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 |
|---|---|---|---|---|
| Drainage of rectal abscess 45020 CPT 45020 | $4,045.80 | $6,743.00 | $165.55 – $3,802.67 | 16 |
| Drain blood from under nail 11740 CPT 11740 | $384.60 | $641.00 | $26.40 – $178.73 | 16 |
| Drain cath image guided visceral pq CPT 49405 | $8,322.60 | $13,871.00 | $190.71 – $2,246.66 | 16 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $2,310.60 | $3,851.00 | $40.70 – $960.26 | 16 |
| Drain finger abscess;simple 26010 CPT 26010 | $288.00 | $480.00 | $29.15 – $275.52 | 16 |
| Drain lower leg lesion 27603 CPT 27603 | not published | not published | $97.35 – $3,968.58 | 16 |
| Drain neck/chest lesion 21501 CPT 21501 | not published | not published | $97.35 – $3,968.58 | 16 |
| Drain thigh/knee lesion 27301 CPT 27301 | $5,296.20 | $8,827.00 | $97.35 – $3,968.58 | 16 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $407.40 | $679.00 | $92.94 – $275.52 | 16 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $407.40 | $679.00 | $22.00 – $275.52 | 16 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $2,313.60 | $3,856.00 | $126.59 – $554.00 | 16 |
| Drng hand tendon sheath 26020 CPT 26020 | $4,104.60 | $6,841.00 | $139.15 – $4,499.05 | 16 |
| Drng of eyelid abscess 67700 CPT 67700 | $5,268.60 | $8,781.00 | $173.94 – $1,232.68 | 13 |
| Drng of finger abscess comp 26011 CPT 26011 | $2,149.20 | $3,582.00 | $88.00 – $2,246.66 | 16 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $38.50 – $975.61 | 16 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $124.30 – $729.80 | 16 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $683.99 – $4,408.81 | 13 |
| Drng of scrotum abscess 55100 CPT 55100 | $3,037.80 | $5,063.00 | $38.50 – $2,246.66 | 16 |
| Drng salivary gland submax/subling 42310 CPT 42310 | $3,037.20 | $5,062.00 | $56.10 – $706.14 | 16 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $22.80 | $28.50 | $4.74 – $28.12 | 7 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $2,423.40 | $4,039.00 | $131.03 – $131.03 | 1 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $33,291.60 | $55,486.00 | $22.06 – $75.02 | 3 |
| Drug assay rufinamide CPT 80210 | $568.20 | $947.00 | $20.24 – $29.28 | 13 |
| Drug assay vedolizumab CPT 80280 | $120.00 | $200.00 | $21.60 – $41.66 | 13 |
| Drug test def 1-7 classes HCPCS G0480 | $475.80 | $793.00 | $55.86 – $123.58 | 15 |
| Drug test def 8-14 classes HCPCS G0481 | $465.60 | $776.00 | $85.95 – $169.12 | 15 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $151.80 | $253.00 | $51.75 – $88.75 | 16 |
| Drvvt confirm - quest CPT 85597 | $154.80 | $258.00 | $17.78 – $48.01 | 16 |
| Duplex scan bilateral study 93985 CPT 93985 | $615.00 | $1,025.00 | $121.73 – $345.98 | 16 |
| Duplex scan unilateral study 93986 CPT 93986 | $615.00 | $1,025.00 | $76.53 – $179.75 | 16 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $241.20 | $402.00 | $89.04 – $383.47 | 16 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $241.20 | $402.00 | $110.84 – $390.15 | 16 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,007.40 | $1,679.00 | $146.23 – $425.48 | 16 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $215.40 | $359.00 | $46.67 – $91.93 | 13 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $148.66 – $2,391.19 | 16 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $4,190.40 | $6,984.00 | $148.66 – $2,391.19 | 16 |
| Dx bronchoscope/wash 31622 CPT 31622 | $3,196.20 | $5,327.00 | $147.25 – $2,391.19 | 16 |
| Ear cartilage graft CPT 21235 | not published | not published | $1,631.43 – $8,202.79 | 13 |
| Ear irrigation 69209 CPT 69209 | $139.80 | $233.00 | $8.38 – $82.37 | 13 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $76.20 | $127.00 | $5.57 – $81.67 | 16 |
| Ecg < 30 days transmission & analysis CPT 93271 | $1,615.80 | $2,693.00 | $82.63 – $393.36 | 16 |
| Ecg external < 48 hours recording CPT 93225 | $539.40 | $899.00 | $20.07 – $161.87 | 16 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $539.40 | $899.00 | $43.74 – $203.70 | 16 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $58.80 | $98.00 | $10.01 – $50.60 | 16 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $58.80 | $98.00 | $9.61 – $83.23 | 16 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,495.80 | $2,493.00 | $155.12 – $714.96 | 16 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $489.00 | $815.00 | $40.15 – $335.18 | 16 |
| Echocardiography doppler color flow mapping CPT 93325 | $500.40 | $834.00 | $20.44 – $242.77 | 11 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,495.80 | $2,493.00 | $432.45 – $1,010.76 | 12 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $489.00 | $815.00 | $272.00 – $566.90 | 12 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $486.00 | $810.00 | $31.13 – $184.95 | 11 |
| Echo exam of fetal heart CPT 76825 | $777.60 | $1,296.00 | $35.20 – $714.96 | 16 |
| Echo exam of fetal heart CPT 76827 | $793.80 | $1,323.00 | $70.88 – $309.09 | 16 |
| Echograp trans r pros study CPT 76873 | $507.60 | $846.00 | $86.56 – $302.57 | 13 |
| Echo guide for amniocentesis CPT 76946 | $511.80 | $853.00 | $40.80 – $193.13 | 11 |
| Echo guide for artery repair CPT 76936 | $939.00 | $1,565.00 | $208.38 – $772.43 | 16 |
| Echo stress CPT 93350 | $696.00 | $1,160.00 | $84.15 – $957.76 | 16 |
| Echo tee guidance CPT 93355 | $894.00 | $1,490.00 | $152.81 – $610.62 | 4 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $888.00 | $1,480.00 | $255.92 – $1,011.29 | 16 |
| Echo transesophageal CPT 93315 | $1,214.40 | $2,024.00 | $198.43 – $714.96 | 16 |
| Echo transesophageal intraop CPT 93318 | $2,853.60 | $4,756.00 | $224.30 – $714.96 | 12 |
| Echo transthoracic CPT 93303 | $766.80 | $1,278.00 | $154.09 – $714.96 | 16 |
| Echo transthoracic CPT 93304 | $520.80 | $868.00 | $40.15 – $714.96 | 16 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $811.20 | $1,352.00 | $154.42 – $655.62 | 16 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | $1,314.60 | $2,191.00 | $236.07 – $835.54 | 3 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | $1,189.80 | $1,983.00 | $213.72 – $754.83 | 3 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | $1,660.80 | $2,768.00 | $298.17 – $1,039.23 | 3 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | $376.00 | $470.00 | $28.30 – $48.41 | 11 |
| Eculizumab injection HCPCS J1300 | $42,307.80 | $70,513.00 | $224.05 – $614.44 | 3 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $274.80 | $458.00 | $88.98 – $375.76 | 16 |
| Eeg during surgery CPT 95955 | $694.80 | $1,158.00 | $119.52 – $481.98 | 11 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $245.40 | $409.00 | $24.75 – $375.76 | 16 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $441.00 | $735.00 | $104.63 – $375.76 | 16 |
| Eeg phys/qhp 2-12 hr w/veeg CPT 95718 | $615.00 | $1,025.00 | $76.53 – $316.67 | 11 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $245.40 | $409.00 | $24.75 – $375.76 | 16 |
| Eeg recording awake and asleep CPT 95819 | $715.80 | $1,193.00 | $24.75 – $375.76 | 16 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | $615.00 | $1,025.00 | $182.09 – $627.33 | 15 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | $615.00 | $1,025.00 | $88.00 – $375.76 | 15 |
| Eeg without vid ea 12-26hr cont CPT 95710 | $1,178.40 | $1,964.00 | $583.83 – $1,253.45 | 15 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | $1,178.40 | $1,964.00 | $583.83 – $1,002.52 | 15 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | $615.00 | $1,025.00 | $182.09 – $501.86 | 15 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | $1,178.40 | $1,964.00 | $116.17 – $720.95 | 15 |
| E equine encephalitis igg CPT 86652 | $198.00 | $330.00 | $13.03 – $35.84 | 16 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | $85.60 | $107.00 | $13.51 – $34.72 | 13 |
| Egd balloon dil esoph30 mm/> CPT 43233 | $4,618.20 | $7,697.00 | $174.50 – $2,630.42 | 13 |
| Egd control bleeding any CPT 43255 | $3,098.40 | $5,164.00 | $255.75 – $2,630.42 | 16 |
| Egd dilate stricture CPT 43245 | not published | not published | $180.20 – $2,630.42 | 16 |
| Egd endoscopic stent place CPT 43266 | $3,774.00 | $6,290.00 | $174.11 – $8,254.31 | 13 |
| Egd guide wire insertion CPT 43248 | $3,098.40 | $5,164.00 | $686.69 – $1,300.05 | 13 |
| Egd injection varices CPT 43243 | $3,124.20 | $5,207.00 | $729.80 – $2,630.42 | 13 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | $3,124.80 | $5,208.00 | $148.54 – $2,630.42 | 16 |
| Egd lesion ablation CPT 43270 | $3,581.40 | $5,969.00 | $836.96 – $2,630.42 | 13 |
| Egd remove foreign body CPT 43247 | $3,098.40 | $5,164.00 | $191.43 – $1,300.05 | 16 |
| Egd remove lesion snare CPT 43251 | $3,124.80 | $5,208.00 | $208.28 – $2,630.42 | 16 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | not published | not published | $729.80 – $2,630.42 | 13 |
| Egd varices ligation CPT 43244 | $3,098.40 | $5,164.00 | $720.64 – $2,630.42 | 13 |
| Egd w/thrml txmnt gerd CPT 43257 | $6,406.20 | $10,677.00 | $541.08 – $5,275.45 | 13 |
| Egfr gene com variants CPT 81235 | $163.80 | $273.00 | $123.20 – $366.02 | 16 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $726.60 | $1,211.00 | $13.98 – $39.01 | 16 |
| EKG (Tracing Only) CPT 93005 | $180.60 | $301.00 | $11.51 – $81.67 | 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.