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 |
|---|---|---|---|---|
| Rho d immune globulin inj HCPCS J2790 | $309.00 | $515.00 | $82.58 – $137.54 | 6 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $143.40 | $239.00 | $29.15 – $121.41 | 10 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $186.60 | $311.00 | $30.25 – $152.79 | 10 |
| Rib X-ray (3 views, both sides) CPT 71110 | $160.80 | $268.00 | $30.25 – $124.13 | 10 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $3,382.20 | $5,637.00 | $75.22 – $126.60 | 6 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $5,160.00 | $8,600.00 | $27.84 – $81.72 | 6 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | not published | not published | $199.10 – $836.01 | 3 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $4.80 | $8.00 | $0.05 – $0.18 | 6 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $582.00 | $970.00 | $105.95 – $905.93 | 10 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $1,070.40 | $1,784.00 | $71.65 – $1,354.02 | 10 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | not published | not published | $751.37 – $3,610.67 | 4 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | not published | not published | $344.03 – $3,124.03 | 4 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | not published | not published | $478.93 – $3,610.67 | 4 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | not published | not published | $424.13 – $3,124.03 | 4 |
| Rubella antibody igg CPT 86762 | $134.40 | $224.00 | $14.22 – $62.11 | 11 |
| Rubeola antibody igg CPT 86765 | $161.40 | $269.00 | $12.73 – $55.59 | 11 |
| Russell viper venom diluted CPT 85613 | $219.60 | $366.00 | $9.47 – $41.35 | 11 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $124.20 | $207.00 | $27.83 – $117.31 | 10 |
| Salivary gland function exam CPT 78232 | $463.20 | $772.00 | $66.73 – $435.76 | 10 |
| Salivary gland imaging CPT 78230 | $364.80 | $608.00 | $65.52 – $593.45 | 10 |
| Salivary glnd img serial img CPT 78231 | $426.60 | $711.00 | $64.90 – $366.56 | 10 |
| Salmonella antibody CPT 86768 | $265.80 | $443.00 | $13.03 – $69.53 | 5 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $156.60 | $261.00 | $151.88 – $584.96 | 10 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $277.80 | $463.00 | $109.78 – $402.47 | 10 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $799.80 | $1,333.00 | $106.88 – $431.13 | 10 |
| Screen c/v thin layer by md HCPCS G0124 | $95.40 | $159.00 | $31.64 – $142.14 | 3 |
| 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 | $115.17 – $377.95 | 8 |
| Screening prostate cancer PSA HCPCS G0103 | $67.80 | $113.00 | $25.29 – $106.47 | 3 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $6,284.40 | $10,474.00 | $630.10 – $630.10 | 1 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $339.00 | $565.00 | $81.40 – $290.60 | 10 |
| Sedimentation rate erythrocyte automated CPT 85652 | $15.00 | $25.00 | $2.67 – $11.65 | 11 |
| Semen analysis HCPCS G0027 | $108.00 | $180.00 | $8.94 – $28.05 | 2 |
| Serial casting application 97139app CPT 97139 | $61.20 | $102.00 | $55.11 – $76.74 | 3 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $234.00 | $390.00 | $35.20 – $486.41 | 10 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | $300.60 | $501.00 | $69.30 – $759.40 | 10 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $157.80 | $263.00 | $30.80 – $441.48 | 10 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $157.20 | $262.00 | $38.50 – $513.91 | 10 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | $301.80 | $503.00 | $55.00 – $615.59 | 10 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $157.20 | $262.00 | $27.50 – $421.80 | 10 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $157.20 | $262.00 | $35.20 – $509.24 | 10 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $129.00 | $215.00 | $41.80 – $573.42 | 10 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $201.60 | $336.00 | $7,047.57 – $7,047.57 | 1 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $1,295.17 – $3,870.24 | 4 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $561.93 – $2,291.88 | 10 |
| Sho arthrs srg lss&rescj ads CPT 29825 | not published | not published | $572.51 – $2,485.67 | 10 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | $867.11 – $4,369.48 | 10 |
| Shoe post-op mens m HCPCS L3260 | $32.40 | $54.00 | $31.88 – $172.64 | 2 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $112.20 | $187.00 | $13.97 – $58.96 | 10 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $133.20 | $222.00 | $31.37 – $89.92 | 10 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $1,952.98 – $4,514.36 | 4 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $213.00 | $355.00 | $61.37 – $84.82 | 4 |
| Shoulder MRI (with and without contrast) CPT 73223 | $8,550.60 | $14,251.00 | $1,244.35 – $2,200.73 | 4 |
| Shoulder MRI (with contrast) CPT 73222 | $5,029.20 | $8,382.00 | $1,027.47 – $1,225.96 | 4 |
| Shoulder MRI (without contrast) CPT 73221 | $4,336.80 | $7,228.00 | $598.97 – $1,250.31 | 4 |
| Shoulder X-ray CPT 73030 | $307.20 | $512.00 | $70.75 – $105.05 | 4 |
| Sialography s&i CPT 70390 | $452.40 | $754.00 | $38.50 – $410.71 | 10 |
| Sickling rbc CPT 85660 | $102.60 | $171.00 | $3.30 – $23.78 | 11 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $70.04 – $1,188.24 | 10 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $1,398.60 | $2,331.00 | $134.15 – $1,247.19 | 10 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $166.80 | $278.00 | $123.36 – $188.74 | 6 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,102.80 | $1,838.00 | $182.30 – $853.41 | 10 |
| Sinus CT scan (with contrast) CPT 70487 | $993.60 | $1,656.00 | $147.40 – $705.38 | 10 |
| Sinus CT scan (without contrast) CPT 70486 | $820.20 | $1,367.00 | $143.00 – $596.78 | 10 |
| Sinus X-ray (complete) CPT 70220 | $156.60 | $261.00 | $37.27 – $111.87 | 10 |
| Sinus X-ray (limited) CPT 70210 | $118.80 | $198.00 | $26.74 – $98.19 | 10 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $163.80 | $273.00 | $21.10 – $72.47 | 9 |
| Skin Biopsy CPT 11102 | $98.40 | $164.00 | $35.45 – $422.41 | 10 |
| Skull X-ray (1 to 3 views) CPT 70250 | $138.00 | $230.00 | $34.97 – $111.87 | 10 |
| Skull X-ray (complete) CPT 70260 | $187.80 | $313.00 | $47.82 – $131.91 | 10 |
| Skyla, 13.5 mg HCPCS J7301 | $1,143.00 | $1,905.00 | $1,152.98 – $1,907.17 | 2 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $37.20 | $62.00 | $29.73 – $44.20 | 2 |
| Sling pelv split sam med HCPCS L0621 | $146.40 | $244.00 | $128.03 – $369.45 | 4 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $349.20 | $582.00 | $41.25 – $352.01 | 10 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $25.80 | $43.00 | $3.30 – $23.26 | 11 |
| Smear gram stain CPT 87205 | $46.20 | $77.00 | $4.22 – $18.43 | 11 |
| Smear nasal eosinophil CPT 89190 | $106.20 | $177.00 | $5.72 – $24.99 | 11 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $141.00 | $235.00 | $4.95 – $25.85 | 11 |
| Smear wet mount CPT 87210 | $90.60 | $151.00 | $5.75 – $25.12 | 11 |
| Sodium 24 hour urine CPT 84300 | $94.80 | $158.00 | $5.01 – $21.84 | 11 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $8.40 | $14.00 | $1.95 – $6.27 | 6 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $8.40 | $14.00 | $1.26 – $4.79 | 6 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $8.40 | $14.00 | $0.65 – $5.34 | 6 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $94.80 | $158.00 | $2.02 – $4.64 | 6 |
| Sodium serum/plasma/whole blood CPT 84295 | $55.80 | $93.00 | $4.76 – $20.76 | 11 |
| Special casting material HCPCS A4590 | $193.80 | $323.00 | $47.30 – $194.22 | 2 |
| Specific gravity body fluid CPT 84315 | $49.20 | $82.00 | $3.24 – $14.16 | 5 |
| Specimen fat stain CPT 89125 | $98.40 | $164.00 | $5.80 – $25.38 | 11 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $425.40 | $709.00 | $261.75 – $963.76 | 4 |
| Speech evaluation complex CPT 70371 | $85.80 | $143.00 | $98.06 – $318.44 | 10 |
| Speech Therapy Session (one-on-one) CPT 92507 | $69.60 | $116.00 | $23.87 – $323.70 | 10 |
| Sperm antibody test CPT 89325 | $291.60 | $486.00 | $10.55 – $46.05 | 5 |
| Spine X-ray (single view, one level) CPT 72020 | $134.40 | $224.00 | $23.54 – $69.57 | 10 |
| Spleen imaging CPT 78185 | $414.00 | $690.00 | $63.47 – $581.15 | 10 |
| Splint finger 4 prong foam sm HCPCS A4570 | $155.40 | $259.00 | $48.12 – $70.31 | 2 |
| Splint func pos polyflex ii med HCPCS L3999 | $84.60 | $141.00 | $56.45 – $56.45 | 1 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $216.00 | $360.00 | $131.64 – $464.75 | 4 |
| Sterile gauze <= 16 sq in HCPCS A6402 | $8.40 | $14.00 | $0.29 – $0.65 | 4 |
| Sterile needle HCPCS A4215 | $8.40 | $14.00 | $1.29 – $333.48 | 2 |
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.