healthcosts.net
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 |
|---|---|---|---|---|
| Abdominal CT scan (with and without contrast) CPT 74170 | $5,272.80 | $8,788.00 | $161.20 – $6,151.60 | 19 |
| Abdominal CT scan (with contrast) CPT 74160 | $4,104.00 | $6,840.00 | $146.43 – $4,788.00 | 19 |
| Abdominal CT scan (without contrast) CPT 74150 | $4,104.00 | $6,840.00 | $117.01 – $4,788.00 | 19 |
| Abdominal MRI (with and without contrast) CPT 74183 | $2,857.80 | $4,763.00 | $271.09 – $3,334.10 | 19 |
| Abdominal MRI (with contrast) CPT 74182 | $2,290.20 | $3,817.00 | $213.96 – $2,671.90 | 19 |
| Abdominal MRI (without contrast) CPT 74181 | $2,404.80 | $4,008.00 | $180.32 – $2,805.60 | 19 |
| Abdominal Ultrasound (complete) CPT 76700 | $651.00 | $1,085.00 | $93.32 – $759.50 | 19 |
| Abdominal Ultrasound (limited) CPT 76705 | $475.80 | $793.00 | $68.13 – $555.10 | 19 |
| Ankle X-ray CPT 73610 | $325.20 | $542.00 | $20.23 – $379.40 | 17 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $1,067.82 – $8,090.06 | 13 |
| Blood Clotting (PT/INR) Test CPT 85610 | $130.20 | $217.00 | $4.00 – $151.90 | 19 |
| Blood Clotting (PTT) Test CPT 85730 | $133.80 | $223.00 | $5.94 – $156.10 | 19 |
| Blood Count (CBC) Test CPT 85025 | $214.20 | $357.00 | $6.00 – $249.90 | 19 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $154.80 | $258.00 | $6.39 – $180.60 | 19 |
| Blood Culture Test CPT 87040 | $240.00 | $400.00 | $10.20 – $280.00 | 19 |
| Bone Density Scan (DEXA) CPT 77080 | $240.00 | $400.00 | $23.19 – $280.00 | 17 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $7,916.40 | $13,194.00 | $182.13 – $9,235.80 | 19 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $5,178.60 | $8,631.00 | $148.12 – $6,041.70 | 19 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $5,178.60 | $8,631.00 | $148.12 – $6,041.70 | 19 |
| Brain MRI (with and without contrast) CPT 70553 | $7,916.40 | $13,194.00 | $281.64 – $9,235.80 | 19 |
| Brain MRI (with contrast) CPT 70552 | $5,178.60 | $8,631.00 | $220.15 – $6,041.70 | 19 |
| Brain MRI (without contrast) CPT 70551 | $5,178.60 | $8,631.00 | $182.96 – $6,041.70 | 19 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $4,790.40 | $7,984.00 | $152.78 – $5,588.80 | 14 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $5,274.00 | $8,790.00 | $252.25 – $6,153.00 | 19 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $2,637.60 | $4,396.00 | $195.88 – $3,077.20 | 19 |
| CT Angiogram of the Head CPT 70496 | $3,598.20 | $5,997.00 | $195.88 – $4,197.90 | 19 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $9,378.60 | $15,631.00 | $231.84 – $10,941.70 | 19 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $6,945.60 | $11,576.00 | $210.72 – $8,103.20 | 19 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $6,945.60 | $11,576.00 | $185.12 – $8,103.20 | 19 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $1,007.40 | $1,679.00 | $94.90 – $1,175.30 | 19 |
| Carpal Tunnel Release Surgery CPT 64721 | not published | not published | $330.00 – $2,707.75 | 16 |
| Chest CT scan (with and without contrast) CPT 71270 | $4,104.00 | $6,840.00 | $143.96 – $4,788.00 | 19 |
| Chest CT scan (with contrast) CPT 71260 | $3,283.80 | $5,473.00 | $134.85 – $3,831.10 | 19 |
| Chest CT scan (without contrast) CPT 71250 | $3,283.80 | $5,473.00 | $117.01 – $3,831.10 | 19 |
| Chest X-ray CPT 71046 | $532.80 | $888.00 | $11.78 – $621.60 | 19 |
| Chest X-ray (single view) CPT 71045 | $487.80 | $813.00 | $6.43 – $569.10 | 19 |
| Cholesterol (Lipid) Test CPT 80061 | $413.40 | $689.00 | $13.24 – $482.30 | 19 |
| Circumcision (newborn) CPT 54150 | not published | not published | $86.90 – $2,840.52 | 15 |
| Colonoscopy (diagnostic) CPT 45378 | $1,500.00 | $2,500.00 | $198.55 – $1,750.00 | 19 |
| Colonoscopy (with biopsy) CPT 45380 | $3,099.00 | $5,165.00 | $247.96 – $3,615.50 | 19 |
| Colonoscopy (with polyp removal) CPT 45385 | $3,098.40 | $5,164.00 | $294.89 – $3,614.80 | 19 |
| Cystoscopy (Bladder Scope) CPT 52000 | $2,752.20 | $4,587.00 | $82.50 – $3,210.90 | 19 |
| Diabetes (HbA1c) Test CPT 83036 | $125.40 | $209.00 | $7.00 – $146.30 | 19 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $612.00 | $1,020.00 | $73.61 – $714.00 | 15 |
| Diagnostic Mammogram (one breast) CPT 77065 | $478.80 | $798.00 | $57.72 – $558.60 | 15 |
| ER Visit (level 1, minor) CPT 99281 | $384.60 | $641.00 | $51.60 – $448.70 | 16 |
| ER Visit (level 2) CPT 99282 | $640.20 | $1,067.00 | $36.28 – $746.90 | 18 |
| ER Visit (level 3) CPT 99283 | $793.20 | $1,322.00 | $62.31 – $925.40 | 18 |
| ER Visit (level 4) CPT 99284 | $1,581.00 | $2,635.00 | $104.86 – $1,844.50 | 18 |
| ER Visit (level 5, high severity) CPT 99285 | $2,165.40 | $3,609.00 | $152.61 – $2,526.30 | 18 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,495.80 | $2,493.00 | $155.12 – $1,745.10 | 19 |
| Established Patient Office Visit (level 1) CPT 99211 | $118.20 | $197.00 | $20.20 – $151.40 | 18 |
| Established Patient Office Visit (level 2) CPT 99212 | $138.60 | $231.00 | $28.60 – $161.70 | 16 |
| Established Patient Office Visit (level 3) CPT 99213 | $156.60 | $261.00 | $38.50 – $182.70 | 16 |
| Established Patient Office Visit (level 4) CPT 99214 | $178.20 | $297.00 | $44.55 – $247.66 | 16 |
| Established Patient Office Visit (level 5) CPT 99215 | $205.80 | $343.00 | $51.45 – $333.55 | 16 |
| Flexible Sigmoidoscopy CPT 45330 | $598.20 | $997.00 | $58.47 – $1,264.19 | 19 |
| Foot X-ray CPT 73630 | $325.20 | $542.00 | $19.46 – $379.40 | 17 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $1,414.39 – $8,090.06 | 13 |
| Hand X-ray CPT 73130 | $250.20 | $417.00 | $20.23 – $291.90 | 17 |
| Head CT scan (with and without contrast) CPT 70470 | $3,598.20 | $5,997.00 | $146.43 – $4,197.90 | 19 |
| Head CT scan (with contrast) CPT 70460 | $3,127.20 | $5,212.00 | $130.53 – $3,648.40 | 19 |
| Head CT scan (without contrast) CPT 70450 | $3,127.20 | $5,212.00 | $98.61 – $3,648.40 | 19 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | $349.25 – $4,893.48 | 16 |
| Hip X-ray CPT 73502 | $274.20 | $457.00 | $19.54 – $319.90 | 17 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $442.20 | $737.00 | $85.14 – $515.90 | 19 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $1,030.96 – $4,499.05 | 13 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $597.85 – $4,499.05 | 16 |
| Knee MRI (with and without contrast) CPT 73723 | $2,415.00 | $4,025.00 | $264.38 – $2,817.50 | 17 |
| Knee MRI (with contrast) CPT 73722 | $1,948.80 | $3,248.00 | $201.09 – $2,273.60 | 17 |
| Knee MRI (without contrast) CPT 73721 | $2,045.40 | $3,409.00 | $167.99 – $2,386.30 | 17 |
| Knee X-ray CPT 73564 | $473.40 | $789.00 | $25.96 – $552.30 | 17 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,021.80 | $1,703.00 | $84.33 – $1,192.10 | 19 |
| Liver Function Test CPT 80076 | $321.00 | $535.00 | $8.08 – $374.50 | 19 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $2,637.60 | $4,396.00 | $145.67 – $3,077.20 | 19 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,052.60 | $3,421.00 | $140.66 – $2,394.70 | 19 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,906.80 | $3,178.00 | $115.76 – $2,224.60 | 19 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $2,536.20 | $4,227.00 | $281.64 – $2,958.90 | 19 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $1,546.80 | $2,578.00 | $220.65 – $1,804.60 | 19 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,623.00 | $2,705.00 | $183.52 – $1,893.50 | 19 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $438.00 | $730.00 | $25.96 – $511.00 | 19 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $1,999.85 – $25,500.07 | 13 |
| Lung Function Test (Spirometry) CPT 94010 | $150.00 | $250.00 | $16.50 – $205.40 | 19 |
| Metabolic Blood Panel (Basic) CPT 80048 | $534.60 | $891.00 | $8.36 – $623.70 | 19 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $451.80 | $753.00 | $10.43 – $527.10 | 19 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $5,272.80 | $8,788.00 | $195.88 – $6,151.60 | 19 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $4,104.00 | $6,840.00 | $140.66 – $4,788.00 | 19 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $4,104.00 | $6,840.00 | $115.81 – $4,788.00 | 19 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $2,562.60 | $4,271.00 | $281.64 – $2,989.70 | 19 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $1,455.60 | $2,426.00 | $220.65 – $1,698.20 | 19 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $1,507.80 | $2,513.00 | $183.52 – $1,759.10 | 19 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $1,887.00 | $3,145.00 | $221.92 – $2,201.50 | 19 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $1,396.20 | $2,327.00 | $185.29 – $1,628.90 | 19 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $1,464.60 | $2,441.00 | $148.12 – $1,708.70 | 19 |
| New Patient Office Visit (level 2) CPT 99202 | $180.00 | $300.00 | $38.86 – $210.00 | 16 |
| New Patient Office Visit (level 3) CPT 99203 | $231.60 | $386.00 | $57.90 – $274.62 | 16 |
| New Patient Office Visit (level 4) CPT 99204 | $297.00 | $495.00 | $74.25 – $419.02 | 16 |
| New Patient Office Visit (level 5) CPT 99205 | $360.60 | $601.00 | $90.15 – $527.06 | 16 |
| Nuclear Stress Test (Heart) CPT 78452 | $5,989.20 | $9,982.00 | $374.88 – $6,987.40 | 19 |
| PSA (Prostate) Test CPT 84153 | $307.80 | $513.00 | $18.17 – $359.10 | 19 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $4,104.00 | $6,840.00 | $140.66 – $4,788.00 | 19 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,838.00 | $4,730.00 | $134.02 – $3,311.00 | 19 |
| Pelvic CT scan (without contrast) CPT 72192 | $2,838.00 | $4,730.00 | $117.01 – $3,311.00 | 19 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,415.00 | $4,025.00 | $271.09 – $2,817.50 | 19 |
| Pelvic MRI (with contrast) CPT 72196 | $3,205.20 | $5,342.00 | $213.96 – $3,739.40 | 19 |
| Pelvic MRI (without contrast) CPT 72195 | $2,045.40 | $3,409.00 | $180.32 – $2,386.30 | 19 |
| Pelvic Ultrasound (complete) CPT 76856 | $719.40 | $1,199.00 | $80.17 – $839.30 | 19 |
| Pelvic Ultrasound (limited) CPT 76857 | $462.00 | $770.00 | $35.20 – $508.90 | 19 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $828.60 | $1,381.00 | $85.25 – $966.70 | 19 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $674.40 | $1,124.00 | $92.50 – $786.80 | 19 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $1,440.00 | $2,400.00 | $360.00 – $1,680.00 | 16 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $785.10 – $1,264.19 | 12 |
| Screening Mammogram CPT 77067 | $205.20 | $342.00 | $51.30 – $239.40 | 15 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $1,262.14 – $9,905.66 | 13 |
| Shoulder MRI (with and without contrast) CPT 73223 | $2,415.00 | $4,025.00 | $265.23 – $2,817.50 | 17 |
| Shoulder MRI (with contrast) CPT 73222 | $1,948.80 | $3,248.00 | $201.09 – $2,273.60 | 17 |
| Shoulder MRI (without contrast) CPT 73221 | $2,045.40 | $3,409.00 | $167.99 – $2,386.30 | 17 |
| Shoulder X-ray CPT 73030 | $341.40 | $569.00 | $21.87 – $398.30 | 17 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,052.60 | $3,421.00 | $146.43 – $2,394.70 | 19 |
| Sinus CT scan (with contrast) CPT 70487 | $1,612.80 | $2,688.00 | $129.91 – $1,881.60 | 19 |
| Sinus CT scan (without contrast) CPT 70486 | $1,464.60 | $2,441.00 | $98.61 – $1,708.70 | 19 |
| Sleep Study (Polysomnography) CPT 95810 | $2,098.80 | $3,498.00 | $281.14 – $2,448.60 | 16 |
| Thyroid (TSH) Test CPT 84443 | $257.40 | $429.00 | $16.60 – $300.30 | 19 |
| Thyroid Ultrasound CPT 76536 | $598.20 | $997.00 | $64.85 – $697.90 | 19 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $725.80 – $4,496.91 | 13 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $599.35 – $8,202.79 | 13 |
| Total Hip Replacement CPT 27130 | not published | not published | $2,469.30 – $17,841.43 | 13 |
| Total Knee Replacement CPT 27447 | not published | not published | $2,665.46 – $17,841.43 | 13 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $761.95 – $8,090.06 | 13 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $2,562.60 | $4,271.00 | $281.64 – $2,989.70 | 19 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $1,565.40 | $2,609.00 | $220.15 – $1,826.30 | 19 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,642.80 | $2,738.00 | $183.52 – $1,916.60 | 19 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $2,310.60 | $3,851.00 | $137.74 – $2,695.70 | 19 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $3,124.20 | $5,207.00 | $163.44 – $3,644.90 | 19 |
| Urinalysis (with microscopy) CPT 81001 | $134.40 | $224.00 | $3.00 – $156.80 | 19 |
| Urinalysis (without microscopy) CPT 81003 | $36.60 | $61.00 | $2.22 – $42.70 | 19 |
| Urine Culture Test CPT 87086 | $62.40 | $104.00 | $7.98 – $72.80 | 19 |
| Vasectomy CPT 55250 | not published | not published | $163.35 – $2,840.52 | 16 |
| Vitamin D Test CPT 82306 | $501.00 | $835.00 | $29.26 – $584.50 | 19 |
| Wrist X-ray CPT 73110 | $259.20 | $432.00 | $20.23 – $302.40 | 17 |
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.