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 |
|---|---|---|---|---|
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $3,131.40 | $5,219.00 | $103.95 – $2,219.16 | 16 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $2,310.60 | $3,851.00 | $174.90 – $782.12 | 16 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $407.40 | $679.00 | $58.30 – $332.62 | 16 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $4,066.80 | $6,778.00 | $434.50 – $2,219.16 | 16 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | not published | not published | $469.29 – $2,219.16 | 16 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $405.00 | $675.00 | $73.15 – $332.62 | 16 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $539.40 | $899.00 | $125.95 – $602.39 | 16 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $3,582.60 | $5,971.00 | $182.60 – $2,219.16 | 16 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $1,338.00 | $2,230.00 | $125.95 – $575.24 | 16 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $3,100.80 | $5,168.00 | $220.55 – $2,219.16 | 16 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $2,334.00 | $3,890.00 | $260.70 – $1,107.39 | 16 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $3,096.60 | $5,161.00 | $135.85 – $628.30 | 16 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $2,992.80 | $4,988.00 | $123.20 – $641.80 | 16 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $5,296.20 | $8,827.00 | $292.22 – $836.96 | 13 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | $4,639.80 | $7,733.00 | $148.50 – $836.96 | 16 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | not published | not published | $42.90 – $332.62 | 16 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $3,124.20 | $5,207.00 | $116.60 – $729.80 | 16 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $3,124.20 | $5,207.00 | $129.80 – $729.80 | 16 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | not published | not published | $132.84 – $4,496.91 | 16 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $4,066.80 | $6,778.00 | $159.50 – $2,219.16 | 16 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $2,310.60 | $3,851.00 | $112.20 – $563.04 | 16 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $3,162.00 | $5,270.00 | $216.70 – $2,219.16 | 16 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $543.60 | $906.00 | $61.60 – $332.62 | 16 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $2,337.60 | $3,896.00 | $130.35 – $2,219.16 | 16 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $3,099.00 | $5,165.00 | $172.70 – $2,219.16 | 16 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $4,482.00 | $7,470.00 | $165.55 – $2,219.16 | 16 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $3,449.40 | $5,749.00 | $152.90 – $2,219.16 | 16 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $2,337.60 | $3,896.00 | $31.88 – $545.04 | 16 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $541.20 | $902.00 | $53.35 – $332.62 | 16 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $2,223.60 | $3,706.00 | $263.94 – $755.74 | 13 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $2,337.60 | $3,896.00 | $262.90 – $2,219.16 | 16 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $724.80 | $1,208.00 | $130.12 – $657.81 | 16 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $3,013.20 | $5,022.00 | $238.15 – $1,090.08 | 16 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $4,066.80 | $6,778.00 | $172.70 – $2,219.16 | 16 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $2,337.60 | $3,896.00 | $190.85 – $2,219.16 | 16 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | $1,666.20 | $2,777.00 | $122.10 – $545.04 | 16 |
| Cltx lunate dislc w/mnpj CPT 25690 | $3,191.40 | $5,319.00 | $250.80 – $2,219.16 | 16 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | $4,665.00 | $7,775.00 | $439.45 – $8,202.79 | 16 |
| Cltx mndblr/max alv ridge fx CPT 21440 | $4,856.40 | $8,094.00 | $836.96 – $4,496.91 | 12 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $3,332.40 | $5,554.00 | $123.20 – $2,219.16 | 16 |
| Cltx thigh fx w/mnpj CPT 27268 | $4,668.60 | $7,781.00 | $731.33 – $837.97 | 2 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $1,232.68 – $6,844.99 | 13 |
| C motor evoked lwr limbs CPT 95929 | $154.80 | $258.00 | $70.10 – $720.95 | 16 |
| C motor evoked uppr limbs CPT 95928 | $155.40 | $259.00 | $64.95 – $1,349.45 | 16 |
| C motor evoked upr&lwr limbs CPT 95939 | $854.40 | $1,424.00 | $378.73 – $1,349.45 | 16 |
| #cmvcul-virus inoculation shell CPT 87254 | $84.60 | $141.00 | $5.41 – $21.12 | 16 |
| Cmv pcr-sendout CPT 87496 | $294.60 | $491.00 | $34.68 – $90.15 | 16 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $7.40 | $9.25 | $1.68 – $2.87 | 13 |
| Coagulation time activated teg CPT 85347 | $36.00 | $60.00 | $4.23 – $11.56 | 16 |
| Cold agglutinin titer CPT 86157 | $97.80 | $163.00 | $7.96 – $15.50 | 16 |
| Collagen imp urinary 2.5 ml HCPCS L8603 | $2,308.20 | $3,847.00 | $565.08 – $781.77 | 2 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $282.60 | $471.00 | $19.42 – $118.50 | 13 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $86.40 | $144.00 | $33.85 – $48.29 | 2 |
| Collar cerv ascend 172 reg HCPCS L0172 | $464.40 | $774.00 | $169.39 – $241.85 | 2 |
| Collar cerv patriot adlt HCPCS L0150 | $306.00 | $510.00 | $145.28 – $207.45 | 2 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $158.40 | $264.00 | $31.08 – $161.87 | 13 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $138.60 | $231.00 | $38.42 – $153.18 | 12 |
| Colonoscopy (diagnostic) CPT 45378 | $1,500.00 | $2,500.00 | $198.55 – $1,264.19 | 16 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | $3,108.60 | $5,181.00 | $261.22 – $1,634.95 | 16 |
| Colonoscopy for bleeding 44391 CPT 44391 | $2,914.20 | $4,857.00 | $241.94 – $1,634.95 | 16 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | $3,193.20 | $5,322.00 | $545.04 – $1,634.95 | 13 |
| Colonoscopy submucous njx CPT 45381 | $1,927.80 | $3,213.00 | $234.53 – $1,634.95 | 16 |
| Colonoscopy thru stoma spx CPT 44388 | $2,335.80 | $3,893.00 | $160.08 – $1,264.19 | 16 |
| Colonoscopy w/ablation CPT 45388 | $3,099.00 | $5,165.00 | $359.96 – $1,634.95 | 12 |
| Colonoscopy w/balloon dilat CPT 45386 | $2,437.80 | $4,063.00 | $255.45 – $1,634.95 | 16 |
| Colonoscopy w/band ligation CPT 45398 | $2,953.80 | $4,923.00 | $221.77 – $1,634.95 | 12 |
| Colonoscopy w/control bleed CPT 45382 | $3,099.00 | $5,165.00 | $279.40 – $1,634.95 | 16 |
| Colonoscopy w/decompression CPT 44408 | $2,953.80 | $4,923.00 | $176.21 – $1,264.19 | 12 |
| Colonoscopy w/dilation CPT 44405 | $2,795.40 | $4,659.00 | $176.21 – $1,634.95 | 12 |
| Colonoscopy/w endoscopic stent 45389 CPT 45389 | $2,799.00 | $4,665.00 | $221.77 – $8,254.31 | 12 |
| Colonoscopy w/fb removal CPT 45379 | $3,045.00 | $5,075.00 | $260.75 – $1,634.95 | 16 |
| Colonoscopy w/injection CPT 44404 | $2,799.00 | $4,665.00 | $176.21 – $1,634.95 | 12 |
| Colonoscopy with ablation CPT 44401 | $2,701.80 | $4,503.00 | $324.38 – $1,634.95 | 12 |
| Colonoscopy (with biopsy) CPT 45380 | $3,099.00 | $5,165.00 | $247.96 – $1,634.95 | 16 |
| Colonoscopy with biopsy CPT 44389 | $2,337.60 | $3,896.00 | $177.36 – $1,634.95 | 16 |
| Colonoscopy (with polyp removal) CPT 45385 | $3,098.40 | $5,164.00 | $294.89 – $1,634.95 | 16 |
| Colpopexy abdominal approach 57280 CPT 57280 | not published | not published | $1,627.23 – $6,565.06 | 3 |
| Colpopexy extraperitoneal CPT 57282 | not published | not published | $831.53 – $10,253.82 | 13 |
| Colpopexy intraperitoneal CPT 57283 | not published | not published | $1,183.70 – $10,253.82 | 13 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | not published | not published | $144.65 – $4,408.81 | 16 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | not published | not published | $124.06 – $1,203.71 | 16 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | not published | not published | $190.88 – $4,408.81 | 16 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | not published | not published | $43.45 – $278.95 | 16 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $192.00 | $320.00 | $21.00 – $213.04 | 16 |
| Compatibility test each unit electronic CPT 86923 | $269.40 | $449.00 | $17.96 – $213.04 | 15 |
| Compatibility test each unit immediate spin technique CPT 86920 | $192.00 | $320.00 | $17.96 – $213.04 | 16 |
| Complement antigen each component c3 CPT 86160 | $193.20 | $322.00 | $11.86 – $23.22 | 16 |
| Complement fixation each CPT 86171 | $110.40 | $184.00 | $7.00 – $19.33 | 16 |
| Complete removal of vulva CPT 56625 | not published | not published | $1,631.43 – $4,408.81 | 13 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $3,556.80 | $5,928.00 | $194.70 – $848.80 | 16 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $3,556.80 | $5,928.00 | $673.54 – $1,174.62 | 13 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $654.00 | $1,090.00 | $287.80 – $977.81 | 3 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $3,123.00 | $5,205.00 | $78.10 – $729.80 | 16 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $3,582.00 | $5,970.00 | $673.54 – $848.80 | 13 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $596.40 | $994.00 | $262.09 – $1,782.09 | 3 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $498.60 | $831.00 | $176.83 – $1,625.03 | 3 |
| Composite drsg <= 16 sq in HCPCS A6203 | $3.00 | $5.00 | $5.93 – $7.72 | 2 |
| Comprehensive hearing test CPT 92557 | $354.60 | $591.00 | $31.90 – $205.40 | 16 |
| Concentration infection agents any type CPT 87015 | $61.80 | $103.00 | $6.60 – $19.02 | 16 |
| Conditioning play audiometry 92582 CPT 92582 | $324.00 | $540.00 | $21.75 – $205.40 | 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.