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 |
|---|---|---|---|---|
| Sterile water/saline, 500 ml HCPCS A4217 | $13.20 | $22.00 | $12.91 – $18.00 | 2 |
| St evaluate speech sound production CPT 92522 | $205.80 | $343.00 | $126.20 – $470.23 | 4 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $663.00 | $1,105.00 | $148.49 – $1,107.87 | 10 |
| Strapping of knee CPT 29530 | $249.00 | $415.00 | $28.05 – $125.21 | 10 |
| Stress test pulmonary CPT 94618 | $156.00 | $260.00 | $29.83 – $47.84 | 10 |
| Stress tte complete CPT 93351 | $2,037.00 | $3,395.00 | $204.09 – $615.25 | 10 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $40.80 | $68.00 | $0.92 – $2.61 | 2 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $25.80 | $43.00 | $55.86 – $267.18 | 3 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $168.51 – $2,710.67 | 4 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $2,379.82 – $3,109.76 | 4 |
| Surgical pathology level 1 gross examination only CPT 88300 | $138.60 | $231.00 | $6.03 – $47.73 | 11 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $209.40 | $349.00 | $12.42 – $106.39 | 11 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $169.20 | $282.00 | $18.18 – $128.23 | 11 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $185.40 | $309.00 | $37.40 – $173.23 | 11 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $297.00 | $495.00 | $50.05 – $852.71 | 11 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $480.00 | $800.00 | $74.36 – $1,204.77 | 11 |
| Surgical trays HCPCS A4550 | $70.80 | $118.00 | $42.27 – $92.62 | 3 |
| Susceptibility agar dilution per agent CPT 87181 | $26.40 | $44.00 | $4.70 – $20.50 | 11 |
| Susceptibility mic per plate CPT 87186 | $47.40 | $79.00 | $8.55 – $37.33 | 11 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | $3,733.80 | $6,223.00 | $1,945.93 – $4,447.77 | 4 |
| Swallowing Evaluation (Bedside) CPT 92610 | $336.00 | $560.00 | $42.79 – $357.84 | 10 |
| Swallowing Therapy Session CPT 92526 | $91.80 | $153.00 | $82.99 – $358.23 | 3 |
| Synvisc or synvisc-one HCPCS J7325 | $2,958.00 | $4,930.00 | $7.95 – $32.53 | 6 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $99.60 | $166.00 | $4.34 – $18.99 | 11 |
| T3 (triiodothyronine) free CPT 84481 | $91.80 | $153.00 | $16.74 – $73.11 | 11 |
| T3 (triiodothyronine) total CPT 84480 | $77.40 | $129.00 | $8.80 – $61.20 | 11 |
| T4 (thyroxine) free CPT 84439 | $49.20 | $82.00 | $8.80 – $38.93 | 11 |
| T4 (thyroxine) total CPT 84436 | $37.20 | $62.00 | $6.79 – $29.65 | 11 |
| Tacrolimus therapeutic drug level CPT 80197 | $75.00 | $125.00 | $13.56 – $59.26 | 11 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $112.80 | $188.00 | $26.99 – $99.57 | 10 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $263.40 | $439.00 | $61.26 – $267.51 | 11 |
| Tc-99m apcitide diag HCPCS A9504 | $1,711.20 | $2,852.00 | $191.67 – $840.06 | 3 |
| Tc-99m arcitumomab HCPCS A9568 | $2,159.40 | $3,599.00 | $1,235.00 – $1,335.69 | 2 |
| Tc-99m depreotide HCPCS A9536 | $1,055.40 | $1,759.00 | $227.01 – $1,279.33 | 3 |
| Tc-99m labeled rbc HCPCS A9560 | $234.00 | $390.00 | $106.48 – $493.94 | 3 |
| Tc-99m maa HCPCS A9540 | $46.20 | $77.00 | $34.20 – $209.44 | 3 |
| Tc-99m mebrofenin HCPCS A9537 | $102.60 | $171.00 | $63.06 – $221.57 | 3 |
| Tc-99m medronate HCPCS A9503 | $46.20 | $77.00 | $14.82 – $154.84 | 3 |
| Tc-99m mertiatide HCPCS A9562 | $724.20 | $1,207.00 | $1,067.71 – $1,267.58 | 2 |
| Tc-99m pentetate dtpa HCPCS A9539 | $102.60 | $171.00 | $41.63 – $144.91 | 2 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $48.60 | $81.00 | $23.02 – $57.48 | 3 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $46.20 | $77.00 | $1.93 – $20.28 | 3 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $237.00 | $395.00 | $492.29 – $743.46 | 2 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $454.20 | $757.00 | $554.97 – $970.83 | 3 |
| Tc-99m sulfur colloid HCPCS A9541 | $186.00 | $310.00 | $304.80 – $1,239.81 | 3 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $446.40 | $744.00 | $46.43 – $202.77 | 11 |
| T cells absolute cd 4 count CPT 86361 | $446.40 | $744.00 | $26.46 – $115.58 | 11 |
| T cells total count CPT 86359 | $283.80 | $473.00 | $37.28 – $162.84 | 11 |
| Telehealth original site facility fee HCPCS Q3014 | $81.60 | $136.00 | $30.14 – $107.90 | 2 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $8,955.00 | $14,925.00 | $172.22 – $268.01 | 6 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $13.20 | $22.00 | $3.53 – $11.97 | 6 |
| Test for chlorohydrocarbons CPT 82441 | $268.20 | $447.00 | $5.94 – $25.94 | 11 |
| Test for urine cystines CPT 82615 | $298.20 | $497.00 | $5.50 – $41.22 | 11 |
| Testicular imaging w/vasc flow CPT 78761 | $492.00 | $820.00 | $140.84 – $679.38 | 10 |
| Test stress cardiovascular tracing only CPT 93017 | $747.00 | $1,245.00 | $51.15 – $156.49 | 10 |
| Tetanus immune globulin inj HCPCS J1670 | $1,551.00 | $2,585.00 | $593.00 – $943.92 | 6 |
| Theophylline therapeutic drug level CPT 80198 | $108.00 | $180.00 | $12.10 – $61.03 | 11 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $90.60 | $151.00 | $14.30 – $155.72 | 10 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $90.60 | $151.00 | $9.22 – $124.47 | 10 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $80.40 | $134.00 | $19.46 – $153.91 | 2 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $52.20 | $87.00 | $13.36 – $134.01 | 2 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $664.80 | $1,108.00 | $41.25 – $646.75 | 10 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $16.80 | $28.00 | $1.82 – $3.74 | 6 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $253.80 | $423.00 | $41.19 – $153.40 | 4 |
| Three-Phase Bone Scan (Nuclear Medicine) CPT 78315 | $772.80 | $1,288.00 | $183.01 – $1,125.61 | 10 |
| Throat x-ray & fluoroscopy CPT 70370 | $259.80 | $433.00 | $20.90 – $349.29 | 10 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $30.00 | $50.00 | $6.39 – $27.92 | 11 |
| Thyroglobulin antibody CPT 86800 | $168.00 | $280.00 | $15.73 – $68.67 | 11 |
| Thyroid imaging CPT 78013 | $397.80 | $663.00 | $169.87 – $657.59 | 10 |
| Thyroid (TSH) Test CPT 84443 | $108.00 | $180.00 | $16.60 – $72.51 | 11 |
| Thyroid Ultrasound CPT 76536 | $308.40 | $514.00 | $83.98 – $346.57 | 10 |
| Thyroid uptake measurement CPT 78012 | $367.80 | $613.00 | $67.32 – $294.61 | 10 |
| Thyroxine binding globulin (tbg) CPT 84442 | $213.00 | $355.00 | $11.00 – $63.79 | 11 |
| Tissue exam koh skin/hair/nails CPT 87220 | $84.00 | $140.00 | $4.22 – $18.43 | 11 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $24.00 | $40.00 | $2.33 – $3.25 | 6 |
| Tobramycin peak therapeutic drug level CPT 80200 | $250.20 | $417.00 | $15.94 – $69.62 | 11 |
| Toe X-ray (both feet) CPT 73660 | $382.20 | $637.00 | $51.81 – $94.13 | 4 |
| Tomosynthesis breast screen bilateral CPT 77063 | $94.80 | $158.00 | $48.43 – $98.23 | 10 |
| 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 |
| Toxoplasma antibody igg CPT 86777 | $184.20 | $307.00 | $14.22 – $62.11 | 11 |
| Toxoplasma antibody igm CPT 86778 | $173.40 | $289.00 | $14.24 – $62.19 | 11 |
| Tracheostomy care kit HCPCS A4629 | $10.80 | $18.00 | $10.70 – $26.72 | 4 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $72.60 | $121.00 | $23.55 – $229.74 | 8 |
| Transferrin CPT 84466 | $141.00 | $235.00 | $12.62 – $55.07 | 11 |
| Transparent film <= 16 sq in HCPCS A6257 | $3.60 | $6.00 | $3.53 – $8.80 | 4 |
| Transvaginal Pelvic Ultrasound (not pregnancy) CPT 76830 | $337.20 | $562.00 | $84.15 – $357.49 | 10 |
| Transvaginal Pregnancy Ultrasound CPT 76817 | $328.80 | $548.00 | $96.35 – $234.66 | 10 |
| Treat finger fracture each CPT 26727 | not published | not published | $246.40 – $2,020.92 | 10 |
| Treat finger fracture each CPT 26742 | $1,131.60 | $1,886.00 | $80.85 – $1,608.06 | 10 |
| Treat humerus fracture CPT 24535 | $1,131.60 | $1,886.00 | $226.60 – $2,647.35 | 10 |
| Treat knee fracture CPT 27536 | not published | not published | $2,288.77 – $5,007.73 | 4 |
| Treat knee fracture 27530 CPT 27530 | $397.80 | $663.00 | $141.35 – $1,317.59 | 10 |
| Treat lower leg joint CPT 27829 | not published | not published | $1,247.22 – $2,991.94 | 4 |
| Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah) CPT 25608 | not published | not published | $1,105.17 – $3,690.88 | 4 |
| Treatment of ankle fracture CPT 27792 | not published | not published | $1,448.70 – $2,733.54 | 4 |
| Treatment of ankle fracture 27786 CPT 27786 | $375.60 | $626.00 | $130.35 – $1,342.92 | 10 |
| Treatment of thigh fracture CPT 27510 | $1,131.60 | $1,886.00 | $348.70 – $2,896.55 | 10 |
| Treatment of toe fracture 28510 CPT 28510 | $595.20 | $992.00 | $189.47 – $511.70 | 4 |
| Treat metacarpal fracture CPT 26608 | not published | not published | $835.76 – $2,052.04 | 4 |
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.