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 |
|---|---|---|---|---|
| Nudt15 gene common variants CPT 81306 | $477.00 | $795.00 | $177.94 – $314.67 | 13 |
| Nushield 1 square cm HCPCS Q4160 | $321.60 | $536.00 | $56.69 – $1,758.06 | 2 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $211.80 | $353.00 | $39.76 – $85.32 | 13 |
| Observation direct referral from physician office for admission HCPCS G0379 | $138.60 | $231.00 | $674.61 – $728.58 | 9 |
| Observation per hour HCPCS G0378 | $1,459.80 | $2,433.00 | $27.58 – $1,171.85 | 2 |
| Obstetric panel inc HIV tstg CPT 80081 | $394.80 | $658.00 | $71.25 – $113.39 | 16 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $657.60 | $1,096.00 | $102.48 – $185.33 | 16 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | $430.80 | $718.00 | $59.03 – $183.38 | 11 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | not published | not published | $687.48 – $4,408.81 | 13 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $307.80 | $513.00 | $50.04 – $177.27 | 4 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $307.80 | $513.00 | $50.04 – $177.27 | 4 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $307.80 | $513.00 | $50.04 – $177.27 | 4 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $50,889.60 | $84,816.00 | $37.51 – $64.16 | 13 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $598.20 | $997.00 | $0.39 – $3.36 | 10 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $8,956.80 | $14,928.00 | $128.54 – $5,110.28 | 16 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $12.20 | $15.25 | $0.55 – $28.57 | 9 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $186.40 | $233.00 | $28.16 – $48.17 | 13 |
| Ondansetron 4 mg s0119 HCPCS S0119 | $179.20 | $224.00 | $0.16 – $0.51 | 4 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $39.60 | $66.00 | $0.01 – $0.13 | 6 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $86.40 | $108.00 | $0.06 – $0.28 | 10 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | $271.76 – $5,309.76 | 13 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $1,030.96 – $5,309.76 | 13 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | not published | not published | $123.20 – $2,219.16 | 16 |
| Opn impltj crnl nrv nea&pg CPT 64568 | not published | not published | $967.10 – $42,255.39 | 14 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $1,355.72 – $9,100.27 | 13 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | not published | not published | $363.80 – $42,255.39 | 13 |
| Opn tx complx malar fx CPT 21365 | not published | not published | $677.60 – $8,202.79 | 16 |
| Opn tx depress front sinus fx 21343 CPT 21343 | not published | not published | $1,232.68 – $4,828.58 | 3 |
| Opn tx orbit fx combined CPT 21387 | not published | not published | $1,232.68 – $8,202.79 | 13 |
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | $637.55 – $8,202.79 | 16 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $1,232.68 – $8,202.79 | 13 |
| Opn tx orbit periorbtl implt CPT 21390 | not published | not published | $727.60 – $8,202.79 | 16 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $836.96 – $9,905.66 | 13 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $836.96 – $9,905.66 | 13 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $836.96 – $9,905.66 | 13 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $440.00 – $9,905.66 | 16 |
| Optx medial ankle fx CPT 27766 | not published | not published | $836.96 – $9,905.66 | 13 |
| Optx mndblr/max alv ridge fx CPT 21445 | not published | not published | $1,030.96 – $8,202.79 | 12 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $1,232.68 – $8,202.79 | 13 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $520.30 – $17,841.43 | 16 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $396.00 – $9,905.66 | 16 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $474.10 – $9,905.66 | 16 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $836.96 – $9,905.66 | 13 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $577.50 – $17,841.43 | 16 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $836.96 – $9,905.66 | 13 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $374.00 – $9,905.66 | 16 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $1,051.57 – $9,905.66 | 13 |
| Oral aprepitant HCPCS J8501 | $828.60 | $1,381.00 | $1.72 – $55.73 | 9 |
| Oral everolimus HCPCS J7527 | $1,246.80 | $2,078.00 | $0.87 – $7.49 | 6 |
| Orchiectomy partial CPT 54522 | not published | not published | $897.78 – $4,782.42 | 13 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $1,030.96 – $4,893.48 | 13 |
| Organic acids total quant ea spec CPT 83918 | $305.40 | $509.00 | $22.62 – $44.74 | 16 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $274.40 | $343.00 | $3.09 – $26.43 | 7 |
| Orthopantogram CPT 70355 | $232.80 | $388.00 | $22.93 – $118.50 | 15 |
| Oscillation chest wall mechanical per session CPT 94669 | $740.40 | $1,234.00 | $24.13 – $273.12 | 13 |
| Osmolality blood CPT 83930 | $102.00 | $170.00 | $3.00 – $12.77 | 16 |
| Osmolality urine CPT 83935 | $98.40 | $164.00 | $3.00 – $13.18 | 16 |
| Other bone graft microvasc CPT 20962 | not published | not published | $1,030.96 – $6,236.27 | 3 |
| Oth resp proc, group HCPCS G0239 | $80.40 | $134.00 | $9.42 – $30.77 | 2 |
| Oth resp proc, indiv HCPCS G0238 | $80.40 | $134.00 | $13.76 – $25.46 | 2 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $96.60 | $161.00 | $29.91 – $100.11 | 4 |
| Ot re-evaluation patient/family CPT 97168 | $147.60 | $246.00 | $32.98 – $121.18 | 11 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $262.20 | $437.00 | $12.92 – $94.85 | 11 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $262.20 | $437.00 | $13.51 – $94.85 | 11 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $1,415.83 – $6,844.99 | 13 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $7,041.00 | $11,735.00 | $0.05 – $0.41 | 7 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $75.00 | $93.75 | $0.88 – $5.28 | 3 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $47.20 | $64.00 | $0.09 – $0.33 | 7 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $50.40 | $84.00 | $6.66 – $17.68 | 13 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $38.40 | $64.00 | $9.54 – $16.32 | 13 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $6,540.00 | $10,900.00 | $11.00 – $2,075.55 | 15 |
| Palonosetron hcl HCPCS J2469 | $2,017.80 | $3,363.00 | $0.22 – $3.99 | 7 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $7,660.20 | $12,767.00 | $6.09 – $24.16 | 7 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $225.00 | $375.00 | $109.25 – $186.87 | 13 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $299.20 | $374.00 | $5.19 – $5.19 | 1 |
| Papaverin hcl injection HCPCS J2440 | $52.20 | $65.25 | $2.68 – $125.07 | 3 |
| Parathormone (pth) intact CPT 83970 | $456.00 | $760.00 | $40.80 – $79.78 | 16 |
| Parathyroid autotransplantation 60512 CPT 60512 | not published | not published | $447.97 – $5,691.68 | 3 |
| Parathyroid planar imaging CPT 78070 | $783.60 | $1,306.00 | $98.19 – $546.54 | 16 |
| Parathyroid planar img w/tomo spect CPT 78071 | $1,884.60 | $3,141.00 | $237.76 – $546.54 | 16 |
| Parenteral 50% dextrose solu HCPCS B4164 | $87.20 | $109.00 | $26.64 – $26.64 | 1 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $1,178.93 – $9,042.80 | 13 |
| Paricalcitol HCPCS J2501 | $223.20 | $372.00 | $0.59 – $1.83 | 7 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $570.00 | $950.00 | $22.00 – $275.52 | 16 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $130.35 – $4,408.81 | 16 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $288.75 – $4,499.05 | 16 |
| Partial removal finger bone CPT 26236 | $5,296.20 | $8,827.00 | $302.50 – $2,219.16 | 16 |
| Partial removal of foot bone CPT 28288 | not published | not published | $271.15 – $4,499.05 | 16 |
| Partial removal of thyroid CPT 60220 | not published | not published | $729.80 – $8,090.06 | 13 |
| Partial removal of thyroid CPT 60225 | not published | not published | $836.96 – $8,090.06 | 13 |
| Partial removal of toe CPT 28160 | not published | not published | $781.95 – $4,499.05 | 13 |
| Partial removal of tongue CPT 41120 | not published | not published | $1,232.68 – $8,202.79 | 13 |
| Partial removal of tongue CPT 41130 | not published | not published | $1,883.80 – $2,260.63 | 2 |
| Partial thyroid excision CPT 60210 | not published | not published | $1,631.43 – $8,090.06 | 13 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $1,731.73 – $8,090.06 | 13 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $4,746.60 | $7,911.00 | $1.61 – $5.99 | 2 |
| Part removal of metatarsal CPT 28110 | not published | not published | $293.11 – $4,499.05 | 16 |
| Part removal of metatarsal CPT 28113 | not published | not published | $251.90 – $4,499.05 | 16 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $251.90 – $4,499.05 | 16 |
| Passy muir valve metal trach HCPCS L8501 | $367.20 | $612.00 | $155.88 – $222.54 | 2 |
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.