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 |
|---|---|---|---|---|
| Exc tendon sheath or cap lesion 26160 CPT 26160 | not published | not published | $625.39 – $2,219.16 | 13 |
| Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 | not published | not published | $270.60 – $2,246.66 | 16 |
| Exc vagina lesion 57135 CPT 57135 | not published | not published | $157.30 – $4,408.81 | 16 |
| Exemestane, 25 mg HCPCS S0156 | $60.60 | $75.75 | $1.90 – $1.90 | 1 |
| Exome sequence analysis CPT 81415 | $7,800.00 | $13,000.00 | $3,031.41 – $5,314.98 | 16 |
| Ex palate/uvula lesion without closure 42104 CPT 42104 | not published | not published | $95.15 – $4,496.91 | 16 |
| Expander breast 300cc mod hght extra proj smth natrelle HCPCS L8600 | $3,432.00 | $5,720.00 | $863.78 – $863.78 | 1 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $3,733.80 | $6,223.00 | $577.62 – $577.62 | 1 |
| Exploration maxillary sinus CPT 31030 | not published | not published | $424.05 – $8,202.79 | 16 |
| Exploration maxillary sinus CPT 31256 | not published | not published | $724.12 – $5,112.40 | 13 |
| Exploration of ankle joint CPT 27612 | not published | not published | $448.80 – $4,499.05 | 16 |
| Exploration of foot joint CPT 28022 | not published | not published | $151.25 – $4,499.05 | 16 |
| Exploration of knee joint CPT 27310 | $5,799.00 | $9,665.00 | $419.10 – $4,499.05 | 16 |
| Explore deep node(s) neck CPT 38542 | not published | not published | $729.80 – $8,090.06 | 13 |
| Explore parathyroid glands CPT 60500 | not published | not published | $1,732.94 – $8,202.79 | 13 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $2,038.20 | $3,397.00 | $824.80 – $2,246.66 | 13 |
| Explore scrotum CPT 55110 | not published | not published | $138.60 – $4,782.42 | 16 |
| Explore/treat knee joint CPT 27331 | not published | not published | $1,030.96 – $4,499.05 | 13 |
| Explore/treat wrist joint CPT 25101 | $4,809.60 | $8,016.00 | $306.35 – $4,499.05 | 16 |
| Explor not followed by surg repair artery; up extrem 35702 CPT 35702 | not published | not published | $235.05 – $1,007.93 | 3 |
| Ex sq tumor/face or scalp < 2 cm 21011 CPT 21011 | not published | not published | $208.08 – $2,246.66 | 16 |
| Ext ecg>48hr<7d scan a/r CPT 93243 | $220.20 | $367.00 | $40.04 – $260.88 | 16 |
| Ext ecg>7d<15d rec scan a/r CPT 93245 | $426.60 | $711.00 | $77.72 – $502.76 | 11 |
| Ext ecg>7d<15d scan a/r CPT 93247 | $220.20 | $367.00 | $40.04 – $257.79 | 16 |
| Extensive surgery of throat CPT 42842 | not published | not published | $1,351.58 – $8,202.79 | 13 |
| External chromosome analysis 20-25 cells CPT 88264 | $1,789.80 | $2,983.00 | $137.80 – $330.85 | 16 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $939.60 | $1,566.00 | $142.07 – $343.32 | 16 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $165.60 | $276.00 | $17.72 – $34.67 | 16 |
| Extrnl counterpulse, per tx HCPCS G0166 | $543.60 | $906.00 | $99.06 – $161.87 | 15 |
| Eye Socket (Orbit) X-ray CPT 70200 | $340.20 | $567.00 | $32.52 – $166.40 | 16 |
| Eye Socket, Pituitary or Ear CT Scan (with and without contrast) CPT 70482 | $2,052.60 | $3,421.00 | $145.67 – $848.11 | 16 |
| Eye Socket, Pituitary or Ear CT Scan (with contrast) CPT 70481 | $1,612.80 | $2,688.00 | $130.72 – $709.16 | 16 |
| Eye Socket, Pituitary or Ear CT Scan (without contrast) CPT 70480 | $1,464.60 | $2,441.00 | $117.01 – $609.71 | 16 |
| Face bone graft CPT 21210 | not published | not published | $1,631.43 – $8,202.79 | 13 |
| Face, Eye Socket and Neck MRI (with and without contrast) CPT 70543 | $2,415.00 | $4,025.00 | $263.55 – $1,992.24 | 16 |
| Face, Eye Socket and Neck MRI (without contrast) CPT 70540 | $2,045.40 | $3,409.00 | $166.27 – $1,232.72 | 16 |
| Facial Bones X-ray (1 to 2 views) CPT 70140 | $340.20 | $567.00 | $23.94 – $118.50 | 16 |
| Facial Bones X-ray (complete) CPT 70150 | $394.20 | $657.00 | $30.88 – $166.40 | 16 |
| Factor ix CPT 85250 | $192.00 | $320.00 | $5.00 – $38.66 | 16 |
| Factor ix complex HCPCS J7194 | $8.40 | $10.50 | $0.97 – $1.84 | 13 |
| Factor viii CPT 85240 | $297.00 | $495.00 | $13.00 – $34.59 | 16 |
| Factor viii fc fusion recomb HCPCS J7205 | $6.00 | $10.00 | $1.41 – $2.62 | 13 |
| Factor viii recombinant nos HCPCS J7192 | $14.40 | $18.00 | $1.02 – $2.17 | 13 |
| Factor viii recomb novoeight HCPCS J7182 | $4.00 | $5.00 | $0.97 – $1.66 | 13 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $0.40 | $0.50 | $0.01 – $0.01 | 4 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $57.00 | $95.00 | $18.93 – $32.38 | 13 |
| Fat/lipids feces qualitative CPT 82705 | $34.20 | $57.00 | $5.04 – $9.85 | 16 |
| Fatty acids nonesterified CPT 82725 | $180.00 | $300.00 | $13.18 – $29.26 | 16 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $304.80 | $508.00 | $13.92 – $20.13 | 13 |
| Fem/popl revasc w/stent CPT 37226 | $33,906.00 | $56,510.00 | $468.11 – $16,073.32 | 16 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $270.60 | $451.00 | $0.69 – $2.64 | 10 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $5.80 | $9.00 | $0.70 – $1.20 | 13 |
| Ferritin CPT 82728 | $201.60 | $336.00 | $12.00 – $26.32 | 16 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $6.20 | $7.75 | $0.20 – $2.02 | 14 |
| Fetal aneuploidy trisom risk CPT 81507 | $2,112.60 | $3,521.00 | $586.41 – $883.98 | 16 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $3,787.80 | $6,313.00 | $537.36 – $844.00 | 16 |
| Fetal fibronectin CPT 82731 | $245.40 | $409.00 | $20.00 – $69.56 | 16 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $114.60 | $191.00 | $7.64 – $21.04 | 16 |
| Fetal hemoglobin rosette CPT 85461 | $141.00 | $235.00 | $9.12 – $21.04 | 16 |
| Fetal non stress test CPT 59025 | $846.00 | $1,410.00 | $19.25 – $246.53 | 16 |
| Fibrin degradation d dimer quantitative CPT 85379 | $123.60 | $206.00 | $10.06 – $20.35 | 16 |
| Fibrin degradation products CPT 85362 | $147.60 | $246.00 | $6.81 – $13.29 | 16 |
| Fibrin degrade semiquant CPT 85378 | $178.20 | $297.00 | $9.61 – $20.24 | 16 |
| Fibrinogen activity CPT 85384 | $141.60 | $236.00 | $9.61 – $16.32 | 16 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $197.40 | $329.00 | $3.00 – $16.72 | 15 |
| Fibrinolytic plasminogen CPT 85415 | $193.80 | $323.00 | $15.60 – $36.53 | 16 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $103.80 | $173.00 | $5.00 – $17.79 | 16 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $1.60 | $2.00 | $0.19 – $0.46 | 13 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $1,561.80 | $2,603.00 | $0.63 – $351.84 | 15 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $2.40 | $4.00 | $0.27 – $0.67 | 13 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $36,163.80 | $60,273.00 | $1,700.71 – $1,700.71 | 1 |
| Filter vena cava fem denali HCPCS C1880 | $9,405.00 | $15,675.00 | $911.78 – $911.78 | 1 |
| Finasteride, 5 mg HCPCS S0138 | $33.20 | $41.50 | $0.07 – $0.17 | 4 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $543.60 | $906.00 | $84.41 – $975.61 | 16 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | $176.40 | $294.00 | $32.06 – $63.59 | 10 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $543.60 | $906.00 | $36.86 – $73.09 | 10 |
| Fine needle asp without image guide 10021 CPT 10021 | $1,086.00 | $1,810.00 | $68.46 – $554.00 | 16 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | $3,435.00 | $5,725.00 | $464.96 – $464.96 | 1 |
| Finger X-ray (both hands) CPT 73140 | $192.60 | $321.00 | $16.11 – $118.50 | 13 |
| Fixation of knee joint CPT 27570 | not published | not published | $109.45 – $2,219.16 | 16 |
| Fl exam g/colon tube w contrast CPT 49465 | $684.60 | $1,141.00 | $26.11 – $335.18 | 16 |
| Flexible Sigmoidoscopy CPT 45330 | $598.20 | $997.00 | $58.47 – $1,264.19 | 16 |
| Flow cytometry interp 16 or more CPT 88189 | $1,305.60 | $2,176.00 | $23.43 – $206.05 | 12 |
| Flow cytometry marker each additional CPT 88185 | $132.00 | $220.00 | $7.61 – $42.44 | 12 |
| Flow cytometry one marker technical component CPT 88184 | $209.40 | $349.00 | $23.43 – $427.47 | 16 |
| #flow interp 9 - 15 markers CPT 88188 | $989.40 | $1,649.00 | $23.43 – $156.40 | 12 |
| Floxuridine injection HCPCS J9200 | $6,391.80 | $10,653.00 | $88.24 – $4,458.26 | 13 |
| Flt3 gene CPT 81245 | $1,681.20 | $2,802.00 | $132.74 – $252.22 | 16 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $1,096.20 | $1,827.00 | $1.43 – $8.55 | 7 |
| Fluid pressure muscle 20950 CPT 20950 | $566.40 | $944.00 | $82.50 – $975.61 | 16 |
| Fluorescent antibody titer dna CPT 86256 | $209.40 | $349.00 | $9.11 – $15.63 | 16 |
| Fluoroguide needle placement CPT 77002 | $591.60 | $986.00 | $60.93 – $233.05 | 11 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $645.60 | $1,076.00 | $20.90 – $345.98 | 16 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $63.60 | $106.00 | $1.26 – $8.76 | 7 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $231.60 | $386.00 | $4.61 – $27.47 | 10 |
| Fna bx w/ct gdn 1st les CPT 10009 | $543.60 | $906.00 | $102.33 – $975.61 | 16 |
| Fna bx w/mr gdn 1st les CPT 10011 | $543.60 | $906.00 | $76.08 – $975.61 | 15 |
| Foam drg >16<=48 sq in w/bdr HCPCS A6213 | $15.60 | $26.00 | $14.13 – $14.13 | 1 |
| Foam drg >16<=48 sq in without b HCPCS A6210 | $15.00 | $25.00 | $35.32 – $45.90 | 2 |
| Foam drg <=16 sq in w/border HCPCS A6212 | $61.80 | $103.00 | $17.19 – $22.36 | 2 |
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.