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 |
|---|---|---|---|---|
| Path clin consltj mod 21-40 CPT 80504 | $454.20 | $757.00 | $21.99 – $203.63 | 12 |
| Path clin consltj sf 5-20 CPT 80503 | $189.60 | $316.00 | $10.99 – $63.49 | 12 |
| Pcv21 vaccine im CPT 90684 | $252.80 | $316.00 | $11.00 – $327.89 | 9 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $836.96 – $3,546.51 | 13 |
| Pegaspargase injection HCPCS J9266 | $11,001.60 | $18,336.00 | $2,456.68 – $30,697.98 | 13 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $10,005.00 | $16,675.00 | $56.41 – $258.52 | 13 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $1,260.00 | $1,575.00 | $67.14 – $222.03 | 13 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | $645.60 | $1,076.00 | $116.75 – $199.70 | 12 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $2,179.20 | $3,632.00 | $62.59 – $198.31 | 13 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | $5,918.40 | $9,864.00 | $417.45 – $3,953.70 | 13 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $4,104.00 | $6,840.00 | $140.66 – $944.68 | 16 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,838.00 | $4,730.00 | $134.02 – $786.07 | 16 |
| Pelvic CT scan (without contrast) CPT 72192 | $2,838.00 | $4,730.00 | $117.01 – $691.07 | 16 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,415.00 | $4,025.00 | $271.09 – $2,009.77 | 16 |
| Pelvic MRI (with contrast) CPT 72196 | $3,205.20 | $5,342.00 | $213.96 – $1,249.75 | 16 |
| Pelvic MRI (without contrast) CPT 72195 | $2,045.40 | $3,409.00 | $180.32 – $941.15 | 16 |
| Pelvic Ultrasound (complete) CPT 76856 | $719.40 | $1,199.00 | $80.17 – $242.92 | 16 |
| Pelvic Ultrasound (limited) CPT 76857 | $462.00 | $770.00 | $35.20 – $166.40 | 16 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $334.80 | $558.00 | $19.25 – $166.40 | 16 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $385.80 | $643.00 | $25.13 – $166.40 | 16 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $220.80 | $276.00 | $30.93 – $65.11 | 13 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $1,474.20 | $2,457.00 | $2.75 – $46.98 | 13 |
| Peng benzathine/procaine inj HCPCS J0558 | $22.80 | $38.00 | $6.77 – $21.08 | 13 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $274.80 | $458.00 | $9.78 – $32.41 | 13 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $294.00 | $490.00 | $0.50 – $2.10 | 7 |
| Penile injection CPT 54235 | $877.20 | $1,462.00 | $144.33 – $337.24 | 13 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $28,558.20 | $47,597.00 | $1,897.82 – $1,897.82 | 1 |
| Penis plastic surgery CPT 54360 | not published | not published | $836.96 – $4,782.42 | 13 |
| Pentamidine non-comp unit HCPCS J2545 | $1,260.80 | $1,576.00 | $44.03 – $142.16 | 6 |
| Pentobarbital sodium inj HCPCS J2515 | $5,367.60 | $8,946.00 | $3.33 – $183.83 | 3 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | $5,255.40 | $8,759.00 | $1,646.79 – $3,074.72 | 13 |
| Perc cryo ablate renal tum CPT 50593 | $47,940.00 | $79,900.00 | $7,000.76 – $14,436.44 | 13 |
| Perc d-e cor revasc chro add HCPCS C9608 | $12,313.20 | $20,522.00 | $2,142.86 – $2,142.86 | 1 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $22,600.20 | $37,667.00 | $2,142.86 – $2,142.86 | 1 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $11,941.20 | $19,902.00 | $2,142.86 – $2,142.86 | 1 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $22,600.20 | $37,667.00 | $2,142.86 – $2,142.86 | 1 |
| Perc d-e cor stent ather br HCPCS C9603 | $11,301.00 | $18,835.00 | $2,142.86 – $2,142.86 | 1 |
| Perc d-e cor stent ather s HCPCS C9602 | $22,600.20 | $37,667.00 | $2,142.86 – $2,142.86 | 1 |
| Perc drug-el cor stent bran HCPCS C9601 | $11,301.00 | $18,835.00 | $2,142.86 – $2,142.86 | 1 |
| Perc drug-el cor stent sing HCPCS C9600 | $22,600.20 | $37,667.00 | $2,142.86 – $2,142.86 | 1 |
| Perc rf ablate renal tumor CPT 50592 | $55,701.60 | $92,836.00 | $6,419.66 – $9,996.01 | 13 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $557.40 | $929.00 | $25.67 – $137.74 | 7 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $3,992.40 | $6,654.00 | $130.21 – $559.01 | 3 |
| Pericardiocentesis wwo imaging CPT 33016 | $2,653.80 | $4,423.00 | $135.69 – $2,154.03 | 16 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $1,423.17 – $2,903.45 | 3 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $1,030.96 – $5,309.76 | 13 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $778.77 – $4,408.81 | 13 |
| Peripheral vascular rehab CPT 93668 | $316.20 | $527.00 | $38.08 – $81.67 | 4 |
| Peri-proc device eval icd CPT 93287 | $436.80 | $728.00 | $24.61 – $137.34 | 4 |
| Peri-proc device eval pm CPT 93286 | $201.60 | $336.00 | $21.30 – $116.91 | 4 |
| Perq art m-thrombect &/nfs CPT 61645 | $10,990.20 | $18,317.00 | $556.13 – $2,402.37 | 3 |
| Perq clsr tcat l atr apndge CPT 33340 | $4,123.80 | $6,873.00 | $704.58 – $1,078.74 | 2 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $2,185.61 – $12,822.31 | 13 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $853.60 – $12,822.31 | 16 |
| Perq plmt bile duct stent CPT 47538 | $8,767.80 | $14,613.00 | $295.36 – $8,090.06 | 16 |
| Perq plmt bile duct stent CPT 47540 | $8,767.80 | $14,613.00 | $476.83 – $8,090.06 | 16 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $2,313.60 | $3,856.00 | $75.02 – $387.69 | 16 |
| Perq tx malar fracture CPT 21355 | not published | not published | $130.35 – $4,496.91 | 16 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $12,802.80 | $21,338.00 | $8.16 – $23.22 | 14 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | $325.80 | $543.00 | $34.13 – $68.73 | 13 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $34,521.00 | $57,535.00 | $798.37 – $798.37 | 1 |
| Ph body fluid CPT 83986 | $19.80 | $33.00 | $2.00 – $7.01 | 16 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $114.60 | $191.00 | $3.44 – $85.57 | 7 |
| Phenobarbital therapeutic drug level CPT 80184 | $282.00 | $470.00 | $15.12 – $22.25 | 16 |
| Phentolaine mesylate inj HCPCS J2760 | $540.00 | $675.00 | $47.90 – $466.58 | 13 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $0.09 | $0.11 | $0.00 – $0.03 | 6 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $745.20 | $1,242.00 | $0.29 – $1.72 | 7 |
| Phenytoin total therapeutic drug level CPT 80185 | $268.20 | $447.00 | $13.00 – $25.63 | 16 |
| Phlebotomy therapeutic CPT 99195 | $192.00 | $320.00 | $11.00 – $161.87 | 16 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $4,930.20 | $8,217.00 | $842.43 – $4,364.40 | 13 |
| Phleb veins 1 extrm >20 stab CPT 37766 | $6,000.60 | $10,001.00 | $1,024.96 – $4,364.40 | 13 |
| Phosphorus CPT 84100 | $98.40 | $164.00 | $4.69 – $9.15 | 16 |
| Phosphorus 24 hour urine CPT 84105 | $104.40 | $174.00 | $5.71 – $10.00 | 16 |
| Phys blood bank serv reactj CPT 86078 | $346.20 | $577.00 | $23.43 – $213.04 | 16 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $304.80 | $508.00 | $51.56 – $177.27 | 4 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $304.80 | $508.00 | $51.56 – $177.27 | 4 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $304.80 | $508.00 | $51.56 – $177.27 | 4 |
| Physical Therapy Re-Evaluation CPT 97164 | $121.20 | $202.00 | $34.95 – $121.18 | 11 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $40.20 | $50.25 | $1.72 – $7.90 | 7 |
| Pin finger fracture each CPT 26756 | $4,104.60 | $6,841.00 | $156.20 – $4,499.05 | 16 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $187.80 | $313.00 | $0.68 – $3.22 | 7 |
| Place cath intracranial art CPT 36228 | not published | not published | $194.60 – $1,589.36 | 10 |
| Place cath xtrnl carotid CPT 36227 | $9,103.20 | $15,172.00 | $95.55 – $340.24 | 10 |
| Place duod/jej tube perc CPT 49441 | $5,066.40 | $8,444.00 | $211.46 – $2,630.42 | 16 |
| Place gastrostomy tube perc CPT 49440 | $4,038.60 | $6,731.00 | $194.19 – $2,630.42 | 16 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $1,692.00 | $2,820.00 | $90.85 – $327.19 | 10 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $1,438.20 | $2,397.00 | $43.26 – $224.80 | 10 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $1,906.80 | $3,178.00 | $77.78 – $975.61 | 16 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $2,329.80 | $3,883.00 | $409.44 – $2,840.52 | 13 |
| Placement of seton CPT 46020 | not published | not published | $192.18 – $3,802.67 | 16 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $15,319.20 | $25,532.00 | $420.05 – $15,725.10 | 16 |
| Place non-slctv cath thoracic arta CPT 36221 | $12,459.00 | $20,765.00 | $190.76 – $4,364.40 | 16 |
| Place slctv cath carotd art uni CPT 36224 | $14,652.00 | $24,420.00 | $301.85 – $7,495.67 | 16 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $12,945.60 | $21,576.00 | $256.75 – $4,364.40 | 16 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $13,871.40 | $23,119.00 | $277.61 – $7,495.67 | 16 |
| Place slctv cath subclavian art CPT 36225 | $11,102.40 | $18,504.00 | $276.45 – $4,364.40 | 16 |
| Place slctv cath vertebral art uni CPT 36226 | $11,886.60 | $19,811.00 | $302.39 – $7,495.67 | 16 |
| Platelet aggregation each agent teg CPT 85576 | $357.00 | $595.00 | $24.62 – $58.40 | 16 |
| Platelet automated CPT 85049 | $97.20 | $162.00 | $3.00 – $12.01 | 16 |
| Platelet pheresis each unit HCPCS P9034 | $2,317.80 | $3,863.00 | $322.94 – $780.70 | 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.