesterol (Lipid) Test CPT 80061 | $97.80 | $163.00 | $8.70 – $130.40 | 16 |
| Cholinesterase CPT 82480 | $78.00 | $130.00 | $5.12 – $104.00 | 16 |
| Chromatogram assay sugars CPT 84375 | $186.60 | $311.00 | $25.35 – $248.80 | 16 |
| Chromosome analysis 15-20 cell count CPT 88262 | $821.40 | $1,369.00 | $53.00 – $751.20 | 16 |
| Chromosome karyotype study CPT 88280 | $115.80 | $193.00 | $21.76 – $154.40 | 16 |
| Chylomicron screen, bf - sendout CPT 82664 | $321.00 | $535.00 | $39.98 – $428.00 | 15 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $5.40 | $9.00 | $2.24 – $7.20 | 14 |
| Circum 28 days or older CPT 54161 | $383.40 | $639.00 | $134.40 – $1,041.88 | 15 |
| Circumcision (newborn) CPT 54150 | $283.80 | $473.00 | $82.95 – $2,325.85 | 14 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $12.00 | $20.00 | $0.55 – $2.29 | 14 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $1,123.20 | $1,872.00 | $53.00 – $1,497.60 | 16 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $1,083.00 | $1,805.00 | $10.68 – $1,444.00 | 14 |
| Claviculectomy partial CPT 23120 | $1,090.80 | $1,818.00 | $288.75 – $1,677.17 | 15 |
| Clean out mastoid cavity CPT 69222 | $250.80 | $418.00 | $97.12 – $2,325.85 | 15 |
| Clearance of airways CPT 31720 | $1,011.60 | $1,686.00 | $34.65 – $1,348.80 | 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.