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 |
|---|---|---|---|---|
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $130.80 | $218.00 | $25.48 – $100.11 | 4 |
| Serpina1 gene CPT 81332 | $520.80 | $868.00 | $43.14 – $79.22 | 16 |
| Set-up cardiovert-defibrill CPT 93745 | $618.60 | $1,031.00 | $112.75 – $402.20 | 12 |
| Sgmdsc w/band ligation CPT 45350 | $2,925.00 | $4,875.00 | $111.86 – $1,634.95 | 12 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $1,295.17 – $9,905.66 | 13 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $846.09 – $9,905.66 | 16 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $561.93 – $4,499.05 | 16 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | $867.11 – $9,905.66 | 16 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $597.85 – $4,499.05 | 16 |
| Shorten radius or ulna CPT 25390 | not published | not published | $411.95 – $9,905.66 | 16 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $94.80 | $158.00 | $13.36 – $84.57 | 16 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $340.20 | $567.00 | $24.30 – $118.50 | 16 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $1,262.14 – $9,905.66 | 13 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $221.40 | $369.00 | $21.03 – $166.40 | 13 |
| Shoulder MRI (with and without contrast) CPT 73223 | $2,415.00 | $4,025.00 | $265.23 – $1,992.24 | 13 |
| Shoulder MRI (with contrast) CPT 73222 | $1,948.80 | $3,248.00 | $201.09 – $1,109.81 | 13 |
| Shoulder MRI (without contrast) CPT 73221 | $2,045.40 | $3,409.00 | $167.99 – $1,176.45 | 13 |
| Shoulder X-ray CPT 73030 | $341.40 | $569.00 | $21.87 – $118.50 | 13 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $305.40 | $509.00 | $18.56 – $118.50 | 13 |
| Sickling rbc CPT 85660 | $105.00 | $175.00 | $3.00 – $9.16 | 16 |
| Sigmoidoscopy and biopsy CPT 45331 | $2,313.60 | $3,856.00 | $70.04 – $1,264.19 | 16 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | $2,865.60 | $4,776.00 | $135.27 – $1,264.19 | 16 |
| Sigmoidoscopy for bleeding CPT 45334 | $2,766.00 | $4,610.00 | $123.20 – $1,634.95 | 16 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | $1,558.80 | $2,598.00 | $86.52 – $1,264.19 | 16 |
| Sigmoidoscopy w/ablation CPT 45346 | $2,279.40 | $3,799.00 | $218.58 – $1,634.95 | 12 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | $2,070.00 | $3,450.00 | $55.00 – $1,634.95 | 16 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | $2,713.80 | $4,523.00 | $111.86 – $8,254.31 | 12 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $2,279.40 | $3,799.00 | $134.15 – $1,634.95 | 16 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | $360.60 | $601.00 | $37.38 – $81.67 | 15 |
| Sig w/tndsc balloon dilation CPT 45340 | $1,813.80 | $3,023.00 | $109.36 – $1,634.95 | 16 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $890.40 | $1,113.00 | $77.89 – $362.37 | 7 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,052.60 | $3,421.00 | $146.43 – $844.58 | 16 |
| Sinus CT scan (with contrast) CPT 70487 | $1,612.80 | $2,688.00 | $129.91 – $697.74 | 16 |
| Sinus CT scan (without contrast) CPT 70486 | $1,464.60 | $2,441.00 | $98.61 – $590.02 | 16 |
| Sinus/juglr venogram s&i CPT 75860 | $1,674.00 | $2,790.00 | $27.50 – $4,114.32 | 16 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $157.30 – $4,496.91 | 16 |
| Sinus X-ray (complete) CPT 70220 | $370.80 | $618.00 | $29.26 – $118.50 | 16 |
| Sinus X-ray (limited) CPT 70210 | $341.40 | $569.00 | $20.23 – $118.50 | 16 |
| Sirolimus, oral HCPCS J7520 | $61.20 | $76.50 | $0.55 – $12.10 | 9 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | not published | $836.96 – $3,275.51 | 3 |
| Skull X-ray (1 to 3 views) CPT 70250 | $289.80 | $483.00 | $28.07 – $166.40 | 16 |
| Skull X-ray (complete) CPT 70260 | $370.80 | $618.00 | $40.47 – $166.40 | 16 |
| Sleep Study (Polysomnography) CPT 95810 | $2,098.80 | $3,498.00 | $281.14 – $1,349.45 | 12 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $182.40 | $304.00 | $17.66 – $17.66 | 1 |
| Sling suprapubic suburetheral HCPCS C1771 | $4,768.80 | $7,948.00 | $885.46 – $885.46 | 1 |
| Slp pure tone screening CPT 92551 | $93.60 | $156.00 | $8.80 – $26.81 | 10 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $596.40 | $994.00 | $41.25 – $270.53 | 16 |
| Small bowel endoscopy CPT 44360 | $3,124.80 | $5,208.00 | $149.01 – $2,630.42 | 16 |
| Small bowel endoscopy CPT 44364 | $3,124.20 | $5,207.00 | $210.00 – $2,630.42 | 16 |
| Small bowel endoscopy CPT 44366 | $3,123.00 | $5,205.00 | $228.25 – $2,630.42 | 16 |
| Small bowel endoscopy CPT 44369 | $3,099.00 | $5,165.00 | $228.25 – $2,630.42 | 16 |
| Small bowel endoscopy CPT 44376 | not published | not published | $291.29 – $2,630.42 | 16 |
| Small bowel endoscopy CPT 44378 | not published | not published | $545.04 – $2,630.42 | 13 |
| Small bowel endoscopy CPT 44382 | $2,310.60 | $3,851.00 | $76.74 – $1,300.05 | 16 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | $3,097.20 | $5,162.00 | $197.48 – $2,630.42 | 16 |
| Small bowel endoscopy/biopsy CPT 44361 | $3,124.20 | $5,207.00 | $164.24 – $2,630.42 | 16 |
| Small bowel endoscopy br/wa CPT 44380 | $2,310.60 | $3,851.00 | $64.44 – $1,300.05 | 16 |
| Small bowel endoscopy/stent 44370 CPT 44370 | $6,265.20 | $10,442.00 | $460.56 – $8,254.31 | 13 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $91.20 | $152.00 | $3.00 – $8.31 | 16 |
| Smear gram stain CPT 87205 | $87.00 | $145.00 | $4.22 – $8.25 | 16 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $130.80 | $218.00 | $4.50 – $11.58 | 16 |
| Smear wet mount CPT 87210 | $161.40 | $269.00 | $5.75 – $11.60 | 16 |
| Sodium 24 hour urine CPT 84300 | $102.60 | $171.00 | $5.01 – $9.41 | 16 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $108.00 | $135.00 | $0.00 – $7.33 | 9 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $101.60 | $127.00 | $0.80 – $4.79 | 7 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $121.60 | $152.00 | $0.03 – $5.34 | 10 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $36.00 | $60.00 | $0.02 – $0.20 | 3 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $164.80 | $209.00 | $1.28 – $6.45 | 9 |
| Sodium serum/plasma/whole blood CPT 84295 | $68.40 | $114.00 | $4.76 – $9.26 | 16 |
| Somatropin injection HCPCS J2941 | $2,557.80 | $4,263.00 | $48.92 – $154.84 | 12 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $348.60 – $645.07 | 2 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $303.73 – $2,954.86 | 2 |
| Special physics consult CPT 77370 | $876.00 | $1,460.00 | $106.15 – $320.99 | 16 |
| Specific gravity body fluid CPT 84315 | $56.40 | $94.00 | $3.24 – $6.82 | 13 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $508.80 | $848.00 | $137.44 – $498.36 | 4 |
| Speech audiometry complete CPT 92556 | $207.00 | $345.00 | $16.50 – $70.96 | 16 |
| Speech recep thresh CPT 92555 | $97.20 | $162.00 | $7.15 – $70.59 | 16 |
| Speech Therapy Session (one-on-one) CPT 92507 | $180.00 | $300.00 | $23.87 – $180.09 | 11 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $453.20 – $8,202.79 | 16 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $211.36 – $2,141.54 | 3 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $137.66 – $379.20 | 2 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,505.40 | $2,509.00 | $80.72 – $960.26 | 16 |
| Spine X-ray (single view, one level) CPT 72020 | $379.80 | $633.00 | $17.80 – $118.50 | 16 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $1,524.90 – $2,797.29 | 3 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $134.40 | $224.00 | $48.31 – $48.31 | 1 |
| Split blood or products CPT 86985 | $284.40 | $474.00 | $11.30 – $213.04 | 12 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $508.80 | $848.00 | $69.13 – $237.36 | 4 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $54,766.80 | $91,278.00 | $690.34 – $25,963.03 | 16 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $56,324.40 | $93,874.00 | $1,679.37 – $1,679.37 | 1 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $36,111.00 | $60,185.00 | $1,147.12 – $1,147.12 | 1 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $14,054.40 | $23,424.00 | $953.60 – $953.60 | 1 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $17,695.80 | $29,493.00 | $468.05 – $15,725.10 | 16 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $10,869.00 | $18,115.00 | $198.55 – $4,614.66 | 10 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $31,604.40 | $52,674.00 | $644.90 – $24,899.21 | 16 |
| Sterile gauze <= 16 sq in HCPCS A6402 | $1.20 | $2.00 | $0.22 – $0.29 | 2 |
| Sterile needle HCPCS A4215 | $259.20 | $432.00 | $0.15 – $0.15 | 1 |
| Sterile water/saline, 10 ml HCPCS A4216 | $31.00 | $38.75 | $0.07 – $1.86 | 4 |
| Sterile water/saline, 500 ml HCPCS A4217 | $70.80 | $118.00 | $4.46 – $4.46 | 1 |
| St evaluate speech sound production CPT 92522 | $508.80 | $848.00 | $66.27 – $242.29 | 4 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $489.00 | $815.00 | $46.55 – $223.13 | 11 |
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.