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 |
|---|---|---|---|---|
| Mayo factor v CPT 85220 | $214.20 | $357.00 | $5.00 – $38.66 | 16 |
| Mayo factor vii CPT 85230 | $395.40 | $659.00 | $5.00 – $38.66 | 16 |
| Mayo factor viii vw factor antigen CPT 85246 | $281.40 | $469.00 | $22.67 – $44.33 | 16 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $281.40 | $469.00 | $22.67 – $62.36 | 16 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $615.60 | $1,026.00 | $22.67 – $62.36 | 16 |
| Mayo factor x CPT 85260 | $341.40 | $569.00 | $12.00 – $38.66 | 16 |
| Mayo factor xi CPT 85270 | $240.00 | $400.00 | $12.00 – $38.66 | 16 |
| Mayo fat/lipids feces quantitative CPT 82710 | $183.00 | $305.00 | $4.02 – $32.47 | 16 |
| Mayo fbl culture fungi blood CPT 87103 | $154.80 | $258.00 | $12.40 – $24.52 | 16 |
| Mayo fdp/fsp paracoagulation CPT 85366 | $128.40 | $214.00 | $11.79 – $86.90 | 16 |
| Mayo ffspg allergen clam igg CPT 86001 | $87.60 | $146.00 | $5.78 – $13.87 | 16 |
| Mayo fibrinogen antigen CPT 85385 | $136.20 | $227.00 | $9.91 – $22.96 | 16 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $307.20 | $512.00 | $13.35 – $23.40 | 16 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $9,754.20 | $16,257.00 | $75.97 – $210.76 | 2 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $214.20 | $357.00 | $34.68 – $90.15 | 13 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $552.00 | $920.00 | $34.68 – $90.15 | 13 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $411.60 | $686.00 | $13.62 – $24.41 | 16 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $192.00 | $320.00 | $12.00 – $49.87 | 16 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $105.00 | $175.00 | $8.79 – $22.73 | 17 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $130.20 | $217.00 | $13.36 – $34.60 | 17 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $422.40 | $704.00 | $20.50 – $52.49 | 16 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $271.20 | $452.00 | $17.07 – $25.02 | 13 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $182.40 | $304.00 | $14.82 – $28.98 | 16 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $214.80 | $358.00 | $20.57 – $55.24 | 16 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $245.40 | $409.00 | $20.57 – $40.22 | 16 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | $987.60 | $1,646.00 | $34.10 – $37.90 | 12 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $168.60 | $281.00 | $15.88 – $29.24 | 13 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $259.20 | $432.00 | $11.84 – $28.61 | 16 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $294.60 | $491.00 | $34.68 – $91.16 | 16 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $726.60 | $1,211.00 | $19.65 – $39.01 | 16 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $557.40 | $929.00 | $34.68 – $90.15 | 13 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $726.60 | $1,211.00 | $34.10 – $37.90 | 12 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $373.80 | $623.00 | $42.34 – $113.70 | 16 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $756.60 | $1,261.00 | $44.09 – $80.27 | 16 |
| Mayo infliximab therapeutic drug level CPT 80230 | $740.40 | $1,234.00 | $21.60 – $41.66 | 13 |
| Mayo inhab inhibin a CPT 86336 | $667.20 | $1,112.00 | $15.41 – $253.73 | 13 |
| Mayo insft insulin free CPT 83527 | $214.80 | $358.00 | $12.80 – $35.50 | 16 |
| Mayo insulin antibodies CPT 86337 | $411.60 | $686.00 | $11.00 – $24.95 | 16 |
| Mayo iodine CPT 83789 | $127.80 | $213.00 | $23.82 – $47.94 | 13 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $223.20 | $372.00 | $15.17 – $29.28 | 13 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $102.00 | $170.00 | $13.09 – $20.11 | 16 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $145.20 | $242.00 | $11.00 – $24.68 | 16 |
| Mayo legionella antibody CPT 86713 | $165.00 | $275.00 | $15.12 – $29.15 | 16 |
| Mayo lipoprotein electrophoresis CPT 83700 | $168.60 | $281.00 | $11.13 – $29.24 | 16 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $228.60 | $381.00 | $15.31 – $46.28 | 16 |
| Mayo manganese CPT 83785 | $156.60 | $261.00 | $16.80 – $28.78 | 13 |
| Mayo metanephrines plasma CPT 83835 | $213.00 | $355.00 | $13.00 – $32.75 | 16 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $316.20 | $527.00 | $7.81 – $20.46 | 16 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $316.20 | $527.00 | $6.88 – $20.46 | 15 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $193.20 | $322.00 | $7.91 – $17.84 | 16 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $155.40 | $259.00 | $15.30 – $26.45 | 16 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $4,141.80 | $6,903.00 | $135.40 – $242.00 | 13 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | $786.60 | $1,311.00 | $138.26 – $200.02 | 13 |
| Mayo muramidase CPT 85549 | $171.60 | $286.00 | $16.44 – $36.49 | 16 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $316.20 | $527.00 | $6.88 – $19.87 | 12 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $127.80 | $213.00 | $17.84 – $27.38 | 16 |
| Mayo myoglobin CPT 83874 | $295.20 | $492.00 | $12.77 – $24.95 | 16 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $204.60 | $341.00 | $18.20 – $43.70 | 16 |
| Mayo organic acids qualitative each specimen CPT 83919 | $273.00 | $455.00 | $16.26 – $43.70 | 16 |
| Mayo oxalate 24 hour urine CPT 83945 | $202.80 | $338.00 | $13.00 – $24.89 | 16 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $394.20 | $657.00 | $14.85 – $29.09 | 16 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $234.60 | $391.00 | $11.91 – $23.29 | 16 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $603.00 | $1,005.00 | $34.68 – $90.15 | 16 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $258.00 | $430.00 | $17.78 – $47.03 | 16 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $198.00 | $330.00 | $13.00 – $27.10 | 16 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $180.00 | $300.00 | $2.00 – $16.34 | 16 |
| Mayo pregnenolone CPT 84140 | $328.20 | $547.00 | $20.43 – $56.21 | 16 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $190.80 | $318.00 | $16.40 – $32.08 | 16 |
| Mayo proinsulin CPT 84206 | $114.60 | $191.00 | $8.00 – $48.44 | 16 |
| Mayo psaft prostate specific antigen free CPT 84154 | $307.80 | $513.00 | $18.17 – $48.83 | 16 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $316.20 | $527.00 | $18.18 – $36.73 | 13 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $222.00 | $370.00 | $12.00 – $36.30 | 16 |
| Mayo receptor assay transferrin soluble CPT 84238 | $331.80 | $553.00 | $22.00 – $70.65 | 16 |
| Mayo renin CPT 84244 | $259.20 | $432.00 | $12.00 – $42.51 | 16 |
| Mayo repu protein electrophoresis urine CPT 84166 | $198.00 | $330.00 | $17.62 – $47.86 | 16 |
| Mayo selenium CPT 84255 | $603.00 | $1,005.00 | $25.23 – $69.41 | 13 |
| Mayo serotonin CPT 84260 | $360.60 | $601.00 | $30.62 – $59.87 | 16 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $156.60 | $261.00 | $19.13 – $51.38 | 16 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $225.00 | $375.00 | $13.56 – $35.63 | 16 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $94.20 | $157.00 | $4.00 – $8.25 | 16 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $886.80 | $1,478.00 | $196.36 – $225.63 | 13 |
| Mayo tgrp testosterone free CPT 84402 | $417.60 | $696.00 | $25.17 – $50.26 | 16 |
| Mayo tgrp testosterone total CPT 84403 | $417.60 | $696.00 | $25.52 – $49.89 | 16 |
| Mayo thyroglobulin CPT 84432 | $250.20 | $417.00 | $15.88 – $31.66 | 16 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $177.60 | $296.00 | $10.06 – $27.01 | 16 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $237.60 | $396.00 | $12.25 – $34.31 | 13 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $222.60 | $371.00 | $12.47 – $20.50 | 16 |
| Mayo vasoactive intestinal peptide CPT 84586 | $519.00 | $865.00 | $34.92 – $96.04 | 16 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $320.40 | $534.00 | $8.00 – $55.00 | 16 |
| Mayo vitamin b3 (niacin) CPT 84591 | $128.40 | $214.00 | $15.95 – $30.76 | 13 |
| Mayo vitamin k CPT 84597 | $231.00 | $385.00 | $13.55 – $37.27 | 13 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $152.40 | $254.00 | $13.09 – $20.11 | 16 |
| Measurement post void urine by ultrasound CPT 51798 | $566.40 | $944.00 | $11.60 – $82.37 | 16 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $290.12 – $8,090.06 | 13 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $221.88 – $8,090.06 | 13 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $636.00 | $1,060.00 | $0.32 – $1.44 | 5 |
| Megestrol 20 mg tabs 100 each bottle HCPCS S0179 | $6.60 | $8.25 | $0.31 – $0.31 | 1 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | $414.60 | $691.00 | $78.87 – $85.17 | 2 |
| Membrane collgn porcine maci w/autologous cult chondrocytes HCPCS J7330 | $77,166.00 | $128,610.00 | $30,270.37 – $183,510.66 | 3 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $12.20 | $15.25 | $1.86 – $19.88 | 7 |
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.