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 |
|---|---|---|---|---|
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $168.00 | $280.00 | $101.56 – $424.31 | 4 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $15.00 | $25.00 | $0.61 – $2.42 | 6 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $3.00 | $5.00 | $0.09 – $0.22 | 6 |
| One-way allow prorated trip HCPCS P9604 | $19.20 | $32.00 | $4.27 – $47.91 | 4 |
| Optx acromclv dislc aqt/chrn CPT 23550 | $1,643.40 | $2,739.00 | $1,492.91 – $2,432.11 | 4 |
| Optx medial ankle fx CPT 27766 | not published | not published | $1,527.88 – $2,571.39 | 4 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $520.30 – $3,736.66 | 10 |
| Oral aprepitant HCPCS J8501 | $201.00 | $335.00 | $2.73 – $12.53 | 6 |
| Organic acids total quant ea spec CPT 83918 | $374.40 | $624.00 | $22.62 – $101.86 | 11 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $16.80 | $28.00 | $11.19 – $23.08 | 6 |
| Osmolality blood CPT 83930 | $126.60 | $211.00 | $3.30 – $28.53 | 11 |
| Osmolality urine CPT 83935 | $134.40 | $224.00 | $3.30 – $29.44 | 11 |
| Ostomy clamp, replacement HCPCS A4363 | $3.00 | $5.00 | $8.56 – $13.60 | 4 |
| Other immunoelectrophoresis CPT 86325 | $291.60 | $486.00 | $14.30 – $99.83 | 11 |
| Ot re-evaluation patient/family CPT 97168 | $111.00 | $185.00 | $44.76 – $291.72 | 10 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $6.00 | $10.00 | $1.60 – $3.32 | 2 |
| Parathormone (pth) intact CPT 83970 | $224.40 | $374.00 | $40.80 – $178.16 | 11 |
| Parathyroid planar imaging CPT 78070 | $540.60 | $901.00 | $98.19 – $965.96 | 10 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $144.00 | $240.00 | $22.00 – $296.64 | 10 |
| Pcv21 vaccine im CPT 90684 | $414.00 | $690.00 | $11.00 – $541.02 | 9 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $7,591.20 | $12,652.00 | $32.97 – $609.71 | 6 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $5,652.00 | $9,420.00 | $131.16 – $372.88 | 6 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $5,977.80 | $9,963.00 | $106.33 – $396.63 | 6 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $3,757.20 | $6,262.00 | $99.13 – $206.75 | 6 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,403.40 | $2,339.00 | $174.96 – $953.18 | 10 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,190.40 | $1,984.00 | $154.10 – $793.76 | 10 |
| Pelvic CT scan (without contrast) CPT 72192 | $939.00 | $1,565.00 | $123.75 – $698.19 | 10 |
| Pelvic MRI (with and without contrast) CPT 72197 | $4,349.40 | $7,249.00 | $634.56 – $2,220.09 | 10 |
| Pelvic MRI (with contrast) CPT 72196 | $2,572.20 | $4,287.00 | $312.15 – $1,260.72 | 10 |
| Pelvic MRI (without contrast) CPT 72195 | $2,212.80 | $3,688.00 | $361.54 – $1,039.64 | 10 |
| Pelvic Ultrasound (complete) CPT 76856 | $353.40 | $589.00 | $84.15 – $300.18 | 10 |
| Pelvic Ultrasound (limited) CPT 76857 | $348.60 | $581.00 | $35.20 – $152.04 | 10 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $143.40 | $239.00 | $19.25 – $80.45 | 10 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $138.00 | $230.00 | $33.72 – $124.13 | 10 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $447.00 | $745.00 | $50.00 – $183.21 | 2 |
| Peritoneogram rs&i CPT 74190 | $472.80 | $788.00 | $59.06 – $234.10 | 10 |
| Perit-vens shunt pat tst CPT 78291 | $515.40 | $859.00 | $166.00 – $834.97 | 10 |
| Pertussis ag if CPT 87265 | $56.40 | $94.00 | $11.84 – $105.15 | 5 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $135.00 | $225.00 | $204.62 – $285.16 | 2 |
| Pet CT skull-mid thgh initial CPT 78815 | $5,818.20 | $9,697.00 | $1,437.96 – $5,997.30 | 8 |
| Pet CT whole body initial CPT 78816 | $6,019.80 | $10,033.00 | $1,440.58 – $6,865.29 | 8 |
| Pet fdg brain metoblic eval sb CPT 78608 | $4,480.80 | $7,468.00 | $751.40 – $5,997.30 | 8 |
| Pet image full body CPT 78813 | $5,734.20 | $9,557.00 | $1,418.71 – $5,997.25 | 8 |
| Pet image ltd area CPT 78811 | $4,480.80 | $7,468.00 | $1,398.48 – $5,345.02 | 8 |
| Pet image skull-thigh CPT 78812 | $5,530.80 | $9,218.00 | $1,237.11 – $5,997.25 | 8 |
| Pet image w/ct lmtd CPT 78814 | $4,769.40 | $7,949.00 | $1,427.53 – $5,997.30 | 8 |
| Pet scan brain perf study CPT 78609 | $4,480.80 | $7,468.00 | $303.85 – $303.85 | 1 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $17,997.00 | $29,995.00 | $3,028.28 – $3,028.28 | 1 |
| Ph body fluid CPT 83986 | $85.80 | $143.00 | $2.20 – $15.45 | 11 |
| Phencyclidine (pcp) CPT 83992 | $54.00 | $90.00 | $17.60 – $64.02 | 11 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $65.40 | $109.00 | $30.17 – $50.75 | 6 |
| Phenobarbital therapeutic drug level CPT 80184 | $197.40 | $329.00 | $15.12 – $66.03 | 11 |
| Phentolaine mesylate inj HCPCS J2760 | $440.40 | $734.00 | $432.02 – $651.14 | 6 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $10.80 | $18.00 | $0.00 – $0.02 | 6 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $7.20 | $12.00 | $0.45 – $0.97 | 6 |
| Phenytoin total therapeutic drug level CPT 80185 | $124.20 | $207.00 | $13.09 – $57.19 | 11 |
| Phlebotomy therapeutic CPT 99195 | $178.20 | $297.00 | $11.00 – $395.48 | 10 |
| Phosphorus CPT 84100 | $80.40 | $134.00 | $4.69 – $20.46 | 11 |
| Phosphorus 24 hour urine CPT 84105 | $78.00 | $130.00 | $5.71 – $24.95 | 11 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $174.00 | $290.00 | $127.65 – $424.31 | 3 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $174.00 | $290.00 | $127.65 – $424.31 | 3 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $174.00 | $290.00 | $127.65 – $424.31 | 3 |
| Physical Therapy Re-Evaluation CPT 97164 | $116.40 | $194.00 | $47.43 – $293.10 | 10 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $141.00 | $235.00 | $2.73 – $6.13 | 6 |
| Pin finger fracture each CPT 26756 | not published | not published | $156.20 – $1,810.00 | 10 |
| Pinworm exam CPT 87172 | $70.20 | $117.00 | $4.22 – $20.21 | 5 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $39.60 | $66.00 | $1.07 – $2.00 | 6 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $496.20 | $827.00 | $90.85 – $1,009.56 | 10 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $433.20 | $722.00 | $43.26 – $713.52 | 10 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $496.20 | $827.00 | $77.78 – $1,548.37 | 10 |
| Platelet aggregation each agent teg CPT 85576 | $218.40 | $364.00 | $24.62 – $107.51 | 11 |
| Platelet automated CPT 85049 | $117.00 | $195.00 | $3.30 – $19.34 | 11 |
| Platelet pheresis each unit HCPCS P9034 | $2,007.60 | $3,346.00 | $655.92 – $1,812.72 | 2 |
| Platelets each unit HCPCS P9019 | $651.60 | $1,086.00 | $33.00 – $195.73 | 10 |
| Platelet survival CPT 78191 | $922.80 | $1,538.00 | $56.65 – $633.17 | 10 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $433.20 | $722.00 | $37.38 – $1,266.06 | 10 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $227.40 | $379.00 | $44.07 – $173.20 | 10 |
| #pnh-flow cytometry interp CPT 88187 | $393.00 | $655.00 | $23.43 – $148.99 | 11 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $185.40 | $309.00 | $25.77 – $112.52 | 11 |
| Potassium 24 hour urine CPT 84133 | $106.20 | $177.00 | $4.67 – $20.41 | 11 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $13.80 | $23.00 | $0.11 – $0.44 | 6 |
| Potassium serum/plasma/whole blood CPT 84132 | $46.20 | $77.00 | $4.70 – $20.54 | 11 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $190.20 | $317.00 | $98.84 – $171.67 | 2 |
| Pr application of long arm splint CPT 29105 | $199.80 | $333.00 | $36.85 – $348.30 | 10 |
| Pr application splint static short arm CPT 29125 | $199.80 | $333.00 | $28.60 – $277.43 | 10 |
| Pr correction hammertoe CPT 28285 | not published | not published | $254.65 – $2,236.12 | 10 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $64.80 | $108.00 | $19.22 – $62.32 | 4 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $3,071.40 | $5,119.00 | $158.09 – $1,670.55 | 10 |
| Prealbumin CPT 84134 | $79.20 | $132.00 | $14.42 – $62.97 | 11 |
| Prednisone 1 mg tablet HCPCS J7512 | $1.80 | $3.00 | $0.01 – $0.22 | 6 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $491.40 | $819.00 | $85.25 – $364.27 | 10 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $403.80 | $673.00 | $92.50 – $291.98 | 10 |
| Pregnancy Ultrasound (limited) CPT 76815 | $348.60 | $581.00 | $70.40 – $209.19 | 10 |
| Pressure max expiratory/inspiratory CPT 94799 | $144.60 | $241.00 | $21.36 – $21.36 | 1 |
| Pretreat rbc absorption reference CPT 86978 | $122.40 | $204.00 | $24.99 – $39.18 | 2 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $1,273.20 | $2,122.00 | $44.00 – $532.29 | 10 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | $88.55 – $939.03 | 10 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $658.80 | $1,098.00 | $354.07 – $771.30 | 4 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $301.20 | $502.00 | $57.75 – $892.07 | 10 |
| Pr incision & drainage abscess simple/single CPT 10060 | $356.40 | $594.00 | $25.85 – $524.57 | 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.