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 |
|---|---|---|---|---|
| Culture screening strep group a CPT 87081 | $44.40 | $74.00 | $4.31 – $59.20 | 16 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $181.80 | $303.00 | $53.00 – $242.40 | 15 |
| Culture urine each isolate CPT 87088 | $58.20 | $97.00 | $5.26 – $77.60 | 16 |
| Culture virus isolation CPT 87250 | $186.00 | $310.00 | $7.35 – $248.00 | 16 |
| Cutter lead HCPCS C1773 | $621.00 | $1,035.00 | $196.65 – $828.00 | 14 |
| Cv stress test i&r only 93018 CPT 93018 | $94.20 | $157.00 | $17.10 – $142.85 | 14 |
| Cv stress test/supervision only 93016 CPT 93016 | $112.20 | $187.00 | $25.60 – $149.60 | 14 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $100.20 | $167.00 | $9.31 – $133.60 | 16 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $13.80 | $23.00 | $1.00 – $4.00 | 14 |
| Cyclic citrullinated peptide antibody CPT 86200 | $65.40 | $109.00 | $8.42 – $87.20 | 16 |
| Cyclosporine 2 hour CPT 80158 | $123.00 | $205.00 | $11.73 – $164.00 | 16 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $176.40 | $294.00 | $38.33 – $235.20 | 16 |
| Cystorrhaphy wound simple 51860 CPT 51860 | $1,368.00 | $2,280.00 | $436.80 – $1,824.00 | 15 |
| Cysto rx balo cath urtl strx CPT 52284 | $198.60 | $331.00 | $91.75 – $2,414.45 | 13 |
| Cystoscopy and treatment CPT 52224 | $880.80 | $1,468.00 | $161.18 – $1,174.40 | 15 |
| Cystoscopy and treatment CPT 52234 | $477.00 | $795.00 | $220.37 – $1,041.88 | 15 |
| Cystoscopy and treatment CPT 52235 | $631.20 | $1,052.00 | $283.51 – $1,533.30 | 15 |
| Cystoscopy and treatment CPT 52240 | $1,460.40 | $2,434.00 | $473.02 – $1,979.13 | 15 |
| Cystoscopy and treatment CPT 52310 | $565.20 | $942.00 | $135.45 – $1,041.88 | 15 |
| Cystoscopy (Bladder Scope) CPT 52000 | $400.80 | $668.00 | $78.75 – $771.51 | 15 |
| Cystoscopy chemodenervation CPT 52287 | $293.40 | $489.00 | $135.55 – $1,041.88 | 15 |
| Cystoscopy & duct catheter CPT 52010 | $264.60 | $441.00 | $81.90 – $1,041.88 | 15 |
| Cystoscopy inject material CPT 52327 | $441.00 | $735.00 | $203.74 – $1,470.59 | 15 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | $1,266.60 | $2,111.00 | $401.09 – $1,688.80 | 14 |
| Cystoscopy & revise urethra CPT 52275 | $385.80 | $643.00 | $178.24 – $1,041.88 | 15 |
| Cystoscopy & ureter catheter CPT 52005 | $355.80 | $593.00 | $121.80 – $1,041.88 | 15 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $489.00 | $815.00 | $225.92 – $1,470.59 | 15 |
| Cystouretero & or pyeloscope CPT 52351 | $456.60 | $761.00 | $210.95 – $1,192.92 | 14 |
| Cysto/uretero stricture tx CPT 52344 | $600.00 | $1,000.00 | $277.20 – $1,470.59 | 14 |
| Cystouretero w/biopsy CPT 52354 | $491.40 | $819.00 | $227.03 – $1,470.59 | 14 |
| Cysto/uretero w/lithotripsy CPT 52356 | $675.60 | $1,126.00 | $312.13 – $1,470.59 | 14 |
| Cystouretero w/lithotripsy CPT 52353 | $667.20 | $1,112.00 | $308.25 – $1,470.59 | 14 |
| Cystouretero w/stone remove CPT 52352 | $514.80 | $858.00 | $237.84 – $1,470.59 | 14 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $732.60 | $1,221.00 | $112.88 – $1,041.88 | 15 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | $379.20 | $632.00 | $129.68 – $1,041.88 | 15 |
| Cystourethro w/addl implant 52442 CPT 52442 | $61.20 | $102.00 | $28.27 – $1,256.75 | 15 |
| Cystourethro w/implant CPT 52441 | $253.20 | $422.00 | $116.98 – $1,627.41 | 15 |
| Cysto w/up stricture tx CPT 52342 | $507.60 | $846.00 | $234.51 – $1,192.92 | 14 |
| Cysto w/ureter stricture tx CPT 52341 | $630.00 | $1,050.00 | $291.06 – $1,192.92 | 14 |
| Cytogenetics 25-99 CPT 88274 | $153.00 | $255.00 | $27.55 – $204.00 | 15 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $119.40 | $199.00 | $9.35 – $159.20 | 16 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $119.40 | $199.00 | $10.95 – $159.20 | 16 |
| Cyto/molecular report CPT 88291 | $107.40 | $179.00 | $12.37 – $143.20 | 15 |
| Cytopath c/v auto rescreen CPT 88148 | $100.80 | $168.00 | $10.40 – $134.40 | 15 |
| Cytopath c/v thin layer redo CPT 88143 | $156.60 | $261.00 | $14.98 – $208.80 | 15 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $128.40 | $214.00 | $42.51 – $218.54 | 16 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $121.80 | $203.00 | $17.30 – $162.40 | 16 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $159.60 | $266.00 | $16.80 – $212.80 | 16 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $141.00 | $235.00 | $24.30 – $188.00 | 16 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $63.00 | $105.00 | $29.11 – $113.83 | 15 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $251.40 | $419.00 | $53.00 – $335.20 | 15 |
| Cytopath smear other source CPT 88160 | $144.60 | $241.00 | $13.12 – $192.80 | 16 |
| Cytopath smear oth prep screen & interp CPT 88161 | $125.40 | $209.00 | $16.80 – $167.20 | 16 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $48.60 | $81.00 | $3.45 – $40.80 | 14 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $2,230.80 | $3,718.00 | $15.61 – $2,974.40 | 14 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $558.60 | $931.00 | $0.03 – $744.80 | 14 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $26,323.80 | $43,873.00 | $55.57 – $35,098.40 | 14 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $4,852.80 | $8,088.00 | $2.93 – $517.60 | 14 |
| Darbepoetin alfa, esrd use HCPCS J0882 | $4,852.80 | $8,088.00 | $2.93 – $517.60 | 14 |
| D&c after delivery 59160 CPT 59160 | $369.60 | $616.00 | $170.76 – $771.51 | 14 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $405.00 | $675.00 | $187.11 – $1,041.88 | 14 |
| Dch glucoscan CPT 82948 | $19.20 | $32.00 | $2.10 – $25.60 | 16 |
| Dch validity tests CPT 81002 | $19.80 | $33.00 | $2.26 – $26.40 | 16 |
| Dcmprn plantar digital nerve CPT 64726 | $525.00 | $875.00 | $242.55 – $771.51 | 14 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $220.20 | $367.00 | $9.98 – $2,325.85 | 16 |
| Debridement (>20 cm) charge pt CPT 97598 | $244.80 | $408.00 | $9.98 – $94.55 | 16 |
| Debridement bone <= 20 sq cm CPT 11044 | $1,353.00 | $2,255.00 | $34.65 – $1,041.88 | 16 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $316.20 | $527.00 | $11.64 – $1,041.88 | 15 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $381.00 | $635.00 | $19.96 – $1,041.88 | 15 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $1,353.00 | $2,255.00 | $25.23 – $1,041.88 | 16 |
| Debride nail1-5 11720 CPT 11720 | $97.80 | $163.00 | $16.35 – $2,094.25 | 16 |
| Debride nail6 or more 11721 CPT 11721 | $137.40 | $229.00 | $21.00 – $2,094.25 | 16 |
| Debride skin bone at fx site CPT 11012 | $883.20 | $1,472.00 | $408.04 – $1,275.23 | 14 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | $1,421.40 | $2,369.00 | $656.69 – $1,895.20 | 14 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $316.20 | $527.00 | $7.48 – $1,041.88 | 15 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | $93.00 | $155.00 | $19.96 – $110.68 | 15 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $553.20 | $922.00 | $255.58 – $1,041.88 | 14 |
| Debr inf skin add-on 11001 CPT 11001 | $25.20 | $42.00 | $7.21 – $2,325.85 | 16 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $1,353.00 | $2,255.00 | $34.65 – $1,041.88 | 16 |
| Decalcification CPT 88311 | $80.40 | $134.00 | $17.56 – $141.08 | 16 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $100.80 | $168.00 | $18.57 – $98.03 | 16 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | $1,002.00 | $1,670.00 | $288.75 – $1,336.00 | 15 |
| Decompression of tibia nerve CPT 28035 | $733.20 | $1,222.00 | $306.60 – $1,470.59 | 15 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $16.20 | $27.00 | $7.48 – $21.60 | 14 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $1,897.20 | $3,162.00 | $4.45 – $1,493.60 | 14 |
| Delivery of placenta 59414 CPT 59414 | $413.40 | $689.00 | $84.27 – $273.71 | 16 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $76.80 | $128.00 | $12.41 – $102.40 | 16 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $8,589.60 | $14,316.00 | $29.24 – $1,323.20 | 14 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $1,266.00 | $2,110.00 | $24.68 – $771.51 | 15 |
| Dermagraft HCPCS Q4106 | $5,002.20 | $8,337.00 | $53.27 – $6,669.60 | 14 |
| Dermapure 1 square cm HCPCS Q4152 | $4,543.80 | $7,573.00 | $55.79 – $6,058.40 | 14 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $102.60 | $171.00 | $3.52 – $32.80 | 14 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | $150.00 | $250.00 | $31.88 – $2,325.85 | 16 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $512.40 | $854.00 | $236.73 – $771.51 | 14 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $256.80 | $428.00 | $57.98 – $771.51 | 15 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | $360.60 | $601.00 | $86.51 – $2,325.85 | 15 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $75.00 | $125.00 | $16.35 – $2,325.85 | 16 |
| Destroy vulva lesion extensive 56515 CPT 56515 | $361.80 | $603.00 | $122.33 – $1,192.92 | 15 |
| Destroy vulva lesion simple 56501 CPT 56501 | $159.00 | $265.00 | $66.67 – $2,325.85 | 15 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $121.80 | $203.00 | $53.94 – $2,325.85 | 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.