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 |
|---|---|---|---|---|
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $700.20 | $1,167.00 | $148.49 – $546.54 | 16 |
| Strapping of ankle and/or ft 29540 CPT 29540 | not published | not published | $22.00 – $218.80 | 16 |
| Strep a ag ia CPT 87430 | $87.00 | $145.00 | $6.30 – $18.15 | 16 |
| Streptozocin injection HCPCS J9320 | $1,356.60 | $2,261.00 | $132.46 – $1,007.82 | 3 |
| Stress test pulmonary CPT 94618 | $525.60 | $876.00 | $6.86 – $161.87 | 16 |
| Stress tte complete CPT 93351 | $2,143.80 | $3,573.00 | $204.09 – $714.96 | 16 |
| Str markers specimen anal CPT 81265 | $1,709.40 | $2,849.00 | $230.35 – $384.07 | 13 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $64.60 | $80.75 | $0.88 – $4.74 | 3 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $1,631.43 – $5,076.39 | 12 |
| Sugars single quant CPT 84378 | $111.60 | $186.00 | $11.39 – $30.58 | 16 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $26,679.00 | $44,465.00 | $962.38 – $1,154.86 | 3 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $1.00 | $1.25 | $0.03 – $0.05 | 4 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $1,483.20 | $1,854.00 | $25.50 – $444.56 | 6 |
| Supp non-insulin inf cath/wk HCPCS A4221 | $19.20 | $32.00 | $32.10 – $52.16 | 2 |
| Support clav 29.6-40.5in med HCPCS L3650 | $170.40 | $284.00 | $80.56 – $114.97 | 2 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $168.51 – $3,802.67 | 13 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $1,177.75 – $1,665.07 | 2 |
| Surgical pathology level 1 gross examination only CPT 88300 | $102.60 | $171.00 | $5.48 – $34.13 | 16 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $138.00 | $230.00 | $11.29 – $70.24 | 16 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $211.80 | $353.00 | $16.53 – $94.75 | 16 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $250.20 | $417.00 | $33.11 – $168.74 | 16 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $360.60 | $601.00 | $45.50 – $427.47 | 16 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $320.40 | $534.00 | $66.79 – $970.76 | 16 |
| Susceptibility agar dilution per agent CPT 87181 | $75.60 | $126.00 | $4.70 – $12.90 | 16 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $64.20 | $107.00 | $4.70 – $12.60 | 16 |
| Susceptibility mic per plate CPT 87186 | $106.20 | $177.00 | $8.00 – $16.71 | 16 |
| Suscept studies macrobroth dilution ea CPT 87188 | $88.80 | $148.00 | $6.00 – $17.58 | 16 |
| Svc venogram s&i CPT 75827 | $3,039.00 | $5,065.00 | $41.25 – $1,846.02 | 16 |
| Swallowing Evaluation (Bedside) CPT 92610 | $489.00 | $815.00 | $42.79 – $223.13 | 11 |
| Swallowing Therapy Session CPT 92526 | $316.20 | $527.00 | $89.57 – $195.96 | 4 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $87.00 | $145.00 | $4.34 – $11.97 | 16 |
| System pacing micra av HCPCS C1786 | $34,719.00 | $57,865.00 | $3,392.57 – $3,392.57 | 1 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $24,756.60 | $41,261.00 | $4,381.08 – $4,381.08 | 1 |
| T3 (triiodothyronine) free CPT 84481 | $435.60 | $726.00 | $16.74 – $32.75 | 16 |
| T3 (triiodothyronine) total CPT 84480 | $181.20 | $302.00 | $8.00 – $27.40 | 16 |
| T4 (thyroxine) free CPT 84439 | $379.80 | $633.00 | $8.00 – $17.44 | 16 |
| T4 (thyroxine) total CPT 84436 | $109.20 | $182.00 | $6.79 – $13.29 | 16 |
| Tacrol astagraf ex rel oral HCPCS J7508 | $13.20 | $22.00 | $0.33 – $6.61 | 9 |
| Tacrol envarsus ex rel oral HCPCS J7503 | $9.60 | $16.00 | $0.78 – $4.70 | 6 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $30.20 | $37.75 | $0.11 – $0.83 | 9 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $724.80 | $906.00 | $166.15 – $284.20 | 12 |
| Tacrolimus therapeutic drug level CPT 80197 | $231.60 | $386.00 | $13.56 – $36.43 | 16 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $29.40 | $49.00 | $5.89 – $15.45 | 13 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $282.60 | $471.00 | $20.23 – $118.50 | 16 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | $155.40 | $259.00 | $32.53 – $79.86 | 13 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | $20.00 | $25.00 | $0.22 – $0.22 | 1 |
| Target gsa panel hmtlmph neop CPT 81450 | $9,390.00 | $15,650.00 | $89.83 – $844.53 | 16 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $7,632.00 | $12,720.00 | $1,851.57 – $3,246.36 | 16 |
| Target gsa panel organ neop CPT 81445 | $3,549.60 | $5,916.00 | $89.83 – $664.83 | 16 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | $2,828.40 | $4,714.00 | $987.91 – $1,710.00 | 12 |
| Tavr perq femoral CPT 33361 | $24,406.80 | $40,678.00 | $1,150.43 – $3,175.49 | 3 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $3.60 | $6.00 | $0.18 – $0.71 | 13 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $436.80 | $728.00 | $61.26 – $160.95 | 17 |
| Tc-99m exametazime diag HCPCS A9521 | $3,633.00 | $6,055.00 | $802.34 – $1,655.50 | 12 |
| Tc-99m labeled rbc HCPCS A9560 | $330.60 | $551.00 | $95.27 – $274.56 | 3 |
| Tc-99m maa HCPCS A9540 | $181.80 | $303.00 | $30.60 – $87.37 | 3 |
| Tc-99m mebrofenin HCPCS A9537 | $250.80 | $418.00 | $56.42 – $308.90 | 3 |
| Tc-99m medronate HCPCS A9503 | $129.60 | $216.00 | $13.26 – $101.62 | 3 |
| Tc-99m mertiatide HCPCS A9562 | $1,470.60 | $2,451.00 | $588.24 – $2,117.21 | 2 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $15.00 | $25.00 | $10.00 – $10.80 | 10 |
| Tc-99m oxidronate HCPCS A9561 | $108.00 | $180.00 | $50.16 – $139.06 | 2 |
| Tc-99m pentetate dtpa HCPCS A9539 | $138.00 | $230.00 | $23.02 – $81.13 | 2 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $81.60 | $136.00 | $1.02 – $18.73 | 3 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $161.40 | $269.00 | $61.04 – $120.33 | 3 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $498.60 | $831.00 | $51.00 – $1,226.71 | 3 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $1,420.20 | $2,367.00 | $235.38 – $1,872.96 | 3 |
| Tc-99m sulfur colloid HCPCS A9541 | $359.40 | $599.00 | $119.48 – $1,504.51 | 4 |
| Tc-99m tilmanocept diag HCPCS A9520 | $74.40 | $124.00 | $479.20 – $754.20 | 2 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $268.20 | $447.00 | $46.43 – $126.34 | 16 |
| T cells absolute cd 4 count CPT 86361 | $234.60 | $391.00 | $26.46 – $111.38 | 16 |
| T cells total count CPT 86359 | $202.20 | $337.00 | $37.28 – $96.04 | 16 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | $437.40 | $729.00 | $85.24 – $234.46 | 13 |
| Tee w or without fol w/cont,cong HCPCS C8926 | $1,214.40 | $2,024.00 | $432.45 – $1,010.76 | 12 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $3.40 | $4.25 | $16.87 – $58.81 | 13 |
| Tendon shortening CPT 26477 | not published | not published | $325.60 – $4,499.05 | 16 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $14,038.20 | $23,397.00 | $106.14 – $186.00 | 13 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $215.05 – $4,499.05 | 16 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $91.30 – $2,219.16 | 16 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $563.20 | $704.00 | $3.20 – $21.20 | 7 |
| Teriparatide injection HCPCS J3110 | $53.80 | $67.25 | $14.81 – $2,217.72 | 6 |
| Testicular imaging w/vasc flow CPT 78761 | $815.40 | $1,359.00 | $140.84 – $546.54 | 16 |
| Test stress cardiovascular tracing only CPT 93017 | $1,861.80 | $3,103.00 | $48.89 – $375.76 | 16 |
| Tetanus immune globulin inj HCPCS J1670 | $1,582.40 | $1,978.00 | $185.88 – $640.44 | 13 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $50.00 | $62.50 | $7.86 – $19.45 | 13 |
| Tgsap so/hl 51/< rna alys CPT 81456 | $2,157.60 | $3,596.00 | $1,163.68 – $3,246.36 | 16 |
| Theophylline therapeutic drug level CPT 80198 | $182.40 | $304.00 | $11.00 – $27.36 | 16 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $80.40 | $134.00 | $14.30 – $100.11 | 11 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $102.00 | $170.00 | $9.22 – $100.11 | 11 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $27.00 | $45.00 | $12.97 – $81.11 | 4 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $20.40 | $34.00 | $9.06 – $70.19 | 4 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $64.90 – $4,496.91 | 16 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $702.60 | $1,171.00 | $41.25 – $440.31 | 16 |
| Ther/proph/diag inj ia CPT 96373 | $250.20 | $417.00 | $11.88 – $46.31 | 11 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $42.20 | $52.75 | $0.50 – $6.70 | 10 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $288.00 | $480.00 | $14.89 – $118.50 | 13 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,974.60 | $3,291.00 | $403.71 – $863.16 | 13 |
| Thoracoscopy w/bx med space CPT 32606 | not published | not published | $874.03 – $8,090.06 | 13 |
| Thoracotomy with cardiac massage CPT 32160 | $6,357.60 | $10,596.00 | $1,064.81 – $3,372.71 | 4 |
| Three-Phase Bone Scan (Nuclear Medicine) CPT 78315 | $1,297.80 | $2,163.00 | $183.01 – $645.66 | 16 |
| Thrombectmy crnry perq mechanical CPT 92973 | $3,809.40 | $6,349.00 | $327.35 – $593.42 | 3 |
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.