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 |
|---|---|---|---|---|
| Albuterol non-comp unit HCPCS J7613 | $9.60 | $12.00 | $0.05 – $0.17 | 5 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | $51,339.60 | $85,566.00 | $1,311.12 – $2,624.28 | 13 |
| Alginate dressing <=16 sq in HCPCS A6196 | $81.60 | $136.00 | $13.03 – $16.91 | 2 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | $141.00 | $235.00 | $29.15 – $37.91 | 2 |
| Alkaline phosphatase CPT 84075 | $99.60 | $166.00 | $5.12 – $10.00 | 16 |
| Allergen alpha lactalbumin ige CPT 86008 | $179.40 | $299.00 | $14.03 – $24.62 | 16 |
| Allergen egg white ige CPT 86003 | $179.40 | $299.00 | $5.16 – $14.24 | 16 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $7,353.60 | $12,256.00 | $12.23 – $18.89 | 2 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $43.40 | $54.25 | $3.45 – $6.75 | 13 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $903.60 | $1,506.00 | $63.66 – $167.27 | 16 |
| Alpha-fetoprotein amniotic CPT 82106 | $183.00 | $305.00 | $16.80 – $32.42 | 16 |
| Alpha-fetoprotein tumor marker CPT 82105 | $340.20 | $567.00 | $16.57 – $32.42 | 16 |
| Alprostadil for injection HCPCS J0270 | $199.80 | $333.00 | $1.20 – $9.67 | 3 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $308.80 | $386.00 | $48.57 – $204.13 | 16 |
| Alt/sgpt CPT 84460 | $99.00 | $165.00 | $5.24 – $10.11 | 16 |
| Aluminum - quest CPT 82108 | $307.80 | $513.00 | $25.18 – $49.24 | 16 |
| Ambl bp mntr w/sw a/r CPT 93788 | $76.80 | $128.00 | $13.27 – $161.87 | 12 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $13.40 | $16.75 | $0.40 – $3.64 | 10 |
| Amino acids quant 2-5 CPT 82136 | $232.80 | $388.00 | $19.38 – $44.78 | 16 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $72.80 | $91.00 | $1.08 – $1.71 | 4 |
| Aminolevulinic acid delta CPT 82135 | $193.20 | $322.00 | $12.00 – $31.80 | 16 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $106.40 | $133.00 | $2.04 – $13.96 | 7 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $81.60 | $102.00 | $0.27 – $2.23 | 7 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | $36.60 | $61.00 | $8.25 – $24.34 | 13 |
| Ammonia CPT 82140 | $127.80 | $213.00 | $5.00 – $28.18 | 16 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $1,922.40 | $3,204.00 | $55.00 – $1,203.71 | 16 |
| Amobarbital 125 mg inj HCPCS J0300 | $153.00 | $255.00 | $6.45 – $311.02 | 3 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | $6,526.20 | $10,877.00 | $321.20 – $4,499.05 | 16 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $223.20 | $279.00 | $25.97 – $46.47 | 7 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $1,348.20 | $2,247.00 | $13.56 – $58.08 | 13 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $121.60 | $152.00 | $0.34 – $2.80 | 7 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $136.00 | $170.00 | $0.88 – $4.82 | 7 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $312.00 | $520.00 | $255.57 – $284.03 | 12 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | $252.45 – $4,499.05 | 16 |
| Amputate metacarpal bone 26910 CPT 26910 | $4,809.60 | $8,016.00 | $276.65 – $4,499.05 | 16 |
| Amputation thru metatarsal CPT 28805 | not published | not published | $1,020.69 – $4,499.05 | 13 |
| Amputation toe interphalangeal joint CPT 28825 | $4,066.20 | $6,777.00 | $591.83 – $4,499.05 | 13 |
| Amputation toe metatarsophalangeal joint CPT 28820 | not published | not published | $645.49 – $4,499.05 | 13 |
| Amylase CPT 82150 | $187.80 | $313.00 | $5.00 – $12.55 | 16 |
| Anal pressure record CPT 91122 | $311.40 | $519.00 | $75.35 – $370.05 | 14 |
| Anal/urinary muscle study CPT 51785 | $2,310.60 | $3,851.00 | $233.83 – $545.04 | 13 |
| Analysis gene f2 20210g>a variant CPT 81240 | $2,503.20 | $4,172.00 | $52.32 – $74.64 | 16 |
| Analysis gene f5 leiden variant CPT 81241 | $1,361.40 | $2,269.00 | $52.32 – $272.24 | 16 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $726.60 | $1,211.00 | $13.98 – $39.01 | 16 |
| Anastrozole 1 mg HCPCS S0170 | $55.00 | $68.75 | $0.14 – $0.55 | 4 |
| Anca screen with reflex to titer -quest CPT 86021 | $324.00 | $540.00 | $5.00 – $16.25 | 16 |
| An cholangiogram percutaneous compl CPT 47531 | $3,495.00 | $5,825.00 | $85.71 – $4,893.48 | 16 |
| An fluoro guide for cvp CPT 77001 | $591.60 | $986.00 | $66.41 – $203.00 | 11 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $6,459.00 | $10,765.00 | $112.62 – $916.67 | 10 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $14,400.60 | $24,001.00 | $424.06 – $7,905.86 | 16 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $11,991.00 | $19,985.00 | $385.15 – $7,905.86 | 16 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $8,583.60 | $14,306.00 | $187.55 – $2,187.64 | 10 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $22,037.40 | $36,729.00 | $0.16 – $1.91 | 4 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $20,479.20 | $34,132.00 | $518.43 – $15,725.10 | 16 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $8,398.20 | $13,997.00 | $159.14 – $1,093.76 | 10 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $6,041.40 | $10,069.00 | $320.94 – $7,905.86 | 16 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $6,459.00 | $10,765.00 | $135.41 – $804.01 | 10 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $6,459.00 | $10,765.00 | $275.98 – $7,905.86 | 16 |
| Ankle arthroscopy/surgery CPT 29891 | not published | not published | $897.78 – $4,499.05 | 13 |
| Ankle arthroscopy/surgery CPT 29895 | not published | not published | $836.96 – $4,499.05 | 13 |
| Ankle arthroscopy/surgery CPT 29897 | not published | not published | $836.96 – $4,499.05 | 13 |
| Ankle arthroscopy/surgery CPT 29898 | not published | not published | $836.96 – $4,499.05 | 13 |
| Ankle arthroscopy/surgery CPT 29899 | not published | not published | $897.78 – $9,905.66 | 13 |
| Ankle X-ray CPT 73610 | $325.20 | $542.00 | $20.23 – $118.50 | 13 |
| Ankle X-ray (2 views, both ankles) CPT 73600 | $321.60 | $536.00 | $19.42 – $118.50 | 13 |
| Anora (draw only) CPT 99001 | $35.40 | $59.00 | $5.76 – $48.49 | 4 |
| Anoscopy ablation lesion 46615 CPT 46615 | not published | not published | $100.81 – $3,802.67 | 16 |
| Anoscopy and biopsy CPT 46606 | not published | not published | $22.00 – $1,634.95 | 16 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | not published | not published | $1,232.68 – $6,844.99 | 13 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $97.80 | $163.00 | $12.73 – $35.04 | 13 |
| Antibody elution rbc reference CPT 86860 | $81.00 | $135.00 | $8.45 – $213.04 | 16 |
| Antibody htlv/hiv confirm test CPT 86689 | $81.00 | $135.00 | $19.13 – $37.40 | 16 |
| Antibody htlv-i CPT 86687 | $143.40 | $239.00 | $8.98 – $22.81 | 16 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $384.60 | $641.00 | $5.00 – $19.84 | 16 |
| Antibody id rbc panel CPT 86870 | $367.20 | $612.00 | $8.45 – $427.47 | 16 |
| Antibody influenza virus CPT 86710 | $272.40 | $454.00 | $13.39 – $37.55 | 13 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $163.20 | $272.00 | $12.72 – $24.89 | 16 |
| Antibody screen rbc CPT 86850 | $104.40 | $174.00 | $8.45 – $73.45 | 16 |
| Antibody tetanus CPT 86774 | $340.20 | $567.00 | $14.62 – $28.77 | 13 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $7.00 | $8.75 | $0.94 – $1.77 | 13 |
| Anti mog serum - sendout CPT 86362 | $234.60 | $391.00 | $5.11 – $13.40 | 16 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $324.00 | $540.00 | $5.11 – $13.40 | 16 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $324.00 | $540.00 | $5.11 – $13.40 | 16 |
| Ant instr 2-3 vert segm 22845 CPT 22845 | not published | not published | $1,389.49 – $3,277.18 | 3 |
| Ant instrumentation/4-7 vert seg 22846 CPT 22846 | not published | not published | $1,444.90 – $1,769.11 | 2 |
| Antinuclear antibodies CPT 86038 | $169.20 | $282.00 | $11.95 – $23.35 | 16 |
| Antinuclear antibodies titer CPT 86039 | $81.00 | $135.00 | $11.03 – $30.32 | 16 |
| Antiphosphatidylserine antibody CPT 86148 | $221.40 | $369.00 | $15.88 – $79.56 | 13 |
| Antistreptolysin o screen CPT 86063 | $70.80 | $118.00 | $5.70 – $11.17 | 16 |
| Antithrombin iii activity CPT 85300 | $292.80 | $488.00 | $9.40 – $15.63 | 16 |
| Antithrombin iii injection HCPCS J7197 | $5.00 | $6.25 | $1.52 – $4.43 | 13 |
| Antithymocyte globuln rabbit HCPCS J7511 | $1,780.80 | $2,226.00 | $467.95 – $1,079.32 | 12 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | not published | not published | $1,631.43 – $6,844.99 | 13 |
| Aortic Aneurysm Screening Ultrasound CPT 76706 | $248.40 | $414.00 | $40.61 – $166.40 | 16 |
| Aortic dysfunction/dilation CPT 81410 | $9,243.00 | $15,405.00 | $319.62 – $544.32 | 13 |
| Aortic dysfunction/dilation CPT 81411 | $9,243.00 | $15,405.00 | $856.27 – $1,458.21 | 13 |
| Apheresis plasma CPT 36514 | $4,172.40 | $6,954.00 | $82.50 – $1,965.08 | 16 |
| Apheresis platelets CPT 36513 | $1,857.00 | $3,095.00 | $82.50 – $606.21 | 16 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $1,067.82 – $8,090.06 | 13 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $4,338.60 | $7,231.00 | $425.04 – $2,536.45 | 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.