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 |
|---|---|---|---|---|
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $2,865.60 | $4,776.00 | $308.07 – $7,905.86 | 16 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $5,134.20 | $8,557.00 | $386.68 – $15,725.10 | 16 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $2,865.60 | $4,776.00 | $451.26 – $24,899.21 | 16 |
| Thrombin time CPT 85670 | $89.40 | $149.00 | $5.70 – $15.71 | 16 |
| Thromboplastin inhibition CPT 85705 | $118.80 | $198.00 | $7.50 – $21.39 | 16 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $102.60 | $171.00 | $6.39 – $16.13 | 16 |
| Thyroglobulin antibody CPT 86800 | $193.20 | $322.00 | $15.73 – $29.11 | 16 |
| Thyroid mets imag whole body CPT 78018 | $1,201.20 | $2,002.00 | $103.40 – $700.71 | 16 |
| Thyroid (TSH) Test CPT 84443 | $257.40 | $429.00 | $16.60 – $32.47 | 16 |
| Thyroid Ultrasound CPT 76536 | $598.20 | $997.00 | $64.85 – $212.33 | 16 |
| Thyroid uptake measurement CPT 78012 | $666.60 | $1,111.00 | $61.30 – $546.54 | 16 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $4,949.60 | $6,187.00 | $294.40 – $2,285.63 | 13 |
| Thyroxine binding globulin (tbg) CPT 84442 | $152.40 | $254.00 | $10.00 – $28.59 | 16 |
| Tib/per revasc stent & ather 37231 CPT 37231 | $50,165.40 | $83,609.00 | $19,708.47 – $24,899.21 | 13 |
| Tib/per revasc stnt & ather CPT 37235 | $42,124.80 | $70,208.00 | $6,087.05 – $7,414.83 | 2 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | $11,931.00 | $19,885.00 | $2,201.26 – $15,657.05 | 3 |
| Tigecycline injection HCPCS J3243 | $23.60 | $29.50 | $0.24 – $2.01 | 7 |
| Tilt table study CPT 93660 | $4,359.60 | $7,266.00 | $368.54 – $720.95 | 12 |
| Tissue culture placenta CPT 88235 | $1,551.00 | $2,585.00 | $148.55 – $273.13 | 16 |
| Tissue culture skin/biopsy CPT 88233 | $1,636.80 | $2,728.00 | $139.08 – $382.52 | 16 |
| Tissue culture tumor CPT 88239 | $2,206.20 | $3,677.00 | $145.80 – $384.14 | 16 |
| Tissue exam koh skin/hair/nails CPT 87220 | $55.20 | $92.00 | $3.90 – $8.68 | 16 |
| Tissue transglutaminase iga CPT 86364 | $271.20 | $452.00 | $4.89 – $12.45 | 13 |
| Tixagev and cilgav inj HCPCS M0220 | $1,020.00 | $1,700.00 | $33.92 – $317.21 | 12 |
| Tl-201 thallium diag per mci HCPCS A9505 | $133.80 | $223.00 | $37.23 – $250.50 | 3 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $1,327.27 – $14,436.44 | 13 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $1,452.61 – $14,436.44 | 13 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $1,858.20 – $14,436.44 | 13 |
| Tobramycin comp unit HCPCS J7685 | $662.40 | $828.00 | $1.47 – $159.57 | 5 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $155.20 | $194.00 | $0.81 – $7.24 | 10 |
| Tobramycin non-comp unit HCPCS J7682 | $542.40 | $904.00 | $10.24 – $61.08 | 6 |
| Tobramycin peak therapeutic drug level CPT 80200 | $255.60 | $426.00 | $15.94 – $43.81 | 16 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $4,636.20 | $7,727.00 | $3.60 – $7.03 | 13 |
| Toe X-ray (both feet) CPT 73660 | $221.40 | $369.00 | $15.32 – $118.50 | 13 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $123.00 | $205.00 | $16.19 – $74.15 | 11 |
| Tomosynthesis breast screen bilateral CPT 77063 | $45.00 | $75.00 | $16.19 – $75.04 | 12 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | not published | not published | $88.00 – $4,496.91 | 16 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $725.80 – $4,496.91 | 13 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $599.35 – $8,202.79 | 13 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $144.60 | $241.00 | $1.09 – $3.99 | 7 |
| Total hip arthroplasty CPT 27132 | not published | not published | $2,874.32 – $5,916.85 | 3 |
| Total Hip Replacement CPT 27130 | not published | not published | $2,469.30 – $17,841.43 | 13 |
| Total hysterectomy CPT 58150 | not published | not published | $1,657.58 – $6,239.54 | 3 |
| Total Knee Replacement CPT 27447 | not published | not published | $2,665.46 – $17,841.43 | 13 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | not published | not published | $2,404.90 – $25,500.07 | 13 |
| Tot disc arthrp ant appr disc 2nd level cervi 22858 CPT 22858 | not published | not published | $343.92 – $908.85 | 2 |
| Toxoplasma antibody igg CPT 86777 | $225.00 | $375.00 | $14.22 – $27.73 | 16 |
| Toxoplasma antibody igm CPT 86778 | $168.60 | $281.00 | $14.24 – $28.77 | 16 |
| Tp53 gene full gene sequence CPT 81351 | $3,902.40 | $6,504.00 | $479.14 – $693.20 | 13 |
| Tpmt gene com vrnts CPT 81335 | $477.00 | $795.00 | $110.86 – $188.79 | 13 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | not published | not published | $2,258.63 – $7,049.07 | 13 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | $977.60 | $1,222.00 | $199.62 – $422.36 | 13 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | $3,385.20 | $5,642.00 | $126.27 – $706.14 | 16 |
| Tracheostoma revision; simple, without flap rotation CPT 31613 | not published | not published | $214.50 – $4,496.91 | 16 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $121.20 | $202.00 | $23.55 – $120.67 | 10 |
| Transcath closure of asd CPT 93580 | $15,964.20 | $26,607.00 | $1,813.05 – $24,899.21 | 13 |
| Transcatheter bx s&i CPT 75970 | $1,911.60 | $3,186.00 | $19.25 – $1,174.76 | 11 |
| Transcath occlusion cns CPT 61624 | $4,158.60 | $6,931.00 | $1,970.94 – $3,371.03 | 2 |
| Transcath occlusion non-cns CPT 61626 | $9,757.80 | $16,263.00 | $1,595.32 – $15,725.10 | 13 |
| Transferrin CPT 84466 | $192.00 | $320.00 | $12.62 – $25.41 | 16 |
| Transparent film >16<=48 in HCPCS A6258 | $3.00 | $5.00 | $7.62 – $9.93 | 2 |
| Transplant forearm tendon CPT 25310 | not published | not published | $492.80 – $4,499.05 | 16 |
| Transplant hand tendon CPT 26480 | not published | not published | $836.96 – $4,499.05 | 13 |
| Transvaginal Pelvic Ultrasound (not pregnancy) CPT 76830 | $462.00 | $770.00 | $84.15 – $239.98 | 16 |
| Transvaginal Pregnancy Ultrasound CPT 76817 | $906.60 | $1,511.00 | $96.35 – $175.50 | 16 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $510.60 | $851.00 | $47.37 – $90.80 | 13 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $496.80 | $828.00 | $30.02 – $56.17 | 13 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | $214.80 | $358.00 | $17.67 – $68.72 | 13 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | $7,141.80 | $11,903.00 | $1,455.91 – $1,572.38 | 10 |
| Treat ankle dislocation CPT 27842 | $3,449.40 | $5,749.00 | $130.35 – $2,219.16 | 16 |
| Treat ankle fracture CPT 28445 | not published | not published | $295.90 – $9,905.66 | 16 |
| Treat big toe fracture CPT 28505 | $4,856.40 | $8,094.00 | $183.15 – $4,499.05 | 16 |
| Treat cheek bone fracturemalar 21360 CPT 21360 | not published | not published | $440.00 – $8,202.79 | 16 |
| Treat clavicle dislocation 23545 CPT 23545 | $3,037.20 | $5,062.00 | $129.80 – $575.35 | 16 |
| Treat ectopic pregnancy CPT 59151 | not published | not published | $1,589.23 – $8,090.06 | 13 |
| Treat elbow dislocation CPT 24605 | $3,590.40 | $5,984.00 | $173.25 – $2,219.16 | 16 |
| Treat elbow dislocation CPT 24615 | not published | not published | $492.80 – $9,905.66 | 16 |
| Treat elbow fracture CPT 24586 | not published | not published | $715.00 – $17,841.43 | 16 |
| Treat elbow fracture CPT 24620 | $3,097.80 | $5,163.00 | $154.55 – $2,219.16 | 16 |
| Treat elbow fracture CPT 24635 | not published | not published | $492.80 – $9,905.66 | 16 |
| Treat finger fracture each CPT 26727 | not published | not published | $246.40 – $4,499.05 | 16 |
| Treat finger fracture each CPT 26742 | $3,098.40 | $5,164.00 | $80.85 – $2,219.16 | 16 |
| Treat foot dislocation CPT 28540 | $1,864.80 | $3,108.00 | $130.35 – $343.45 | 16 |
| Treat fracture of radius CPT 25505 | $2,335.80 | $3,893.00 | $159.50 – $2,219.16 | 16 |
| Treat fracture of radius CPT 25520 | $3,037.80 | $5,063.00 | $545.04 – $2,219.16 | 13 |
| Treat fracture of ulna CPT 25535 | $2,334.00 | $3,890.00 | $176.55 – $877.59 | 16 |
| Treat hand dislocation CPT 26675 | $4,193.40 | $6,989.00 | $80.85 – $2,219.16 | 16 |
| Treat heel fracture CPT 28415 | not published | not published | $331.65 – $9,905.66 | 16 |
| Treat hip dislocation CPT 27252 | $4,618.20 | $7,697.00 | $309.65 – $2,219.16 | 16 |
| Treat hip dislocation CPT 27257 | $5,682.00 | $9,470.00 | $260.70 – $2,219.16 | 16 |
| Treat hip socket fracture CPT 27222 | $9,225.60 | $15,376.00 | $1,655.80 – $2,798.17 | 3 |
| Treat humerus fracture CPT 24515 | not published | not published | $431.20 – $17,841.43 | 16 |
| Treat humerus fracture CPT 24516 | not published | not published | $1,030.96 – $17,841.43 | 13 |
| Treat humerus fracture CPT 24535 | $3,037.80 | $5,063.00 | $226.60 – $2,219.16 | 16 |
| Treat humerus fracture CPT 24565 | $3,123.00 | $5,205.00 | $190.85 – $2,219.16 | 16 |
| Treat kneecap dislocation CPT 27562 | $3,037.20 | $5,062.00 | $147.95 – $982.57 | 16 |
| Treat kneecap dislocation CPT 27566 | not published | not published | $492.80 – $9,905.66 | 16 |
| Treat kneecap fracture CPT 27524 | not published | not published | $446.60 – $9,905.66 | 16 |
| Treat knee dislocation CPT 27552 | $3,332.40 | $5,554.00 | $172.70 – $2,219.16 | 16 |
| Treat knee fracture CPT 27535 | not published | not published | $836.96 – $3,294.91 | 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.