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 |
|---|---|---|---|---|
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | $451.80 | $753.00 | $51.45 – $2,325.85 | 15 |
| Destruction 2-14 lesions 17003 CPT 17003 | $30.60 | $51.00 | $4.46 – $2,325.85 | 16 |
| Destruction anal lesion(s) CPT 46910 | $275.40 | $459.00 | $112.81 – $2,325.85 | 15 |
| Destruction anal lesion(s) CPT 46924 | $255.00 | $425.00 | $117.81 – $771.51 | 15 |
| Destruction benign lesions < 14 lesions CPT 17110 | $112.20 | $187.00 | $24.12 – $2,325.85 | 16 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $133.20 | $222.00 | $50.42 – $771.51 | 15 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $411.00 | $685.00 | $189.88 – $771.51 | 14 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | $280.80 | $468.00 | $129.73 – $2,325.85 | 15 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $175.20 | $292.00 | $36.04 – $2,325.85 | 16 |
| Detect agnt mult dna direc CPT 87800 | $186.00 | $310.00 | $23.28 – $248.00 | 16 |
| Device intraute mirena HCPCS J7298 | $2,488.20 | $4,147.00 | $973.84 – $3,317.60 | 14 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $104.40 | $174.00 | $28.85 – $139.20 | 16 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $3.60 | $6.00 | $0.02 – $4.80 | 14 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $12.00 | $20.00 | $0.09 – $0.80 | 14 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $1,192.20 | $1,987.00 | $63.06 – $1,589.60 | 14 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $6.60 | $11.00 | $1.41 – $8.80 | 14 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $6.60 | $11.00 | $3.05 – $8.80 | 14 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $29.40 | $49.00 | $1.66 – $4.80 | 14 |
| Dextrose 5 % IV bolus HCPCS J7070 | $6.00 | $10.00 | $2.77 – $8.00 | 14 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $156.00 | $260.00 | $14.45 – $208.00 | 16 |
| Diabetes (HbA1c) Test CPT 83036 | $75.00 | $125.00 | $6.31 – $100.00 | 16 |
| Diab manage trn ind/group HCPCS G0109 | $135.60 | $226.00 | $12.67 – $180.80 | 15 |
| Diag laparo separate proc 49320 CPT 49320 | $625.80 | $1,043.00 | $289.12 – $1,192.92 | 14 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $264.00 | $440.00 | $21.00 – $208.80 | 16 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $847.20 | $1,412.00 | $50.60 – $1,129.60 | 15 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $691.80 | $1,153.00 | $50.60 – $922.40 | 15 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $259.20 | $432.00 | $17.46 – $2,325.85 | 15 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $105.60 | $176.00 | $22.18 – $2,325.85 | 16 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $458.40 | $764.00 | $136.34 – $611.20 | 15 |
| Diagnostic Mammogram (one breast) CPT 77065 | $360.00 | $600.00 | $107.53 – $480.00 | 15 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $11.40 | $19.00 | $0.08 – $15.20 | 14 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $34.80 | $58.00 | $6.34 – $46.40 | 14 |
| Dicyclomine injection HCPCS J0500 | $105.00 | $175.00 | $11.36 – $140.00 | 14 |
| Diffusing capacity CPT 94729 | $136.20 | $227.00 | $41.52 – $181.60 | 16 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $7.20 | $12.00 | $3.33 – $9.60 | 14 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $4,537.20 | $7,562.00 | $2,096.19 – $6,049.60 | 14 |
| Digoxin total therapeutic drug level CPT 80162 | $91.80 | $153.00 | $8.63 – $122.40 | 16 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $1,475.40 | $2,459.00 | $49.13 – $1,967.20 | 14 |
| Dilation of anal sphincter CPT 45905 | $298.20 | $497.00 | $46.20 – $771.51 | 15 |
| Dilation salivary duct 42650 CPT 42650 | $80.40 | $134.00 | $18.30 – $2,325.85 | 16 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $583.20 | $972.00 | $21.00 – $2,325.85 | 16 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $13.80 | $23.00 | $0.76 – $8.00 | 14 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | $40.80 | $68.00 | $6.93 – $20.00 | 15 |
| Disability dlco CPT 94727 | $90.00 | $150.00 | $11.64 – $58.17 | 16 |
| Dis site tele svcs rhc/fqhc HCPCS G2025 | $71.40 | $119.00 | $32.99 – $95.20 | 13 |
| Dna antibody native/double stranded CPT 86225 | $99.00 | $165.00 | $8.93 – $132.00 | 16 |
| Dna probe chlamydia CPT 87490 | $180.60 | $301.00 | $14.79 – $240.80 | 16 |
| Dna probe gc CPT 87590 | $180.60 | $301.00 | $17.47 – $240.80 | 15 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $20.40 | $34.00 | $4.71 – $13.60 | 14 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $45.60 | $76.00 | $0.63 – $60.00 | 14 |
| Dolasetron mesylate HCPCS J1260 | $30.60 | $51.00 | $14.14 – $40.80 | 14 |
| Domicil/r-home visit est pat CPT 99334 | $77.40 | $129.00 | $35.76 – $103.20 | 12 |
| Domicil/r-home visit est pat CPT 99335 | $107.40 | $179.00 | $49.62 – $143.20 | 12 |
| Domicil/r-home visit est pat CPT 99336 | $151.20 | $252.00 | $69.85 – $201.60 | 12 |
| Domicil/r-home visit est pat CPT 99337 | $220.20 | $367.00 | $101.73 – $293.60 | 12 |
| Domicil/r-home visit new pat CPT 99324 | $94.80 | $158.00 | $43.80 – $126.40 | 12 |
| Domicil/r-home visit new pat CPT 99325 | $128.40 | $214.00 | $59.32 – $171.20 | 12 |
| Domicil/r-home visit new pat CPT 99326 | $174.60 | $291.00 | $80.67 – $232.80 | 12 |
| Domicil/r-home visit new pat CPT 99327 | $222.00 | $370.00 | $102.56 – $296.00 | 12 |
| Domicil/r-home visit new pat CPT 99328 | $268.20 | $447.00 | $123.91 – $357.60 | 12 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $17.40 | $29.00 | $0.67 – $23.20 | 14 |
| Doppler echo complete CPT 93320 | $135.60 | $226.00 | $61.00 – $203.12 | 16 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $276.00 | $460.00 | $51.23 – $305.60 | 16 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $104.40 | $174.00 | $3.02 – $28.00 | 14 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $6,031.80 | $10,053.00 | $99.19 – $3,896.80 | 15 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $1,266.00 | $2,110.00 | $36.75 – $2,325.85 | 16 |
| Drainage external ear complex 69005 CPT 69005 | $287.40 | $479.00 | $132.78 – $2,325.85 | 15 |
| Drainage external ear simple 69000 CPT 69000 | $588.00 | $980.00 | $31.32 – $2,325.85 | 16 |
| Drainage lymph node lesion 38300 CPT 38300 | $1,266.00 | $2,110.00 | $67.20 – $771.51 | 16 |
| Drainage lymph node lesion 38305 CPT 38305 | $816.60 | $1,361.00 | $377.27 – $1,088.80 | 14 |
| Drainage mouth roof lesion CPT 42000 | $154.80 | $258.00 | $21.00 – $1,041.88 | 15 |
| Drainage of kidney lesion CPT 50390 | $148.80 | $248.00 | $31.32 – $771.51 | 16 |
| Drainage of mouth lesion CPT 41005 | $165.00 | $275.00 | $27.82 – $771.51 | 15 |
| Drainage of mouth lesion CPT 41015 | $424.80 | $708.00 | $40.42 – $771.51 | 15 |
| Drainage of mouth lesion CPT 41016 | $612.00 | $1,020.00 | $24.68 – $816.00 | 15 |
| Drainage of mouth lesion CPT 41017 | $660.00 | $1,100.00 | $24.68 – $880.00 | 15 |
| Drainage of prostate abscess CPT 55720 | $552.00 | $920.00 | $255.02 – $1,034.95 | 14 |
| Drainage of throat abscess CPT 42725 | $2,662.20 | $4,437.00 | $187.95 – $1,616.80 | 16 |
| Drain bladder by trocar/cath CPT 51101 | $1,266.00 | $2,110.00 | $37.14 – $771.51 | 16 |
| Drain blood from under nail 11740 CPT 11740 | $220.20 | $367.00 | $9.42 – $98.03 | 16 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $123.00 | $205.00 | $38.85 – $771.51 | 15 |
| Drain finger abscess;simple 26010 CPT 26010 | $823.20 | $1,372.00 | $27.82 – $332.00 | 16 |
| Drain lower leg lesion 27603 CPT 27603 | $670.80 | $1,118.00 | $92.92 – $1,041.88 | 15 |
| Drain ovarn cyst abd CPT 58805 | $733.20 | $1,222.00 | $338.74 – $1,192.92 | 14 |
| Drain shoulder lesion CPT 23030 | $509.40 | $849.00 | $92.92 – $771.51 | 15 |
| Drain thyroid/tongue cyst CPT 60000 | $280.80 | $468.00 | $84.00 – $771.51 | 15 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $483.00 | $805.00 | $79.83 – $1,041.88 | 16 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $266.40 | $444.00 | $21.00 – $2,094.25 | 16 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $1,266.00 | $2,110.00 | $99.51 – $1,041.88 | 16 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $208.80 | $348.00 | $96.47 – $2,325.85 | 14 |
| Drng hand tendon sheath 26020 CPT 26020 | $790.80 | $1,318.00 | $132.82 – $1,054.40 | 15 |
| Drng of finger abscess comp 26011 CPT 26011 | $1,266.00 | $2,110.00 | $84.00 – $771.51 | 16 |
| Drng of salivary cyst 42409 CPT 42409 | $418.80 | $698.00 | $171.15 – $1,192.92 | 15 |
| Drng of scrotum abscess 55100 CPT 55100 | $1,029.00 | $1,715.00 | $36.75 – $771.51 | 16 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $6.60 | $11.00 | $3.05 – $8.80 | 14 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $180.60 | $301.00 | $57.19 – $240.80 | 14 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $165.60 | $276.00 | $11.21 – $220.80 | 15 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $3,286.80 | $5,478.00 | $56.10 – $4,382.40 | 14 |
| Drug test def 1-7 classes HCPCS G0480 | $502.80 | $838.00 | $53.00 – $670.40 | 15 |
| Drug test def 22+ classes HCPCS G0483 | $835.20 | $1,392.00 | $53.00 – $1,113.60 | 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.