UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $269.40 | $449.00 | $17.50 – $46.79 | 16 |
| 17-hydroxypregnenolone CPT 84143 | $390.00 | $650.00 | $22.55 – $62.05 | 16 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $888.00 | $1,480.00 | $432.45 – $1,010.76 | 12 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $811.20 | $1,352.00 | $305.54 – $1,010.76 | 12 |
| 2nd order venous cath CPT 36012 | $6,946.20 | $11,577.00 | $125.95 – $1,631.43 | 10 |
| 3d ech img cgen car anomal CPT 93319 | $1,338.00 | $2,230.00 | $21.73 – $65.14 | 11 |
| 3d recon without postprocess indpndt CPT 76376 | $879.00 | $1,465.00 | $52.31 – $222.48 | 4 |
| 5% dextrose and 0.45% saline HCPCS S5010 | $100.80 | $126.00 | $9.01 – $9.01 | 1 |
| 5% dextrose with potassium HCPCS S5012 | $113.60 | $142.00 | $5.42 – $5.42 | 1 |
| 5' nucleotidase - sendout CPT 83915 | $119.40 | $199.00 | $11.02 – $21.56 | 16 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $130.80 | $218.00 | $12.71 – $117.47 | 12 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $104.00 | $130.00 | $27.85 – $81.38 | 14 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $94.20 | $157.00 | $11.87 – $33.66 | 16 |
| Abd aorta w/runoff s&i CPT 75630 | $3,226.20 | $5,377.00 | $268.71 – $4,114.32 | 16 |
| Abd/low ext cath 1st CPT 36245 | $3,583.20 | $5,972.00 | $763.10 – $3,297.90 | 3 |
| Abd/low ext cath 2nd CPT 36246 | $4,738.80 | $7,898.00 | $795.09 – $4,363.17 | 3 |
| Abd/low ext cath 3rd CPT 36247 | $5,269.20 | $8,782.00 | $947.07 – $4,850.20 | 3 |
| Abd/low ext cath addl CPT 36248 | $881.40 | $1,469.00 | $53.44 – $204.47 | 10 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $1,100.40 | $1,834.00 | $141.56 – $587.31 | 16 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $661.20 | $1,102.00 | $117.01 – $465.07 | 16 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $5,272.80 | $8,788.00 | $161.20 – $971.76 | 16 |
| Abdominal CT scan (with contrast) CPT 74160 | $4,104.00 | $6,840.00 | $146.43 – $801.40 | 16 |
| Abdominal CT scan (without contrast) CPT 74150 | $4,104.00 | $6,840.00 | $117.01 – $682.41 | 16 |
| Abdominal MRI (with and without contrast) CPT 74183 | $2,857.80 | $4,763.00 | $271.09 – $2,009.77 | 16 |
| Abdominal MRI (with contrast) CPT 74182 | $2,290.20 | $3,817.00 | $213.96 – $1,125.45 | 16 |
| Abdominal MRI (without contrast) CPT 74181 | $2,404.80 | $4,008.00 | $180.32 – $1,249.75 | 16 |
| Abdominal paracentesis w/image guidance CPT 49083 | $2,052.60 | $3,421.00 | $92.76 – $1,300.05 | 16 |
| Abdominal Ultrasound (complete) CPT 76700 | $651.00 | $1,085.00 | $93.32 – $295.27 | 16 |
| Abdominal Ultrasound (limited) CPT 76705 | $475.80 | $793.00 | $68.13 – $219.23 | 16 |
| Abdominal X-ray (2 views) CPT 74019 | $257.40 | $429.00 | $13.05 – $166.40 | 16 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $335.40 | $559.00 | $37.21 – $166.40 | 16 |
| Abdominal X-ray (single view) CPT 74018 | $209.40 | $349.00 | $10.93 – $118.50 | 16 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $895.03 – $9,042.80 | 13 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $2,052.60 | $3,421.00 | $59.98 – $1,300.05 | 16 |
| Abl1 gene CPT 81170 | $3,340.80 | $5,568.00 | $230.27 – $366.39 | 16 |
| Ablat 1/+thyr ndul addl prq rf CPT 60661 | $1,486.80 | $2,478.00 | $357.48 – $392.90 | 2 |
| Ablate arrhythmia add on CPT 93655 | $48,916.80 | $81,528.00 | $345.89 – $584.32 | 3 |
| Ablate bone tumor(s) perq CPT 20982 | $42,856.80 | $71,428.00 | $7,492.09 – $15,290.23 | 13 |
| Ablate heart dysrhythm focus CPT 93650 | $4,986.00 | $8,310.00 | $441.48 – $10,521.84 | 13 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $41.80 – $2,053.97 | 16 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $454.20 | $757.00 | $0.04 – $185.93 | 10 |
| Ablation cryo abd perit om CPT 49999 | $2,747.40 | $4,579.00 | $18.59 – $1,300.05 | 12 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $18.59 – $332.62 | 12 |
| Ablation of upper extremity nerves rf CPT 64999 | $1,719.00 | $2,865.00 | $18.59 – $409.31 | 12 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | $2,974.20 | $4,957.00 | $2,164.96 – $2,371.08 | 2 |
| Abobotulinumtoxina HCPCS J0586 | $67.60 | $84.50 | $5.53 – $9.79 | 13 |
| Abscess drain retroperitoneal surg code CPT 49406 | $8,322.60 | $13,871.00 | $190.99 – $2,246.66 | 16 |
| Absorpt drg >16<=48 in w/bdr HCPCS A6255 | $1.80 | $3.00 | $5.37 – $7.02 | 2 |
| Absorpt drg <=16 sq in w/bdr HCPCS A6254 | $0.60 | $1.00 | $2.16 – $2.80 | 2 |
| Absorpt drg > 48 sq in without b HCPCS A6253 | $3.00 | $5.00 | $11.25 – $14.65 | 2 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $0.80 | $1.00 | $0.04 – $0.13 | 7 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $222.40 | $278.00 | $12.53 – $76.56 | 7 |
| Acetone qualitative CPT 82009 | $118.20 | $197.00 | $4.47 – $12.29 | 16 |
| Acetylcholine receptor modulating antibody CPT 86043 | $316.20 | $527.00 | $4.50 – $13.40 | 15 |
| Acetylcholinesterase assay CPT 82013 | $148.20 | $247.00 | $10.00 – $26.19 | 16 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $645.00 | $1,075.00 | $0.24 – $1.91 | 7 |
| Acetylcysteine non-comp unit HCPCS J7608 | $264.00 | $330.00 | $0.67 – $17.28 | 5 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $611.40 | $1,019.00 | $96.41 – $333.90 | 12 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $20.40 | $34.00 | $5.11 – $37.09 | 4 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $1,232.68 – $4,499.05 | 13 |
| Acute hepatitis panel CPT 80074 | $721.20 | $1,202.00 | $47.07 – $126.42 | 16 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $1,265.40 | $2,109.00 | $0.02 – $0.17 | 7 |
| #acylcarnitineprfl CPT 82017 | $315.00 | $525.00 | $16.67 – $44.78 | 13 |
| Adapter b 8 channel 10cm HCPCS C1883 | $3,290.40 | $5,484.00 | $807.02 – $807.02 | 1 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $352.80 | $588.00 | $0.35 – $1.67 | 7 |
| Adenovirus ag ia CPT 87301 | $199.20 | $332.00 | $11.84 – $31.36 | 13 |
| Adenovirus antibody,serum - quest CPT 86603 | $343.80 | $573.00 | $12.72 – $24.89 | 16 |
| Adhesive, liquid or equal HCPCS A4364 | $2,319.60 | $3,866.00 | $4.80 – $6.86 | 2 |
| Adh-sendout CPT 84588 | $430.80 | $718.00 | $33.54 – $92.25 | 16 |
| Adj gastric band via subq port CPT 43999 | $3,098.40 | $5,164.00 | $18.59 – $1,300.05 | 12 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $305.25 – $2,536.45 | 16 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $400.00 | $500.00 | $0.26 – $5.55 | 6 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $271.20 | $452.00 | $31.11 – $84.57 | 15 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $592.80 | $988.00 | $67.85 – $128.83 | 15 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $1,187.40 | $1,979.00 | $137.28 – $394.17 | 15 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $412.80 | $688.00 | $101.42 – $394.17 | 15 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $139.80 | $233.00 | $34.94 – $75.88 | 11 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $139.80 | $233.00 | $48.26 – $101.67 | 15 |
| Administration immunization each additional vaccine CPT 90472 | $12.00 | $20.00 | $0.28 – $34.16 | 3 |
| Administration vaccine hepatitis b HCPCS G0010 | $12.00 | $20.00 | $2.11 – $54.83 | 11 |
| Administration vaccine influenza virus HCPCS G0008 | $12.00 | $20.00 | $3.93 – $54.83 | 15 |
| Administration vaccine pneumococcal HCPCS G0009 | $12.00 | $20.00 | $4.05 – $54.83 | 15 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $119.40 | $199.00 | $23.33 – $45.53 | 13 |
| Adrenalin epinephrine inject HCPCS J0171 | $192.00 | $320.00 | $0.72 – $2.05 | 3 |
| Aep hearing status deter i&r CPT 92651 | $576.00 | $960.00 | $65.60 – $370.05 | 16 |
| Aep neurodiagnostic i&r CPT 92653 | $898.20 | $1,497.00 | $62.99 – $395.44 | 16 |
| Aep thrshld est mlt freq i&r CPT 92652 | $898.20 | $1,497.00 | $86.16 – $395.44 | 16 |
| Afamelanotide implant, 1 mg HCPCS J7352 | $6,733.80 | $11,223.00 | $1,364.81 – $3,178.89 | 12 |
| _afb id by dna probe rflx ast CPT 87149 | $199.80 | $333.00 | $19.82 – $53.22 | 16 |
| #afb mycobacteria suscep. #1 CPT 87190 | $94.80 | $158.00 | $7.00 – $15.35 | 16 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | $2,346.00 | $3,910.00 | $145.32 – $248.56 | 13 |
| Air conduction bilat CPT 92552 | $117.00 | $195.00 | $8.80 – $161.87 | 16 |
| Albumin body fluid quantitative each specimen CPT 82042 | $127.20 | $212.00 | $1.20 – $8.40 | 13 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $1,591.80 | $2,653.00 | $33.51 – $144.51 | 7 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $1,196.00 | $1,495.00 | $33.51 – $57.33 | 13 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | $396.00 | $495.00 | $6.70 – $37.38 | 7 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $144.60 | $241.00 | $5.71 – $11.19 | 16 |
| Albumin serum plasma or whole blood CPT 82040 | $130.80 | $218.00 | $3.65 – $9.57 | 16 |
| Albuterol ipratrop non-comp HCPCS J7620 | $27.80 | $34.75 | $0.09 – $0.46 | 5 |
| Albuterol non-comp con HCPCS J7611 | $6.20 | $7.75 | $0.11 – $0.59 | 5 |
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.