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 |
|---|---|---|---|---|
| Destroy cervthor facet jnt 64633 CPT 64633 | $1,947.60 | $3,246.00 | $629.15 – $2,776.57 | 4 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $257.40 | $429.00 | $60.74 – $1,064.54 | 10 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $249.60 | $416.00 | $22.00 – $280.02 | 10 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $391.20 | $652.00 | $56.51 – $552.23 | 10 |
| Destruction 2-14 lesions 17003 CPT 17003 | $46.80 | $78.00 | $4.67 – $27.67 | 10 |
| Destruction benign lesions < 14 lesions CPT 17110 | $127.20 | $212.00 | $53.90 – $471.91 | 10 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $236.40 | $394.00 | $52.82 – $1,000.23 | 10 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $1,947.60 | $3,246.00 | $618.25 – $3,389.39 | 4 |
| Detect agent nos dna dir CPT 87797 | $138.00 | $230.00 | $25.27 – $129.61 | 11 |
| Detect agnt mult dna direc CPT 87800 | $207.60 | $346.00 | $24.39 – $188.48 | 11 |
| Device intraute mirena HCPCS J7298 | $2,059.20 | $3,432.00 | $717.11 – $2,290.45 | 3 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $139.80 | $233.00 | $30.23 – $88.65 | 10 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $1.80 | $3.00 | $0.02 – $0.10 | 6 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $9.00 | $15.00 | $0.09 – $0.25 | 6 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $8.40 | $14.00 | $1.41 – $3.93 | 6 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $9.60 | $16.00 | $1.81 – $4.69 | 6 |
| Dextrose 5 % IV bolus HCPCS J7070 | $8.40 | $14.00 | $3.11 – $6.15 | 6 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $241.20 | $402.00 | $21.97 – $95.94 | 11 |
| Diabetes (HbA1c) Test CPT 83036 | $128.40 | $214.00 | $7.70 – $41.91 | 11 |
| Diab manage trn ind/group HCPCS G0109 | $38.40 | $64.00 | $13.28 – $65.17 | 8 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $126.00 | $210.00 | $53.01 – $519.47 | 8 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $118.80 | $198.00 | $53.01 – $407.47 | 8 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $238.80 | $398.00 | $142.84 – $455.73 | 8 |
| Diagnostic Mammogram (one breast) CPT 77065 | $186.60 | $311.00 | $112.65 – $357.49 | 8 |
| Diagnostic radio unlisted proc CPT 76499 | $264.00 | $440.00 | $47.67 – $47.67 | 1 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $44.40 | $74.00 | $7.35 – $14.11 | 6 |
| Dicyclomine injection HCPCS J0500 | $52.20 | $87.00 | $11.36 – $39.90 | 6 |
| Diffusing capacity CPT 94729 | $146.40 | $244.00 | $43.49 – $195.08 | 10 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $18.00 | $30.00 | $6.69 – $14.55 | 6 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $5,502.00 | $9,170.00 | $5,168.23 – $8,365.47 | 6 |
| Digoxin total therapeutic drug level CPT 80162 | $108.00 | $180.00 | $12.10 – $57.32 | 11 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $385.80 | $643.00 | $60.00 – $96.00 | 6 |
| Dilator fascial 10fx20cm HCPCS C2627 | $7.20 | $12.00 | $292.08 – $292.08 | 1 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $9.60 | $16.00 | $0.76 – $1.60 | 6 |
| Disaccharidases CPT 82657 | $66.60 | $111.00 | $21.91 – $108.37 | 5 |
| Dna antibody native/double stranded CPT 86225 | $75.00 | $125.00 | $13.58 – $59.30 | 11 |
| Dna gardnerella CPT 87510 | $104.40 | $174.00 | $17.64 – $86.54 | 11 |
| Dna probe chlamydia CPT 87490 | $163.80 | $273.00 | $22.49 – $98.19 | 11 |
| Dna probe gc CPT 87590 | $152.40 | $254.00 | $26.57 – $116.01 | 5 |
| Dna trichomonas CPT 87660 | $104.40 | $174.00 | $19.82 – $86.54 | 11 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $75.60 | $126.00 | $7.08 – $12.19 | 6 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $37.80 | $63.00 | $0.67 – $1.27 | 6 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $771.60 | $1,286.00 | $100.70 – $436.61 | 10 |
| Drainable plastic pch w fcpl HCPCS A4375 | $3.00 | $5.00 | $35.06 – $98.58 | 4 |
| Drainage of kidney lesion CPT 50390 | $1,338.00 | $2,230.00 | $100.70 – $508.47 | 10 |
| Drain blood from under nail 11740 CPT 11740 | $100.20 | $167.00 | $26.40 – $236.82 | 10 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $219.60 | $366.00 | $110.61 – $654.61 | 10 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $219.60 | $366.00 | $22.00 – $355.81 | 10 |
| Drng of finger abscess comp 26011 CPT 26011 | $1,047.60 | $1,746.00 | $88.00 – $2,011.26 | 10 |
| Drug screening tapentadol CPT 80372 | $56.40 | $94.00 | $21.56 – $80.02 | 2 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $201.60 | $336.00 | $61.41 – $268.20 | 11 |
| Drvvt confirm - quest CPT 85597 | $352.20 | $587.00 | $17.78 – $77.60 | 11 |
| Ductogram sgl duct CPT 77053 | $409.20 | $682.00 | $62.12 – $163.13 | 10 |
| Ear irrigation 69209 CPT 69209 | $41.40 | $69.00 | $16.06 – $118.27 | 4 |
| Ecg external < 48 hours recording CPT 93225 | $277.20 | $462.00 | $20.07 – $117.90 | 10 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $422.40 | $704.00 | $43.74 – $213.05 | 10 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,049.40 | $1,749.00 | $155.12 – $525.21 | 10 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $708.60 | $1,181.00 | $40.15 – $301.47 | 10 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $2,037.00 | $3,395.00 | $939.83 – $1,589.50 | 2 |
| Echo guide for artery repair CPT 76936 | $676.80 | $1,128.00 | $208.38 – $775.20 | 10 |
| Echo stress CPT 93350 | $561.60 | $936.00 | $84.15 – $1,031.50 | 10 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $484.80 | $808.00 | $24.75 – $1,335.76 | 10 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $484.80 | $808.00 | $128.56 – $1,408.10 | 10 |
| Eeg recording awake and asleep CPT 95819 | $484.80 | $808.00 | $24.75 – $1,585.48 | 10 |
| E equine encephalitis igg CPT 86652 | $106.20 | $177.00 | $13.03 – $56.93 | 11 |
| Egd control bleeding any CPT 43255 | $1,787.40 | $2,979.00 | $255.75 – $2,610.96 | 10 |
| Egd guide wire insertion CPT 43248 | not published | not published | $637.56 – $1,723.29 | 4 |
| Egd remove foreign body CPT 43247 | $927.00 | $1,545.00 | $191.43 – $1,602.27 | 10 |
| Egd remove lesion snare CPT 43251 | not published | not published | $208.28 – $2,068.31 | 10 |
| Egd varices ligation CPT 43244 | $1,341.00 | $2,235.00 | $678.33 – $1,691.71 | 4 |
| EKG (Tracing Only) CPT 93005 | $102.00 | $170.00 | $11.51 – $60.21 | 10 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $196.20 | $327.00 | $63.25 – $87.31 | 4 |
| Elbow X-ray (3 or more views, both sides) CPT 73080 | $227.40 | $379.00 | $69.84 – $99.57 | 4 |
| Electrical Stimulation Therapy (each 15 minutes) CPT 97032 | $63.60 | $106.00 | $33.87 – $61.07 | 3 |
| Electrical stimulation/unattended 97014 CPT 97014 | $111.00 | $185.00 | $40.74 – $52.22 | 3 |
| Electrodes, pair HCPCS A4556 | $1.80 | $3.00 | $42.52 – $59.26 | 2 |
| Electrolyte panel CPT 80051 | $109.20 | $182.00 | $6.92 – $30.26 | 11 |
| Emb without cervical dilation 58100 CPT 58100 | $379.80 | $633.00 | $56.10 – $428.67 | 10 |
| Encephalitis, california igg/igm CPT 86651 | $106.20 | $177.00 | $13.03 – $56.93 | 11 |
| Encephalitis, st louis igg/igm CPT 86653 | $106.20 | $177.00 | $13.03 – $56.93 | 11 |
| Encephalitis, western equine igg/igm CPT 86654 | $106.20 | $177.00 | $13.03 – $56.93 | 11 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $219.60 | $366.00 | $0.59 – $1.71 | 6 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $84.60 | $141.00 | $65.56 – $465.18 | 10 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $1,564.20 | $2,607.00 | $8.54 – $18.91 | 6 |
| Epstein barr early antigen antibody CPT 86663 | $180.60 | $301.00 | $12.97 – $56.63 | 11 |
| Epstein barr nuclear antigen antibody CPT 86664 | $171.60 | $286.00 | $15.11 – $65.99 | 11 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $98.40 | $164.00 | $17.93 – $78.29 | 11 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $1,144.20 | $1,907.00 | $12.11 – $41.81 | 3 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $256.80 | $428.00 | $9.86 – $51.30 | 6 |
| ER Visit (level 1, minor) CPT 99281 | $102.60 | $171.00 | $48.64 – $130.10 | 4 |
| ER Visit (level 2) CPT 99282 | $151.20 | $252.00 | $36.28 – $177.91 | 9 |
| ER Visit (level 3) CPT 99283 | $205.20 | $342.00 | $62.31 – $305.62 | 9 |
| ER Visit (level 4) CPT 99284 | $312.60 | $521.00 | $104.86 – $514.29 | 9 |
| ER Visit (level 5, high severity) CPT 99285 | $501.00 | $835.00 | $152.61 – $748.48 | 9 |
| Esophageal motility CPT 78258 | $483.60 | $806.00 | $108.75 – $683.48 | 10 |
| Esophagoscopy flex remove fb CPT 43215 | $1,360.20 | $2,267.00 | $683.72 – $1,639.48 | 4 |
| Established Patient Office Visit (level 1) CPT 99211 | $72.60 | $121.00 | $22.00 – $35.78 | 10 |
| Established Patient Office Visit (level 2) CPT 99212 | $79.20 | $132.00 | $28.60 – $64.29 | 10 |
| Established Patient Office Visit (level 3) CPT 99213 | $79.20 | $132.00 | $38.50 – $90.64 | 10 |
| Established Patient Office Visit (level 4) CPT 99214 | $134.40 | $224.00 | $53.09 – $135.06 | 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.