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 |
|---|---|---|---|---|
| Ivp w/nephrotomography CPT 74415 | $75.60 | $126.00 | $45.65 – $543.04 | 10 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $358.80 | $598.00 | $51.15 – $463.88 | 10 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $163.20 | $272.00 | $30.25 – $170.53 | 10 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $138.00 | $230.00 | $30.25 – $129.61 | 10 |
| John cunningham antibody CPT 86711 | $56.40 | $94.00 | $16.69 – $72.90 | 11 |
| Ketogenic steroids fract CPT 83582 | $262.80 | $438.00 | $15.29 – $66.77 | 11 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $121.20 | $202.00 | $5.50 – $35.26 | 11 |
| Ketorolac (Toradol) Pain Shot, 15 mg HCPCS J1885 | $4.20 | $7.00 | $0.30 – $1.76 | 6 |
| Kidney function study CPT 78725 | $266.40 | $444.00 | $90.60 – $390.12 | 10 |
| Kidney imaging morphology CPT 78700 | $465.60 | $776.00 | $68.64 – $571.61 | 10 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $642.00 | $1,070.00 | $124.75 – $713.52 | 10 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $528.00 | $880.00 | $89.65 – $304.28 | 10 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $301.80 | $503.00 | $83.73 – $218.54 | 10 |
| Kit lead specify 5-6-5 HCPCS C1778 | $2,910.60 | $4,851.00 | $9,698.74 – $9,698.74 | 1 |
| Kit trach suct cls 30.5cm HCPCS A4605 | $2.40 | $4.00 | $38.10 – $94.13 | 2 |
| Knee Arthroscopy (Meniscus Trimming) CPT 29881 | not published | not published | $597.85 – $2,291.88 | 10 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $498.63 – $2,268.36 | 10 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $1,955.58 – $2,799.36 | 4 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $2,034.51 – $2,407.46 | 4 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $1,955.05 – $4,119.45 | 4 |
| Knee MRI (with and without contrast) CPT 73723 | $8,550.60 | $14,251.00 | $1,240.25 – $2,200.73 | 4 |
| Knee MRI (with contrast) CPT 73722 | $5,051.40 | $8,419.00 | $941.52 – $1,225.96 | 4 |
| Knee MRI (without contrast) CPT 73721 | $4,363.20 | $7,272.00 | $598.97 – $1,237.40 | 4 |
| Knee X-ray CPT 73564 | $278.40 | $464.00 | $82.10 – $145.97 | 4 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $227.40 | $379.00 | $64.96 – $107.77 | 4 |
| Knee X-ray (standing, both knees) CPT 73565 | $130.20 | $217.00 | $27.94 – $129.61 | 10 |
| Kyleena, 19.5 mg HCPCS J7296 | $1,372.80 | $2,288.00 | $1,384.68 – $2,290.45 | 2 |
| Lactate dehydrogenase (ldh) CPT 83615 | $87.00 | $145.00 | $5.98 – $26.07 | 11 |
| Lactated ringers intravenous solution HCPCS J7120 | $13.80 | $23.00 | $2.41 – $10.11 | 6 |
| Lactic acid CPT 83605 | $58.20 | $97.00 | $8.80 – $49.94 | 11 |
| Lactoferrin fecal qualitative CPT 83630 | $88.80 | $148.00 | $13.54 – $85.03 | 11 |
| Laparo cholecystectomy/graph CPT 47563 | $3,965.40 | $6,609.00 | $1,521.52 – $3,804.86 | 4 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | $3,979.80 | $6,633.00 | $3,806.50 – $3,806.50 | 1 |
| Lap ing hernia repair recur CPT 49651 | $3,965.40 | $6,609.00 | $1,049.82 – $3,805.39 | 4 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $418.80 | $698.00 | $25.85 – $270.61 | 10 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $2,110.20 | $3,517.00 | $129.80 – $1,051.85 | 10 |
| Laser surgery of prostate CPT 52648 | $5,498.40 | $9,164.00 | $2,314.58 – $6,713.80 | 4 |
| Lead capillary CPT 83655 | $66.00 | $110.00 | $11.00 – $52.27 | 11 |
| Left compres band >=3" <5"/yd HCPCS A6449 | $3.00 | $5.00 | $3.33 – $10.06 | 4 |
| Left compres band <3"/yd HCPCS A6448 | $1.80 | $3.00 | $2.23 – $6.60 | 4 |
| Left compres band >=5"/yd HCPCS A6450 | $4.20 | $7.00 | $10.06 – $10.68 | 2 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $1,306.80 | $2,178.00 | $161.49 – $832.25 | 10 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $1,010.40 | $1,684.00 | $483.00 – $757.48 | 4 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $833.40 | $1,389.00 | $356.11 – $640.45 | 4 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,357.20 | $2,262.00 | $161.33 – $637.08 | 10 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $9.00 | $15.00 | $0.04 – $0.08 | 6 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $21.60 | $36.00 | $2.54 – $9.69 | 6 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $18.00 | $30.00 | $0.00 – $0.02 | 6 |
| Lidocaine therapeutic drug level CPT 80176 | $312.60 | $521.00 | $14.30 – $63.40 | 11 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $72.00 | $120.00 | $3.57 – $7.22 | 6 |
| Lipase CPT 83690 | $37.20 | $62.00 | $5.50 – $29.74 | 11 |
| Lipoprotein blood high res frac & quant CPT 83701 | $134.40 | $224.00 | $30.51 – $146.14 | 11 |
| Lipoprotein blood quant CPT 83704 | $142.80 | $238.00 | $33.79 – $147.56 | 5 |
| Lipoprotein direct measurement hdl CPT 83718 | $107.40 | $179.00 | $7.70 – $35.35 | 11 |
| Lipoprotein direct measurement ldl CPT 83721 | $93.00 | $155.00 | $10.37 – $45.32 | 11 |
| Lithium therapeutic drug level CPT 80178 | $36.00 | $60.00 | $6.54 – $28.53 | 11 |
| Liver Function Test CPT 80076 | $121.20 | $202.00 | $8.08 – $35.26 | 11 |
| Liver imaging CPT 78201 | $399.60 | $666.00 | $73.63 – $649.39 | 10 |
| Liver imaging (3d) CPT 78205 | $708.00 | $1,180.00 | $680.37 – $680.37 | 1 |
| Liver imag w/vasclr flow CPT 78202 | $472.80 | $788.00 | $80.87 – $703.98 | 10 |
| Liver/spleen imag static only CPT 78215 | $461.40 | $769.00 | $76.19 – $660.30 | 10 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $457.20 | $762.00 | $96.36 – $422.00 | 10 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $4.20 | $7.00 | $1.38 – $2.23 | 6 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $118.20 | $197.00 | $126.49 – $373.85 | 10 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,447.20 | $2,412.00 | $214.56 – $993.93 | 10 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,153.20 | $1,922.00 | $165.60 – $822.85 | 10 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $954.60 | $1,591.00 | $152.45 – $708.34 | 10 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $4,383.00 | $7,305.00 | $372.90 – $2,629.27 | 10 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,617.20 | $4,362.00 | $372.90 – $1,491.78 | 10 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,338.80 | $3,898.00 | $281.76 – $1,356.41 | 10 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $138.00 | $230.00 | $35.78 – $120.03 | 10 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $293.40 | $489.00 | $40.28 – $159.61 | 10 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $330.00 | $550.00 | $38.50 – $193.75 | 10 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $227.40 | $379.00 | $64.96 – $98.19 | 4 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $251.40 | $419.00 | $20.90 – $168.05 | 10 |
| Lung Function Test (Spirometry) CPT 94010 | $131.40 | $219.00 | $16.50 – $101.89 | 10 |
| Lung perfusion imaging CPT 78580 | $523.80 | $873.00 | $86.90 – $762.64 | 10 |
| Lymphatics/lymph node imaging CPT 78195 | $700.80 | $1,168.00 | $198.00 – $1,121.51 | 10 |
| Macroscopic exam arthropod CPT 87168 | $107.40 | $179.00 | $4.22 – $21.24 | 5 |
| Macroscopic exam parasite CPT 87169 | $23.40 | $39.00 | $4.26 – $23.42 | 5 |
| Magnesium CPT 83735 | $115.80 | $193.00 | $6.62 – $28.92 | 11 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $9.60 | $16.00 | $0.48 – $0.81 | 6 |
| Magnetic image bone marrow CPT 77084 | $1,557.00 | $2,595.00 | $286.45 – $941.41 | 10 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $58.20 | $97.00 | $5.13 – $21.65 | 2 |
| Marker biop eviva buckle ss HCPCS A4648 | $283.80 | $473.00 | $143.13 – $143.13 | 1 |
| Mask full face lg af531 HCPCS A7030 | $66.00 | $110.00 | $712.23 – $801.23 | 2 |
| Mastoids complete CPT 70130 | $178.80 | $298.00 | $110.85 – $189.65 | 4 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $241.20 | $402.00 | $14.29 – $62.41 | 11 |
| Mayo aathr protein s free CPT 85306 | $82.80 | $138.00 | $15.14 – $66.12 | 11 |
| Mayo activated protein c resistance assay CPT 85307 | $387.60 | $646.00 | $15.14 – $66.12 | 11 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $135.60 | $226.00 | $12.94 – $44.41 | 9 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $170.40 | $284.00 | $14.60 – $63.79 | 5 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $201.60 | $336.00 | $40.85 – $97.37 | 2 |
| Mayo alpha 1 antitrypsin CPT 82103 | $189.60 | $316.00 | $13.29 – $58.01 | 11 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $244.80 | $408.00 | $12.10 – $65.09 | 11 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $65.40 | $109.00 | $21.20 – $54.47 | 2 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $295.20 | $492.00 | $90.59 – $395.60 | 11 |
| Mayo androstenedione CPT 82157 | $283.80 | $473.00 | $27.50 – $126.37 | 11 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $187.20 | $312.00 | $14.43 – $63.01 | 11 |
| Mayo antithrombin iii antigen CPT 85301 | $316.80 | $528.00 | $10.69 – $46.66 | 11 |
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.