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 |
|---|---|---|---|---|
| Incisn windpipe CPT 31600 | $3,698.40 | $6,164.00 | $729.80 – $4,496.91 | 13 |
| Induction of vomiting CPT 99175 | $483.00 | $805.00 | $68.09 – $130.96 | 4 |
| Infect ag drug suscept pheno predict CPT 87900 | $1,753.20 | $2,922.00 | $128.83 – $338.51 | 16 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $837.00 | $1,395.00 | $254.45 – $393.48 | 16 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $1,108.20 | $1,847.00 | $127.22 – $336.70 | 16 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $1,336.20 | $2,227.00 | $254.45 – $683.37 | 16 |
| Infect ag if hep delta agent CPT 87380 | $245.40 | $409.00 | $18.15 – $42.18 | 16 |
| Infect ag if influenza a CPT 87276 | $168.60 | $281.00 | $15.88 – $29.24 | 13 |
| Infect ag if influenza b CPT 87275 | $168.60 | $281.00 | $12.11 – $29.24 | 16 |
| Infect ag if legionella pneumophila CPT 87278 | $294.60 | $491.00 | $15.42 – $46.45 | 13 |
| Infect ag if pneumocystis carinii CPT 87281 | $163.20 | $272.00 | $11.84 – $29.24 | 16 |
| Infect ag if varicella zoster CPT 87290 | $199.20 | $332.00 | $13.26 – $31.36 | 13 |
| Infect ag na herpes simplex quant CPT 87530 | $670.20 | $1,117.00 | $42.34 – $113.70 | 13 |
| Infect ag na hpv high-risk types CPT 87624 | $190.20 | $317.00 | $32.29 – $53.11 | 16 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $1,408.80 | $2,348.00 | $94.68 – $222.59 | 16 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $3,204.00 | $5,340.00 | $411.91 – $637.03 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $221.40 | $369.00 | $11.84 – $31.43 | 13 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $163.20 | $272.00 | $11.84 – $29.55 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $107.40 | $179.00 | $14.22 – $25.65 | 13 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $166.80 | $278.00 | $10.21 – $26.53 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $166.80 | $278.00 | $10.21 – $27.42 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $268.20 | $447.00 | $23.80 – $43.46 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $259.20 | $432.00 | $11.84 – $29.24 | 13 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $143.40 | $239.00 | $11.84 – $31.36 | 13 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $207.00 | $345.00 | $11.84 – $29.24 | 16 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $726.60 | $1,211.00 | $23.19 – $90.15 | 16 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $274.80 | $458.00 | $23.19 – $90.15 | 16 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $293.40 | $489.00 | $36.84 – $93.44 | 16 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $1,920.60 | $3,201.00 | $370.76 – $450.12 | 13 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $607.20 | $1,012.00 | $34.68 – $90.15 | 13 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $575.40 | $959.00 | $34.68 – $91.16 | 16 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $423.60 | $706.00 | $41.19 – $90.15 | 13 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $191.40 | $319.00 | $23.19 – $90.15 | 16 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $75.00 | $125.00 | $35.49 – $95.41 | 16 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $210.00 | $350.00 | $112.86 – $265.12 | 16 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $501.60 | $836.00 | $34.68 – $90.15 | 13 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $203.40 | $339.00 | $34.68 – $53.23 | 16 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $147.00 | $245.00 | $74.61 – $82.91 | 12 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $462.00 | $770.00 | $383.38 – $450.12 | 13 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $1,088.40 | $1,814.00 | $196.33 – $284.03 | 13 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $719.40 | $1,199.00 | $42.34 – $113.70 | 13 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $390.60 | $651.00 | $39.65 – $113.70 | 16 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $958.80 | $1,598.00 | $39.65 – $113.70 | 16 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $582.60 | $971.00 | $84.10 – $225.86 | 16 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $838.20 | $1,397.00 | $140.96 – $196.07 | 16 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $489.60 | $612.00 | $19.63 – $1,306.36 | 16 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $1,095.60 | $1,826.00 | $12.88 – $42.55 | 13 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $1,619.40 | $2,699.00 | $12.62 – $65.88 | 13 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | $40.00 | $50.00 | $11.00 – $98.16 | 10 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $1,113.00 | $1,855.00 | $34.32 – $273.12 | 16 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $17.00 | $21.25 | $3.05 – $3,194.59 | 15 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | $25.80 | $43.00 | $3.77 – $6.46 | 13 |
| Inj andexxa, 10 mg HCPCS J7169 | $246.00 | $410.00 | $127.50 – $142.50 | 12 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $10,723.20 | $17,872.00 | $6.97 – $19.53 | 13 |
| Inj, aponvie, 1 mg HCPCS C9145 | $3.00 | $5.00 | $1.91 – $2.06 | 10 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | $102.00 | $170.00 | $21.23 – $59.91 | 13 |
| Inj atezolizumb 5mg hya-tqjs HCPCS J9024 | $54.60 | $91.00 | $19.94 – $34.11 | 11 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | $5,329.60 | $6,662.00 | $31.17 – $87.38 | 13 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $14,607.00 | $24,345.00 | $103.92 – $177.76 | 13 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $12,381.00 | $20,635.00 | $25.15 – $43.02 | 13 |
| Inj., brexanolone, 1 mg HCPCS J1632 | $187.80 | $313.00 | $63.40 – $196.30 | 3 |
| Inj, brixadi, 7 days or less HCPCS J0577 | $814.80 | $1,358.00 | $265.59 – $929.05 | 13 |
| Inj brixadi, more than 7 day HCPCS J0578 | $4,344.80 | $5,431.00 | $1,062.36 – $3,716.19 | 13 |
| Inj, bupivacaine liposome HCPCS J0666 | $2.40 | $4.00 | $0.93 – $1.75 | 12 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | $27.80 | $34.75 | $0.68 – $2.92 | 3 |
| Inj cefazolin sodium, baxter HCPCS J0689 | $8.60 | $10.75 | $0.82 – $3.35 | 7 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | $139.20 | $174.00 | $3.13 – $14.36 | 7 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | $6.40 | $8.00 | $0.91 – $2.61 | 13 |
| Inj ceftolozane tazobactam HCPCS J0695 | $277.80 | $463.00 | $3.31 – $9.80 | 13 |
| Inj, cimerli, 0.1 mg HCPCS Q5128 | $519.00 | $865.00 | $54.40 – $115.78 | 12 |
| Inj, clindamycin (baxter) HCPCS J0737 | $7.20 | $9.00 | $1.39 – $4.77 | 6 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $487.80 | $813.00 | $84.91 – $724.53 | 3 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | $2.40 | $4.00 | $0.50 – $4.18 | 12 |
| Inj dx for sinogram CPT 20501 | $562.20 | $937.00 | $38.50 – $130.12 | 10 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $562.20 | $937.00 | $130.12 – $519.15 | 3 |
| Injection, burosumab-twza 1m HCPCS J0584 | $665.40 | $1,109.00 | $236.72 – $522.87 | 13 |
| Injection, cangrelor HCPCS C9460 | $1,969.80 | $3,283.00 | $11.10 – $21.58 | 12 |
| Injection, caplacizumab-yhdp HCPCS C9047 | $20,647.20 | $34,412.00 | $382.65 – $2,023.77 | 3 |
| Injection, daratumumab 10 mg HCPCS J9145 | $6,643.20 | $11,072.00 | $34.20 – $77.08 | 13 |
| Injection during cath supravalvular aortography CPT 93567 | $2,024.40 | $3,374.00 | $206.85 – $388.95 | 3 |
| Injection, edaravone, 1 mg HCPCS J1301 | $1,699.80 | $2,833.00 | $12.18 – $22.67 | 13 |
| Injection epidural blood patch or clot CPT 62273 | $2,334.00 | $3,890.00 | $52.80 – $960.26 | 16 |
| Injection for arthrography wrist (both sides) CPT 25246 | $566.40 | $944.00 | $130.12 – $521.79 | 3 |
| Injection for bladder x-ray CPT 51600 | $2,310.60 | $3,851.00 | $35.20 – $545.04 | 10 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $566.40 | $944.00 | $130.12 – $521.03 | 3 |
| Injection for ureter x-ray CPT 50690 | $3,021.60 | $5,036.00 | $47.30 – $545.04 | 10 |
| Injection, fulvestrant HCPCS J9395 | $584.00 | $730.00 | $4.25 – $18.53 | 13 |
| Injection glatiramer acetate HCPCS J1595 | $1,550.40 | $2,584.00 | $48.50 – $180.69 | 14 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $35.00 | $43.75 | $5.20 – $27.14 | 14 |
| Injection jugular CPT 36299 | not published | not published | $18.59 – $83.92 | 2 |
| Injection,onabotulinumtoxina HCPCS J0585 | $1,920.60 | $3,201.00 | $4.10 – $7.02 | 13 |
| Injection, pentamidine iseth HCPCS S0080 | $1,286.40 | $1,608.00 | $99.65 – $111.38 | 2 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $1,941.00 | $3,235.00 | $68.42 – $557.18 | 12 |
| Injection, renflexis HCPCS Q5104 | $240.00 | $300.00 | $17.05 – $52.46 | 13 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $775.20 | $1,292.00 | $67.10 – $960.26 | 16 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $879.00 | $1,465.00 | $23.10 – $960.26 | 16 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $1,842.00 | $3,070.00 | $98.12 – $960.26 | 16 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $2,868.60 | $4,781.00 | $89.45 – $960.26 | 16 |
| Injection, siltuximab HCPCS J2860 | $310.20 | $517.00 | $68.35 – $179.10 | 13 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $1,162.20 | $1,937.00 | $35.20 – $409.31 | 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.