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 |
|---|---|---|---|---|
| Audiometry air + bone CPT 92553 | $192.00 | $320.00 | $15.40 – $205.40 | 16 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $16,396.20 | $27,327.00 | $2,790.43 – $5,734.60 | 3 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $17,721.00 | $29,535.00 | $4,701.43 – $9,905.66 | 13 |
| Autgrft implnt knee w/scope CPT 29866 | not published | not published | $1,815.80 – $9,905.66 | 13 |
| Autologous blood op salvage CPT 86891 | $311.40 | $519.00 | $17.96 – $970.76 | 12 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | $249.60 | $416.00 | $55.19 – $108.10 | 13 |
| Av fistula revision CPT 36833 | not published | not published | $1,109.02 – $7,495.67 | 13 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | $897.78 – $7,495.67 | 13 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | $1,286.48 – $7,495.67 | 13 |
| Av fusion direct any site CPT 36821 | not published | not published | $836.96 – $4,364.40 | 13 |
| Avul nail plate addl CPT 11732 | $382.20 | $637.00 | $28.32 – $92.94 | 10 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $566.40 | $944.00 | $28.32 – $275.52 | 16 |
| Azacitidine injection HCPCS J9025 | $1,480.80 | $2,468.00 | $0.36 – $1.14 | 7 |
| Azathioprine 50 mg tablet HCPCS J7500 | $22.20 | $27.75 | $0.04 – $12.41 | 6 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $313.60 | $392.00 | $1.29 – $7.08 | 10 |
| Azithromycin dihydrate, oral HCPCS Q0144 | $150.40 | $188.00 | $0.22 – $34.77 | 5 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $39.60 | $49.50 | $1.26 – $6.91 | 6 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $12,145.20 | $20,242.00 | $100.89 – $372.87 | 14 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | $598.40 | $748.00 | $31.54 – $101.94 | 7 |
| Baclofen eval charges CPT 97750 | $87.00 | $145.00 | $18.43 – $100.11 | 11 |
| Bacterial meningitis antigen CPT 86403 | $45.00 | $75.00 | $11.40 – $19.68 | 16 |
| Bacterial vaginosis pcr CPT 87801 | $315.00 | $525.00 | $38.80 – $93.16 | 16 |
| #bac vag cand-c. albicans naa CPT 87481 | $532.20 | $887.00 | $34.68 – $90.15 | 16 |
| Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 | $34.20 | $57.00 | $10.84 – $15.47 | 2 |
| Balance and Coordination Retraining (each 15 minutes) CPT 97112 | $127.80 | $213.00 | $18.43 – $100.11 | 11 |
| Balloon dilate urtrl strix CPT 50706 | not published | not published | $512.58 – $4,155.22 | 3 |
| Barium Enema (Colon X-ray, barium and air) CPT 74280 | $877.80 | $1,463.00 | $71.50 – $346.34 | 16 |
| Barium Enema (Colon X-ray, barium only) CPT 74270 | $1,057.80 | $1,763.00 | $41.25 – $270.53 | 16 |
| Barium Swallow (Esophagus X-ray) CPT 74220 | $407.40 | $679.00 | $41.25 – $270.53 | 16 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | not published | not published | $179.30 – $4,408.81 | 16 |
| Bartonella dna pcr-sendout CPT 87471 | $552.00 | $920.00 | $34.68 – $90.15 | 16 |
| Basic vestibular evaluation CPT 92540 | $457.80 | $763.00 | $28.64 – $205.40 | 16 |
| Basiliximab HCPCS J0480 | $10,048.80 | $12,561.00 | $2,959.28 – $5,061.80 | 13 |
| B cells total count CPT 86355 | $207.00 | $345.00 | $37.28 – $97.96 | 16 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | $4,149.00 | $6,915.00 | $2.45 – $4.20 | 13 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $5,415.00 | $9,025.00 | $35.40 – $92.14 | 14 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | $80.80 | $130.00 | $8.52 – $17.19 | 13 |
| Benign lesion paring 2-4 CPT 11056 | $526.20 | $877.00 | $32.65 – $275.52 | 16 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $193.20 | $322.00 | $9.68 – $44.76 | 7 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $144.00 | $240.00 | $25.16 – $67.53 | 16 |
| Beta-2 microglobulin CPT 82232 | $165.00 | $275.00 | $15.99 – $31.27 | 16 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $122.40 | $153.00 | $4.39 – $18.56 | 7 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $3,158.40 | $5,264.00 | $46.22 – $90.85 | 13 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $355.80 | $593.00 | $17.59 – $43.24 | 13 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | $6,862.20 | $11,437.00 | $16.27 – $52.20 | 13 |
| B-hexosaminidase ea assay CPT 83080 | $236.40 | $394.00 | $16.67 – $44.78 | 13 |
| Bilateral laminotomy addl lumbar 63044 CPT 63044 | not published | not published | $177.57 – $412.39 | 2 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | not published | not published | $38.50 – $1,234.49 | 16 |
| Bilateral n block inj occipital 64405 CPT 64405 | $1,959.60 | $3,266.00 | $38.50 – $409.31 | 16 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $1,434.00 | $2,390.00 | $14.30 – $409.31 | 16 |
| Biliary endo perq dx w/speci CPT 47552 | $4,193.40 | $6,989.00 | $729.80 – $7,414.98 | 13 |
| Biliary endoscopy thru skin CPT 47554 | $4,809.60 | $8,016.00 | $836.96 – $12,372.12 | 13 |
| Biliary endoscopy thru skin CPT 47555 | $3,583.20 | $5,972.00 | $836.96 – $4,893.48 | 13 |
| Biliary endoscopy thru skin CPT 47556 | $5,424.00 | $9,040.00 | $247.50 – $12,372.12 | 16 |
| Bilirubin direct CPT 82248 | $151.80 | $253.00 | $4.96 – $13.33 | 16 |
| Bilirubin total CPT 82247 | $151.80 | $253.00 | $4.96 – $13.33 | 16 |
| Biofeedback, pt CPT 90901 | $396.00 | $660.00 | $32.33 – $87.90 | 4 |
| Biopsy abdominal mass CPT 49180 | $2,312.40 | $3,854.00 | $89.07 – $2,246.66 | 16 |
| Biopsy, bone open deep CPT 20245 | $4,663.20 | $7,772.00 | $248.05 – $3,968.58 | 16 |
| Biopsy bone trocar/needle superficial CPT 20220 | $2,313.60 | $3,856.00 | $69.30 – $2,246.66 | 16 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | not published | not published | $72.73 – $1,348.75 | 16 |
| Biopsy/excision of lymph node(s); open deep 38530 CPT 38530 | not published | not published | $243.10 – $5,309.76 | 16 |
| Biopsy external ear 69100 CPT 69100 | not published | not published | $45.86 – $322.01 | 16 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $1,745.40 | $2,909.00 | $69.65 – $3,968.58 | 16 |
| Biopsy lower leg soft tissue 27610 CPT 27610 | not published | not published | $378.95 – $4,499.05 | 16 |
| Biopsy muscle percutaneous needle CPT 20206 | $2,312.40 | $3,854.00 | $62.03 – $2,246.66 | 16 |
| Biopsy needle liver percutaneous CPT 47000 | $2,337.60 | $3,896.00 | $98.61 – $2,246.66 | 16 |
| Biopsy needle lymph node superficial CPT 38505 | $2,313.60 | $3,856.00 | $74.17 – $2,246.66 | 16 |
| Biopsy of penis CPT 54105 | not published | not published | $52.80 – $3,968.58 | 16 |
| Biopsy of penis 54100 CPT 54100 | not published | not published | $38.50 – $2,246.66 | 16 |
| Biopsy of prostate CPT 55700 | $3,124.80 | $5,208.00 | $98.45 – $2,840.52 | 16 |
| Biopsy of rectum wall anal approach 45100 CPT 45100 | not published | not published | $165.55 – $3,802.67 | 16 |
| Biopsy of salivary glnd;incisional 42405 CPT 42405 | not published | not published | $80.85 – $2,053.97 | 16 |
| Biopsy of testis CPT 54505 | not published | not published | $102.30 – $4,782.42 | 16 |
| Biopsy/removal lymph nodes CPT 38525 | not published | not published | $171.60 – $5,309.76 | 16 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $2,335.80 | $3,893.00 | $150.82 – $2,246.66 | 16 |
| Biopsy skin incisional single lesion CPT 11106 | $857.40 | $1,429.00 | $54.13 – $848.80 | 16 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | $2,141.40 | $3,569.00 | $37.95 – $2,246.66 | 16 |
| Biopsy tongue anterior two-thirds CPT 41100 | not published | not published | $68.20 – $729.80 | 16 |
| Biospy of bladder CPT 53899 | not published | not published | $18.59 – $337.24 | 12 |
| Biotinidase - quest CPT 82261 | $240.00 | $400.00 | $16.67 – $44.78 | 13 |
| Bivalirudin HCPCS J0583 | $5,733.00 | $9,555.00 | $0.11 – $7.29 | 9 |
| Bladder Catheter Insertion (simple) CPT 51702 | $717.00 | $1,195.00 | $30.26 – $178.73 | 16 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $1,293.00 | $2,155.00 | $31.57 – $337.24 | 16 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $1,704.80 | $2,131.00 | $13.59 – $57.22 | 10 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | not published | not published | $1,631.43 – $2,536.45 | 13 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | $348.00 | $580.00 | $72.34 – $177.39 | 13 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $8,967.60 | $14,946.00 | $340.38 – $340.38 | 1 |
| Bln dil 900ml preperitnl HCPCS C1727 | $539.40 | $899.00 | $235.10 – $235.10 | 1 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $5,576.40 | $9,294.00 | $644.82 – $644.82 | 1 |
| Bln ureth 5ml 28f 2wy ltx st HCPCS A4338 | $61.80 | $103.00 | $17.71 – $25.26 | 2 |
| Block tap inj(s) w/wo img bi CPT 64488 | $785.40 | $1,309.00 | $100.36 – $655.28 | 3 |
| Block tap inj(s) w/wo img uni CPT 64486 | $787.20 | $1,312.00 | $81.56 – $596.53 | 3 |
| Blood Clotting (PT/INR) Test CPT 85610 | $130.20 | $217.00 | $4.00 – $7.62 | 16 |
| Blood Clotting (PTT) Test CPT 85730 | $133.80 | $223.00 | $5.94 – $11.60 | 16 |
| Blood Count (CBC) Test CPT 85025 | $214.20 | $357.00 | $6.00 – $15.02 | 16 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $154.80 | $258.00 | $6.39 – $12.51 | 16 |
| Blood Culture Test CPT 87040 | $240.00 | $400.00 | $10.20 – $19.96 | 16 |
| Blood draw capillary 36416 CPT 36416 | $22.80 | $38.00 | $0.02 – $11.47 | 4 |
| Blood Draw (Venipuncture) CPT 36415 | $22.80 | $38.00 | $0.02 – $9.82 | 13 |
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.