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 |
|---|---|---|---|---|
| Ultrasound guide intraoperative CPT 76998 | $879.00 | $1,465.00 | $174.73 – $349.19 | 3 |
| Ultrasound guide tissue ablation CPT 76940 | $1,108.80 | $1,848.00 | $192.46 – $409.78 | 3 |
| Ultrasound hips infant dynamic CPT 76885 | $561.00 | $935.00 | $96.88 – $207.06 | 16 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $352.20 | $587.00 | $42.64 – $146.97 | 11 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $828.60 | $1,381.00 | $202.52 – $440.12 | 16 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $430.80 | $718.00 | $79.51 – $185.11 | 16 |
| Ultrasound prostate/transrectal CPT 76872 | $1,177.80 | $1,963.00 | $95.40 – $236.96 | 16 |
| Ultrasound spinal canal and contents CPT 76800 | $430.80 | $718.00 | $111.80 – $310.70 | 16 |
| Ultrasound transabd ea addl gest CPT 76812 | $430.80 | $718.00 | $75.50 – $463.37 | 11 |
| Umbilicoplasty 15847 CPT 15847 | not published | not published | $895.03 – $7,168.62 | 2 |
| Unlisted CT procedure CPT 76497 | $624.00 | $1,040.00 | $40.24 – $118.50 | 12 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | not published | $156.43 – $8,090.06 | 11 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | not published | not published | $1,631.43 – $8,090.06 | 12 |
| Unlisted laps px appendix CPT 44979 | not published | not published | $1,631.43 – $8,090.06 | 12 |
| Unlisted laps px bladder CPT 51999 | not published | not published | $6,419.66 – $8,090.06 | 11 |
| Unlisted laps px lymphtc sys CPT 38589 | not published | not published | $1,631.43 – $8,090.06 | 12 |
| Unlisted laps px ovidct ovry CPT 58679 | not published | not published | $1,631.43 – $8,090.06 | 12 |
| Unlisted laps px uterus CPT 58578 | not published | not published | $1,631.43 – $8,090.06 | 12 |
| Unlisted mr procedure CPT 76498 | $360.00 | $600.00 | $65.62 – $118.50 | 12 |
| Unlisted muscskel px head CPT 21499 | not published | not published | $18.59 – $322.01 | 12 |
| Unlisted procedure colon CPT 45399 | $2,799.00 | $4,665.00 | $1,003.17 – $1,264.19 | 11 |
| Unlisted procedure esophagus CPT 43499 | $152.40 | $254.00 | $18.59 – $1,300.05 | 12 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $18.59 – $322.01 | 12 |
| Unlisted procedure microbiology CPT 87999 | $193.20 | $322.00 | $29.65 – $126.65 | 3 |
| Unlisted procedure rectum CPT 45999 | $515.40 | $859.00 | $18.59 – $1,264.19 | 12 |
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | $18.59 – $332.62 | 12 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $18.59 – $322.01 | 12 |
| Unlisted px ant segment eye CPT 66999 | $1,090.20 | $1,817.00 | $18.59 – $3,162.51 | 12 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $263.94 – $332.62 | 11 |
| Unlisted px casting/strpg CPT 29799 | $117.00 | $195.00 | $18.59 – $218.80 | 12 |
| Unlisted px external ear CPT 69399 | $103.20 | $172.00 | $18.59 – $322.01 | 12 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $18.59 – $332.62 | 12 |
| Unlisted px forearm/wrist CPT 25999 | $173.40 | $289.00 | $18.59 – $332.62 | 12 |
| Unlisted px hands/fingers CPT 26989 | $4,665.00 | $7,775.00 | $263.94 – $836.96 | 12 |
| Unlisted px leg/ankle CPT 27899 | $393.00 | $655.00 | $18.59 – $332.62 | 12 |
| Unlisted px male genital sys CPT 55899 | $104.40 | $174.00 | $18.59 – $337.24 | 12 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $255.52 – $322.01 | 11 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $18.59 – $322.01 | 12 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $18.59 – $332.62 | 12 |
| Unlisted px posterior segmnt CPT 67299 | $4,036.20 | $6,727.00 | $1,399.84 – $3,162.51 | 11 |
| Unlisted px salivry glnd/dux CPT 42699 | $104.40 | $174.00 | $18.59 – $322.01 | 12 |
| Unlisted px small intestine CPT 44799 | $2,640.60 | $4,401.00 | $18.59 – $1,300.05 | 12 |
| Unlisted px tongue flr mouth CPT 41599 | $117.00 | $195.00 | $18.59 – $322.01 | 12 |
| Unlisted surgical path px CPT 88399 | $68.40 | $114.00 | $1.01 – $73.45 | 12 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $6,177.60 | $10,296.00 | $120.82 – $831.51 | 11 |
| Upgrade pm system CPT 33214 | $12,843.00 | $21,405.00 | $893.69 – $14,511.47 | 13 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $234.60 | $391.00 | $19.42 – $118.50 | 13 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | $2,052.60 | $3,421.00 | $140.66 – $814.85 | 16 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $1,906.80 | $3,178.00 | $115.76 – $701.10 | 16 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $2,562.60 | $4,271.00 | $281.64 – $2,637.61 | 16 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $1,565.40 | $2,609.00 | $220.15 – $1,498.17 | 16 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,642.80 | $2,738.00 | $183.52 – $1,362.62 | 16 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $349.20 | $582.00 | $25.96 – $166.40 | 16 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $388.80 | $648.00 | $25.19 – $166.40 | 16 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $2,310.60 | $3,851.00 | $137.74 – $1,300.05 | 16 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $3,124.20 | $5,207.00 | $163.44 – $1,300.05 | 16 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $690.00 | $1,150.00 | $73.15 – $270.53 | 16 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $690.00 | $1,150.00 | $71.50 – $270.53 | 16 |
| Uppr gi scope w/submuc inj CPT 43236 | $2,088.00 | $3,480.00 | $166.71 – $1,300.05 | 16 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $471.90 – $8,090.06 | 16 |
| Urea nitrogen CPT 84520 | $55.80 | $93.00 | $3.90 – $7.62 | 16 |
| Urea nitrogen 24 hour urine CPT 84540 | $97.20 | $162.00 | $5.50 – $12.64 | 13 |
| Urea nitrogen clearance CPT 84545 | $144.00 | $240.00 | $5.00 – $17.58 | 16 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $245.40 | $409.00 | $41.25 – $345.98 | 16 |
| Urethrocystography void s&i CPT 74455 | $245.40 | $409.00 | $46.75 – $345.98 | 16 |
| Uric acid blood CPT 84550 | $155.40 | $259.00 | $4.47 – $8.74 | 16 |
| Uric acid urine CPT 84560 | $118.20 | $197.00 | $4.03 – $6.25 | 16 |
| Urinalysis microscopic only CPT 81015 | $83.40 | $139.00 | $2.71 – $8.25 | 16 |
| Urinalysis (with microscopy) CPT 81001 | $134.40 | $224.00 | $3.00 – $8.40 | 16 |
| Urinalysis (without microscopy) CPT 81003 | $36.60 | $61.00 | $2.22 – $6.12 | 16 |
| Urine Culture Test CPT 87086 | $62.40 | $104.00 | $7.98 – $15.39 | 16 |
| Urine pregnancy test CPT 81025 | $70.80 | $118.00 | $3.22 – $17.19 | 17 |
| Urography, antegrade CPT 74425 | $501.00 | $835.00 | $41.25 – $566.90 | 16 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $70.00 | $87.50 | $8.20 – $14.03 | 13 |
| Vaccine Administration (one shot) CPT 90471 | $13.20 | $22.00 | $0.59 – $84.57 | 11 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $340.00 | $425.00 | $44.00 – $397.27 | 10 |
| Vaccine dtap < 7 years im CPT 90700 | $43.20 | $54.00 | $11.00 – $93.98 | 11 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $84.00 | $105.00 | $11.00 – $309.85 | 11 |
| Vaccine dtap-ipv/hib im CPT 90698 | $65.40 | $109.00 | $11.00 – $358.48 | 11 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $108.00 | $135.00 | $11.00 – $191.28 | 13 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $156.80 | $196.00 | $11.00 – $352.09 | 13 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $86.40 | $108.00 | $11.00 – $191.61 | 14 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $126.60 | $211.00 | $11.00 – $436.36 | 11 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $63.20 | $79.00 | $11.00 – $83.77 | 12 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $12.00 | $20.00 | $11.00 – $60.85 | 12 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $24.00 | $30.00 | $11.00 – $49.49 | 9 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $109.60 | $137.00 | $11.00 – $678.32 | 11 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $108.80 | $153.00 | $11.00 – $494.92 | 11 |
| Vaccine mmr live subcutaneous CPT 90707 | $64.80 | $81.00 | $11.00 – $300.94 | 11 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $75.00 | $125.00 | $11.00 – $363.38 | 14 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $144.00 | $240.00 | $11.00 – $702.37 | 11 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $192.00 | $240.00 | $11.00 – $785.88 | 11 |
| Vaccine rabies im CPT 90675 | $800.00 | $1,000.00 | $11.00 – $342.94 | 15 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | $672.00 | $840.00 | $11.00 – $963.76 | 10 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $1,196.00 | $1,495.00 | $11.00 – $3,234.33 | 10 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $897.00 | $1,495.00 | $11.00 – $1,617.16 | 10 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $76.80 | $96.00 | $11.00 – $313.09 | 11 |
| Vaccine tdap >=7 years im CPT 90715 | $42.40 | $53.00 | $11.00 – $104.30 | 11 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $74.40 | $93.00 | $11.00 – $82.60 | 11 |
| Vacuum drain bottle/tube kit HCPCS A7048 | $224.40 | $374.00 | $30.99 – $63.12 | 2 |
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.