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 |
|---|---|---|---|---|
| Protein total serum plasma whole blood CPT 84155 | $97.20 | $162.00 | $3.63 – $7.06 | 16 |
| Prothrombin complex kcentra HCPCS J7168 | $9.20 | $11.50 | $1.32 – $2.90 | 12 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $67.80 | $113.00 | $3.90 – $10.71 | 16 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $1,326.21 – $4,893.48 | 13 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | not published | not published | $2,654.53 – $24,899.21 | 13 |
| Prq card angio/athrect addl CPT 92925 | $33,667.20 | $56,112.00 | $134.06 – $134.06 | 1 |
| Prq cardiac angio addl art CPT 92921 | $17,658.00 | $29,430.00 | $121.90 – $121.90 | 1 |
| Prq card revasc mi 1 vsl CPT 92941 | $26,818.20 | $44,697.00 | $575.52 – $963.36 | 2 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $22,600.20 | $37,667.00 | $2,142.86 – $2,142.86 | 1 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $26,818.20 | $44,697.00 | $513.05 – $858.79 | 2 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $226.60 – $9,905.66 | 16 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $26,818.20 | $44,697.00 | $859.73 – $4,474.35 | 3 |
| Prq trlml c athrc st angiop1 CPT 92933 | $26,073.60 | $43,456.00 | $961.43 – $3,133.01 | 2 |
| Prq trluml c angiop 1art&/br CPT 92920 | $17,658.00 | $29,430.00 | $773.91 – $2,523.64 | 3 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $33,667.20 | $56,112.00 | $502.81 – $920.08 | 2 |
| Pr removal drug delivery implant CPT 11982 | not published | not published | $101.56 – $553.32 | 16 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $407.40 | $679.00 | $33.00 – $178.73 | 16 |
| Pr removal intrauterine device CPT 58301 | $663.60 | $1,106.00 | $18.98 – $421.80 | 15 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $856.20 | $1,427.00 | $36.30 – $554.00 | 16 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $566.40 | $944.00 | $34.65 – $275.52 | 16 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $541.20 | $902.00 | $52.25 – $275.52 | 16 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $565.80 | $943.00 | $26.95 – $275.52 | 16 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $562.20 | $937.00 | $39.05 – $275.52 | 16 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | $5,721.60 | $9,536.00 | $729.80 – $2,536.45 | 13 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,909.80 | $3,183.00 | $269.64 – $2,154.03 | 13 |
| PSA (Prostate) Test CPT 84153 | $307.80 | $513.00 | $18.17 – $35.56 | 16 |
| Pt application of modality traction mechanical CPT 97012 | $187.80 | $313.00 | $21.56 – $100.11 | 4 |
| Pten gene known fam variant CPT 81322 | $46.80 | $78.00 | $37.38 – $50.33 | 13 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $202.20 | $337.00 | $52.85 – $98.51 | 3 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $66.60 | $111.00 | $18.43 – $105.38 | 11 |
| Pt wheelchair management each 15 minutes CPT 97542 | $141.60 | $236.00 | $25.48 – $100.11 | 4 |
| Pulmonary vent imaging CPT 78579 | $686.40 | $1,144.00 | $141.88 – $546.54 | 16 |
| Pulse ox continuous overnight monitoring CPT 94762 | $143.40 | $239.00 | $31.60 – $205.40 | 13 |
| Pulse ox multiple CPT 94761 | $163.80 | $273.00 | $4.25 – $43.53 | 11 |
| Pulse ox single CPT 94760 | $55.80 | $93.00 | $2.18 – $20.49 | 11 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $91.20 | $152.00 | $13.00 – $153.18 | 15 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $566.40 | $944.00 | $26.40 – $554.00 | 16 |
| Puncture spinal lumbar diagnostic CPT 62270 | $2,310.60 | $3,851.00 | $46.20 – $960.26 | 16 |
| Pvb thoracic 2nd+ inj site CPT 64462 | $311.40 | $519.00 | $48.60 – $147.93 | 11 |
| Pvb thoracic single inj site CPT 64461 | $550.20 | $917.00 | $77.09 – $960.26 | 16 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $1,747.14 – $2,908.97 | 3 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $1,444.10 – $2,593.92 | 3 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $82.40 | $103.00 | $0.91 – $40.38 | 7 |
| Pyruvate CPT 84210 | $126.60 | $211.00 | $8.00 – $29.26 | 16 |
| Pyruvate kinase CPT 84220 | $142.20 | $237.00 | $8.00 – $25.65 | 16 |
| Quant diff pulm perf w/imaging CPT 78597 | $1,055.40 | $1,759.00 | $160.27 – $546.54 | 16 |
| Quest t3 uptake CPT 84479 | $102.60 | $171.00 | $6.39 – $12.51 | 16 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $933.60 | $1,167.00 | $11.00 – $328.36 | 15 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $445.20 | $742.00 | $153.14 – $192.68 | 12 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,767.60 | $2,946.00 | $120.98 – $1,888.73 | 16 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $2,486.40 | $4,144.00 | $232.80 – $1,888.73 | 16 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $3,064.20 | $5,107.00 | $300.49 – $1,888.73 | 16 |
| Radphm lcl tumor plr sgl day CPT 78800 | $1,098.00 | $1,830.00 | $94.34 – $546.54 | 16 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $209.40 | $349.00 | $36.49 – $80.31 | 13 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $11,323.20 | $18,872.00 | $238.37 – $408.32 | 13 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $714.40 | $997.00 | $136.23 – $243.12 | 13 |
| Rbc count only automated CPT 85041 | $36.60 | $61.00 | $2.98 – $5.82 | 16 |
| Rbc o2 co2 reduced HCPCS P9027 | $1,285.80 | $2,143.00 | $535.97 – $578.85 | 10 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $1,769.93 – $25,500.07 | 13 |
| Reconstruct cleft palate CPT 42200 | not published | not published | $1,232.68 – $8,202.79 | 13 |
| Reconstruct extra finger CPT 26587 | not published | not published | $1,232.68 – $4,499.05 | 13 |
| Reconstruct head of radius CPT 24366 | not published | not published | $666.56 – $17,841.43 | 16 |
| Reconstruction knee CPT 27427 | not published | not published | $698.63 – $9,905.66 | 16 |
| Reconstruction knee CPT 27428 | not published | not published | $783.20 – $17,841.43 | 16 |
| Reconstruction of nose CPT 30420 | not published | not published | $1,232.68 – $8,202.79 | 13 |
| Reconstruction tongue fold CPT 41520 | not published | not published | $729.80 – $4,496.91 | 12 |
| Reconstruct shoulder joint CPT 23470 | not published | not published | $2,162.25 – $17,841.43 | 13 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | $2,617.92 – $22,326.53 | 13 |
| Red blood cells each unit HCPCS P9021 | $360.00 | $600.00 | $33.00 – $189.29 | 16 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $831.60 | $1,386.00 | $187.82 – $394.81 | 13 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $837.60 | $1,396.00 | $259.71 – $303.98 | 12 |
| Red blood cells washed each unit HCPCS P9022 | $783.60 | $1,306.00 | $154.43 – $548.00 | 13 |
| Redo endovas vena cava filtr CPT 37192 | $6,852.00 | $11,420.00 | $2,122.30 – $4,364.40 | 13 |
| Reduction of procidentia 45900 CPT 45900 | $3,449.40 | $5,749.00 | $388.83 – $1,264.19 | 13 |
| Refill/maint pump/resvr syst CPT 96522 | $428.40 | $714.00 | $95.53 – $272.79 | 16 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $2,583.60 | $4,306.00 | $1.91 – $58.45 | 7 |
| Release finger contracture CPT 26525 | not published | not published | $836.96 – $2,219.16 | 13 |
| Release of lower leg tendon CPT 27680 | not published | not published | $836.96 – $4,499.05 | 13 |
| Release palm & finger tendon CPT 26442 | not published | not published | $357.50 – $4,499.05 | 16 |
| Relocation skin pocket aicd CPT 33223 | $3,516.60 | $5,861.00 | $785.10 – $2,536.45 | 13 |
| Relocation skin pocket pm CPT 33222 | $3,515.40 | $5,859.00 | $364.32 – $2,536.45 | 16 |
| Rem/biv cast full arm/leg CPT 29705 | $555.00 | $925.00 | $92.94 – $368.26 | 12 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $17.40 | $21.75 | $2.36 – $7.27 | 13 |
| Rem endovas vena cava filter CPT 37193 | $7,189.20 | $11,982.00 | $2,027.30 – $4,364.40 | 13 |
| Rem interrog dev eval icpms CPT 93297 | $257.40 | $429.00 | $39.48 – $67.77 | 15 |
| Rem interrog dev eval scrms CPT 93298 | $294.60 | $491.00 | $34.93 – $113.19 | 15 |
| Rem interrog evl pm/ids CPT 93296 | $345.00 | $575.00 | $21.99 – $62.73 | 16 |
| Remote 30 day ecg tech supp CPT 93229 | $1,447.80 | $2,413.00 | $32.53 – $370.05 | 12 |
| Removal anal seton other marker 46030 CPT 46030 | not published | not published | $79.20 – $1,634.95 | 16 |
| Removal biliary drg cath CPT 47537 | $2,349.00 | $3,915.00 | $89.12 – $1,300.05 | 16 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $1,408.80 | $2,348.00 | $319.83 – $857.29 | 13 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $1,464.00 | $2,440.00 | $202.50 – $2,154.03 | 16 |
| Removal cerclage w/anes CPT 59871 | not published | not published | $331.31 – $4,408.81 | 13 |
| Removal cerclage without anes CPT 59899 | $2,788.20 | $4,647.00 | $221.35 – $490.91 | 12 |
| Removal cerumen impacted (both sides) CPT 69210 | $139.80 | $233.00 | $18.59 – $82.37 | 13 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $180.00 | $300.00 | $13.42 – $236.12 | 13 |
| Removal implant from finger/hand 26320 CPT 26320 | not published | not published | $286.00 – $2,246.66 | 16 |
| Removal implant superficial separate procedure CPT 20670 | $3,037.80 | $5,063.00 | $102.85 – $2,246.66 | 16 |
| Removal mamma implant mat 19330 CPT 19330 | $2,992.80 | $4,988.00 | $545.04 – $5,309.76 | 13 |
| Removal of adenoids CPT 42830 | not published | not published | $474.60 – $4,496.91 | 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.