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 |
|---|---|---|---|---|
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $532.80 | $888.00 | $34.17 – $409.31 | 16 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | not published | not published | $37.92 – $409.31 | 16 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $158.40 | $264.00 | $7.92 – $62.16 | 3 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | $84.80 | $106.00 | $13.33 – $36.60 | 12 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | $3,181.80 | $5,303.00 | $242.99 – $415.64 | 13 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,980.00 | $3,300.00 | $78.27 – $1,234.49 | 16 |
| Inj, factor x, (human), 1iu HCPCS J7175 | $33.60 | $56.00 | $5.73 – $10.56 | 13 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | $60.00 | $100.00 | $13.90 – $23.78 | 13 |
| Inj for ext venography CPT 36005 | $672.00 | $1,120.00 | $48.02 – $118.71 | 10 |
| Inj., fremanezumab-vfrm 1 mg HCPCS J3031 | $6.00 | $10.00 | $1.64 – $5.02 | 3 |
| Inj givosiran 0.5 mg HCPCS J0223 | $257.40 | $429.00 | $74.10 – $126.75 | 13 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | $4,752.60 | $7,921.00 | $1,087.44 – $2,989.31 | 12 |
| Inj herzuma 10 mg HCPCS Q5113 | $189.60 | $316.00 | $43.80 – $74.92 | 13 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $2,024.40 | $3,374.00 | $226.03 – $429.36 | 3 |
| Inj hydroxyprogst capoat nos HCPCS J1729 | $6,426.00 | $10,710.00 | $8.70 – $49.50 | 3 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | $5.40 | $9.00 | $1.65 – $2.82 | 13 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | $871.80 | $1,453.00 | $211.07 – $535.19 | 13 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $321.00 | $535.00 | $55.76 – $275.52 | 13 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $607.20 | $759.00 | $14.91 – $96.16 | 7 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $0.60 | $0.75 | $0.01 – $0.01 | 1 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | $108.00 | $180.00 | $104.55 – $108.10 | 2 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $14.40 | $18.00 | $0.54 – $8.96 | 7 |
| Inj., meropenem, vaborbactam HCPCS J2186 | $2,895.00 | $4,825.00 | $2.10 – $2.46 | 12 |
| Inj mogamulizumab-kpkc, 1 mg HCPCS J9204 | $733.60 | $917.00 | $120.93 – $268.38 | 13 |
| Inj multihance HCPCS A9577 | $55.80 | $93.00 | $1.10 – $5.99 | 8 |
| Inj naloxone hydrochloride HCPCS J2310 | $144.00 | $240.00 | $6.34 – $45.45 | 5 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $2,189.40 | $3,649.00 | $109.24 – $925.53 | 13 |
| Inj, nithiodote, 3mg / 125mg HCPCS J0211 | $3.60 | $6.00 | $2.23 – $2.41 | 11 |
| Inj nivolumab 2 mg hyaluron HCPCS J9289 | $48.60 | $81.00 | $17.28 – $29.55 | 11 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | $5,315.40 | $8,859.00 | $968.14 – $2,536.45 | 13 |
| Inj octafluoropropane mic,ml HCPCS Q9956 | $765.60 | $957.00 | $25.67 – $114.77 | 7 |
| Inj ogivri 10 mg HCPCS Q5114 | $10,341.00 | $17,235.00 | $25.44 – $56.17 | 13 |
| Inj ontruzant 10 mg HCPCS Q5112 | $4,939.20 | $8,232.00 | $12.00 – $75.15 | 13 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | $1,258.80 | $2,098.00 | $19.15 – $278.39 | 13 |
| Inj. pemetrexed, 10 mg HCPCS J9304 | $156.60 | $261.00 | $29.25 – $74.57 | 13 |
| Inj, pemivibart, 4500 mg HCPCS Q0224 | $13,860.00 | $17,325.00 | $4,570.70 – $7,239.00 | 5 |
| Inj., plazomicin, 5 mg HCPCS J0291 | $91.20 | $152.00 | $2.01 – $3.78 | 13 |
| Inj proc ankle arthr CPT 27648 | $543.00 | $905.00 | $27.50 – $138.02 | 10 |
| Inj proc elbow arthro CPT 24220 | $543.00 | $905.00 | $130.12 – $500.03 | 3 |
| Inj proc myelogram lumbar CPT 62284 | not published | not published | $87.49 – $448.22 | 10 |
| Inj prohance multipack HCPCS A9576 | $55.80 | $93.00 | $0.89 – $4.16 | 8 |
| Inj retro urethrocysto CPT 51610 | $2,334.00 | $3,890.00 | $37.95 – $545.04 | 10 |
| Inj., rolapitant, 0.5 mg HCPCS J2797 | $2.40 | $4.00 | $0.61 – $0.61 | 1 |
| Inj scleros sol mult veins CPT 36471 | $1,187.40 | $1,979.00 | $100.23 – $554.00 | 16 |
| Inj scleros sol sgl vein CPT 36470 | $1,491.00 | $2,485.00 | $10.29 – $554.00 | 16 |
| Inj, spesolimab-sbzo, 1 mg HCPCS J1747 | $110.40 | $184.00 | $24.18 – $70.99 | 12 |
| Inj sulf hexa lipid microsph HCPCS Q9950 | $447.00 | $745.00 | $11.74 – $51.48 | 7 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | $804.60 | $1,341.00 | $226.79 – $387.93 | 13 |
| Inj testosterone cypionate HCPCS J1071 | $0.80 | $1.00 | $0.02 – $16.97 | 10 |
| Inj., tildrakizumab, 1 mg HCPCS J3245 | $32,438.40 | $54,064.00 | $80.47 – $137.65 | 13 |
| Inj, tislelizumab-jsgr HCPCS J9329 | $103.20 | $172.00 | $36.27 – $62.29 | 12 |
| Inj, tyenne, 1 mg HCPCS Q5135 | $12.80 | $16.00 | $2.79 – $5.59 | 12 |
| Inj w/fluor eval cv device CPT 36598 | $469.80 | $783.00 | $201.63 – $292.15 | 13 |
| Inj zanidatamab-hrii, 2 mg HCPCS J9276 | $44.40 | $74.00 | $15.81 – $27.05 | 11 |
| Ins cath ren art 1st bi CPT 36252 | $7,562.40 | $12,604.00 | $322.01 – $4,364.40 | 16 |
| Ins cath ren art 1st uni CPT 36251 | $4,726.20 | $7,877.00 | $247.21 – $4,364.40 | 16 |
| Ins cath ren art 2nd+ uni CPT 36253 | $5,618.40 | $9,364.00 | $344.41 – $7,495.67 | 16 |
| Insert cath pleura with image CPT 32557 | $2,484.60 | $4,141.00 | $766.66 – $2,154.03 | 13 |
| Insert cath pleura without image CPT 32556 | $931.20 | $1,552.00 | $472.66 – $2,630.42 | 13 |
| Insert hepatic shunt (tips) CPT 37182 | $10,398.00 | $17,330.00 | $1,643.23 – $1,704.87 | 2 |
| Insert intervert bimech device 22854 CPT 22854 | not published | not published | $226.49 – $459.62 | 2 |
| Insert intrauterine device iud CPT 58300 | $543.60 | $906.00 | $18.98 – $92.94 | 9 |
| Insertion catheter bladder non indwelling CPT 51701 | $664.20 | $1,107.00 | $28.00 – $178.73 | 16 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | $4,134.60 | $6,891.00 | $1,237.66 – $4,893.48 | 13 |
| Insertion intra aortic balloon assist device percutaneous CPT 33967 | $3,461.40 | $5,769.00 | $479.55 – $1,201.41 | 4 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | $7,189.20 | $11,982.00 | $3,132.34 – $7,495.67 | 13 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $1,284.00 | $2,140.00 | $124.53 – $4,364.40 | 16 |
| Insertion of catheter vein CPT 36481 | $3,046.20 | $5,077.00 | $372.68 – $1,248.86 | 10 |
| Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 | $12,843.00 | $21,405.00 | $509.38 – $14,511.47 | 16 |
| Insertion of new/replacement ppm w/transvenous electrode(s) ventricular CPT 33207 | $10,378.80 | $17,298.00 | $507.30 – $14,511.47 | 16 |
| Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator CPT 33225 | $12,843.00 | $21,405.00 | $814.86 – $23,949.76 | 3 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $1,284.00 | $2,140.00 | $96.13 – $2,154.03 | 16 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $1,284.00 | $2,140.00 | $76.74 – $2,154.03 | 16 |
| Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber CPT 33249 | $39,445.80 | $65,743.00 | $1,587.58 – $44,457.34 | 13 |
| Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 | $4,607.40 | $7,679.00 | $181.39 – $11,475.67 | 16 |
| Insertion single tranvenous electrode/ppm/implantable defibrillator CPT 33216 | $4,615.80 | $7,693.00 | $392.35 – $11,475.67 | 16 |
| Insertion subcutaneous cardiac rhythm monitor CPT 33285 | $7,465.20 | $12,442.00 | $3,012.17 – $11,475.67 | 13 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $2,869.80 | $4,783.00 | $895.03 – $4,364.40 | 13 |
| Insertion ureth cath CPT 51045 | $5,982.00 | $9,970.00 | $1,030.96 – $2,840.52 | 13 |
| Insert multi-comp penis pros CPT 54405 | not published | not published | $897.78 – $27,910.73 | 13 |
| Insert pm/icd lead dual CPT 33217 | $5,272.80 | $8,788.00 | $700.58 – $11,475.67 | 13 |
| Insert/repl sq defib w/eltrd CPT 33270 | $34,910.40 | $58,184.00 | $401.56 – $44,457.34 | 13 |
| Insert self-contd prosthesis CPT 54401 | not published | not published | $1,631.43 – $27,910.73 | 13 |
| Insert spine infusion device 62360 CPT 62360 | not published | not published | $349.02 – $24,507.35 | 13 |
| Insert swan-ganz cath CPT 93503 | $1,522.20 | $2,537.00 | $227.18 – $2,154.03 | 13 |
| Insert tunneled cv cath CPT 36563 | not published | not published | $369.02 – $7,495.67 | 16 |
| Insert vad art access left hrt arterial access CPT 33990 | $2,083.20 | $3,472.00 | $374.12 – $949.25 | 3 |
| Ins icd gen exist mlt leads CPT 33231 | $31,884.00 | $53,140.00 | $503.33 – $44,457.34 | 13 |
| Insitu hybridization auto CPT 88367 | $1,314.60 | $2,191.00 | $38.10 – $427.47 | 16 |
| Insitu hybridization manual CPT 88368 | $426.00 | $710.00 | $60.45 – $427.47 | 16 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $295.20 | $492.00 | $44.02 – $292.77 | 12 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $295.20 | $492.00 | $26.23 – $213.04 | 16 |
| Insj biomechanical device 22853 CPT 22853 | not published | not published | $174.97 – $734.61 | 3 |
| Ins lv lead exist pm/icd CPT 33224 | $12,843.00 | $21,405.00 | $918.74 – $14,511.47 | 13 |
| Ins picad w subq port 5yr> CPT 36571 | $2,346.00 | $3,910.00 | $895.03 – $4,364.40 | 13 |
| Ins pm gen exist dual lead CPT 33230 | $36,471.60 | $60,786.00 | $484.74 – $31,124.41 | 13 |
| Ins pm gen w/exist mlt leads CPT 33221 | $2,586.00 | $4,310.00 | $450.02 – $26,444.52 | 13 |
| Ins pq tunnld ip cath w/img CPT 49418 | $5,742.00 | $9,570.00 | $2,234.51 – $4,893.48 | 13 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | $4,066.20 | $6,777.00 | $331.10 – $42,255.39 | 16 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | $17,683.80 | $29,473.00 | $307.59 – $26,444.52 | 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.