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 |
|---|---|---|---|---|
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $941.08 – $4,364.40 | 13 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $181.60 | $227.00 | $2.25 – $8.99 | 7 |
| Lipase CPT 83690 | $190.80 | $318.00 | $5.00 – $13.29 | 16 |
| Lipoprotein blood high res frac & quant CPT 83701 | $361.80 | $603.00 | $27.74 – $64.46 | 16 |
| Lipoprotein blood quant CPT 83704 | $501.00 | $835.00 | $33.79 – $81.94 | 13 |
| Lipoprotein direct measurement hdl CPT 83718 | $138.00 | $230.00 | $7.00 – $15.82 | 16 |
| Lipoprotein direct measurement ldl CPT 83721 | $37.80 | $63.00 | $9.18 – $16.68 | 16 |
| Lip surgery procedure CPT 40799 | $297.00 | $495.00 | $18.59 – $322.01 | 12 |
| Lithium therapeutic drug level CPT 80178 | $182.40 | $304.00 | $6.54 – $12.77 | 16 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $281.40 | $469.00 | $51.15 – $134.25 | 2 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $972.60 | $1,621.00 | $65.78 – $497.52 | 15 |
| Liver Function Test CPT 80076 | $321.00 | $535.00 | $8.08 – $21.69 | 16 |
| Liver/spleen imag static only CPT 78215 | $786.60 | $1,311.00 | $76.19 – $546.54 | 16 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $358.05 – $4,499.05 | 16 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $51.60 | $64.50 | $0.61 – $3.73 | 8 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | $416.40 | $694.00 | $81.01 – $234.25 | 13 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $330.40 | $413.00 | $0.87 – $3.05 | 10 |
| Low back disk surgery CPT 63030 | not published | not published | $1,631.43 – $9,905.66 | 13 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $772.80 | $1,288.00 | $68.48 – $173.40 | 15 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $2,637.60 | $4,396.00 | $145.67 – $985.16 | 16 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,052.60 | $3,421.00 | $140.66 – $814.85 | 16 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,906.80 | $3,178.00 | $115.76 – $701.10 | 16 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $2,536.20 | $4,227.00 | $281.64 – $2,610.88 | 16 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $1,546.80 | $2,578.00 | $220.65 – $1,479.38 | 16 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,623.00 | $2,705.00 | $183.52 – $1,345.46 | 16 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $438.00 | $730.00 | $25.96 – $166.40 | 16 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $637.80 | $1,063.00 | $36.38 – $166.40 | 16 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $852.00 | $1,420.00 | $38.00 – $166.40 | 16 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $293.40 | $489.00 | $18.94 – $118.50 | 13 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $1,331.89 – $14,436.44 | 13 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $1,999.85 – $25,500.07 | 13 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $347.40 | $579.00 | $20.90 – $375.76 | 16 |
| Lung function test (mbc/mvv) CPT 94200 | $99.00 | $165.00 | $9.90 – $81.67 | 16 |
| Lung Function Test (Spirometry) CPT 94010 | $150.00 | $250.00 | $16.50 – $205.40 | 16 |
| Lung perfusion imaging CPT 78580 | $795.00 | $1,325.00 | $86.90 – $546.54 | 16 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $412.20 | $687.00 | $83.37 – $223.70 | 13 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $90.60 | $151.00 | $26.51 – $45.34 | 13 |
| Lymphatics/lymph node imaging CPT 78195 | $1,242.60 | $2,071.00 | $198.00 – $700.71 | 16 |
| Lymphocyte transformation mitogen CPT 86353 | $499.20 | $832.00 | $48.45 – $133.24 | 16 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $69.30 – $4,408.81 | 16 |
| Macroscopic exam parasite CPT 87169 | $64.80 | $108.00 | $4.26 – $11.34 | 13 |
| Magnesium CPT 83735 | $156.60 | $261.00 | $6.62 – $12.86 | 16 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $273.00 | $455.00 | $0.30 – $1.88 | 7 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $277.20 | $462.00 | $4.28 – $7.08 | 3 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $210.01 – $3,620.91 | 3 |
| Map tachycard site(s) CPT 93609 | $1,309.80 | $2,183.00 | $257.40 – $1,523.32 | 11 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | $96.60 | $161.00 | $20.08 – $56.69 | 13 |
| Marker biop eviva buckle ss HCPCS A4648 | $2,360.40 | $3,934.00 | $685.00 – $685.00 | 1 |
| Mastectomy partial CPT 19301 | not published | not published | $552.76 – $5,309.76 | 13 |
| Mast mod rad CPT 19307 | not published | not published | $1,526.42 – $9,042.80 | 13 |
| Mastoids complete CPT 70130 | $418.20 | $697.00 | $54.96 – $166.40 | 13 |
| Mastopexy CPT 19316 | not published | not published | $729.80 – $9,042.80 | 12 |
| Mast simple complete CPT 19303 | not published | not published | $1,105.63 – $9,042.80 | 13 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $4,472.40 | $7,454.00 | $6.93 – $50.51 | 6 |
| M.avium-intra dna amp prob CPT 87561 | $466.80 | $778.00 | $34.68 – $90.15 | 13 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $209.40 | $349.00 | $14.29 – $27.94 | 16 |
| Mayo aathr protein s free CPT 85306 | $486.60 | $811.00 | $15.14 – $41.66 | 16 |
| Mayo activated protein c resistance assay CPT 85307 | $661.20 | $1,102.00 | $15.14 – $40.69 | 16 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $155.40 | $259.00 | $21.60 – $41.66 | 13 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $245.40 | $409.00 | $14.60 – $28.59 | 13 |
| Mayo alpha 1 antitrypsin CPT 82103 | $198.00 | $330.00 | $13.29 – $25.95 | 16 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $225.00 | $375.00 | $11.00 – $40.97 | 16 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $1,247.40 | $2,079.00 | $115.78 – $131.36 | 13 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $1,779.60 | $2,966.00 | $61.15 – $139.06 | 16 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $1,301.40 | $2,169.00 | $83.66 – $152.33 | 16 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $15,826.20 | $26,377.00 | $683.86 – $3,164.20 | 13 |
| Mayo androstenedione CPT 82157 | $341.40 | $569.00 | $25.00 – $56.56 | 16 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $282.00 | $470.00 | $14.43 – $28.22 | 16 |
| Mayo antithrombin iii antigen CPT 85301 | $172.80 | $288.00 | $10.69 – $29.39 | 16 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $115.20 | $192.00 | $14.88 – $40.91 | 16 |
| Mayo avwpr vw factor activity CPT 85397 | $347.40 | $579.00 | $26.30 – $62.29 | 16 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $726.60 | $1,211.00 | $13.98 – $39.01 | 16 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $96.60 | $161.00 | $10.06 – $27.01 | 16 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $1,068.00 | $1,780.00 | $143.15 – $160.25 | 13 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $99.60 | $166.00 | $12.75 – $35.84 | 16 |
| Mayo brcmg brucella antibody igm CPT 86622 | $289.80 | $483.00 | $8.82 – $20.58 | 16 |
| Mayo c1 esterase inhibitor CPT 83883 | $198.00 | $330.00 | $13.44 – $26.30 | 13 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $337.20 | $562.00 | $16.67 – $44.78 | 13 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $1,672.20 | $2,787.00 | $120.80 – $254.73 | 16 |
| Mayo ceruloplasmin CPT 82390 | $125.40 | $209.00 | $10.00 – $20.76 | 16 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $242.40 | $404.00 | $13.96 – $38.42 | 13 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $129.60 | $216.00 | $12.73 – $35.04 | 13 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $63.60 | $106.00 | $9.88 – $15.61 | 16 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $94.80 | $158.00 | $12.53 – $35.08 | 16 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $1,427.40 | $2,379.00 | $115.13 – $225.16 | 16 |
| Mayo chromium CPT 82495 | $111.60 | $186.00 | $6.00 – $21.90 | 16 |
| Mayo coccidioides antibody CPT 86635 | $88.20 | $147.00 | $11.33 – $31.62 | 16 |
| Mayo cocou cortisone urine CPT 82542 | $304.80 | $508.00 | $19.27 – $47.94 | 16 |
| Mayo cortisol free CPT 82530 | $305.40 | $509.00 | $16.51 – $32.77 | 16 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $123.00 | $205.00 | $11.16 – $78.31 | 16 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $198.00 | $330.00 | $11.98 – $34.31 | 16 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $227.40 | $379.00 | $13.09 – $36.02 | 16 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $373.80 | $623.00 | $21.00 – $48.85 | 16 |
| Mayo dihydrotestosterone CPT 82642 | $436.20 | $727.00 | $19.87 – $31.62 | 13 |
| Mayo efpo chloride stool CPT 82438 | $102.60 | $171.00 | $3.00 – $13.29 | 16 |
| Mayo estriol CPT 82677 | $187.80 | $313.00 | $17.50 – $46.93 | 16 |
| Mayo estrone CPT 82679 | $273.60 | $456.00 | $13.00 – $48.24 | 16 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $284.40 | $474.00 | $13.00 – $31.58 | 16 |
| Mayo everolimus therapeutic drug level CPT 80169 | $155.40 | $259.00 | $13.56 – $20.82 | 16 |
| Mayo factor ii CPT 85210 | $321.60 | $536.00 | $4.00 – $14.50 | 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.