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 |
|---|---|---|---|---|
| Cell count w differential body fluid CPT 89051 | $179.40 | $299.00 | $5.54 – $14.98 | 16 |
| Cell cryopreserve/storage CPT 88240 | $150.60 | $251.00 | $12.92 – $26.82 | 13 |
| Cell function assay w/stim CPT 86352 | $1,008.00 | $1,680.00 | $77.84 – $180.86 | 16 |
| Cell marker study CPT 88182 | $265.80 | $443.00 | $38.10 – $181.70 | 16 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | $527.40 | $879.00 | $16.60 – $31.63 | 13 |
| Cerebrospinal fld flw imag CPT 78645 | $1,068.00 | $1,780.00 | $149.71 – $700.71 | 16 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | $37.20 | $46.50 | $2.47 – $6,694.99 | 15 |
| Cerv sr wire occ/man pre ots HCPCS L0160 | $1,200.60 | $2,001.00 | $189.71 – $270.85 | 2 |
| Cesarean section delivery only 59514 CPT 59514 | $9,873.00 | $16,455.00 | $817.56 – $2,847.62 | 4 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $5,800.20 | $9,667.00 | $49.48 – $91.67 | 13 |
| #cf-97variants CPT 81220 | $3,409.20 | $5,682.00 | $445.28 – $767.09 | 16 |
| Change cystostomy tube; complex 51710 CPT 51710 | $3,037.80 | $5,063.00 | $30.80 – $925.53 | 16 |
| Change cystostomy tube simple CPT 51705 | $341.40 | $569.00 | $30.80 – $337.24 | 16 |
| Change g-tube to g-j perc CPT 49446 | $4,036.20 | $6,727.00 | $138.42 – $2,630.42 | 16 |
| Change nephroureteral cath CPT 50387 | $7,311.00 | $12,185.00 | $1,180.85 – $2,840.52 | 13 |
| Change of ureter tube/stent CPT 50688 | not published | not published | $155.03 – $2,840.52 | 13 |
| Change of windpipe airway 31502 CPT 31502 | $380.40 | $634.00 | $92.94 – $322.01 | 13 |
| Change stent via transureth CPT 50385 | not published | not published | $1,987.54 – $2,840.52 | 13 |
| Change ureter stent percut CPT 50382 | $14,870.40 | $24,784.00 | $2,254.02 – $2,840.52 | 13 |
| Chemodenervation anal musc CPT 46505 | not published | not published | $364.01 – $1,634.95 | 13 |
| Chemo ia infusion up to 1 hr CPT 96422 | $201.60 | $336.00 | $48.79 – $394.17 | 15 |
| Chemo intralesional up to 7 96405 CPT 96405 | $134.40 | $224.00 | $26.85 – $89.40 | 15 |
| Chest 2 vws w oblique CPT 71048 | $86.40 | $144.00 | $15.41 – $166.40 | 12 |
| Chest apical lordotic proj CPT 71047 | $621.60 | $1,036.00 | $14.98 – $118.50 | 16 |
| Chest CT scan (with and without contrast) CPT 71270 | $4,104.00 | $6,840.00 | $143.96 – $1,000.12 | 16 |
| Chest CT scan (with contrast) CPT 71260 | $3,283.80 | $5,473.00 | $134.85 – $818.40 | 16 |
| Chest CT scan (without contrast) CPT 71250 | $3,283.80 | $5,473.00 | $117.01 – $701.10 | 16 |
| Chest Physiotherapy (first session) CPT 94667 | $557.40 | $929.00 | $41.58 – $161.87 | 13 |
| Chest Physiotherapy (follow-up session) CPT 94668 | $555.00 | $925.00 | $30.78 – $161.87 | 13 |
| Chest Ultrasound CPT 76604 | $588.60 | $981.00 | $62.42 – $200.03 | 16 |
| Chest X-ray CPT 71046 | $532.80 | $888.00 | $11.78 – $118.50 | 16 |
| Chest X-ray (single view) CPT 71045 | $487.80 | $813.00 | $6.43 – $118.50 | 16 |
| Chg pr pul rehab for copd patients CPT 94626 | $250.80 | $418.00 | $29.89 – $152.39 | 4 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $407.40 | $679.00 | $39.18 – $270.53 | 16 |
| Chimerism anal no cell selec CPT 81267 | $1,237.20 | $2,062.00 | $110.85 – $282.85 | 13 |
| Chimerism anal w/cell select CPT 81268 | $2,258.40 | $3,764.00 | $257.74 – $516.04 | 13 |
| Chlamydia culture CPT 87110 | $250.20 | $417.00 | $19.38 – $36.36 | 16 |
| Chlamydia trachomatis ag if CPT 87270 | $90.60 | $151.00 | $11.84 – $15.76 | 13 |
| Chlamydia type CPT 87140 | $112.80 | $188.00 | $3.00 – $11.69 | 16 |
| Chloride CPT 82435 | $68.40 | $114.00 | $4.55 – $8.96 | 16 |
| Chloride 24 hour urine CPT 82436 | $96.60 | $161.00 | $5.68 – $9.72 | 16 |
| Chloroprocaine hcl injection HCPCS J2401 | $1.20 | $1.50 | $0.02 – $0.12 | 7 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $1,217.60 | $1,522.00 | $14.96 – $330.38 | 7 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $160.00 | $200.00 | $3.79 – $81.10 | 7 |
| Chlorpromazine 100 mg tablet HCPCS Q0161 | $15.00 | $25.00 | $0.32 – $0.32 | 1 |
| Cholangiogram percutaneous compl CPT 47532 | $3,495.00 | $5,825.00 | $193.84 – $4,893.48 | 16 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $757.20 | $1,262.00 | $55.89 – $276.76 | 4 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | not published | not published | $1,561.21 – $2,118.88 | 3 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $3,536.40 | $5,894.00 | $834.64 – $4,893.48 | 13 |
| Cholesterol CPT 82465 | $152.40 | $254.00 | $4.30 – $8.40 | 16 |
| Cholesterol body fluid CPT 84999 | $9,563.40 | $15,939.00 | $1.40 – $25.13 | 3 |
| Cholesterol (Lipid) Test CPT 80061 | $413.40 | $689.00 | $13.24 – $27.23 | 16 |
| Cholinesterase CPT 82480 | $123.00 | $205.00 | $6.00 – $21.41 | 16 |
| Chrom analysis CPT 88273 | $367.20 | $612.00 | $34.41 – $67.21 | 13 |
| Chromatography CPT 83021 | $213.00 | $355.00 | $17.85 – $47.94 | 16 |
| Chromogenic substrate assay CPT 85130 | $178.20 | $297.00 | $11.76 – $32.08 | 13 |
| Chromo high res and frag x - sendout CPT 81243 | $3,739.80 | $6,233.00 | $45.63 – $153.35 | 16 |
| Chromosome analysis 100 CPT 88249 | $2,586.00 | $4,310.00 | $171.15 – $459.68 | 16 |
| Chromosome analysis 15-20 cell count CPT 88262 | $939.60 | $1,566.00 | $124.02 – $240.88 | 16 |
| Chromosome analysis 5 CPT 88261 | $3,040.20 | $5,067.00 | $242.93 – $480.39 | 16 |
| Chromosome analys placenta CPT 88267 | $1,974.00 | $3,290.00 | $186.36 – $347.43 | 16 |
| Chromosome count additional CPT 88285 | $293.40 | $489.00 | $26.11 – $51.66 | 16 |
| Chromosome karyotype study CPT 88280 | $274.80 | $458.00 | $33.08 – $48.50 | 16 |
| Chronic urticaria - sendout CPT 86343 | $199.20 | $332.00 | $12.32 – $33.87 | 13 |
| Chylomicron screen, bf - sendout CPT 82664 | $198.00 | $330.00 | $47.23 – $93.39 | 13 |
| Cidofovir injection HCPCS J0740 | $2,428.80 | $3,036.00 | $344.93 – $985.37 | 13 |
| Cilastatin sodium injection HCPCS J0743 | $592.80 | $988.00 | $6.47 – $22.06 | 7 |
| Ciliary transsleral therapy CPT 66710 | $4,193.40 | $6,989.00 | $729.80 – $3,234.93 | 13 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $236.80 | $296.00 | $1.26 – $5.25 | 7 |
| Ciprofloxacin otic susp 6 mg HCPCS J7342 | $930.40 | $1,163.00 | $32.28 – $81.72 | 2 |
| Circum 28 days or older CPT 54161 | not published | not published | $140.80 – $2,840.52 | 16 |
| Circumcision (newborn) CPT 54150 | not published | not published | $86.90 – $2,840.52 | 15 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $565.60 | $707.00 | $1.45 – $11.01 | 7 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $475.20 | $599.00 | $6.74 – $39.90 | 13 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $16,407.00 | $27,345.00 | $903.51 – $903.51 | 1 |
| Claviculectomy partial CPT 23120 | not published | not published | $302.50 – $4,499.05 | 16 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $63.80 | $79.75 | $0.50 – $5.18 | 9 |
| Clip ligating vesolock lg HCPCS C1760 | $2,608.20 | $4,347.00 | $235.49 – $235.49 | 1 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $379.20 | $474.00 | $11.47 – $52.47 | 7 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $2,737.20 | $4,562.00 | $97.90 – $2,219.16 | 16 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | $8,284.20 | $13,807.00 | $1,308.97 – $4,568.00 | 4 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $4,234.20 | $7,057.00 | $203.50 – $2,219.16 | 16 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $2,312.40 | $3,854.00 | $179.30 – $2,219.16 | 16 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $724.80 | $1,208.00 | $59.95 – $332.62 | 16 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $4,618.20 | $7,697.00 | $260.70 – $2,219.16 | 16 |
| Closed tx vert fx w/manj CPT 22315 | $4,193.40 | $6,989.00 | $331.10 – $4,499.05 | 16 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $496.80 | $828.00 | $34.65 – $322.01 | 16 |
| Clos txnose fx without stablz 21315 CPT 21315 | $3,123.00 | $5,205.00 | $131.45 – $2,053.97 | 16 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $3,143.40 | $5,239.00 | $52.25 – $706.14 | 16 |
| Closure of eyelid by suture CPT 67875 | not published | not published | $312.58 – $1,343.00 | 13 |
| Closure paravalvlr leak pq CPT 33999 | $799.80 | $1,333.00 | $18.59 – $857.29 | 12 |
| Clot factor fletcher fact CPT 85292 | $292.80 | $488.00 | $18.70 – $51.47 | 16 |
| Clot factor viii reltd antgn CPT 85244 | $304.80 | $508.00 | $20.18 – $55.50 | 16 |
| Clot factor wght kininogen CPT 85293 | $292.80 | $488.00 | $18.70 – $51.47 | 16 |
| Clot factor xii hageman CPT 85280 | $274.20 | $457.00 | $13.00 – $38.66 | 16 |
| Clot factor xiii fibrin stab CPT 85290 | $128.40 | $214.00 | $8.00 – $20.35 | 16 |
| Clozapine, 25 mg HCPCS S0136 | $7.60 | $9.50 | $0.27 – $0.74 | 4 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $2,337.60 | $3,896.00 | $108.90 – $557.45 | 16 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $3,021.60 | $5,036.00 | $263.94 – $581.04 | 13 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $289.80 | $483.00 | $18.59 – $417.84 | 16 |
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.