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 |
|---|---|---|---|---|
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $26.40 | $44.00 | $1.34 – $11.20 | 14 |
| Clip phn wireless f/baha4 proc HCPCS L9900 | $225.60 | $376.00 | $104.23 – $300.80 | 13 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $77.40 | $129.00 | $18.17 – $103.20 | 14 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $1,351.20 | $2,252.00 | $93.45 – $910.40 | 16 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | $664.80 | $1,108.00 | $133.61 – $1,172.75 | 16 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $1,693.20 | $2,822.00 | $77.89 – $1,041.88 | 16 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $1,266.00 | $2,110.00 | $72.90 – $771.51 | 16 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $1,578.60 | $2,631.00 | $171.15 – $1,120.00 | 16 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $508.20 | $847.00 | $26.06 – $2,325.85 | 16 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $1,114.20 | $1,857.00 | $248.85 – $1,485.60 | 15 |
| Closed tx sesamoid fx 28530 CPT 28530 | $478.20 | $797.00 | $29.11 – $189.47 | 15 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $747.60 | $1,246.00 | $53.22 – $546.42 | 16 |
| Clostridium toxin a w/optic CPT 87803 | $105.00 | $175.00 | $10.40 – $140.00 | 16 |
| Clos txnose fx without stablz 21315 CPT 21315 | $267.00 | $445.00 | $38.25 – $1,041.88 | 16 |
| Closure of eyelid by suture CPT 67875 | $125.40 | $209.00 | $25.78 – $1,041.88 | 15 |
| Closure of windpipe lesion 31820 CPT 31820 | $2,503.20 | $4,172.00 | $734.53 – $3,337.60 | 15 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $1,266.00 | $2,110.00 | $68.75 – $771.51 | 16 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $1,266.00 | $2,110.00 | $73.46 – $771.51 | 15 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $1,074.00 | $1,790.00 | $48.89 – $771.51 | 16 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | $1,266.00 | $2,110.00 | $70.35 – $771.51 | 16 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $1,266.00 | $2,110.00 | $66.15 – $771.51 | 16 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $1,266.00 | $2,110.00 | $99.22 – $771.51 | 16 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $1,266.00 | $2,110.00 | $52.95 – $771.51 | 16 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $576.00 | $960.00 | $45.74 – $330.09 | 16 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $578.40 | $964.00 | $42.41 – $2,325.85 | 16 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $1,333.20 | $2,222.00 | $166.95 – $928.80 | 16 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $358.20 | $597.00 | $72.35 – $771.51 | 15 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $400.80 | $668.00 | $34.65 – $188.37 | 16 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | $1,941.60 | $3,236.00 | $152.18 – $1,192.92 | 16 |
| Clsd tx fracture of radius 25500 CPT 25500 | $861.60 | $1,436.00 | $58.21 – $507.31 | 16 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $459.60 | $766.00 | $31.88 – $190.44 | 16 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $512.40 | $854.00 | $37.14 – $237.10 | 16 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $1,029.60 | $1,716.00 | $64.03 – $585.48 | 16 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $1,941.60 | $3,236.00 | $132.50 – $1,192.92 | 16 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $874.20 | $1,457.00 | $56.83 – $542.69 | 16 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $1,693.20 | $2,822.00 | $210.53 – $1,178.40 | 16 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $1,266.00 | $2,110.00 | $60.71 – $771.51 | 16 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $1,272.60 | $2,121.00 | $110.33 – $1,080.46 | 16 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $1,266.00 | $2,110.00 | $84.55 – $771.51 | 16 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $1,266.00 | $2,110.00 | $77.62 – $771.51 | 16 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $1,941.60 | $3,236.00 | $275.26 – $1,041.88 | 15 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | $1,944.60 | $3,241.00 | $141.75 – $1,192.92 | 16 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $256.80 | $428.00 | $40.95 – $771.51 | 16 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $923.40 | $1,539.00 | $52.95 – $321.94 | 16 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $1,693.20 | $2,822.00 | $71.52 – $1,041.88 | 16 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $1,693.20 | $2,822.00 | $123.90 – $2,325.85 | 16 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $693.00 | $1,155.00 | $51.00 – $340.84 | 16 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $199.20 | $332.00 | $40.47 – $1,041.88 | 16 |
| Clsd tx nose fx without manip 21310 CPT 21310 | $1,693.20 | $2,822.00 | $59.32 – $1,041.88 | 14 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $477.60 | $796.00 | $152.25 – $1,041.88 | 15 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $1,266.00 | $2,110.00 | $107.10 – $771.51 | 16 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $1,266.00 | $2,110.00 | $71.24 – $771.51 | 16 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $622.80 | $1,038.00 | $42.97 – $2,325.85 | 16 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $821.40 | $1,369.00 | $55.72 – $479.61 | 16 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $1,266.00 | $2,110.00 | $57.93 – $771.51 | 16 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $1,693.20 | $2,822.00 | $164.85 – $1,041.88 | 16 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $1,279.80 | $2,133.00 | $77.06 – $771.51 | 16 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | $538.20 | $897.00 | $117.60 – $771.51 | 15 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $1,266.00 | $2,110.00 | $23.01 – $771.51 | 16 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $373.80 | $623.00 | $28.27 – $197.21 | 16 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $1,266.00 | $2,110.00 | $66.81 – $771.51 | 15 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,534.20 | $2,557.00 | $250.95 – $1,243.08 | 16 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $822.00 | $1,370.00 | $56.27 – $520.24 | 16 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | $284.40 | $474.00 | $57.93 – $882.91 | 16 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $963.00 | $1,605.00 | $66.81 – $558.02 | 15 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $957.60 | $1,596.00 | $65.42 – $556.46 | 16 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $1,006.80 | $1,678.00 | $69.85 – $625.66 | 16 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $1,266.00 | $2,110.00 | $64.03 – $771.51 | 16 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $568.80 | $948.00 | $227.32 – $1,041.88 | 15 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $1,693.20 | $2,822.00 | $164.85 – $1,041.88 | 16 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $1,266.00 | $2,110.00 | $67.64 – $771.51 | 16 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $698.40 | $1,164.00 | $182.18 – $931.20 | 15 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | $362.40 | $604.00 | $73.46 – $771.51 | 16 |
| Cltx lunate dislc w/mnpj CPT 25690 | $1,703.40 | $2,839.00 | $239.40 – $2,271.20 | 16 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | $1,339.20 | $2,232.00 | $419.48 – $1,785.60 | 15 |
| Cltx post ankle fx CPT 27767 | $321.00 | $535.00 | $65.70 – $771.51 | 15 |
| Cmbn ant pst colprhy CPT 57260 | $1,042.80 | $1,738.00 | $481.77 – $1,724.68 | 14 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $6.60 | $11.00 | $2.65 – $8.80 | 14 |
| Coagulation time lee & white CPT 85345 | $45.00 | $75.00 | $3.05 – $60.00 | 16 |
| Cold agglutinin screen (arc) CPT 86156 | $59.40 | $99.00 | $5.25 – $79.20 | 16 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | $2,401.20 | $4,002.00 | $1,109.35 – $3,201.60 | 14 |
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | $3,154.80 | $5,258.00 | $1,457.52 – $4,206.40 | 14 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | $2,136.00 | $3,560.00 | $986.83 – $2,848.00 | 14 |
| Collagen based wound filler HCPCS A6010 | $2,376.00 | $3,960.00 | $173.21 – $3,168.00 | 13 |
| Collagen gel/paste wound fil HCPCS A6011 | $86.40 | $144.00 | $4.45 – $115.20 | 14 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $128.40 | $214.00 | $29.83 – $171.20 | 15 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $71.40 | $119.00 | $31.08 – $98.03 | 15 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $86.40 | $144.00 | $18.57 – $53.60 | 15 |
| Colonoscopy (diagnostic) CPT 45378 | $609.00 | $1,015.00 | $189.53 – $1,041.88 | 15 |
| Colonoscopy flex with decompression 45393 CPT 45393 | $294.60 | $491.00 | $136.11 – $1,041.88 | 13 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | $765.00 | $1,275.00 | $249.34 – $1,152.55 | 15 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | $722.40 | $1,204.00 | $333.75 – $1,144.47 | 14 |
| Colonoscopy submucous njx CPT 45381 | $687.00 | $1,145.00 | $223.87 – $1,041.88 | 15 |
| Colonoscopy thru stoma spx CPT 44388 | $472.20 | $787.00 | $152.81 – $821.14 | 15 |
| Colonoscopy w/ablation CPT 45388 | $916.80 | $1,528.00 | $423.56 – $1,222.40 | 13 |
| Colonoscopy w/balloon dilat CPT 45386 | $1,014.60 | $1,691.00 | $243.84 – $1,352.80 | 15 |
| Colonoscopy w/band ligation CPT 45398 | $609.00 | $1,015.00 | $281.36 – $1,041.88 | 13 |
| Colonoscopy w/control bleed CPT 45382 | $1,083.00 | $1,805.00 | $266.70 – $1,444.00 | 15 |
| Colonoscopy (with biopsy) CPT 45380 | $727.20 | $1,212.00 | $236.69 – $1,041.88 | 15 |
| Colonoscopy with biopsy CPT 44389 | $520.80 | $868.00 | $169.30 – $837.42 | 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.