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 |
|---|---|---|---|---|
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $130.80 | $218.00 | $203.45 – $930.22 | 4 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $90.60 | $151.00 | $6.60 – $46.98 | 10 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $71.40 | $119.00 | $14.54 – $49.50 | 10 |
| #aptt mix-1:1 incubated CPT 87532 | $478.80 | $798.00 | $34.68 – $183.96 | 5 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $72.00 | $120.00 | $10.56 – $154.77 | 10 |
| Arm CT Scan (with contrast, both arms) CPT 73201 | $1,006.80 | $1,678.00 | $633.07 – $744.58 | 4 |
| Arm CT Scan (without contrast, both arms) CPT 73200 | $833.40 | $1,389.00 | $431.17 – $653.11 | 4 |
| Arm or Leg Ultrasound (limited, left side) CPT 76882 | $180.00 | $300.00 | $38.15 – $232.12 | 4 |
| Arthrd wrist complete wo grf CPT 25800 | not published | not published | $492.80 – $3,106.96 | 10 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $199.20 | $332.00 | $23.65 – $231.42 | 10 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $418.80 | $698.00 | $19.80 – $221.76 | 10 |
| Arthrp ntrcrp/crp/mtcr ntrps CPT 25447 | $3,262.20 | $5,437.00 | $484.00 – $3,524.70 | 10 |
| Arthrt ac sc jt exp/rmvl fb CPT 23044 | $3,138.00 | $5,230.00 | $387.20 – $2,412.51 | 10 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | not published | not published | $724.40 – $2,363.03 | 4 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $1,492.20 | $2,487.00 | $169.77 – $1,007.79 | 10 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | $238.80 | $398.00 | $42.76 – $268.46 | 10 |
| Aspir/inj thyroid cyst 60300 CPT 60300 | $1,040.40 | $1,734.00 | $40.49 – $448.52 | 10 |
| Assay acid phosphatase CPT 84060 | $99.60 | $166.00 | $7.55 – $32.97 | 11 |
| Assay of adp & amp CPT 82030 | $335.40 | $559.00 | $19.80 – $111.35 | 11 |
| Assay of breath ethanol CPT 82075 | $39.00 | $65.00 | $16.57 – $129.48 | 5 |
| Assay of estrogen CPT 84233 | $619.20 | $1,032.00 | $52.80 – $379.29 | 11 |
| Assay of feces porphyrins CPT 84126 | $390.00 | $650.00 | $35.01 – $168.80 | 5 |
| Assay of fluoride CPT 82735 | $122.40 | $204.00 | $8.80 – $80.02 | 11 |
| Assay of lap enzyme CPT 83670 | $134.40 | $224.00 | $9.70 – $42.34 | 11 |
| Assay of osteocalcin CPT 83937 | $317.40 | $529.00 | $29.50 – $128.83 | 11 |
| Assay of procainamide w/metab CPT 80192 | $205.20 | $342.00 | $16.55 – $72.29 | 11 |
| Assay of progesterone CPT 84234 | $523.80 | $873.00 | $64.12 – $280.02 | 11 |
| Assay of tyrosine CPT 84510 | $129.60 | $216.00 | $2.20 – $45.88 | 11 |
| Assay of urine sulfate CPT 84392 | $27.60 | $46.00 | $5.43 – $23.69 | 5 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $225.00 | $375.00 | $55.00 – $412.48 | 10 |
| Assess cyst contrast inject CPT 49424 | $77.40 | $129.00 | $34.32 – $760.39 | 10 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $45.00 | $75.00 | $4.22 – $18.43 | 11 |
| Ast/sgot CPT 84450 | $46.20 | $77.00 | $5.12 – $22.36 | 11 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $28.20 | $47.00 | $0.10 – $1.12 | 6 |
| Automated diff wbc count CPT 85004 | $108.00 | $180.00 | $6.39 – $27.92 | 11 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $157.20 | $262.00 | $28.32 – $480.67 | 10 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $19.80 | $33.00 | $2.04 – $3.99 | 6 |
| Azithromycin dihydrate, oral HCPCS Q0144 | $85.20 | $142.00 | $20.82 – $64.70 | 3 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $160.80 | $268.00 | $2.53 – $3.42 | 6 |
| Baclofen eval charges CPT 97750 | $69.60 | $116.00 | $18.43 – $142.21 | 10 |
| Bacterial meningitis antigen CPT 86403 | $133.20 | $222.00 | $11.40 – $49.81 | 11 |
| Bacterial vaginosis pcr CPT 87801 | $341.40 | $569.00 | $42.68 – $302.98 | 11 |
| Bactericidal level serum CPT 87197 | $275.40 | $459.00 | $14.84 – $64.83 | 11 |
| Balance and Coordination Retraining (each 15 minutes) CPT 97112 | $90.60 | $151.00 | $18.43 – $142.69 | 10 |
| Barium Enema (Colon X-ray, barium and air) CPT 74280 | $523.80 | $873.00 | $71.50 – $675.37 | 10 |
| Barium Enema (Colon X-ray, barium only) CPT 74270 | $395.40 | $659.00 | $41.25 – $437.99 | 10 |
| Barium Swallow (Esophagus X-ray) CPT 74220 | $349.20 | $582.00 | $41.25 – $290.60 | 10 |
| Bartonella dna pcr-sendout CPT 87471 | $381.00 | $635.00 | $34.68 – $151.45 | 11 |
| B cells total count CPT 86355 | $283.80 | $473.00 | $37.28 – $162.84 | 11 |
| Bedside drainage bag HCPCS A4357 | $12.00 | $20.00 | $21.41 – $52.78 | 4 |
| Behavior counsel obesity 15min medicare g0447 HCPCS G0447 | $165.60 | $276.00 | $107.94 – $107.94 | 1 |
| Benign lesion paring 2-4 CPT 11056 | $39.00 | $65.00 | $32.65 – $341.78 | 10 |
| Benign lesion paring 4+ CPT 11057 | $141.00 | $235.00 | $42.83 – $373.29 | 10 |
| #_benzodiazconfur CPT 80346 | $217.80 | $363.00 | $18.83 – $76.05 | 9 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $193.80 | $323.00 | $25.16 – $109.84 | 11 |
| Beta-2 microglobulin CPT 82232 | $189.60 | $316.00 | $15.99 – $69.83 | 11 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $24.00 | $40.00 | $6.96 – $12.39 | 6 |
| Bilateral n block inj occipital 64405 CPT 64405 | $646.20 | $1,077.00 | $38.50 – $313.99 | 10 |
| Bilirubin direct CPT 82248 | $46.20 | $77.00 | $4.96 – $21.67 | 11 |
| Bilirubin total CPT 82247 | $46.20 | $77.00 | $4.96 – $21.67 | 11 |
| Biopsy abdominal mass CPT 49180 | $1,273.80 | $2,123.00 | $89.07 – $732.64 | 10 |
| Biopsy muscle percutaneous needle CPT 20206 | $2,082.00 | $3,470.00 | $62.03 – $929.02 | 10 |
| Biopsy needle liver percutaneous CPT 47000 | $1,338.00 | $2,230.00 | $98.61 – $1,257.25 | 10 |
| Biopsy of prostate CPT 55700 | $1,848.60 | $3,081.00 | $98.45 – $1,007.18 | 10 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | $1,345.20 | $2,242.00 | $37.95 – $1,116.59 | 10 |
| Bladder Catheter Insertion (simple) CPT 51702 | $328.80 | $548.00 | $30.26 – $255.77 | 10 |
| Bladder irrigation tubing HCPCS A4355 | $65.40 | $109.00 | $20.74 – $51.19 | 4 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $407.40 | $679.00 | $934.55 – $934.55 | 1 |
| Bln ureth 5ml 28f 2wy ltx st HCPCS A4338 | $16.20 | $27.00 | $25.26 – $60.55 | 4 |
| Block tap inj(s) w/wo img bi CPT 64488 | $2,994.60 | $4,991.00 | $202.44 – $581.49 | 4 |
| Block tap inj(s) w/wo img uni CPT 64486 | $1,811.40 | $3,019.00 | $164.62 – $470.53 | 4 |
| Blood Clotting (PT/INR) Test CPT 85610 | $40.80 | $68.00 | $4.24 – $18.52 | 11 |
| Blood Clotting (PTT) Test CPT 85730 | $40.80 | $68.00 | $5.94 – $25.94 | 11 |
| Blood Count (CBC) Test CPT 85025 | $79.20 | $132.00 | $6.60 – $33.54 | 11 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $40.20 | $67.00 | $6.39 – $27.92 | 11 |
| Blood Culture Test CPT 87040 | $56.40 | $94.00 | $10.20 – $44.54 | 11 |
| Blood draw capillary 36416 CPT 36416 | $33.60 | $56.00 | $2.87 – $14.03 | 3 |
| Blood Draw (Venipuncture) CPT 36415 | $18.00 | $30.00 | $3.00 – $36.99 | 5 |
| Blood gases o2 saturation direct measurement CPT 82805 | $195.00 | $325.00 | $39.01 – $339.97 | 11 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $58.20 | $97.00 | $3.08 – $68.71 | 11 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $32.40 | $54.00 | $3.99 – $18.26 | 11 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $30.00 | $50.00 | $3.34 – $18.90 | 11 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $11.40 | $19.00 | $3.99 – $22.96 | 11 |
| Blood smear interpretation CPT 85060 | $79.20 | $132.00 | $6.23 – $66.47 | 4 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $58.20 | $97.00 | $3.75 – $16.40 | 11 |
| Blood Transfusion CPT 36430 | $790.80 | $1,318.00 | $30.62 – $159.56 | 10 |
| Blood typing abo CPT 86900 | $88.80 | $148.00 | $2.96 – $12.90 | 11 |
| Blood typing ag donor ea ag CPT 86902 | $106.20 | $177.00 | $3.10 – $27.41 | 11 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $134.40 | $224.00 | $3.61 – $16.53 | 11 |
| Blood typing rh (d) CPT 86901 | $80.40 | $134.00 | $2.96 – $12.90 | 11 |
| Blood typing rh phenotype complete reference CPT 86906 | $214.20 | $357.00 | $7.66 – $33.45 | 11 |
| Blood volume CPT 78122 | $580.20 | $967.00 | $97.79 – $487.54 | 10 |
| Bone Age X-ray (hand and wrist) CPT 77072 | $100.20 | $167.00 | $18.23 – $69.57 | 10 |
| Bone Density Scan (DEXA) CPT 77080 | $212.40 | $354.00 | $66.12 – $177.90 | 10 |
| Bone imaging (3d) CPT 78320 | $705.00 | $1,175.00 | $740.58 – $740.58 | 1 |
| Bone imaging multiple areas CPT 78305 | $559.20 | $932.00 | $90.75 – $895.01 | 10 |
| Bone marrow;aspiration only 38220 CPT 38220 | $972.60 | $1,621.00 | $60.15 – $644.51 | 10 |
| Bone mineral single photon CPT 78350 | $96.00 | $160.00 | $85.93 – $157.20 | 4 |
| Bone survey-lead poisoning CPT 77074 | $247.20 | $412.00 | $51.63 – $181.44 | 10 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $92.40 | $154.00 | $16.83 – $73.50 | 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.