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 |
|---|---|---|---|---|
| CT uppr extremity w/o&w/dye CPT 73202 | $2,199.00 | $3,665.00 | $140.66 – $847.96 | 13 |
| Culture aerobic additional method definitive id each CPT 87077 | $62.40 | $104.00 | $7.10 – $17.05 | 16 |
| Culture afb any source CPT 87116 | $121.20 | $202.00 | $7.50 – $29.31 | 16 |
| Culture anaerobic additional method definitive id each CPT 87076 | $223.20 | $372.00 | $7.99 – $35.00 | 16 |
| Culture anaerobic except blood CPT 87075 | $111.60 | $186.00 | $9.36 – $18.29 | 16 |
| Culture bact stool aero addl path ea CPT 87046 | $50.40 | $84.00 | $2.61 – $10.20 | 16 |
| Culture body fluid CPT 87070 | $105.00 | $175.00 | $6.90 – $16.64 | 16 |
| Culture fungi definitive id mold CPT 87107 | $177.00 | $295.00 | $10.20 – $27.42 | 16 |
| Culture fungi definitive id yeast CPT 87106 | $62.40 | $104.00 | $9.70 – $28.07 | 16 |
| Culture fungi other (except blood) CPT 87102 | $125.40 | $209.00 | $8.31 – $16.25 | 16 |
| Culture fungi skin/hair/nail CPT 87101 | $87.60 | $146.00 | $7.62 – $20.95 | 16 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $121.20 | $202.00 | $14.44 – $30.84 | 16 |
| Culture quantitative aerobic other source CPT 87071 | $69.60 | $116.00 | $5.22 – $12.53 | 16 |
| Culture screening strep group a CPT 87081 | $74.40 | $124.00 | $5.20 – $11.47 | 16 |
| Culture typing immunologic CPT 87147 | $97.20 | $162.00 | $3.00 – $15.24 | 16 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $537.00 | $895.00 | $33.72 – $93.44 | 16 |
| Culture urine each isolate CPT 87088 | $62.40 | $104.00 | $8.00 – $15.63 | 16 |
| Cutter lead HCPCS C1773 | $2,259.00 | $3,765.00 | $301.13 – $301.13 | 1 |
| Cv line/pic reposition CPT 36597 | $1,029.00 | $1,715.00 | $63.95 – $2,154.03 | 16 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $159.00 | $265.00 | $14.16 – $27.81 | 16 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $101.60 | $127.00 | $0.63 – $3.93 | 10 |
| Cyclic citrullinated peptide antibody CPT 86200 | $193.20 | $322.00 | $12.80 – $33.63 | 16 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $2.40 | $4.00 | $0.30 – $2.11 | 12 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $20.20 | $25.25 | $0.69 – $3.39 | 9 |
| Cyclosporine 2 hour CPT 80158 | $180.00 | $300.00 | $17.09 – $34.89 | 16 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $20.80 | $26.00 | $0.34 – $2.29 | 9 |
| Cyclosporine oral 100 mg HCPCS J7502 | $92.80 | $116.00 | $1.29 – $6.15 | 9 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $37,825.20 | $63,042.00 | $3,659.16 – $3,659.16 | 1 |
| Cyp2c9 gene com variants CPT 81227 | $1,870.20 | $3,117.00 | $134.32 – $188.79 | 13 |
| Cyp2d6 gene com variants CPT 81226 | $278.40 | $464.00 | $409.38 – $486.98 | 13 |
| Cystatin c CPT 82610 | $205.80 | $343.00 | $15.20 – $35.32 | 16 |
| Cystic fibrosis cftr CPT 81223 | $3,002.40 | $5,004.00 | $399.20 – $2,102.77 | 16 |
| Cystine urine quantitative CPT 82131 | $94.20 | $157.00 | $22.71 – $32.42 | 16 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $897.78 – $4,782.42 | 13 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $245.40 | $409.00 | $40.15 – $566.90 | 16 |
| Cysto impl 4 or more HCPCS C9740 | not published | not published | $1,036.46 – $12,822.31 | 12 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $457.60 – $12,822.31 | 16 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $199.65 – $4,782.42 | 16 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $168.85 – $4,782.42 | 16 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $237.60 – $4,782.42 | 16 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $297.01 – $4,782.42 | 16 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $495.55 – $7,049.07 | 16 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $102.30 – $2,840.52 | 16 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $272.61 – $2,840.52 | 16 |
| Cystoscopy and treatment CPT 52310 | $4,356.00 | $7,260.00 | $141.90 – $2,840.52 | 16 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $214.50 – $2,840.52 | 16 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $254.29 – $4,782.42 | 16 |
| Cystoscopy (Bladder Scope) CPT 52000 | $2,752.20 | $4,587.00 | $82.50 – $925.53 | 16 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $143.81 – $2,840.52 | 16 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $888.36 – $4,782.42 | 13 |
| Cystoscopy inject material CPT 52327 | not published | not published | $279.49 – $7,049.07 | 16 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $250.91 – $4,782.42 | 16 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $207.90 – $2,840.52 | 16 |
| Cystoscopy & ureter catheter CPT 52005 | $3,942.60 | $6,571.00 | $127.60 – $2,840.52 | 16 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $5,943.60 | $9,906.00 | $289.60 – $2,840.52 | 16 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $667.07 – $4,782.42 | 13 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $838.81 – $4,782.42 | 13 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $836.61 – $7,049.07 | 13 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $307.22 – $7,049.07 | 13 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $954.79 – $7,049.07 | 13 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $824.16 – $4,782.42 | 13 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $4,234.20 | $7,057.00 | $118.25 – $2,840.52 | 16 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $135.85 – $2,840.52 | 16 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $43.45 – $1,256.75 | 10 |
| Cystourethro w/implant CPT 52441 | not published | not published | $180.56 – $1,627.41 | 10 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $654.34 – $4,782.42 | 13 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $189.00 | $315.00 | $0.52 – $2.64 | 7 |
| Cytogenetics 25-99 CPT 88274 | $420.60 | $701.00 | $41.88 – $86.43 | 13 |
| Cytogenomic neo microra alys CPT 81277 | $1,364.40 | $2,274.00 | $649.35 – $1,252.80 | 13 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $261.00 | $435.00 | $14.22 – $27.73 | 16 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $268.20 | $447.00 | $16.65 – $33.87 | 16 |
| Cyto/molecular report CPT 88291 | $420.60 | $701.00 | $10.63 – $45.02 | 5 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $375.00 | $625.00 | $23.43 – $218.54 | 16 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $153.00 | $255.00 | $14.02 – $80.77 | 16 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $106.20 | $177.00 | $12.12 – $90.52 | 16 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $66.60 | $111.00 | $9.62 – $41.79 | 5 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $148.20 | $247.00 | $20.19 – $213.04 | 13 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $288.00 | $480.00 | $25.32 – $146.41 | 13 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $145.60 | $182.00 | $2.18 – $10.15 | 7 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $68.20 | $85.25 | $9.86 – $16.86 | 13 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $1,138.80 | $1,898.00 | $0.02 – $29.13 | 10 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $112.20 | $187.00 | $32.73 – $60.02 | 13 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $1,687.20 | $2,812.00 | $1.85 – $513.27 | 15 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | $534.00 | $890.00 | $118.41 – $276.58 | 13 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $474.36 – $4,408.81 | 13 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $598.25 – $4,408.81 | 13 |
| Dch validity tests CPT 81002 | $19.80 | $33.00 | $3.44 – $6.95 | 13 |
| Deamidated gliadin antibody iga CPT 86258 | $98.40 | $164.00 | $4.89 – $13.01 | 13 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $624.00 | $1,040.00 | $32.23 – $848.80 | 16 |
| Debridement (>20 cm) charge pt CPT 97598 | $451.20 | $752.00 | $12.72 – $109.39 | 11 |
| Debridement bone <= 20 sq cm CPT 11044 | $3,124.80 | $5,208.00 | $36.30 – $2,246.66 | 16 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $1,602.60 | $2,671.00 | $80.89 – $550.44 | 3 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $2,133.00 | $3,555.00 | $133.38 – $1,936.09 | 3 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $3,124.80 | $5,208.00 | $36.30 – $729.80 | 16 |
| Debride nail1-5 11720 CPT 11720 | $379.20 | $632.00 | $17.13 – $82.37 | 16 |
| Debride nail6 or more 11721 CPT 11721 | $476.40 | $794.00 | $22.00 – $102.65 | 16 |
| Debride skin bone at fx site CPT 11012 | $7,701.60 | $12,836.00 | $785.10 – $3,968.58 | 13 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $1,602.60 | $2,671.00 | $46.42 – $618.09 | 3 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $1,956.60 | $3,261.00 | $774.17 – $975.61 | 13 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $3,123.00 | $5,205.00 | $36.30 – $848.80 | 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.