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 |
|---|---|---|---|---|
| Treat metacarpal fracture CPT 26615 | not published | not published | $255.20 – $2,442.51 | 10 |
| Treat toe fracture CPT 28525 | not published | not published | $540.62 – $2,365.38 | 4 |
| Treponema pallidum antibody CPT 86780 | $145.20 | $242.00 | $13.08 – $57.14 | 11 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $20.40 | $34.00 | $0.84 – $2.02 | 6 |
| Triglycerides CPT 84478 | $31.20 | $52.00 | $5.68 – $24.77 | 11 |
| Troponin quantitative CPT 84484 | $47.40 | $79.00 | $10.86 – $53.82 | 11 |
| Truss add to std pad scrotal HCPCS L8330 | $16.80 | $28.00 | $90.96 – $243.42 | 3 |
| Tube drain vert dev st 5-40f HCPCS A5200 | $4.20 | $7.00 | $23.09 – $64.91 | 4 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | $93.60 | $156.00 | $89.35 – $270.01 | 4 |
| Tx closed tib shaft fx without manip CPT 27750 | $345.60 | $576.00 | $156.75 – $1,489.19 | 10 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $3,417.60 | $5,696.00 | $195.80 – $2,138.15 | 10 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | not published | not published | $246.40 – $2,524.86 | 10 |
| Ugt1a1 gene analy common variants CPT 81350 | $296.40 | $494.00 | $231.27 – $1,009.94 | 5 |
| Ultrasound breast complete CPT 76641 | $483.00 | $805.00 | $140.97 – $325.57 | 4 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $301.80 | $503.00 | $94.07 – $207.41 | 10 |
| Ultrasound Guidance for a Needle Procedure CPT 76942 | $1,375.20 | $2,292.00 | $79.20 – $241.47 | 10 |
| Ultrasound guidance for vascular access CPT 76937 | $53.40 | $89.00 | $28.08 – $103.71 | 10 |
| Ultrasound joint complete left CPT 76881 | $278.40 | $464.00 | $44.97 – $405.15 | 4 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $719.40 | $1,199.00 | $81.52 – $665.07 | 10 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $200.40 | $334.00 | $60.46 – $147.24 | 10 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $681.60 | $1,136.00 | $202.52 – $486.18 | 10 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $262.20 | $437.00 | $79.51 – $285.16 | 10 |
| Ultrasound prostate/transrectal CPT 76872 | $387.00 | $645.00 | $95.40 – $429.79 | 10 |
| Ultrasound transabd ea addl gest CPT 76812 | $384.00 | $640.00 | $111.34 – $442.04 | 10 |
| Unlisted CT procedure CPT 76497 | $84.00 | $140.00 | $59.34 – $378.64 | 2 |
| Unlisted gi px dx nuc med CPT 78299 | $736.80 | $1,228.00 | $49.77 – $49.77 | 1 |
| Unlisted gu px dx nuc med CPT 78799 | $694.80 | $1,158.00 | $36.37 – $36.37 | 1 |
| Unlisted hematology&coagj px CPT 85999 | $14.40 | $24.00 | $18.39 – $18.39 | 1 |
| Unlisted muscskel px dx nuc CPT 78399 | $779.40 | $1,299.00 | $36.45 – $36.45 | 1 |
| Unlisted nrvs sys px dx nuc CPT 78699 | $1,006.20 | $1,677.00 | $36.70 – $36.70 | 1 |
| Unlisted procedure microbiology CPT 87999 | $23.40 | $39.00 | $186.76 – $186.76 | 1 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $48.99 – $48.99 | 1 |
| Unlisted ultrasound procedure CPT 76999 | $262.20 | $437.00 | $36.04 – $36.04 | 1 |
| Unlstd hematop ret/endo lymp CPT 78199 | $814.80 | $1,358.00 | $35.92 – $35.92 | 1 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $217.80 | $363.00 | $69.84 – $99.57 | 4 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | $1,153.20 | $1,922.00 | $158.46 – $822.85 | 10 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $1,167.00 | $1,945.00 | $155.20 – $708.34 | 10 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $4,313.40 | $7,189.00 | $372.90 – $2,657.18 | 10 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $2,526.00 | $4,210.00 | $372.90 – $1,511.24 | 10 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,338.80 | $3,898.00 | $287.49 – $1,374.01 | 10 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $134.40 | $224.00 | $34.03 – $95.47 | 10 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $143.40 | $239.00 | $34.68 – $117.31 | 10 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $903.00 | $1,505.00 | $137.74 – $1,201.19 | 10 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $1,346.40 | $2,244.00 | $163.44 – $1,569.73 | 10 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $349.20 | $582.00 | $73.15 – $406.61 | 10 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $349.20 | $582.00 | $71.50 – $354.73 | 10 |
| Urea nitrogen CPT 84520 | $62.40 | $104.00 | $3.90 – $17.05 | 11 |
| Urea nitrogen 24 hour urine CPT 84540 | $88.80 | $148.00 | $5.50 – $24.00 | 5 |
| Ureteral reflux study CPT 78740 | $397.20 | $662.00 | $84.04 – $727.16 | 10 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $624.00 | $1,040.00 | $41.25 – $286.32 | 10 |
| Urethrocystography void s&i CPT 74455 | $321.00 | $535.00 | $46.75 – $367.03 | 10 |
| Uric acid blood CPT 84550 | $46.20 | $77.00 | $4.47 – $19.51 | 11 |
| Uric acid urine CPT 84560 | $78.00 | $130.00 | $4.95 – $21.93 | 11 |
| Urinalysis microscopic only CPT 81015 | $51.00 | $85.00 | $2.98 – $13.16 | 11 |
| Urinalysis (with microscopy) CPT 81001 | $100.80 | $168.00 | $3.13 – $13.68 | 11 |
| Urinalysis (without microscopy) CPT 81003 | $80.40 | $134.00 | $2.22 – $9.71 | 11 |
| Urinary bldr retent nuc study CPT 78730 | $221.40 | $369.00 | $48.64 – $278.95 | 10 |
| Urine Culture Test CPT 87086 | $140.40 | $234.00 | $7.98 – $34.83 | 11 |
| Urine pregnancy test CPT 81025 | $146.40 | $244.00 | $4.40 – $37.16 | 11 |
| Urography inf drip &/or bolus CPT 74410 | $64.80 | $108.00 | $51.15 – $487.06 | 10 |
| Vaccine Administration (one shot) CPT 90471 | $42.00 | $70.00 | $0.87 – $83.51 | 2 |
| Vaccine dtap < 7 years im CPT 90700 | $75.60 | $126.00 | $11.00 – $58.38 | 9 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $412.80 | $688.00 | $11.00 – $187.79 | 9 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $158.40 | $264.00 | $11.00 – $251.74 | 9 |
| Vaccine dtap-ipv/hib im CPT 90698 | $282.00 | $470.00 | $11.00 – $222.73 | 9 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $51.00 | $85.00 | $11.00 – $25.71 | 9 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $211.80 | $353.00 | $11.00 – $118.16 | 9 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $265.20 | $442.00 | $11.00 – $213.39 | 9 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $170.40 | $284.00 | $11.00 – $69.27 | 9 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $175.20 | $292.00 | $11.00 – $158.25 | 11 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $141.00 | $235.00 | $11.00 – $60.10 | 11 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $492.00 | $820.00 | $11.00 – $608.82 | 9 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | $25.80 | $43.00 | $11.00 – $73.40 | 10 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $385.20 | $642.00 | $11.00 – $411.10 | 9 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | $818.40 | $1,364.00 | $11.00 – $376.46 | 9 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $384.60 | $641.00 | $11.00 – $340.25 | 9 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $384.60 | $641.00 | $11.00 – $299.95 | 9 |
| Vaccine mmr live subcutaneous CPT 90707 | $231.60 | $386.00 | $11.00 – $185.08 | 9 |
| Vaccine mmrv live subcutaneous CPT 90710 | $593.40 | $989.00 | $11.00 – $549.76 | 9 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $183.00 | $305.00 | $11.00 – $220.23 | 11 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $358.20 | $597.00 | $11.00 – $491.77 | 9 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $105.60 | $176.00 | $11.00 – $88.32 | 9 |
| Vaccine rabies im CPT 90675 | $746.40 | $1,244.00 | $11.00 – $540.84 | 9 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $126.60 | $211.00 | $11.00 – $195.41 | 9 |
| Vaccine tdap >=7 years im CPT 90715 | $197.40 | $329.00 | $11.00 – $63.74 | 9 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $103.80 | $173.00 | $11.00 – $55.24 | 9 |
| Vaccine varicella live subcutaneous CPT 90716 | $243.60 | $406.00 | $11.00 – $362.09 | 9 |
| Valproic acid total therapeutic drug level CPT 80164 | $73.20 | $122.00 | $13.38 – $58.44 | 11 |
| Vancomycin hcl injection HCPCS J3370 | $12.00 | $20.00 | $3.07 – $12.33 | 3 |
| Vancomycin peak therapeutic drug level CPT 80202 | $246.60 | $411.00 | $13.38 – $58.44 | 11 |
| Varicella zoster antibody igg CPT 86787 | $174.60 | $291.00 | $12.73 – $55.59 | 11 |
| Vasectomy CPT 55250 | $2,741.40 | $4,569.00 | $163.35 – $1,397.39 | 10 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $10,108.20 | $16,847.00 | $21.31 – $35.76 | 6 |
| Venogram ext bil s&i CPT 75822 | $1,086.00 | $1,810.00 | $41.25 – $287.02 | 10 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $1,072.80 | $1,788.00 | $41.25 – $246.96 | 10 |
| Venous thrombosis imaging CPT 78457 | $430.80 | $718.00 | $110.68 – $667.87 | 10 |
| Ven thrombosis images bilat CPT 78458 | $567.60 | $946.00 | $117.90 – $757.39 | 10 |
| Ventilator each subsequent day CPT 94003 | $471.00 | $785.00 | $94.69 – $285.69 | 4 |
| Ventilator Management (first day) CPT 94002 | $576.00 | $960.00 | $130.31 – $415.01 | 4 |
| Very long chain fatty acids CPT 82726 | $392.40 | $654.00 | $19.52 – $85.24 | 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.