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 |
|---|---|---|---|---|
| Revision of penis CPT 54300 | not published | not published | $836.96 – $4,782.42 | 13 |
| Revision of penis CPT 54304 | not published | not published | $1,631.43 – $4,782.42 | 13 |
| Revision of penis CPT 54430 | $6,344.40 | $10,574.00 | $1,083.57 – $1,662.92 | 2 |
| Revision of penis CPT 54435 | $5,799.00 | $9,665.00 | $822.90 – $4,782.42 | 13 |
| Revision of scrotum CPT 55175 | not published | not published | $545.04 – $4,782.42 | 13 |
| Revision of testis CPT 54660 | not published | not published | $729.80 – $7,049.07 | 13 |
| Revision of thigh muscles CPT 27430 | not published | not published | $616.00 – $9,905.66 | 16 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $429.00 – $9,905.66 | 16 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $484.55 – $9,905.66 | 16 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $1,030.96 – $7,495.67 | 13 |
| Revision tips CPT 37183 | $11,371.20 | $18,952.00 | $784.32 – $7,905.86 | 13 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $1,371.31 – $17,841.43 | 13 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $1,482.58 – $2,481.66 | 2 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $545.04 – $4,768.61 | 13 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $294.52 – $4,768.61 | 13 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $293.64 – $4,768.61 | 13 |
| Revsc opn/prq tib/pero stent CPT 37234 | $14,622.00 | $24,370.00 | $5,690.71 – $6,932.04 | 2 |
| Rheumatoid factor quantitative CPT 86431 | $167.40 | $279.00 | $5.61 – $10.80 | 16 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $213.60 | $267.00 | $3.07 – $13.15 | 7 |
| Rho(d) immune globulin h, sd HCPCS J2792 | $108.00 | $135.00 | $16.07 – $40.21 | 13 |
| Rho d immune globulin inj HCPCS J2790 | $787.20 | $984.00 | $52.14 – $220.95 | 7 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $379.80 | $633.00 | $29.15 – $166.40 | 16 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $409.80 | $683.00 | $30.25 – $166.40 | 16 |
| Rib X-ray (3 views, both sides) CPT 71110 | $379.80 | $633.00 | $30.25 – $166.40 | 16 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $0.20 | $0.25 | $0.09 – $0.14 | 4 |
| Right ventric recording CPT 93603 | $921.00 | $1,535.00 | $174.08 – $1,442.64 | 12 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $25.40 | $31.75 | $6.91 – $16.14 | 13 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $312.80 | $391.00 | $47.49 – $81.24 | 13 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | $131.40 | $219.00 | $23.17 – $39.63 | 13 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $319.20 | $399.00 | $18.55 – $53.96 | 13 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $215.40 | $359.00 | $16.74 – $47.82 | 13 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $8,072.40 | $13,454.00 | $17.58 – $61.01 | 13 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | $33.55 – $975.61 | 15 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $433.57 – $8,090.06 | 13 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $545.04 – $2,219.16 | 13 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $42.35 – $1,634.95 | 16 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $724.80 | $1,208.00 | $33.55 – $2,246.66 | 16 |
| Rmvl icd by tv extr CPT 33244 | $3,372.00 | $5,620.00 | $1,598.33 – $5,046.33 | 13 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $32,186.40 | $53,644.00 | $485.56 – $31,124.41 | 13 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $32,186.40 | $53,644.00 | $504.14 – $44,457.34 | 13 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $32,186.40 | $53,644.00 | $466.99 – $31,124.41 | 13 |
| Rmvl icd pulse gen only CPT 33241 | $5,272.20 | $8,787.00 | $431.17 – $5,046.33 | 13 |
| Rmvl imed rx delivery device CPT 20703 | not published | not published | $57.51 – $293.60 | 3 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $2,068.20 | $3,447.00 | $272.28 – $857.29 | 13 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | not published | not published | $77.20 – $199.10 | 2 |
| Rmvl perm pm pulse gen CPT 33233 | $2,115.00 | $3,525.00 | $375.72 – $11,475.67 | 13 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $9,586.80 | $15,978.00 | $466.50 – $26,444.52 | 13 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $8,749.20 | $14,582.00 | $429.35 – $11,475.67 | 13 |
| Rmvl pq iabp CPT 33968 | $356.40 | $594.00 | $63.91 – $82.35 | 3 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $995.40 | $1,659.00 | $178.41 – $484.97 | 3 |
| Rmvl sq defib electrode CPT 33272 | $7,182.00 | $11,970.00 | $597.19 – $5,046.33 | 13 |
| Rmvl subq card rhythm mntr CPT 33286 | $1,760.40 | $2,934.00 | $81.16 – $975.61 | 13 |
| Rmvl tv pm lead dual CPT 33235 | $2,413.20 | $4,022.00 | $916.22 – $5,046.33 | 13 |
| Rmvl tv pm lead sgl CPT 33234 | $2,115.00 | $3,525.00 | $899.92 – $5,046.33 | 13 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | $90.60 | $151.00 | $15.47 – $33.24 | 13 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $36.20 | $45.25 | $6.95 – $11.96 | 12 |
| Romiplostim injection HCPCS J2796 | $271.80 | $453.00 | $87.57 – $261.44 | 3 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $43.20 | $56.00 | $5.54 – $13.04 | 13 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $260.40 | $434.00 | $0.03 – $0.21 | 7 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | $115.20 | $144.00 | $9.20 – $25.02 | 12 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $1,284.00 | $2,140.00 | $547.03 – $2,154.03 | 13 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $2,130.60 | $3,551.00 | $71.65 – $2,154.03 | 16 |
| Rpl tun cvc wo subq port CPT 36581 | $2,346.00 | $3,910.00 | $204.48 – $4,364.40 | 16 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | not published | not published | $399.64 – $9,418.69 | 3 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | not published | not published | $300.87 – $7,414.98 | 13 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | $1,600.20 | $2,667.00 | $291.37 – $8,090.06 | 13 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | not published | not published | $223.74 – $7,414.98 | 13 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | not published | not published | $133.41 – $4,893.48 | 13 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | not published | not published | $185.71 – $8,090.06 | 13 |
| Rpr aa hrn rcr > 10 ncr/strn CPT 49618 | not published | not published | $484.31 – $9,418.69 | 3 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | not published | not published | $335.42 – $9,418.69 | 3 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | not published | not published | $249.67 – $7,414.98 | 13 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | not published | not published | $223.22 – $8,090.06 | 13 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | not published | not published | $164.47 – $4,893.48 | 13 |
| Rpr ing hernia init reduce CPT 49500 | not published | not published | $350.35 – $7,414.98 | 16 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | not published | not published | $729.80 – $9,905.66 | 13 |
| Rubella antibody igg CPT 86762 | $63.60 | $106.00 | $14.22 – $27.30 | 16 |
| Rubeola antibody igg CPT 86765 | $168.60 | $281.00 | $11.80 – $17.49 | 16 |
| Russell viper venom diluted CPT 85613 | $156.60 | $261.00 | $9.47 – $26.00 | 16 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $5,201.40 | $8,669.00 | $22.03 – $39.18 | 13 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $375.00 | $625.00 | $21.89 – $166.40 | 16 |
| Sarscov coronavirus ag ia CPT 87426 | $34.80 | $58.00 | $30.76 – $84.07 | 16 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $519.60 | $866.00 | $134.15 – $454.37 | 16 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $214.20 | $357.00 | $98.63 – $399.68 | 16 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $539.40 | $899.00 | $117.01 – $554.36 | 16 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $543.60 | $906.00 | $54.63 – $401.38 | 16 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $539.40 | $899.00 | $95.23 – $392.60 | 16 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $539.40 | $899.00 | $97.27 – $383.47 | 16 |
| Scan proc cranial extra CPT 61782 | not published | not published | $303.93 – $5,394.38 | 3 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $3,801.60 | $6,336.00 | $661.62 – $2,246.66 | 13 |
| Screen cerv/vag thin layer HCPCS G0123 | $61.20 | $102.00 | $20.26 – $44.69 | 12 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $1,440.00 | $2,400.00 | $620.54 – $1,264.19 | 12 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $785.10 – $1,264.19 | 12 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | $63.60 | $106.00 | $11.28 – $30.53 | 15 |
| Screening Mammogram CPT 77067 | $205.20 | $342.00 | $60.95 – $178.43 | 11 |
| Screening prostate cancer PSA HCPCS G0103 | $96.00 | $160.00 | $19.31 – $48.83 | 12 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $17,208.00 | $28,680.00 | $175.81 – $175.81 | 1 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $697.80 | $1,163.00 | $74.44 – $232.72 | 16 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $7,408.20 | $12,347.00 | $3,170.58 – $7,823.55 | 3 |
| Sedimentation rate erythrocyte automated CPT 85652 | $70.20 | $117.00 | $2.67 – $16.62 | 16 |
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.