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 |
|---|---|---|---|---|
| Ghs hcv amplificaiton CPT 87521 | $507.60 | $846.00 | $34.68 – $90.15 | 16 |
| Ghs hgb stability-thal CPT 83068 | $32.40 | $54.00 | $3.16 – $10.23 | 13 |
| Ghs histoplasma antigen CPT 87385 | $253.80 | $423.00 | $13.09 – $36.73 | 13 |
| Ghs HIV antibody CPT 86703 | $111.60 | $186.00 | $13.54 – $38.42 | 17 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | $468.60 | $781.00 | $88.50 – $124.43 | 16 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $4,273.20 | $7,122.00 | $42.35 – $2,840.52 | 16 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $3,558.60 | $5,931.00 | $119.35 – $1,634.95 | 16 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $566.40 | $944.00 | $39.60 – $975.61 | 16 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $539.40 | $899.00 | $45.10 – $337.24 | 16 |
| Ghs inf midline insertion CPT 36140 | $3,559.20 | $5,932.00 | $105.24 – $836.96 | 10 |
| Ghs inhibitor screen CPT 85335 | $734.40 | $1,224.00 | $7.55 – $14.50 | 16 |
| Ghs init tx 1st degree burn CPT 16000 | $411.60 | $686.00 | $19.80 – $275.52 | 16 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $1,122.60 | $1,871.00 | $80.85 – $1,234.49 | 16 |
| Ghs insertion of needle - bone CPT 36680 | $672.00 | $1,120.00 | $54.45 – $553.32 | 16 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $2,869.20 | $4,782.00 | $101.20 – $729.80 | 16 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $3,124.20 | $5,207.00 | $101.20 – $848.80 | 16 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $4,104.60 | $6,841.00 | $101.20 – $2,536.45 | 16 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $3,254.40 | $5,424.00 | $267.61 – $661.55 | 13 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $96.60 | $161.00 | $19.79 – $49.79 | 10 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | $1,020.00 | $1,700.00 | $338.72 – $948.44 | 12 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $1,020.00 | $1,700.00 | $277.33 – $948.44 | 12 |
| Ghs IV infusion sotrovimab HCPCS M0247 | $1,020.00 | $1,700.00 | $396.00 – $948.44 | 12 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $3,456.60 | $5,761.00 | $364.97 – $642.37 | 13 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $3,098.40 | $5,164.00 | $34.65 – $729.80 | 16 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $541.20 | $902.00 | $26.95 – $554.00 | 16 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $539.40 | $899.00 | $26.95 – $554.00 | 16 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $539.40 | $899.00 | $34.65 – $554.00 | 16 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $539.40 | $899.00 | $52.25 – $554.00 | 16 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $857.40 | $1,429.00 | $39.05 – $554.00 | 16 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $880.20 | $1,467.00 | $52.25 – $554.00 | 16 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $3,099.00 | $5,165.00 | $51.15 – $729.80 | 16 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $3,124.20 | $5,207.00 | $53.35 – $848.80 | 16 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $3,098.40 | $5,164.00 | $67.65 – $729.80 | 16 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $3,123.00 | $5,205.00 | $101.20 – $848.80 | 16 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $4,066.80 | $6,778.00 | $101.20 – $772.68 | 16 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $4,193.40 | $6,989.00 | $101.20 – $848.80 | 16 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $129.60 | $216.00 | $8.00 – $23.38 | 16 |
| Ghs mbp CPT 83873 | $375.60 | $626.00 | $15.00 – $43.76 | 16 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $438.00 | $730.00 | $20.92 – $97.83 | 10 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $725.40 | $1,209.00 | $9.16 – $25.27 | 10 |
| Ghs myocardial strain img spckl track CPT 93356 | $890.40 | $1,484.00 | $21.71 – $46.89 | 4 |
| Ghs nailbed repair/nail removal CPT 11760 | $2,334.00 | $3,890.00 | $25.30 – $848.80 | 16 |
| Ghs nerve blk intercostal, single level CPT 64420 | $2,955.60 | $4,926.00 | $47.85 – $960.26 | 16 |
| Ghs nerve block axillary nerve CPT 64417 | $2,955.60 | $4,926.00 | $23.10 – $1,234.49 | 16 |
| Ghs nerve block brachial plexus CPT 64415 | $2,955.60 | $4,926.00 | $38.50 – $1,234.49 | 16 |
| Ghs nerve block sciatic nerve CPT 64445 | $2,953.80 | $4,923.00 | $25.85 – $960.26 | 16 |
| Ghs nerve block suprascapular CPT 64418 | $1,108.80 | $1,848.00 | $38.50 – $960.26 | 16 |
| Ghs ng placement w fluoro guidance CPT 43752 | $447.00 | $745.00 | $76.27 – $553.32 | 12 |
| Ghs o2 saturation CPT 82810 | $307.20 | $512.00 | $9.66 – $23.72 | 16 |
| Ghs o2 uptake rest & exercise CPT 94680 | $184.80 | $308.00 | $27.50 – $205.40 | 16 |
| Ghs o2 uptake rest & indirect CPT 94690 | $54.00 | $90.00 | $8.25 – $57.84 | 12 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | $197.40 | $329.00 | $50.77 – $54.83 | 10 |
| Ghs opcc repair cvp without subq port CPT 36575 | $4,338.60 | $7,231.00 | $41.04 – $857.29 | 16 |
| Ghs opcc repair cvp w subq port CPT 36576 | $1,528.20 | $2,547.00 | $191.51 – $2,154.03 | 16 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $273.00 | $455.00 | $20.78 – $100.11 | 4 |
| Ghs peritonsillar abscess i andd CPT 42700 | $2,310.60 | $3,851.00 | $68.20 – $545.04 | 16 |
| Ghs plngl fx pm cl CPT 26725 | $543.00 | $905.00 | $84.70 – $441.70 | 16 |
| Ghs ppd (tb intradermal) CPT 86580 | $37.20 | $62.00 | $5.05 – $34.13 | 17 |
| Ghs protoporphyrins fract CPT 84202 | $222.00 | $370.00 | $14.19 – $39.02 | 16 |
| Ghs pr without cont pulse ox CPT 94625 | $250.80 | $418.00 | $26.60 – $133.48 | 4 |
| Ghs refill of implantable pump CPT 95990 | $726.60 | $1,211.00 | $22.60 – $459.65 | 16 |
| Ghs removal intranasal foreign body CPT 30300 | $382.20 | $637.00 | $24.75 – $178.73 | 16 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $3,582.60 | $5,971.00 | $243.65 – $2,219.16 | 16 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | $5,743.20 | $9,572.00 | $935.47 – $4,499.05 | 13 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $155.40 | $259.00 | $13.75 – $31.36 | 13 |
| Ghs sedimentation rate CPT 85651 | $82.20 | $137.00 | $3.00 – $6.86 | 16 |
| Ghs sensitivity (per antimicro) CPT 87184 | $84.60 | $141.00 | $7.39 – $13.33 | 16 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $3,097.80 | $5,163.00 | $101.20 – $729.80 | 16 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $4,066.80 | $6,778.00 | $101.20 – $729.80 | 16 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $3,124.20 | $5,207.00 | $101.20 – $729.80 | 16 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $3,124.20 | $5,207.00 | $101.20 – $879.30 | 16 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $880.20 | $1,467.00 | $52.25 – $293.20 | 16 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $856.20 | $1,427.00 | $53.35 – $333.58 | 16 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $857.40 | $1,429.00 | $67.65 – $446.19 | 16 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $4,066.80 | $6,778.00 | $101.20 – $729.80 | 16 |
| Ghs sleep study unattended CPT 95800 | $1,442.40 | $2,404.00 | $98.61 – $303.16 | 16 |
| Ghs somatosensory testing lower extremit CPT 95926 | $843.00 | $1,405.00 | $64.27 – $375.76 | 16 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $741.00 | $1,235.00 | $205.65 – $720.95 | 16 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $204.60 | $341.00 | $87.28 – $247.62 | 4 |
| Ghs st - eval for alt comm CPT 92567 | $123.00 | $205.00 | $13.20 – $62.38 | 16 |
| Ghs strapping shoulder - 29240 CPT 29240 | $527.40 | $879.00 | $21.45 – $178.73 | 16 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $2,335.80 | $3,893.00 | $103.40 – $848.80 | 16 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $539.40 | $899.00 | $80.30 – $361.27 | 16 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $3,111.60 | $5,186.00 | $241.78 – $843.94 | 16 |
| Ghs urine, porphyrins quant CPT 84120 | $281.40 | $469.00 | $7.50 – $22.47 | 16 |
| Ghs vaginal delivery only CPT 59409 | $9,315.60 | $15,526.00 | $1,380.58 – $4,408.81 | 13 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $2,205.60 | $3,676.00 | $583.83 – $1,206.40 | 15 |
| Gi inhouse confirmation CPT 87045 | $91.80 | $153.00 | $6.90 – $18.23 | 16 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $522.40 | $653.00 | $115.20 – $197.05 | 13 |
| Glucagon plasma - sendout CPT 82943 | $305.40 | $509.00 | $14.12 – $38.83 | 16 |
| Glucose 1 hr post dose CPT 82950 | $138.00 | $230.00 | $4.70 – $9.16 | 16 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $39.60 | $66.00 | $2.00 – $7.06 | 16 |
| Glucose blood quantitative CPT 82947 | $163.20 | $272.00 | $3.89 – $7.60 | 16 |
| Glucose body fluid CPT 82945 | $117.00 | $195.00 | $3.89 – $10.41 | 16 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $183.00 | $305.00 | $33.40 – $131.90 | 12 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $118.20 | $197.00 | $12.50 – $24.89 | 16 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $59.40 | $99.00 | $3.27 – $5.15 | 16 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $5.80 | $7.25 | $0.29 – $1.74 | 14 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $109.60 | $137.00 | $6.97 – $33.59 | 13 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $294.60 | $491.00 | $17.50 – $35.91 | 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.