healthcosts.net
UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
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 |
|---|---|---|---|---|
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,477.80 | $2,463.00 | $165.90 – $888.14 | 17 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,155.00 | $1,925.00 | $121.10 – $732.91 | 17 |
| Abdominal CT scan (without contrast) CPT 74150 | $910.20 | $1,517.00 | $103.25 – $624.29 | 17 |
| Abdominal MRI (with and without contrast) CPT 74183 | $4,350.60 | $7,251.00 | $141.40 – $2,009.77 | 17 |
| Abdominal MRI (with contrast) CPT 74182 | $2,653.80 | $4,423.00 | $108.85 – $1,125.45 | 17 |
| Abdominal MRI (without contrast) CPT 74181 | $2,128.20 | $3,547.00 | $92.40 – $1,141.28 | 17 |
| Abdominal Ultrasound (complete) CPT 76700 | $528.00 | $880.00 | $81.55 – $273.02 | 17 |
| Abdominal Ultrasound (limited) CPT 76705 | $301.80 | $503.00 | $23.45 – $198.49 | 17 |
| Ankle X-ray CPT 73610 | $202.80 | $338.00 | $19.95 – $68.14 | 15 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $1,067.82 – $3,806.63 | 4 |
| Blood Clotting (PT/INR) Test CPT 85610 | $40.80 | $68.00 | $4.24 – $54.40 | 17 |
| Blood Clotting (PTT) Test CPT 85730 | $40.80 | $68.00 | $5.94 – $54.40 | 17 |
| Blood Count (CBC) Test CPT 85025 | $79.20 | $132.00 | $6.60 – $105.60 | 17 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $40.20 | $67.00 | $6.39 – $20.80 | 17 |
| Blood Culture Test CPT 87040 | $56.40 | $94.00 | $10.20 – $75.20 | 17 |
| Bone Density Scan (DEXA) CPT 77080 | $212.40 | $354.00 | $66.12 – $283.20 | 17 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $4,168.80 | $6,948.00 | $114.10 – $1,826.39 | 17 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $2,305.80 | $3,843.00 | $75.95 – $959.98 | 17 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $2,307.00 | $3,845.00 | $75.95 – $959.98 | 17 |
| Brain MRI (with and without contrast) CPT 70553 | $2,954.40 | $4,924.00 | $148.75 – $2,380.18 | 17 |
| Brain MRI (with contrast) CPT 70552 | $2,615.40 | $4,359.00 | $112.70 – $1,350.45 | 17 |
| Brain MRI (without contrast) CPT 70551 | $2,244.60 | $3,741.00 | $93.80 – $1,125.38 | 17 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $1,858.80 | $3,098.00 | $152.78 – $1,239.20 | 17 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $1,030.20 | $1,717.00 | $458.46 – $1,373.60 | 17 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,893.60 | $3,156.00 | $336.57 – $2,524.80 | 17 |
| CT Angiogram of the Head CPT 70496 | $1,920.00 | $3,200.00 | $5.60 – $722.50 | 17 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $822.60 | $1,371.00 | $365.99 – $1,096.80 | 17 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $738.60 | $1,231.00 | $289.48 – $984.80 | 17 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $477.00 | $795.00 | $185.12 – $636.00 | 17 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $1,056.60 | $1,761.00 | $106.05 – $549.31 | 17 |
| Carpal Tunnel Release Surgery CPT 64721 | $1,610.40 | $2,684.00 | $330.00 – $2,147.20 | 17 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,448.40 | $2,414.00 | $150.15 – $914.06 | 17 |
| Chest CT scan (with contrast) CPT 71260 | $1,153.20 | $1,922.00 | $121.45 – $748.17 | 17 |
| Chest CT scan (without contrast) CPT 71250 | $954.00 | $1,590.00 | $105.70 – $641.23 | 17 |
| Chest X-ray CPT 71046 | $247.20 | $412.00 | $26.00 – $238.40 | 17 |
| Chest X-ray (single view) CPT 71045 | $178.80 | $298.00 | $17.03 – $144.00 | 17 |
| Cholesterol (Lipid) Test CPT 80061 | $94.80 | $158.00 | $13.24 – $126.40 | 17 |
| Colonoscopy (diagnostic) CPT 45378 | $746.40 | $1,244.00 | $198.55 – $995.20 | 17 |
| Colonoscopy (with biopsy) CPT 45380 | $1,398.60 | $2,331.00 | $247.96 – $1,864.80 | 17 |
| Colonoscopy (with polyp removal) CPT 45385 | $1,398.60 | $2,331.00 | $294.89 – $1,864.80 | 17 |
| Cystoscopy (Bladder Scope) CPT 52000 | $1,731.00 | $2,885.00 | $82.50 – $2,308.00 | 17 |
| Diabetes (HbA1c) Test CPT 83036 | $128.40 | $214.00 | $7.70 – $171.20 | 17 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $238.80 | $398.00 | $139.30 – $378.10 | 16 |
| Diagnostic Mammogram (one breast) CPT 77065 | $186.60 | $311.00 | $108.85 – $295.45 | 16 |
| ER Visit (level 1, minor) CPT 99281 | $102.60 | $171.00 | $34.41 – $74.40 | 15 |
| ER Visit (level 2) CPT 99282 | $151.20 | $252.00 | $36.28 – $201.60 | 17 |
| ER Visit (level 3) CPT 99283 | $205.20 | $342.00 | $62.31 – $245.60 | 17 |
| ER Visit (level 4) CPT 99284 | $312.60 | $521.00 | $104.86 – $416.80 | 17 |
| ER Visit (level 5, high severity) CPT 99285 | $501.00 | $835.00 | $152.61 – $668.00 | 17 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,049.40 | $1,749.00 | $155.12 – $1,399.20 | 17 |
| Established Patient Office Visit (level 1) CPT 99211 | $72.60 | $121.00 | $22.00 – $96.80 | 17 |
| Established Patient Office Visit (level 2) CPT 99212 | $79.20 | $132.00 | $28.60 – $105.60 | 17 |
| Established Patient Office Visit (level 3) CPT 99213 | $79.20 | $132.00 | $26.25 – $82.05 | 17 |
| Established Patient Office Visit (level 4) CPT 99214 | $134.40 | $224.00 | $52.50 – $135.06 | 17 |
| Established Patient Office Visit (level 5) CPT 99215 | $130.80 | $218.00 | $61.03 – $207.10 | 17 |
| Foot X-ray CPT 73630 | $355.20 | $592.00 | $18.55 – $68.14 | 15 |
| Hand X-ray CPT 73130 | $307.20 | $512.00 | $16.10 – $68.14 | 15 |
| Head CT scan (with and without contrast) CPT 70470 | $1,150.20 | $1,917.00 | $123.55 – $752.39 | 17 |
| Head CT scan (with contrast) CPT 70460 | $927.00 | $1,545.00 | $102.20 – $617.55 | 17 |
| Head CT scan (without contrast) CPT 70450 | $993.60 | $1,656.00 | $10.85 – $524.21 | 17 |
| Hip X-ray CPT 73502 | $256.20 | $427.00 | $52.44 – $165.60 | 15 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $528.00 | $880.00 | $65.45 – $263.82 | 17 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $597.85 – $2,291.88 | 10 |
| Knee MRI (with and without contrast) CPT 73723 | $8,550.60 | $14,251.00 | $135.10 – $1,992.24 | 15 |
| Knee MRI (with contrast) CPT 73722 | $5,051.40 | $8,419.00 | $102.55 – $1,109.81 | 15 |
| Knee MRI (without contrast) CPT 73721 | $4,363.20 | $7,272.00 | $84.70 – $1,083.17 | 15 |
| Knee X-ray CPT 73564 | $278.40 | $464.00 | $12.95 – $82.10 | 15 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,357.20 | $2,262.00 | $133.70 – $416.37 | 17 |
| Liver Function Test CPT 80076 | $121.20 | $202.00 | $8.08 – $161.60 | 17 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,447.20 | $2,412.00 | $147.35 – $899.77 | 17 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,153.20 | $1,922.00 | $122.50 – $744.90 | 17 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $954.60 | $1,591.00 | $105.70 – $641.23 | 17 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $4,383.00 | $7,305.00 | $149.45 – $2,380.18 | 17 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,617.20 | $4,362.00 | $113.40 – $1,350.45 | 17 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,338.80 | $3,898.00 | $93.80 – $1,227.91 | 17 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $138.00 | $230.00 | $14.70 – $85.30 | 17 |
| Lung Function Test (Spirometry) CPT 94010 | $131.40 | $219.00 | $16.50 – $175.20 | 17 |
| Metabolic Blood Panel (Basic) CPT 80048 | $132.00 | $220.00 | $8.36 – $176.00 | 17 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $169.80 | $283.00 | $10.43 – $226.40 | 17 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $1,443.60 | $2,406.00 | $147.35 – $899.77 | 17 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $1,227.60 | $2,046.00 | $135.10 – $744.90 | 17 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $954.60 | $1,591.00 | $105.70 – $641.23 | 17 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $4,383.00 | $7,305.00 | $162.05 – $2,405.45 | 17 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $2,615.40 | $4,359.00 | $121.80 – $1,368.07 | 17 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $2,157.60 | $3,596.00 | $101.15 – $1,141.28 | 17 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $4,165.80 | $6,943.00 | $114.10 – $1,826.39 | 17 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $2,343.00 | $3,905.00 | $75.95 – $959.98 | 17 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $2,307.00 | $3,845.00 | $75.95 – $959.98 | 17 |
| New Patient Office Visit (level 2) CPT 99202 | $79.20 | $132.00 | $38.86 – $111.25 | 17 |
| New Patient Office Visit (level 3) CPT 99203 | $103.20 | $172.00 | $57.70 – $139.91 | 17 |
| New Patient Office Visit (level 4) CPT 99204 | $130.20 | $217.00 | $63.10 – $206.15 | 17 |
| New Patient Office Visit (level 5) CPT 99205 | $190.80 | $318.00 | $67.72 – $260.74 | 17 |
| Nuclear Stress Test (Heart) CPT 78452 | $1,626.00 | $2,710.00 | $374.88 – $2,168.00 | 17 |
| PSA (Prostate) Test CPT 84153 | $70.20 | $117.00 | $18.17 – $93.60 | 17 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,403.40 | $2,339.00 | $142.80 – $862.88 | 17 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,190.40 | $1,984.00 | $136.85 – $718.56 | 17 |
| Pelvic CT scan (without contrast) CPT 72192 | $939.00 | $1,565.00 | $104.30 – $632.05 | 17 |
| Pelvic MRI (with and without contrast) CPT 72197 | $4,349.40 | $7,249.00 | $145.60 – $2,009.77 | 17 |
| Pelvic MRI (with contrast) CPT 72196 | $2,572.20 | $4,287.00 | $108.15 – $1,141.28 | 17 |
| Pelvic MRI (without contrast) CPT 72195 | $2,212.80 | $3,688.00 | $91.70 – $941.15 | 17 |
| Pelvic Ultrasound (complete) CPT 76856 | $353.40 | $589.00 | $58.80 – $221.76 | 17 |
| Pelvic Ultrasound (limited) CPT 76857 | $348.60 | $581.00 | $16.80 – $137.63 | 17 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $491.40 | $819.00 | $58.80 – $309.29 | 17 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $403.80 | $673.00 | $92.50 – $538.40 | 17 |
| Rapid Strep Test CPT 87880 | $60.60 | $101.00 | $6.93 – $80.80 | 17 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $1,422.12 – $1,607.34 | 2 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $1,420.78 – $1,650.84 | 2 |
| Screening Mammogram CPT 77067 | $174.60 | $291.00 | $32.90 – $178.43 | 16 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $1,952.98 – $4,514.36 | 4 |
| Shoulder MRI (with and without contrast) CPT 73223 | $8,550.60 | $14,251.00 | $135.10 – $1,992.24 | 15 |
| Shoulder MRI (with contrast) CPT 73222 | $5,029.20 | $8,382.00 | $101.50 – $1,109.81 | 15 |
| Shoulder MRI (without contrast) CPT 73221 | $4,336.80 | $7,228.00 | $84.70 – $1,083.17 | 15 |
| Shoulder X-ray CPT 73030 | $307.20 | $512.00 | $16.10 – $70.75 | 15 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,102.80 | $1,838.00 | $128.10 – $772.56 | 17 |
| Sinus CT scan (with contrast) CPT 70487 | $993.60 | $1,656.00 | $147.40 – $638.56 | 17 |
| Sinus CT scan (without contrast) CPT 70486 | $820.20 | $1,367.00 | $89.60 – $540.24 | 17 |
| Skin Biopsy CPT 11102 | $98.40 | $164.00 | $35.45 – $131.20 | 17 |
| Thyroid (TSH) Test CPT 84443 | $108.00 | $180.00 | $16.60 – $132.80 | 17 |
| Thyroid Ultrasound CPT 76536 | $308.40 | $514.00 | $36.40 – $194.57 | 17 |
| Total Hip Replacement CPT 27130 | not published | not published | $4,895.36 – $5,415.11 | 3 |
| Total Knee Replacement CPT 27447 | not published | not published | $5,409.72 – $14,888.05 | 4 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $4,313.40 | $7,189.00 | $162.05 – $2,405.45 | 17 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $2,526.00 | $4,210.00 | $125.30 – $1,368.07 | 17 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,338.80 | $3,898.00 | $101.15 – $1,243.84 | 17 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $903.00 | $1,505.00 | $137.74 – $1,204.00 | 17 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $1,346.40 | $2,244.00 | $163.44 – $1,795.20 | 17 |
| Urinalysis (with microscopy) CPT 81001 | $100.80 | $168.00 | $3.13 – $68.80 | 17 |
| Urinalysis (without microscopy) CPT 81003 | $80.40 | $134.00 | $2.22 – $58.40 | 17 |
| Urine Culture Test CPT 87086 | $140.40 | $234.00 | $7.98 – $80.00 | 17 |
| Vasectomy CPT 55250 | $2,741.40 | $4,569.00 | $163.35 – $3,655.20 | 17 |
| Vitamin D Test CPT 82306 | $160.20 | $267.00 | $29.26 – $213.60 | 17 |
| Wrist X-ray CPT 73110 | $307.20 | $512.00 | $16.10 – $68.14 | 15 |
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.