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 |
|---|---|---|---|---|
| Establish brain cavity shunt CPT 62223 | not published | not published | $1,608.36 – $3,517.88 | 3 |
| Established Patient Office Visit (level 1) CPT 99211 | $118.20 | $197.00 | $20.20 – $151.40 | 14 |
| Established Patient Office Visit (level 2) CPT 99212 | $138.60 | $231.00 | $28.60 – $151.40 | 12 |
| Established Patient Office Visit (level 3) CPT 99213 | $156.60 | $261.00 | $38.50 – $151.40 | 12 |
| Established Patient Office Visit (level 4) CPT 99214 | $178.20 | $297.00 | $59.86 – $247.66 | 12 |
| Established Patient Office Visit (level 5) CPT 99215 | $205.80 | $343.00 | $73.63 – $333.55 | 12 |
| Estradiol total CPT 82670 | $340.20 | $567.00 | $21.50 – $54.02 | 16 |
| Estrogens total-sendout CPT 82672 | $300.60 | $501.00 | $13.92 – $58.50 | 16 |
| Ethanolamine oleate 100 mg HCPCS J1430 | $1,057.80 | $1,763.00 | $176.94 – $549.68 | 13 |
| Ethylene glycol -sendout CPT 82693 | $771.60 | $1,286.00 | $14.73 – $30.76 | 13 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $3,355.20 | $5,592.00 | $0.59 – $2.69 | 7 |
| Euglobulin lysis CPT 85360 | $102.00 | $170.00 | $5.00 – $18.96 | 16 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $754.35 – $4,408.81 | 13 |
| Eval aud funcj ea addl 15 CPT 92627 | $204.60 | $341.00 | $14.41 – $41.34 | 11 |
| Eval aud rehab status/first hr 92626 CPT 92626 | $876.60 | $1,461.00 | $31.25 – $205.40 | 16 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $939.60 | $1,566.00 | $88.54 – $168.48 | 13 |
| Evaluation of speech fluency 92521 CPT 92521 | $508.80 | $848.00 | $81.43 – $289.84 | 3 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $4,462.80 | $7,438.00 | $370.66 – $1,586.78 | 3 |
| Evasc prlng admn rx agnt add CPT 61651 | $1,522.20 | $2,537.00 | $157.42 – $687.47 | 3 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | $9,750.60 | $16,251.00 | $716.12 – $3,043.46 | 3 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $5,013.60 | $8,356.00 | $803.41 – $2,997.82 | 3 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | $5,013.60 | $8,356.00 | $1,200.71 – $4,483.39 | 3 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | $5,013.60 | $8,356.00 | $1,502.49 – $5,588.44 | 3 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $13,111.80 | $21,853.00 | $905.98 – $3,362.10 | 3 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | $13,111.80 | $21,853.00 | $1,507.67 – $5,609.08 | 3 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | $10,086.60 | $16,811.00 | $749.49 – $2,811.06 | 3 |
| Event monitor CPT 93270 | $526.80 | $878.00 | $16.17 – $114.81 | 16 |
| Evoked auditory tst complete CPT 92588 | $201.60 | $336.00 | $63.07 – $375.76 | 16 |
| Evoked oa emissions ltd CPT 92587 | $119.40 | $199.00 | $36.97 – $375.76 | 16 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $576.00 | $960.00 | $20.67 – $60.84 | 10 |
| Evoked potentials upper limbs CPT 95925 | $473.40 | $789.00 | $30.25 – $375.76 | 16 |
| Evoked potential visual not glaucoma CPT 95930 | $1,029.60 | $1,716.00 | $81.69 – $370.05 | 16 |
| Evok oa screening qual CPT 92558 | $33.00 | $55.00 | $19.33 – $76.42 | 2 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | not published | not published | $1,893.13 – $5,782.55 | 2 |
| Exc bartholins gland/cyst CPT 56740 | not published | not published | $172.70 – $4,408.81 | 16 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | $3,131.40 | $5,219.00 | $128.70 – $2,246.66 | 16 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | not published | not published | $130.35 – $3,968.58 | 16 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | not published | not published | $95.15 – $2,246.66 | 16 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | not published | not published | $59.95 – $975.61 | 16 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | not published | not published | $86.35 – $975.61 | 16 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | not published | not published | $97.90 – $2,246.66 | 16 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | not published | not published | $46.75 – $975.61 | 16 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | not published | not published | $39.60 – $2,246.66 | 16 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | not published | not published | $133.10 – $3,968.58 | 16 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $3,636.00 | $6,060.00 | $51.15 – $554.00 | 16 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | not published | not published | $71.50 – $975.61 | 16 |
| Exc coccygl pr ulc prim sutr CPT 15920 | not published | not published | $283.80 – $3,968.58 | 16 |
| Exc ext ear/partial/simple repair 69110 CPT 69110 | not published | not published | $128.70 – $3,968.58 | 16 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | not published | not published | $102.30 – $975.61 | 16 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | not published | not published | $210.28 – $2,246.66 | 16 |
| Exc foot/toe tum dep 1.5cm/> CPT 28041 | not published | not published | $656.76 – $3,968.58 | 13 |
| Exc forearm tum deep 3 cm/> CPT 25073 | not published | not published | $774.22 – $3,968.58 | 13 |
| Exchange biliary drg cath CPT 47536 | $3,045.00 | $5,075.00 | $132.20 – $4,893.48 | 16 |
| Exchange drainage catheter CPT 49423 | $6,211.80 | $10,353.00 | $64.68 – $2,630.42 | 16 |
| Exchange nephrostomy cath CPT 50435 | $3,019.80 | $5,033.00 | $315.62 – $2,840.52 | 13 |
| Excise anal ext tag/papilla CPT 46220 | not published | not published | $88.00 – $1,634.95 | 16 |
| Excise inferior turbinate CPT 30130 | not published | not published | $80.85 – $4,496.91 | 16 |
| Excise intrspinl lesion lmbr CPT 63267 | not published | not published | $2,218.53 – $9,905.66 | 13 |
| Excise lesion testis CPT 54512 | not published | not published | $785.10 – $4,782.42 | 13 |
| Excise lip or cheek fold CPT 40819 | not published | not published | $545.04 – $2,053.97 | 12 |
| Excise parotid gland/lesion CPT 42410 | not published | not published | $836.96 – $8,202.79 | 13 |
| Excise parotid gland/lesion CPT 42415 | not published | not published | $1,631.43 – $8,202.79 | 13 |
| Excise parotid gland/lesion CPT 42420 | not published | not published | $1,631.43 – $8,202.79 | 13 |
| Excise pharynx lesion CPT 42808 | not published | not published | $59.95 – $4,496.91 | 16 |
| Excise/repair mouth lesion CPT 40812 | not published | not published | $72.05 – $2,053.97 | 16 |
| Excise sublingual gland CPT 42450 | not published | not published | $343.44 – $8,202.79 | 16 |
| Excise submaxillary gland CPT 42440 | not published | not published | $449.16 – $8,202.79 | 16 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | not published | not published | $72.05 – $975.61 | 16 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | not published | not published | $41.25 – $2,246.66 | 16 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $3,165.00 | $5,275.00 | $59.40 – $975.61 | 16 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | not published | not published | $129.25 – $2,246.66 | 16 |
| Excision breast lesion CPT 19125 | not published | not published | $836.96 – $5,309.76 | 13 |
| Excision floor mouth lesion 41116 CPT 41116 | not published | not published | $95.15 – $4,496.91 | 16 |
| Excision graft extremity CPT 35903 | not published | not published | $1,130.84 – $4,364.40 | 13 |
| Excision lesion mouth roof CPT 42106 | not published | not published | $174.71 – $4,496.91 | 16 |
| Excision of anal lesion(s) CPT 46922 | not published | not published | $119.17 – $3,802.67 | 16 |
| Excision of gum lesion CPT 41826 | not published | not published | $130.35 – $4,496.91 | 16 |
| Excision of neck cyst confined 42810 CPT 42810 | not published | not published | $665.29 – $4,496.91 | 13 |
| Excision of penis lesion(s) 54060 CPT 54060 | not published | not published | $70.95 – $2,536.45 | 16 |
| Excision of salivary cyst CPT 42408 | not published | not published | $317.77 – $4,496.91 | 16 |
| Excision of tongue lesion CPT 41112 | not published | not published | $234.03 – $4,496.91 | 16 |
| Excision of tongue lesion CPT 41114 | not published | not published | $729.80 – $4,496.91 | 13 |
| Excision of vaginal septum 57130 CPT 57130 | not published | not published | $570.33 – $4,408.81 | 13 |
| Excision tongue lesion without closure 41110 CPT 41110 | not published | not published | $86.35 – $4,496.91 | 16 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | not published | not published | $692.02 – $2,246.66 | 13 |
| Excis partial tal calc CPT 28120 | not published | not published | $243.65 – $4,499.05 | 16 |
| Exc leg/ankle tum subfasc<5cm 27619 CPT 27619 | not published | not published | $132.00 – $3,968.58 | 16 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | not published | not published | $148.50 – $975.61 | 16 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | not published | not published | $124.85 – $2,246.66 | 16 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | not published | not published | $94.05 – $975.61 | 16 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | not published | not published | $138.05 – $975.61 | 16 |
| Exc neck tum deep 5 cm/> CPT 21554 | not published | not published | $1,085.01 – $3,968.58 | 13 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | not published | not published | $166.62 – $3,968.58 | 16 |
| Exc prtl bn phlnx toe CPT 28124 | $9,552.00 | $15,920.00 | $855.75 – $4,499.05 | 13 |
| Exc rect tum transanal part CPT 45171 | not published | not published | $871.95 – $3,802.67 | 13 |
| Exc snhfg mal+mrg 1.1-2 11622 CPT 11622 | not published | not published | $123.20 – $975.61 | 16 |
| Exc snhfg mal+mrg >4 cm 11626 CPT 11626 | not published | not published | $264.00 – $3,968.58 | 16 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | not published | not published | $660.21 – $3,968.58 | 13 |
| Exc sq tumor/foot or toe < 1.5 cm 28039 CPT 28039 | not published | not published | $687.81 – $3,968.58 | 13 |
| Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337 | not published | not published | $614.57 – $3,968.58 | 13 |
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.