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 |
|---|---|---|---|---|
| Hla x-math non-cytotoxic CPT 86825 | $766.80 | $1,278.00 | $92.03 – $213.84 | 16 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $1.20 | $1.50 | $0.14 – $0.58 | 8 |
| Home sleep test/type 2 porta HCPCS G0398 | $1,176.00 | $1,960.00 | $141.47 – $307.15 | 3 |
| Home sleep test/type 3 porta HCPCS G0399 | $1,242.60 | $2,071.00 | $115.25 – $288.29 | 3 |
| Homocysteine CPT 83090 | $436.80 | $728.00 | $17.71 – $44.78 | 16 |
| Homogenization tissue CPT 87176 | $81.00 | $135.00 | $5.80 – $16.00 | 16 |
| Homovanillic acid (hva) CPT 83150 | $163.80 | $273.00 | $7.50 – $29.26 | 16 |
| Hpa-15 genotyping CPT 81112 | $168.00 | $280.00 | $95.69 – $132.00 | 13 |
| Hpa-1 genotyping CPT 81105 | $168.00 | $280.00 | $95.69 – $167.77 | 16 |
| Hpa-2 genotyping CPT 81106 | $168.00 | $280.00 | $95.69 – $132.00 | 13 |
| Hpa-3 genotyping CPT 81107 | $168.00 | $280.00 | $95.69 – $132.00 | 13 |
| Hpa-4 genotyping CPT 81108 | $168.00 | $280.00 | $95.69 – $132.00 | 13 |
| Hpa-5 genotyping CPT 81109 | $168.00 | $280.00 | $95.69 – $132.00 | 13 |
| Hpa-6 genotyping CPT 81110 | $168.00 | $280.00 | $95.69 – $132.00 | 13 |
| Hpa-9 genotyping CPT 81111 | $168.00 | $280.00 | $95.69 – $132.00 | 13 |
| H pylori (c-13) breath CPT 83013 | $642.60 | $1,071.00 | $60.10 – $115.25 | 16 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | $4,200.60 | $7,001.00 | $604.07 – $1,408.27 | 13 |
| Hrdtry cardmypy gene panel CPT 81439 | $9,556.80 | $15,928.00 | $520.32 – $631.69 | 13 |
| Hrdtry perph neurphy panel CPT 81448 | $4,462.20 | $7,437.00 | $457.95 – $631.69 | 13 |
| Htt gene detc abnor alleles CPT 81271 | $1,333.80 | $2,223.00 | $83.66 – $147.96 | 13 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | $61.20 | $102.00 | $10.13 – $182.29 | 7 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $310.20 | $517.00 | $0.23 – $64.03 | 10 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $83.20 | $104.00 | $3.54 – $15.21 | 7 |
| Hydrocolld drg <=16 without bdr HCPCS A6234 | $3.60 | $6.00 | $11.60 – $15.06 | 2 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $169.60 | $212.00 | $9.15 – $48.59 | 10 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $36.80 | $46.00 | $0.06 – $3.89 | 8 |
| Hydroxyurea 500 mg HCPCS S0176 | $9.80 | $12.25 | $0.64 – $0.64 | 1 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $36.00 | $45.00 | $1.86 – $26.98 | 7 |
| Hymenotomy CPT 56442 | not published | not published | $68.32 – $4,408.81 | 13 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $1,617.88 – $8,202.79 | 13 |
| Hysterosalpingography s&i CPT 74740 | $894.00 | $1,490.00 | $79.30 – $345.98 | 13 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $347.49 – $6,844.99 | 16 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $577.87 – $4,408.81 | 13 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $729.80 – $6,844.99 | 13 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $576.84 – $4,408.81 | 13 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $836.96 – $6,844.99 | 13 |
| I-123 ioflupane diag HCPCS A9584 | $11,215.20 | $18,692.00 | $1,388.02 – $2,517.36 | 12 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $1,122.60 | $1,871.00 | $85.42 – $307.56 | 3 |
| I131 iodide cap, rx HCPCS A9517 | $673.80 | $1,123.00 | $23.13 – $40.70 | 11 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $491.40 | $819.00 | $34.68 – $90.15 | 13 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $1,491.60 | $2,486.00 | $18.07 – $91.20 | 7 |
| Icatibant injection HCPCS J1744 | $28,571.40 | $47,619.00 | $106.24 – $140.82 | 12 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $117,676.80 | $196,128.00 | $17,072.82 – $17,072.82 | 1 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $143,409.00 | $239,015.00 | $16,220.93 – $16,220.93 | 1 |
| Icd crtp serena MRI HCPCS C2621 | $34,519.80 | $57,533.00 | $6,142.48 – $6,142.48 | 1 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $48,679.20 | $81,132.00 | $4,622.48 – $4,622.48 | 1 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | $3,332.40 | $5,554.00 | $98.45 – $4,496.91 | 16 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | $448.71 – $3,968.58 | 13 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $320.61 – $3,968.58 | 13 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $3,108.60 | $5,181.00 | $15.91 – $72.83 | 7 |
| Igh gene rearrange amp meth CPT 81261 | $909.00 | $1,515.00 | $195.68 – $299.58 | 16 |
| Igh@ var region somatic mutation analy CPT 81263 | $2,251.80 | $3,753.00 | $291.08 – $445.64 | 16 |
| Igk rearrangeabn clonal pop CPT 81264 | $1,005.00 | $1,675.00 | $162.57 – $225.96 | 16 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $295.20 | $492.00 | $28.76 – $190.62 | 12 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $295.20 | $492.00 | $48.29 – $427.47 | 16 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $295.20 | $492.00 | $38.10 – $213.04 | 16 |
| Iliac revasc add-on 37222 CPT 37222 | $8,583.60 | $14,306.00 | $1,350.83 – $6,520.70 | 3 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $349.20 | $582.00 | $160.95 – $229.76 | 2 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $687.00 | $1,145.00 | $112.40 – $160.53 | 2 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $729.80 – $9,042.80 | 13 |
| Immune complex assay CPT 86332 | $274.80 | $458.00 | $24.09 – $47.10 | 16 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $580.80 | $726.00 | $28.61 – $96.62 | 14 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $573.60 | $956.00 | $49.75 – $89.19 | 13 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $304.80 | $508.00 | $20.57 – $55.24 | 16 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $193.20 | $322.00 | $20.57 – $55.24 | 16 |
| Immunoassay tumor qual CPT 86294 | $212.40 | $354.00 | $25.27 – $37.42 | 13 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $64.80 | $108.00 | $8.00 – $23.16 | 16 |
| Immunodiffusion nes CPT 86329 | $81.00 | $135.00 | $13.89 – $38.29 | 16 |
| Immunofixation electrophoresis serum CPT 86334 | $247.20 | $412.00 | $22.08 – $43.16 | 16 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $173.40 | $289.00 | $19.64 – $224.30 | 12 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $347.40 | $579.00 | $19.63 – $420.75 | 16 |
| Implant cochlear osia osi300 HCPCS L8690 | $4,652.40 | $7,754.00 | $7,457.13 – $7,457.13 | 1 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $1,500.72 – $9,100.27 | 13 |
| Implant neurostim arrays CPT 61886 | not published | not published | $897.78 – $42,255.39 | 13 |
| Implant single ventricular device 33975 CPT 33975 | $11,435.40 | $19,059.00 | $2,052.21 – $3,168.45 | 2 |
| Implant spine infusion pump CPT 62361 | not published | not published | $729.80 – $24,507.35 | 13 |
| Implant spine infusion pump CPT 62362 | not published | not published | $729.80 – $24,507.35 | 13 |
| Implant ureth bulk agent HCPCS L8606 | $2,308.20 | $3,847.00 | $309.95 – $309.95 | 1 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $269.73 – $623.86 | 3 |
| Implnt spinl canal catheter 62350 CPT 62350 | not published | not published | $729.80 – $8,880.04 | 13 |
| Implt neurostim elctr each HCPCS L8680 | $6,956.40 | $11,594.00 | $635.74 – $675.02 | 2 |
| Imp neurosti pls gn any type HCPCS L8679 | $59,943.00 | $99,905.00 | $5,699.51 – $10,854.46 | 2 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $5,980.20 | $9,967.00 | $542.04 – $1,823.89 | 12 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $2,550.60 | $4,251.00 | $30.21 – $772.51 | 12 |
| Incise thigh tendon & fascia CPT 27305 | not published | not published | $246.40 – $4,499.05 | 16 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $1,216.80 | $2,028.00 | $25.85 – $2,246.66 | 16 |
| Incision of breast lesion CPT 19020 | $3,013.20 | $5,022.00 | $80.30 – $2,246.66 | 16 |
| Incision of eardrum CPT 69420 | $4,707.60 | $7,846.00 | $81.95 – $836.96 | 16 |
| Incision of eardrum CPT 69421 | not published | not published | $257.67 – $4,496.91 | 13 |
| Incision of fibula CPT 27707 | not published | not published | $729.80 – $4,499.05 | 13 |
| Incision of foot fascia CPT 28008 | not published | not published | $150.15 – $4,499.05 | 16 |
| Incision of heel bone CPT 28300 | not published | not published | $729.80 – $9,905.66 | 13 |
| Incision of metatarsal CPT 28306 | not published | not published | $338.25 – $9,905.66 | 16 |
| Incision of metatarsal CPT 28308 | not published | not published | $729.80 – $4,499.05 | 13 |
| Incision of tendon & muscle CPT 23405 | not published | not published | $729.80 – $9,905.66 | 13 |
| Incision of tibia CPT 27705 | not published | not published | $729.80 – $9,905.66 | 13 |
| Incision of tongue fold CPT 41010 | $3,333.00 | $5,555.00 | $49.50 – $2,053.97 | 16 |
| Incision of urethra CPT 53020 | not published | not published | $49.50 – $2,840.52 | 16 |
| Incision tendon sheath CPT 26055 | $4,104.60 | $6,841.00 | $220.00 – $2,219.16 | 16 |
| Incisn of toe tndn CPT 28010 | $1,959.60 | $3,266.00 | $144.10 – $2,219.16 | 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.