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 |
|---|---|---|---|---|
| Blood gases o2 saturation direct measurement CPT 82805 | $538.80 | $898.00 | $38.86 – $85.07 | 16 |
| Blood gases ph venous CPT 82800 | $74.40 | $124.00 | $10.87 – $23.01 | 16 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $20.40 | $34.00 | $2.27 – $4.85 | 16 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $53.40 | $89.00 | $3.63 – $8.44 | 16 |
| Blood smear interpretation CPT 85060 | $227.40 | $379.00 | $4.22 – $64.73 | 4 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $60.00 | $100.00 | $3.75 – $6.65 | 16 |
| Blood split unit HCPCS P9011 | $275.40 | $459.00 | $50.19 – $168.51 | 13 |
| Blood Transfusion CPT 36430 | $637.80 | $1,063.00 | $30.62 – $606.21 | 16 |
| Blood typing abo CPT 86900 | $16.80 | $28.00 | $2.96 – $161.87 | 16 |
| Blood typing ag donor ea ag CPT 86902 | $74.40 | $124.00 | $2.82 – $420.75 | 16 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $74.40 | $124.00 | $3.28 – $420.75 | 16 |
| Blood typing rh (d) CPT 86901 | $106.20 | $177.00 | $2.96 – $49.63 | 16 |
| Bone Age X-ray (hand and wrist) CPT 77072 | $260.40 | $434.00 | $18.23 – $166.40 | 16 |
| Bone biopsy open superficial CPT 20240 | $4,461.00 | $7,435.00 | $104.50 – $3,968.58 | 16 |
| Bone Density Scan (DEXA) CPT 77080 | $240.00 | $400.00 | $23.19 – $166.40 | 12 |
| Bone/joint imaging ltd area CPT 78300 | $573.60 | $956.00 | $75.90 – $546.54 | 16 |
| Bone marrow;aspiration only 38220 CPT 38220 | not published | not published | $60.15 – $2,246.66 | 16 |
| Bone marrow aspir bone grfg CPT 20939 | not published | not published | $43.31 – $87.79 | 2 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $2,017.80 | $3,363.00 | $76.80 – $2,246.66 | 16 |
| Bone marrow interpretation CPT 85097 | $315.00 | $525.00 | $3.08 – $970.76 | 15 |
| Bone survey-lead poisoning CPT 77074 | $680.40 | $1,134.00 | $51.63 – $166.40 | 16 |
| Boot j walker l HCPCS L4386 | $1,356.00 | $2,260.00 | $231.57 – $241.75 | 2 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $1,022.40 | $1,704.00 | $372.71 – $532.07 | 2 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $603.00 | $1,005.00 | $16.83 – $32.90 | 16 |
| Borrelia miyamotoi amp prb CPT 87478 | $726.60 | $1,211.00 | $13.98 – $39.01 | 16 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $5,376.60 | $8,961.00 | $1.76 – $106.25 | 9 |
| Bowel imaging CPT 78290 | $681.60 | $1,136.00 | $82.50 – $546.54 | 16 |
| Brace ank air stirrup univ HCPCS L4350 | $345.60 | $576.00 | $121.25 – $173.07 | 2 |
| Brace ankle stablizing lg HCPCS L1902 | $345.00 | $575.00 | $112.92 – $161.22 | 2 |
| Brace knee extender plus 22-30in HCPCS L1832 | $1,760.40 | $2,934.00 | $856.68 – $1,223.04 | 2 |
| Brace or Splint Fitting and Training (each 15 minutes) CPT 97760 | $116.40 | $194.00 | $37.16 – $100.11 | 4 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $645.00 | $1,075.00 | $313.88 – $313.88 | 1 |
| Brace wrist classic lft sm HCPCS L3908 | $167.40 | $279.00 | $79.74 – $113.83 | 2 |
| Brach/thor cath 1st CPT 36215 | $5,763.60 | $9,606.00 | $189.20 – $1,348.75 | 10 |
| Brach/thor cath 2nd CPT 36216 | $6,970.80 | $11,618.00 | $125.95 – $1,631.43 | 10 |
| Brach/thor cath 3rd CPT 36217 | $6,967.20 | $11,612.00 | $332.28 – $1,631.43 | 10 |
| Brach/thor cath addl CPT 36218 | $881.40 | $1,469.00 | $53.06 – $204.47 | 10 |
| Brachy source yttrium-90 HCPCS C2616 | $54,249.60 | $90,416.00 | $8,667.29 – $20,778.35 | 11 |
| Braf gene CPT 81210 | $1,592.40 | $2,654.00 | $143.18 – $318.41 | 16 |
| Brain image w/flow 4 + views CPT 78606 | $933.00 | $1,555.00 | $97.58 – $700.71 | 16 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $7,916.40 | $13,194.00 | $182.13 – $1,826.39 | 16 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $5,178.60 | $8,631.00 | $148.12 – $959.98 | 16 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $5,178.60 | $8,631.00 | $148.12 – $959.98 | 16 |
| Brain MRI (with and without contrast) CPT 70553 | $7,916.40 | $13,194.00 | $281.64 – $2,610.88 | 16 |
| Brain MRI (with contrast) CPT 70552 | $5,178.60 | $8,631.00 | $220.15 – $1,479.38 | 16 |
| Brain MRI (without contrast) CPT 70551 | $5,178.60 | $8,631.00 | $182.96 – $1,232.72 | 16 |
| Bra surgical elizabeth pink sm HCPCS L8000 | $104.40 | $174.00 | $47.12 – $67.28 | 2 |
| Brca1&2 gen ful dup/del alys CPT 81164 | $1,920.00 | $3,200.00 | $356.80 – $649.61 | 16 |
| Brca1 dna gene analy known fam var CPT 81215 | $235.80 | $393.00 | $54.65 – $405.27 | 16 |
| Brca2 dna gene analy known fam var CPT 81217 | $235.80 | $393.00 | $68.13 – $405.27 | 16 |
| Brcassure comprehensive panel-sendout CPT 81162 | $1,920.00 | $3,200.00 | $1,622.11 – $2,254.57 | 16 |
| Breast augmentation 19325 CPT 19325 | not published | not published | $729.80 – $13,268.67 | 13 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $4,790.40 | $7,984.00 | $152.78 – $893.20 | 10 |
| Breastbone (Sternum) X-ray CPT 71120 | $272.40 | $454.00 | $20.90 – $118.50 | 16 |
| Breast punct aspir cyst, bil CPT 19000 | $543.00 | $905.00 | $40.15 – $975.61 | 16 |
| Breast reconstruction 19357 CPT 19357 | not published | not published | $1,232.68 – $24,124.95 | 13 |
| Breast reduction CPT 19318 | not published | not published | $1,030.96 – $9,042.80 | 13 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $20,620.20 | $34,367.00 | $90.56 – $279.33 | 13 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | $2,165.40 | $3,609.00 | $60.45 – $187.63 | 10 |
| Bronch ebus samplng 1/2 node CPT 31652 | $2,967.60 | $4,946.00 | $208.90 – $5,112.40 | 16 |
| Bronch ebus samplng 3/> node CPT 31653 | not published | not published | $230.59 – $5,112.40 | 16 |
| Bronchial challenge CPT 94070 | $624.00 | $1,040.00 | $20.90 – $375.76 | 16 |
| Bronchoscopy clear airways 31645 CPT 31645 | $3,037.20 | $5,062.00 | $162.58 – $2,391.19 | 16 |
| Bronchoscopy dilate/fx repr CPT 31630 | not published | not published | $210.40 – $5,112.40 | 16 |
| Bronchoscopy/lung bx addl 31632 CPT 31632 | not published | not published | $55.54 – $135.62 | 10 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | $4,871.40 | $8,119.00 | $193.38 – $5,112.40 | 16 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | $1,516.80 | $2,528.00 | $206.13 – $5,112.40 | 16 |
| Bronchoscopy treat blockage CPT 31641 | not published | not published | $246.40 – $5,112.40 | 16 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | $3,372.60 | $5,621.00 | $173.59 – $2,391.19 | 16 |
| Bronchoscopy w/fb removal 31635 CPT 31635 | $1,431.60 | $2,386.00 | $193.76 – $2,391.19 | 16 |
| Bronch w/debrdmt subgltc & uppr trach CPT 31899 | $116.40 | $194.00 | $18.59 – $269.20 | 12 |
| Budesonide non-comp con HCPCS J7633 | $1,132.00 | $1,415.00 | $0.80 – $8.77 | 4 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $49.00 | $61.25 | $0.23 – $1.13 | 12 |
| Bundled special stain group 1 microorganisms CPT 88312 | $207.00 | $345.00 | $7.94 – $102.39 | 16 |
| Bundled special stain group 2 CPT 88313 | $147.60 | $246.00 | $6.25 – $153.18 | 16 |
| Bundle his recording CPT 93600 | $921.00 | $1,535.00 | $133.65 – $9,017.29 | 15 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $2.80 | $3.50 | $0.01 – $0.03 | 6 |
| Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572 | $22.20 | $37.00 | $3.59 – $19.39 | 7 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | $27.00 | $33.75 | $6.43 – $31.78 | 7 |
| Buprenorphine X-ray over 100 mg HCPCS Q9992 | $5,965.60 | $7,457.00 | $1,100.04 – $3,805.99 | 14 |
| Buprenorph X-ray 100 mg or less HCPCS Q9991 | $5,965.60 | $7,457.00 | $1,100.04 – $3,805.99 | 14 |
| Bur rotalink 2.15mm HCPCS C1724 | $44,469.00 | $74,115.00 | $526.34 – $526.34 | 1 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $101.60 | $127.00 | $2.92 – $8.46 | 7 |
| Bx bone trocar/ndl deep CPT 20225 | $3,099.00 | $5,165.00 | $107.80 – $2,246.66 | 16 |
| Bx breast 1st lesion mr imag CPT 19085 | $6,429.60 | $10,716.00 | $178.31 – $1,345.99 | 10 |
| Bx breast 1st lesion strtctc CPT 19081 | $7,023.60 | $11,706.00 | $163.13 – $900.48 | 10 |
| Bx breast add lesion mr imag CPT 19086 | $3,243.60 | $5,406.00 | $78.83 – $1,064.82 | 10 |
| Bx breast add lesion strtctc CPT 19082 | $7,023.60 | $11,706.00 | $77.42 – $721.00 | 10 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $4,324.20 | $7,207.00 | $72.73 – $710.72 | 10 |
| Bx breast perq without image 19100 CPT 19100 | not published | not published | $67.38 – $2,246.66 | 16 |
| Bx breast pq tomo guide CPT 19499 | not published | not published | $18.59 – $5,309.76 | 12 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | not published | not published | $149.60 – $5,309.76 | 16 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | not published | not published | $492.33 – $5,309.76 | 13 |
| Bx liver with other CPT 47001 | not published | not published | $101.62 – $360.32 | 10 |
| Bx of breast open 19101 CPT 19101 | not published | not published | $160.60 – $5,309.76 | 16 |
| Bx of cervix w/scope leep 57460 CPT 57460 | not published | not published | $164.78 – $4,408.81 | 16 |
| Bx perianal mass CPT 46999 | $117.00 | $195.00 | $18.59 – $1,264.19 | 12 |
| Bx shoulder tissues supf 23065 CPT 23065 | not published | not published | $37.95 – $2,246.66 | 16 |
| Bx skin punch ea sep/ addl les CPT 11105 | $748.80 | $1,248.00 | $24.25 – $72.21 | 10 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $1,122.60 | $1,871.00 | $72.05 – $217.14 | 10 |
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.