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 |
|---|---|---|---|---|
| Colonoscopy (with polyp removal) CPT 45385 | $862.80 | $1,438.00 | $281.48 – $1,152.55 | 15 |
| Colonoscopy w/resection CPT 45390 | $430.80 | $718.00 | $199.03 – $1,041.88 | 13 |
| Colpocentesis 57020 CPT 57020 | $1,693.20 | $2,822.00 | $42.52 – $1,041.88 | 16 |
| Colpopexy extraperitoneal CPT 57282 | $927.60 | $1,546.00 | $428.55 – $1,681.57 | 14 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | $175.20 | $292.00 | $41.48 – $233.60 | 15 |
| Colpotomy drng of abscess 57010 CPT 57010 | $786.60 | $1,311.00 | $363.41 – $1,048.80 | 14 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $240.60 | $401.00 | $22.05 – $320.80 | 16 |
| Complement antigen each component c3 CPT 86160 | $84.00 | $140.00 | $7.80 – $112.00 | 16 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $1,693.20 | $2,822.00 | $63.00 – $1,041.88 | 16 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $1,941.60 | $3,236.00 | $233.68 – $1,192.92 | 15 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | not published | not published | $23.66 – $637.78 | 8 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $1,941.60 | $3,236.00 | $185.85 – $1,192.92 | 16 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $1,941.60 | $3,236.00 | $347.89 – $1,192.92 | 15 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $715.80 | $1,193.00 | $96.47 – $1,470.59 | 15 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $1,693.20 | $2,822.00 | $74.55 – $1,041.88 | 16 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $1,941.60 | $3,236.00 | $362.85 – $1,192.92 | 15 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $635.40 | $1,059.00 | $108.94 – $1,470.59 | 15 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $486.60 | $811.00 | $66.25 – $1,470.59 | 15 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | $1,693.20 | $2,822.00 | $63.00 – $1,041.88 | 16 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $399.60 | $666.00 | $69.30 – $1,470.59 | 15 |
| Concentration infection agents any type CPT 87015 | $40.80 | $68.00 | $4.34 – $54.40 | 16 |
| Conduit wrap neuomend 3mmx2.5cm HCPCS C9361 | $1,786.20 | $2,977.00 | $565.63 – $2,381.60 | 14 |
| Condylomata destruction 56420 CPT 56420 | $1,266.00 | $2,110.00 | $53.02 – $2,325.85 | 16 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | $451.20 | $752.00 | $208.45 – $1,041.88 | 15 |
| Conization of cervix CPT 57520 | $512.40 | $854.00 | $222.07 – $1,041.88 | 15 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $2,362.80 | $3,938.00 | $392.06 – $3,150.40 | 14 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $280.20 | $467.00 | $53.00 – $373.60 | 16 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $65.40 | $109.00 | $30.21 – $87.20 | 16 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $104.40 | $174.00 | $34.12 – $199.91 | 16 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $176.40 | $294.00 | $39.31 – $235.20 | 16 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $336.60 | $561.00 | $53.00 – $448.80 | 15 |
| Consult comp w/report rfrd material CPT 88325 | $618.60 | $1,031.00 | $53.00 – $824.80 | 15 |
| Contour cranial bone lesion CPT 21181 | $898.80 | $1,498.00 | $415.25 – $2,325.85 | 14 |
| Contrast baths charges CPT 97034 | $65.40 | $109.00 | $15.12 – $87.20 | 15 |
| Contrast x-ray gallbladder CPT 74290 | $207.00 | $345.00 | $39.08 – $276.00 | 16 |
| Contrast x-ray of hip CPT 73525 | $292.80 | $488.00 | $124.30 – $390.40 | 15 |
| Contrast x-ray of wrist CPT 73115 | $297.00 | $495.00 | $126.43 – $396.00 | 15 |
| Controller infinity pt dbs HCPCS C1787 | $22,140.00 | $36,900.00 | $496.47 – $7,011.00 | 14 |
| Control nosebleed pack+caut 30905 CPT 30905 | $1,266.00 | $2,110.00 | $83.47 – $771.51 | 16 |
| Control nose/throat bleeding comp req hospital 42971 CPT 42971 | $784.80 | $1,308.00 | $362.58 – $1,046.40 | 14 |
| Control nose/throat bleeding with surg ivntj 42972 CPT 42972 | $956.40 | $1,594.00 | $441.86 – $1,275.20 | 14 |
| Control of nosebleed ant comp 30903 CPT 30903 | $1,266.00 | $2,110.00 | $32.99 – $771.51 | 16 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $302.40 | $504.00 | $19.13 – $2,325.85 | 16 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $1,266.00 | $2,110.00 | $83.47 – $771.51 | 16 |
| Control throat bleeding CPT 42962 | $944.40 | $1,574.00 | $83.47 – $1,259.20 | 15 |
| Coombs direct CPT 86880 | $41.40 | $69.00 | $3.50 – $55.20 | 16 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $57.60 | $96.00 | $3.72 – $76.80 | 16 |
| Cor hlx vlgs double osteot CPT 28299 | $1,300.20 | $2,167.00 | $600.69 – $1,766.47 | 14 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | $1,174.80 | $1,958.00 | $542.76 – $1,662.99 | 14 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | $963.60 | $1,606.00 | $445.18 – $1,544.15 | 14 |
| Correct bunion/keller/mcbride/mayo 28292 CPT 28292 | $1,000.80 | $1,668.00 | $314.48 – $1,334.40 | 15 |
| Correction hallux valgus sesamoidectomy;prox meta osteotomy CPT 28295 | $863.40 | $1,439.00 | $398.89 – $1,223.97 | 14 |
| Corrj halux rigdus w/implt CPT 28291 | $775.80 | $1,293.00 | $358.42 – $1,192.92 | 14 |
| Corrj halux rigdus without implt CPT 28289 | $841.20 | $1,402.00 | $336.58 – $1,192.92 | 15 |
| Cortisol total am CPT 82533 | $147.00 | $245.00 | $10.60 – $196.00 | 16 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $1,113.60 | $1,856.00 | $25.37 – $1,484.80 | 14 |
| Co-treatment - group 15 mins, st CPT 92508 | $74.40 | $124.00 | $24.05 – $99.20 | 15 |
| Counseling smoke cess interm >10mins CPT 99407 | $84.60 | $141.00 | $20.30 – $112.80 | 16 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $19,597.20 | $32,662.00 | $3,567.09 – $26,129.60 | 14 |
| CPAP or BiPAP Setup (first day) CPT 94660 | $393.60 | $656.00 | $39.06 – $524.80 | 15 |
| C-peptide CPT 84681 | $142.20 | $237.00 | $13.53 – $189.60 | 16 |
| CPR (Cardiopulmonary Resuscitation) CPT 92950 | $933.60 | $1,556.00 | $162.44 – $468.80 | 14 |
| Crbrospnl fld flw imag cistern CPT 78630 | $1,205.40 | $2,009.00 | $118.71 – $1,607.20 | 16 |
| C-reactive protein CPT 86140 | $40.80 | $68.00 | $3.15 – $54.40 | 16 |
| C-reactive protein high sensitivity CPT 86141 | $125.40 | $209.00 | $8.42 – $167.20 | 16 |
| Create eardrum opening CPT 69436 | $307.20 | $512.00 | $103.42 – $1,192.92 | 15 |
| Creatine kinase CPT 82550 | $48.00 | $80.00 | $4.23 – $64.00 | 16 |
| Creatine kinase isoenzymes CPT 82552 | $93.00 | $155.00 | $8.70 – $124.00 | 16 |
| Creatinine CPT 82565 | $40.20 | $67.00 | $3.33 – $53.60 | 16 |
| Creatinine 24 hour urine CPT 82570 | $40.80 | $68.00 | $3.37 – $54.40 | 16 |
| Creatinine clearance urine CPT 82575 | $67.80 | $113.00 | $6.15 – $90.40 | 16 |
| Critical care each additional 30 minutes CPT 99292 | $363.60 | $606.00 | $78.12 – $287.20 | 16 |
| Critical Care (first 30 to 74 minutes) CPT 99291 | $1,185.60 | $1,976.00 | $159.21 – $553.28 | 16 |
| Cryptosporidium antigen CPT 87272 | $61.20 | $102.00 | $7.79 – $81.60 | 15 |
| Crystal identification light microscopy CPT 89060 | $52.20 | $87.00 | $4.76 – $69.60 | 16 |
| C-section delivery incl p/p care 59515 CPT 59515 | $2,050.80 | $3,418.00 | $947.47 – $2,811.62 | 14 |
| CT 3d report other modality w/workstation CPT 76377 | $124.20 | $207.00 | $57.38 – $282.47 | 15 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $1,027.20 | $1,712.00 | $406.23 – $1,369.60 | 16 |
| CT Angiogram of the Abdomen CPT 74175 | $1,061.40 | $1,769.00 | $278.45 – $1,415.20 | 16 |
| CT Angiogram of the Abdomen and Both Legs CPT 75635 | $1,474.20 | $2,457.00 | $307.85 – $1,965.60 | 16 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,119.60 | $1,866.00 | $279.43 – $1,492.80 | 16 |
| CT Angiogram of the Head CPT 70496 | $999.00 | $1,665.00 | $275.78 – $1,332.00 | 16 |
| CT Angiogram of the Neck CPT 70498 | $1,004.40 | $1,674.00 | $275.78 – $1,339.20 | 16 |
| CT angio pelvis CPT 72191 | $1,122.60 | $1,871.00 | $278.16 – $1,496.80 | 16 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $760.80 | $1,268.00 | $277.94 – $1,014.40 | 15 |
| CT guidance for needle placement CPT 77012 | $979.20 | $1,632.00 | $146.14 – $1,305.60 | 16 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $126.00 | $210.00 | $58.21 – $168.00 | 16 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,263.00 | $2,105.00 | $224.54 – $1,684.00 | 15 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $264.00 | $440.00 | $83.47 – $771.51 | 15 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $1,848.00 | $3,080.00 | $349.36 – $2,464.00 | 16 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $1,431.00 | $2,385.00 | $276.32 – $1,908.00 | 16 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $1,185.60 | $1,976.00 | $176.70 – $1,580.80 | 16 |
| CT t-spine w /wo contrast CPT 72130 | $1,057.20 | $1,762.00 | $204.80 – $1,409.60 | 16 |
| CT uppr extremity w/o&w/dye CPT 73202 | $1,299.60 | $2,166.00 | $248.43 – $1,732.80 | 15 |
| Cuffs adj lock with active con HCPCS L3740 | $3,915.00 | $6,525.00 | $1,239.75 – $5,220.00 | 15 |
| Culture afb any source CPT 87116 | $105.00 | $175.00 | $7.02 – $140.00 | 16 |
| Culture bact stool aero addl path ea CPT 87046 | $44.40 | $74.00 | $2.74 – $59.20 | 16 |
| Culture body fluid CPT 87070 | $61.20 | $102.00 | $5.60 – $81.60 | 16 |
| Culture fungi other (except blood) CPT 87102 | $60.00 | $100.00 | $5.47 – $80.00 | 16 |
| Culture fungi skin/hair/nail CPT 87101 | $77.40 | $129.00 | $5.01 – $103.20 | 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.