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 |
|---|---|---|---|---|
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | $3,239.40 | $5,399.00 | $116.15 – $584.39 | 2 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $168.60 | $281.00 | $48.19 – $291.59 | 3 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $2,618.40 | $4,364.00 | $420.87 – $5,076.39 | 13 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $1,200.00 | $2,000.00 | $98.45 – $584.39 | 3 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $168.60 | $281.00 | $38.50 – $529.86 | 3 |
| Application finger splntstatic 29130 CPT 29130 | $231.60 | $386.00 | $55.76 – $178.73 | 13 |
| Application long leg splint 29505 CPT 29505 | $1,413.60 | $2,356.00 | $40.70 – $334.58 | 16 |
| Application lower leg splint 29515 CPT 29515 | $539.40 | $899.00 | $38.50 – $218.80 | 16 |
| Application multi layer compression below knee (both sides) CPT 29581 | $584.40 | $974.00 | $126.88 – $218.80 | 13 |
| Application of forearm cast 29075 CPT 29075 | $407.40 | $679.00 | $50.05 – $368.26 | 16 |
| Application of long arm cast 29065 CPT 29065 | $856.20 | $1,427.00 | $46.75 – $368.26 | 16 |
| Application of long leg cast 29345 CPT 29345 | $801.60 | $1,336.00 | $130.12 – $368.26 | 13 |
| Application of paste boot 29580 CPT 29580 | $754.20 | $1,257.00 | $99.42 – $218.80 | 13 |
| Application short leg cast 29405 CPT 29405 | $689.40 | $1,149.00 | $55.55 – $368.26 | 16 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $2,425.80 | $4,043.00 | $219.71 – $2,536.45 | 13 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $2,805.60 | $4,676.00 | $203.45 – $2,536.45 | 13 |
| Appl mltpln uni ext fixj sys CPT 20692 | not published | not published | $1,030.96 – $17,841.43 | 13 |
| Appl unipln uni ext fixj sys CPT 20690 | not published | not published | $729.80 – $9,905.66 | 13 |
| Apply forearm splintdynamic 29126 CPT 29126 | $250.20 | $417.00 | $28.60 – $178.73 | 16 |
| Apply hand/wrist cast 29085 CPT 29085 | $825.00 | $1,375.00 | $30.25 – $218.80 | 16 |
| Apply interstit radiat compl CPT 77778 | $5,286.00 | $8,810.00 | $361.85 – $2,036.11 | 16 |
| Apply of finger splint 29131 CPT 29131 | $539.40 | $899.00 | $30.48 – $156.81 | 16 |
| Apply rigid leg cast 29445 CPT 29445 | $1,155.60 | $1,926.00 | $111.62 – $388.34 | 16 |
| Apply short leg castambul type 29425 CPT 29425 | $777.60 | $1,296.00 | $57.75 – $368.26 | 16 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | $11.20 | $14.00 | $1.04 – $1.77 | 13 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | $28.80 | $48.00 | $5.11 – $40.75 | 16 |
| Aquaporin-4 antibody cba each CPT 86052 | $234.60 | $391.00 | $5.11 – $13.40 | 16 |
| Aquaporin-4 antibody elisa CPT 86051 | $234.60 | $391.00 | $4.89 – $12.81 | 16 |
| Aquatic exercise - group charge CPT 97150 | $73.80 | $123.00 | $25.48 – $100.11 | 4 |
| Arformoterol non-comp unit HCPCS J7605 | $30.20 | $37.75 | $0.45 – $6.32 | 6 |
| Argatroban nonesrd use 1mg HCPCS J0883 | $358.80 | $598.00 | $0.50 – $3.98 | 13 |
| Ar gene charac alleles CPT 81204 | $2,124.00 | $3,540.00 | $83.66 – $147.96 | 13 |
| Arm CT Scan (with contrast, both arms) CPT 73201 | $2,052.60 | $3,421.00 | $134.02 – $701.10 | 13 |
| Arm CT Scan (without contrast, both arms) CPT 73200 | $1,906.80 | $3,178.00 | $115.76 – $604.00 | 13 |
| Arm or Leg Ultrasound (limited, left side) CPT 76882 | $476.40 | $794.00 | $18.23 – $166.40 | 13 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | $262.80 | $438.00 | $5.15 – $43.22 | 13 |
| Arterial blood draw/perc 36620 CPT 36620 | $633.60 | $1,056.00 | $52.34 – $178.28 | 10 |
| Artery-vein nonautograft CPT 36830 | not published | not published | $687.28 – $7,495.67 | 16 |
| Artery xray each vessel 7577426 CPT 75774 | $2,092.20 | $3,487.00 | $41.25 – $1,204.96 | 10 |
| Artery xray of abdomen 75726-26 CPT 75726 | $2,766.60 | $4,611.00 | $41.25 – $6,823.64 | 16 |
| Artery x-rays adrenal gland CPT 75731 | $2,739.60 | $4,566.00 | $41.25 – $3,740.32 | 16 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $2,766.60 | $4,611.00 | $41.25 – $4,114.32 | 16 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $2,766.60 | $4,611.00 | $41.25 – $4,114.32 | 16 |
| Artery x-rays chest CPT 75756 | $3,486.60 | $5,811.00 | $41.25 – $4,114.32 | 16 |
| Artery x-rays lung CPT 75741 | $4,113.00 | $6,855.00 | $41.25 – $4,114.32 | 11 |
| Artery x-rays lungs CPT 75743 | $6,954.60 | $11,591.00 | $41.25 – $4,114.32 | 16 |
| Artery xrays of pelvis 75736 26 CPT 75736 | $3,612.00 | $6,020.00 | $41.25 – $6,823.64 | 16 |
| Artery x-rays spine CPT 75705 | $5,738.40 | $9,564.00 | $41.25 – $6,823.64 | 16 |
| Arthrd ant ntrbd min dsc crv CPT 22554 | not published | not published | $2,351.66 – $17,841.43 | 13 |
| Arthrd ant ntrbdy cervical CPT 22551 | not published | not published | $2,650.60 – $17,841.43 | 13 |
| Arthrd ant toral/xoral c1-c2 CPT 22548 | not published | not published | $3,150.11 – $4,955.85 | 2 |
| Arthrd cmbn 1ntrspc lumbar CPT 22633 | not published | not published | $2,340.23 – $25,500.07 | 13 |
| Arthrd dst rad/ul jt sgm rsc CPT 25830 | not published | not published | $1,262.14 – $9,905.66 | 13 |
| Arthrd pst tq 1ntrspc lum CPT 22630 | not published | not published | $2,604.10 – $25,500.07 | 13 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $298.80 | $498.00 | $18.59 – $409.31 | 16 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $294.60 | $491.00 | $46.59 – $960.26 | 16 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $689.40 | $1,149.00 | $54.80 – $409.31 | 16 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $281.40 | $469.00 | $19.80 – $409.31 | 16 |
| Arthrodes/ant/cerv below c2 ea add 22552 CPT 22552 | not published | not published | $619.41 – $5,236.00 | 3 |
| Arthrodesis big toe joint 28760 CPT 28760 | not published | not published | $1,030.96 – $9,905.66 | 13 |
| Arthrodesis/cerv/thor/lumb/ea add 22585 CPT 22585 | not published | not published | $635.88 – $1,326.07 | 3 |
| Arthrodesis/combine app/ea add 22634 CPT 22634 | not published | not published | $636.27 – $736.50 | 2 |
| Arthrodesis glenohumeral jt CPT 23800 | not published | not published | $742.50 – $9,905.66 | 16 |
| Arthrodesis pantalar CPT 28705 | not published | not published | $489.50 – $25,500.07 | 16 |
| Arthrodesis subtalar CPT 28725 | not published | not published | $803.41 – $17,841.43 | 16 |
| Arthrodesis triple CPT 28715 | not published | not published | $669.90 – $17,841.43 | 16 |
| Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 | not published | not published | $517.29 – $4,499.05 | 16 |
| Arthrp ntrcrp/crp/mtcr ntrps CPT 25447 | not published | not published | $484.00 – $4,499.05 | 16 |
| Arthrt elbw capsl exc rls CPT 24006 | not published | not published | $600.24 – $4,499.05 | 16 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | not published | not published | $836.96 – $3,296.99 | 3 |
| Artificial larynx HCPCS L8500 | $808.20 | $1,347.00 | $1,135.50 – $1,621.13 | 2 |
| Artiss fibrin sealant HCPCS C9250 | $2,862.00 | $4,770.00 | $31.62 – $153.24 | 11 |
| Ascenda two piece catheter HCPCS C1772 | $30,548.40 | $50,914.00 | $6,943.99 – $6,943.99 | 1 |
| Asp core fat pad CPT 17999 | $363.60 | $606.00 | $18.59 – $275.52 | 12 |
| Asp & inj w/heparin pleurx cath CPT 32999 | not published | not published | $18.59 – $857.29 | 12 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $2,218.20 | $3,697.00 | $169.77 – $2,840.52 | 16 |
| Aspirate pleura without imaging 32554 CPT 32554 | $1,507.80 | $2,513.00 | $296.09 – $857.29 | 13 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $543.60 | $906.00 | $65.76 – $975.61 | 16 |
| Aspiration peritonsillar abscess CPT 42999 | $297.00 | $495.00 | $18.59 – $322.01 | 12 |
| Assay myeloperoxidase CPT 83876 | $200.40 | $334.00 | $25.70 – $54.93 | 13 |
| Assay of feces porphyrins CPT 84126 | $251.40 | $419.00 | $35.01 – $43.76 | 13 |
| Assay of fluoride CPT 82735 | $289.80 | $483.00 | $8.00 – $50.39 | 16 |
| Assay of glutathione CPT 82978 | $86.40 | $144.00 | $6.75 – $16.69 | 16 |
| Assay of interleukin-6 (il-6) CPT 83529 | $271.20 | $452.00 | $7.32 – $18.65 | 13 |
| Assay of prostaglandin CPT 84150 | $260.40 | $434.00 | $11.00 – $46.79 | 16 |
| Assay of sialic acid CPT 84275 | $210.00 | $350.00 | $13.29 – $36.49 | 16 |
| Assay of somatostatin CPT 84307 | $252.00 | $420.00 | $18.07 – $44.91 | 16 |
| Assay of urine sulfate CPT 84392 | $72.60 | $121.00 | $5.43 – $12.90 | 13 |
| Assay phosphohexose enzymes CPT 84087 | $156.00 | $260.00 | $10.60 – $28.07 | 16 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $754.80 | $1,258.00 | $55.00 – $269.59 | 11 |
| Assess cyst contrast inject CPT 49424 | $894.00 | $1,490.00 | $34.32 – $295.77 | 10 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $72.60 | $121.00 | $4.22 – $11.45 | 16 |
| Assist-bilat spinal disk surgery add-on 63035 CPT 63035 | not published | not published | $368.21 – $4,395.23 | 3 |
| Ast/sgot CPT 84450 | $102.60 | $171.00 | $5.12 – $10.00 | 16 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $319.20 | $417.00 | $49.09 – $98.65 | 13 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | $40,523.40 | $67,539.00 | $571.49 – $21,338.79 | 16 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | $38,325.60 | $63,876.00 | $669.43 – $24,899.21 | 16 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $38.40 | $64.00 | $0.06 – $0.21 | 7 |
| Atxn1 gene detc abnor allele CPT 81178 | $923.40 | $1,539.00 | $83.66 – $147.96 | 13 |
| Atxn2 gene detc abnor allele CPT 81179 | $923.40 | $1,539.00 | $83.66 – $147.96 | 13 |
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.