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 |
|---|---|---|---|---|
| Ins/rpl pm gen exist dual lead CPT 33213 | $9,586.80 | $15,978.00 | $1,212.63 – $14,511.47 | 13 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | $10,378.80 | $17,298.00 | $786.48 – $14,511.47 | 13 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | not published | not published | $444.60 – $29,735.29 | 13 |
| Insrt/redo neurostim 1 array CPT 61885 | not published | not published | $447.72 – $29,735.29 | 14 |
| Ins subq extnsn pertneal cath CPT 49435 | not published | not published | $167.40 – $5,545.32 | 3 |
| Inst fibrinolysis agent ini day CPT 32561 | $948.00 | $1,580.00 | $141.76 – $857.29 | 13 |
| Instillation anticarcinogenic agent bladder CPT 51720 | not published | not published | $73.63 – $925.53 | 16 |
| Instill, bupivac and meloxic HCPCS C9088 | $1.80 | $3.00 | $0.28 – $1.98 | 3 |
| Instll rx agnt into rnal tub CPT 50391 | not published | not published | $133.40 – $337.24 | 13 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $2,346.00 | $3,910.00 | $782.70 – $4,364.40 | 13 |
| Ins tun intraperit dia cath CPT 49421 | not published | not published | $545.04 – $4,893.48 | 13 |
| Insulin total CPT 83525 | $156.60 | $261.00 | $11.00 – $22.10 | 16 |
| Interrogate subq defib CPT 93261 | $199.20 | $332.00 | $16.21 – $80.12 | 13 |
| Interrogation vad in person CPT 93750 | $516.00 | $860.00 | $39.75 – $168.39 | 16 |
| Interrog dev eval icpms ip CPT 93290 | $104.40 | $174.00 | $19.02 – $53.82 | 16 |
| Interrog dev eval scrms ip CPT 93291 | $183.60 | $306.00 | $26.95 – $62.33 | 16 |
| Interrog device eval heart CPT 93289 | $247.20 | $412.00 | $39.39 – $99.87 | 16 |
| Interrog evl pm/ldls pm ip CPT 93288 | $204.00 | $340.00 | $26.69 – $64.94 | 16 |
| Int hrhc lig 1 hroid without img CPT 46945 | not published | not published | $50.60 – $3,802.67 | 16 |
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | $50.60 – $3,802.67 | 16 |
| Intra-atrial pacing CPT 93610 | $921.00 | $1,535.00 | $206.25 – $9,017.29 | 15 |
| Intra-atrial recording CPT 93602 | $921.00 | $1,535.00 | $125.40 – $9,017.29 | 15 |
| Intracard echo interv w/s&i CPT 93662 | $696.00 | $1,160.00 | $236.55 – $876.28 | 4 |
| Intracran angioplsty w/stent CPT 61635 | $12,948.60 | $21,581.00 | $2,323.63 – $4,285.73 | 2 |
| Intracranial angioplasty CPT 61630 | $12,235.20 | $20,392.00 | $2,122.49 – $2,122.49 | 1 |
| Intracranial complete study CPT 93886 | $1,173.60 | $1,956.00 | $167.79 – $493.75 | 16 |
| Intracranial limited study CPT 93888 | $808.20 | $1,347.00 | $91.12 – $443.98 | 16 |
| Intranasal biopsy 30100 CPT 30100 | not published | not published | $42.35 – $2,053.97 | 16 |
| Intraventricular pacing CPT 93612 | $921.00 | $1,535.00 | $206.25 – $9,017.29 | 15 |
| Intrinsic factor antibody CPT 86340 | $133.20 | $222.00 | $14.90 – $40.97 | 16 |
| Intro cath dialysis circuit CPT 36901 | $2,163.60 | $3,606.00 | $131.16 – $2,154.03 | 16 |
| Intro cath dialysis circuit w/pta CPT 36902 | $5,144.40 | $8,574.00 | $195.43 – $7,905.86 | 16 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $2,163.60 | $3,606.00 | $267.53 – $15,725.10 | 16 |
| Intro catheter aorta CPT 36200 | $3,559.20 | $5,932.00 | $122.10 – $836.96 | 10 |
| Intro cath svc/ivc CPT 36010 | $6,967.80 | $11,613.00 | $125.95 – $1,631.43 | 10 |
| Intro long gi tube CPT 44500 | $661.20 | $1,102.00 | $21.64 – $1,300.05 | 16 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $4,063.80 | $6,773.00 | $929.34 – $2,374.24 | 3 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $4,063.80 | $6,773.00 | $126.88 – $281.37 | 3 |
| Intubation endotracheal emergency procedure CPT 31500 | $2,313.60 | $3,856.00 | $79.20 – $545.04 | 16 |
| Ionm in operatng room 15 min CPT 95940 | $205.80 | $343.00 | $34.93 – $75.00 | 4 |
| Ionm remote/>1 pt or per hr CPT 95941 | $389.40 | $649.00 | $82.31 – $139.73 | 2 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $404.40 | $674.00 | $0.28 – $1.01 | 8 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $904.80 | $1,508.00 | $0.10 – $0.36 | 8 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $493.80 | $823.00 | $115.85 – $198.16 | 13 |
| Ipratropium bromide non-comp HCPCS J7644 | $15.40 | $19.25 | $0.10 – $0.87 | 9 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $2,527.20 | $3,400.00 | $1.11 – $6.85 | 7 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $133.80 | $223.00 | $27.84 – $71.28 | 13 |
| Iron CPT 83540 | $97.20 | $162.00 | $6.39 – $12.53 | 16 |
| Iron binding capacity CPT 83550 | $97.20 | $162.00 | $5.00 – $17.03 | 16 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $270.40 | $338.00 | $11.43 – $20.72 | 15 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $715.80 | $1,193.00 | $0.14 – $14.65 | 12 |
| Irradiation of blood product each unit reference CPT 86945 | $294.60 | $491.00 | $14.66 – $49.63 | 12 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $158.40 | $264.00 | $21.43 – $81.67 | 16 |
| Irrigation tray HCPCS A4320 | $3.60 | $6.00 | $8.23 – $11.75 | 2 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | $161.40 | $269.00 | $51.71 – $88.45 | 13 |
| Island pedicle flap graft CPT 15740 | not published | not published | $264.00 – $3,291.48 | 16 |
| Ivc venogram s&i CPT 75825 | $2,766.60 | $4,611.00 | $41.25 – $4,114.32 | 16 |
| IV Fluids (each additional hour) CPT 96361 | $147.60 | $246.00 | $9.90 – $54.83 | 15 |
| IV Fluids (first hour) CPT 96360 | $607.20 | $1,012.00 | $34.79 – $250.38 | 15 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $305.40 | $509.00 | $12.57 – $51.56 | 11 |
| IV Medicine Infusion (additional drug) CPT 96367 | $305.40 | $509.00 | $21.16 – $84.57 | 15 |
| IV Medicine Infusion (each additional hour) CPT 96366 | $234.60 | $391.00 | $13.52 – $54.83 | 15 |
| IV Medicine Infusion (first hour) CPT 96365 | $607.20 | $1,012.00 | $43.23 – $250.38 | 15 |
| IV Push Injection (each additional drug) CPT 96375 | $158.40 | $264.00 | $14.31 – $54.83 | 15 |
| IV Push Injection (first drug) CPT 96374 | $158.40 | $264.00 | $34.12 – $250.38 | 15 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $543.60 | $906.00 | $51.15 – $270.53 | 16 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $152.40 | $254.00 | $87.90 – $150.35 | 13 |
| Jak2 targeted sequence analysis CPT 81279 | $1,266.00 | $2,110.00 | $138.26 – $205.93 | 16 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $389.40 | $649.00 | $29.01 – $118.50 | 16 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $307.80 | $513.00 | $29.26 – $166.40 | 16 |
| Jejunstmy tube plcmt CPT 44372 | $5,083.20 | $8,472.00 | $228.25 – $2,630.42 | 16 |
| John cunningham antibody CPT 86711 | $97.80 | $163.00 | $15.83 – $22.00 | 16 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $111.60 | $186.00 | $5.00 – $12.84 | 16 |
| Ketorolac (Toradol) Pain Shot, 15 mg HCPCS J1885 | $101.60 | $127.00 | $0.19 – $1.76 | 15 |
| Kidney imaging morphology CPT 78700 | $573.60 | $956.00 | $68.64 – $546.54 | 16 |
| Kidney imag w/bld flow multi CPT 78709 | $1,749.60 | $2,916.00 | $247.33 – $700.71 | 16 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,055.40 | $1,759.00 | $124.75 – $700.71 | 16 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $442.20 | $737.00 | $85.14 – $285.52 | 16 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $324.00 | $540.00 | $66.51 – $240.96 | 16 |
| Kit gene analys d816 variant CPT 81273 | $1,122.00 | $1,870.00 | $87.25 – $138.85 | 16 |
| Kit lead specify 5-6-5 HCPCS C1778 | $24,616.20 | $41,027.00 | $2,153.59 – $2,153.59 | 1 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | $5,662.80 | $9,438.00 | $3,530.95 – $4,179.96 | 2 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $4,245.60 | $7,076.00 | $176.62 – $176.62 | 1 |
| Knee Arthroscopy (Cartilage Smoothing) CPT 29877 | not published | not published | $1,030.96 – $4,499.05 | 13 |
| Knee Arthroscopy (Meniscus Trimming) CPT 29881 | not published | not published | $597.85 – $4,499.05 | 16 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $836.96 – $4,499.05 | 13 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $1,030.96 – $4,499.05 | 13 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $836.96 – $4,499.05 | 13 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $1,030.96 – $4,499.05 | 13 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $597.85 – $4,499.05 | 16 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $836.96 – $4,499.05 | 13 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $836.96 – $9,905.66 | 13 |
| Knee MRI (with and without contrast) CPT 73723 | $2,415.00 | $4,025.00 | $264.38 – $1,992.24 | 13 |
| Knee MRI (with contrast) CPT 73722 | $1,948.80 | $3,248.00 | $201.09 – $1,109.81 | 13 |
| Knee MRI (without contrast) CPT 73721 | $2,045.40 | $3,409.00 | $167.99 – $1,176.45 | 13 |
| Knee X-ray CPT 73564 | $473.40 | $789.00 | $25.96 – $166.40 | 13 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $253.80 | $423.00 | $19.42 – $118.50 | 13 |
| Knee X-ray (3 views, both knees) CPT 73562 | $411.60 | $686.00 | $21.87 – $118.50 | 13 |
| Knee X-ray (standing, both knees) CPT 73565 | $192.00 | $320.00 | $20.18 – $118.50 | 16 |
| Kras gene addl variants CPT 81276 | $1,324.20 | $2,207.00 | $137.79 – $219.26 | 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.