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 |
|---|---|---|---|---|
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $9,132.60 | $15,221.00 | $19.03 – $33.77 | 13 |
| Mercaptopurine 50 mg HCPCS S0108 | $93.60 | $117.00 | $3.25 – $3.25 | 1 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $93.60 | $117.00 | $0.27 – $6.73 | 10 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $499.13 – $2,305.69 | 3 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $3,750.00 | $6,250.00 | $1.17 – $5.70 | 7 |
| Metabolic Blood Panel (Basic) CPT 80048 | $534.60 | $891.00 | $8.36 – $22.47 | 16 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $451.80 | $753.00 | $10.43 – $28.07 | 16 |
| Metered dose inhaler drug HCPCS J3535 | $1,932.80 | $2,416.00 | $2.72 – $3.27 | 3 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | $261.00 | $435.00 | $0.87 – $2.34 | 6 |
| Methadone oral 5mg HCPCS S0109 | $7.80 | $9.75 | $0.19 – $0.23 | 4 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $215.20 | $269.00 | $3.02 – $15.41 | 7 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $106.40 | $133.00 | $0.12 – $0.74 | 9 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $316.00 | $395.00 | $1.78 – $8.25 | 10 |
| Methotrexate therapeutic drug level CPT 80204 | $615.00 | $1,025.00 | $28.79 – $41.66 | 13 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $424.00 | $530.00 | $0.54 – $9.43 | 11 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $46.60 | $58.25 | $4.00 – $53.36 | 7 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $234.60 | $391.00 | $0.50 – $3.27 | 3 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $20.20 | $25.25 | $0.07 – $0.63 | 6 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $2.80 | $3.50 | $0.08 – $0.21 | 12 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $7.40 | $9.25 | $0.13 – $7.16 | 14 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $79.60 | $99.50 | $0.57 – $2.97 | 10 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $25.80 | $43.00 | $0.08 – $0.12 | 4 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $8.00 | $10.00 | $0.02 – $0.05 | 6 |
| Mgmt promoter methylation analysis CPT 81287 | $260.40 | $434.00 | $58.07 – $134.61 | 16 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $10.20 | $12.75 | $0.16 – $2.06 | 7 |
| Microdissection laser CPT 88380 | $857.40 | $1,429.00 | $110.33 – $273.58 | 3 |
| Microdissection manual CPT 88381 | $616.80 | $1,028.00 | $105.68 – $413.27 | 5 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $406.37 – $2,339.97 | 3 |
| Mid and Lower Back (Thoracolumbar Spine) X-ray CPT 72080 | $349.20 | $582.00 | $25.19 – $118.50 | 16 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $24.20 | $30.25 | $0.10 – $0.50 | 10 |
| Middle cerebral artery echo CPT 76821 | $381.60 | $636.00 | $68.65 – $176.27 | 16 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $808.00 | $1,010.00 | $0.92 – $4.24 | 7 |
| Minoxidil, 10 mg HCPCS S0139 | $20.20 | $25.25 | $0.10 – $0.52 | 4 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | $131.40 | $219.00 | $26.47 – $75.05 | 12 |
| Misoprostol, oral, 200 mcg HCPCS S0191 | $56.40 | $70.50 | $1.10 – $1.10 | 1 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $1,036.80 | $1,728.00 | $12.85 – $180.11 | 13 |
| Mitomycin instillation HCPCS J9281 | $885.60 | $1,107.00 | $201.12 – $344.01 | 13 |
| Mlh1 gene CPT 81288 | $1,717.20 | $2,862.00 | $111.57 – $207.71 | 13 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $140.80 – $2,219.16 | 16 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $234.60 | $391.00 | $5.11 – $40.75 | 16 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $24,517.80 | $40,863.00 | $2,358.91 – $2,358.91 | 1 |
| Mopath procedure level 1 CPT 81400 | $1,253.40 | $2,089.00 | $63.21 – $191.05 | 13 |
| Mopath procedure level 3 CPT 81402 | $1,301.40 | $2,169.00 | $148.57 – $312.06 | 13 |
| Mopath procedure level 5 CPT 81404 | $8,296.20 | $13,827.00 | $271.62 – $473.81 | 13 |
| Mopath procedure level 6 CPT 81405 | $5,466.00 | $9,110.00 | $297.84 – $891.57 | 13 |
| Mopath procedure level 7 CPT 81406 | $8,476.80 | $14,128.00 | $279.57 – $1,069.89 | 13 |
| Mopath procedure level 8 CPT 81407 | $3,643.80 | $6,073.00 | $836.39 – $1,897.78 | 13 |
| Mopath procedure level 9 CPT 81408 | $8,462.40 | $14,104.00 | $1,976.64 – $2,547.36 | 13 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $34.00 | $42.50 | $1.38 – $12.72 | 10 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $96.80 | $121.00 | $6.25 – $30.61 | 7 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $562.80 | $938.00 | $100.15 – $265.77 | 16 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $1,262.40 | $2,104.00 | $38.10 – $213.04 | 16 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | $924.00 | $1,540.00 | $252.87 – $707.00 | 12 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $195.25 – $4,496.91 | 16 |
| M/phmtrc alys ishquant/semiq CPT 88373 | $138.60 | $231.00 | $24.70 – $149.26 | 12 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $426.00 | $710.00 | $93.18 – $279.34 | 16 |
| M/phmtrc alysishquant/semiq CPT 88369 | $426.00 | $710.00 | $30.54 – $240.11 | 12 |
| Mpl gene analysis common variants CPT 81338 | $1,266.00 | $2,110.00 | $112.22 – $162.36 | 13 |
| Mpsv4 vaccine subq CPT 90733 | $82.20 | $137.00 | $133.63 – $345.55 | 3 |
| MRA chest w IV cont HCPCS C8909 | $1,861.80 | $3,103.00 | $268.84 – $566.90 | 12 |
| MRA chest wo IV cont HCPCS C8910 | $1,861.80 | $3,103.00 | $217.20 – $345.98 | 12 |
| MRA chest wwo IV cont HCPCS C8911 | $1,861.80 | $3,103.00 | $317.56 – $566.90 | 12 |
| MRA pelvis wo IV cont HCPCS C8919 | $1,381.80 | $2,303.00 | $217.20 – $345.98 | 12 |
| MRA w/cont, abd HCPCS C8900 | $1,861.80 | $3,103.00 | $268.84 – $566.90 | 12 |
| MRA w/cont, lwr ext HCPCS C8912 | $1,861.80 | $3,103.00 | $268.84 – $566.90 | 12 |
| Mra, w/dye, upper extremity HCPCS C8934 | $1,990.20 | $3,317.00 | $268.84 – $566.90 | 12 |
| MRA without cont, abd HCPCS C8901 | $1,861.80 | $3,103.00 | $217.20 – $345.98 | 12 |
| MRA without cont, lwr ext HCPCS C8913 | $1,861.80 | $3,103.00 | $217.20 – $345.98 | 12 |
| Mra, without dye, spinal canal HCPCS C8932 | $2,014.20 | $3,357.00 | $217.20 – $345.98 | 12 |
| MRA without fol w/cont, abd HCPCS C8902 | $1,861.80 | $3,103.00 | $317.56 – $566.90 | 12 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $1,861.80 | $3,103.00 | $317.56 – $566.90 | 12 |
| MRA without fol w/cont, pelvis HCPCS C8920 | $1,675.80 | $2,793.00 | $317.56 – $566.90 | 12 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | $2,515.80 | $4,193.00 | $317.56 – $566.90 | 12 |
| MRI breast c- unilateral CPT 77046 | $4,720.20 | $7,867.00 | $102.20 – $345.98 | 16 |
| MRI breast without cont bi CPT 77047 | $6,276.00 | $10,460.00 | $101.58 – $345.98 | 16 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $3,375.00 | $5,625.00 | $265.97 – $697.19 | 16 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $5,152.80 | $8,588.00 | $392.96 – $986.57 | 16 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $5,154.60 | $8,591.00 | $557.52 – $1,027.75 | 16 |
| MRI chest without contrast CPT 71550 | $2,045.40 | $3,409.00 | $179.49 – $1,249.75 | 16 |
| MRI chest without & w/contrast CPT 71552 | $2,415.00 | $4,025.00 | $278.13 – $1,997.73 | 16 |
| MRI chest w IV cont CPT 71551 | $3,043.80 | $5,073.00 | $431.72 – $1,125.45 | 16 |
| MRI loex nonjt w IV cont CPT 73719 | $1,948.80 | $3,248.00 | $200.26 – $1,109.81 | 13 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $2,045.40 | $3,409.00 | $166.27 – $926.26 | 13 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $2,415.00 | $4,025.00 | $264.38 – $1,232.72 | 13 |
| MRI orbit fac&nck w IV cont CPT 70542 | $3,009.60 | $5,016.00 | $392.96 – $1,109.81 | 16 |
| MRI tmj CPT 70336 | $2,210.40 | $3,684.00 | $181.28 – $1,176.45 | 16 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $2,045.40 | $3,409.00 | $167.14 – $926.26 | 13 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $2,415.00 | $4,025.00 | $264.38 – $1,232.72 | 13 |
| MRI upper extremity w/dye CPT 73219 | $1,948.80 | $3,248.00 | $200.26 – $1,109.81 | 13 |
| MRI without fol w/cont, breast HCPCS C8908 | $7,655.40 | $12,759.00 | $317.56 – $566.90 | 12 |
| MRI without fol w/cont, brst, un HCPCS C8905 | $6,055.20 | $10,092.00 | $317.56 – $566.90 | 12 |
| Mr safety determination physician/other qhp CPT 76016 | $161.40 | $269.00 | $43.36 – $104.63 | 12 |
| Mr safety implant elec prepj CPT 76018 | $168.60 | $281.00 | $76.50 – $109.08 | 12 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $18.60 | $31.00 | $46.33 – $50.66 | 2 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $45.00 | $75.00 | $9.61 – $29.11 | 12 |
| Mr sfty med physics xm cstmz CPT 76017 | $444.00 | $740.00 | $182.38 – $287.25 | 12 |
| Mr spectroscopy CPT 76390 | $1,464.60 | $2,441.00 | $96.88 – $1,055.70 | 13 |
| Mthfr gene analy common variants CPT 81291 | $408.60 | $681.00 | $59.55 – $81.73 | 13 |
| Mucopolysaccharides CPT 83864 | $318.00 | $530.00 | $18.00 – $54.11 | 16 |
| Multiple sleep latency test CPT 95805 | $1,400.40 | $2,334.00 | $136.49 – $720.95 | 12 |
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.