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 |
|---|---|---|---|---|
| Ghs sleep study unattended CPT 95800 | $241.20 | $402.00 | $137.07 – $444.76 | 10 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | not published | not published | $80.30 – $1,377.32 | 10 |
| Ghs urine, hydroxproline total CPT 83505 | $283.80 | $473.00 | $24.02 – $104.88 | 11 |
| Ghs urine, porphyrins quant CPT 84120 | $227.40 | $379.00 | $8.25 – $63.49 | 11 |
| Giardia lamblia antibody CPT 86674 | $156.00 | $260.00 | $14.54 – $63.53 | 5 |
| Gi inhouse confirmation CPT 87045 | $51.60 | $86.00 | $7.59 – $40.74 | 11 |
| Gi protein loss CPT 78282 | $735.00 | $1,225.00 | $62.26 – $611.71 | 10 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $500.40 | $834.00 | $182.45 – $303.90 | 6 |
| Glucagon plasma - sendout CPT 82943 | $135.60 | $226.00 | $14.12 – $61.68 | 11 |
| Glucose 1 hr post dose CPT 82950 | $87.60 | $146.00 | $4.70 – $20.50 | 11 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $46.20 | $77.00 | $2.20 – $14.16 | 11 |
| Glucose blood quantitative CPT 82947 | $60.00 | $100.00 | $3.89 – $16.96 | 11 |
| Glucose body fluid CPT 82945 | $115.80 | $193.00 | $3.89 – $16.96 | 11 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $205.20 | $342.00 | $12.72 – $55.55 | 11 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $71.40 | $119.00 | $3.60 – $16.92 | 11 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $100.20 | $167.00 | $18.37 – $80.19 | 11 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $100.20 | $167.00 | $18.31 – $79.93 | 11 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $13,323.60 | $22,206.00 | $3,380.65 – $3,380.65 | 1 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $5,359.20 | $8,932.00 | $953.03 – $953.03 | 1 |
| Grfg autol soft tiss dir exc CPT 15769 | $4,329.00 | $7,215.00 | $426.65 – $2,024.12 | 10 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $44.40 | $74.00 | $348.87 – $348.87 | 1 |
| Gw stiffened micro access kit HCPCS C1894 | $66.60 | $111.00 | $308.33 – $308.33 | 1 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $119.40 | $199.00 | $4.40 – $25.35 | 6 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $3.00 | $5.00 | $0.80 – $3.42 | 6 |
| Hand-held pefr meter a4614 HCPCS A4614 | $7.20 | $12.00 | $48.63 – $136.52 | 4 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $120.00 | $200.00 | $23.13 – $114.72 | 10 |
| Hand X-ray CPT 73130 | $307.20 | $512.00 | $68.14 – $117.31 | 4 |
| Hand X-ray (2 views, both hands) CPT 73120 | $189.00 | $315.00 | $61.64 – $95.47 | 4 |
| Haptoglobin quantitative CPT 83010 | $166.80 | $278.00 | $12.44 – $54.30 | 11 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $606.00 | $1,010.00 | $69.58 – $727.29 | 10 |
| Hcg qualitative CPT 84703 | $114.60 | $191.00 | $7.43 – $32.46 | 11 |
| Hcg quantitative CPT 84702 | $157.20 | $262.00 | $14.88 – $64.96 | 11 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | $718.20 | $1,197.00 | $112.20 – $621.22 | 10 |
| Hc nm kidney imaging with flow CPT 78701 | $544.80 | $908.00 | $85.54 – $768.12 | 10 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $756.00 | $1,260.00 | $243.58 – $676.66 | 8 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | $4,185.00 | $6,975.00 | $1,594.52 – $5,345.02 | 8 |
| Head CT scan (with and without contrast) CPT 70470 | $1,150.20 | $1,917.00 | $174.96 – $831.13 | 10 |
| Head CT scan (with contrast) CPT 70460 | $927.00 | $1,545.00 | $147.40 – $682.18 | 10 |
| Head CT scan (without contrast) CPT 70450 | $993.60 | $1,656.00 | $128.43 – $579.07 | 10 |
| Heart first pass add-on CPT 78496 | $885.00 | $1,475.00 | $76.39 – $202.98 | 10 |
| Heart first pass multiple CPT 78483 | $1,051.20 | $1,752.00 | $112.20 – $933.72 | 10 |
| Heart image spect CPT 78494 | $940.20 | $1,567.00 | $251.04 – $650.77 | 10 |
| Heart infarct image CPT 78466 | $418.80 | $698.00 | $97.48 – $577.05 | 10 |
| Heavy metal qual any number CPT 83015 | $383.40 | $639.00 | $7.15 – $90.38 | 11 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $201.00 | $335.00 | $60.06 – $85.93 | 4 |
| Helicobacter pylori antibody igm CPT 86677 | $78.60 | $131.00 | $16.65 – $72.72 | 11 |
| Hematocrit CPT 85014 | $31.20 | $52.00 | $2.35 – $10.23 | 11 |
| Hemoglobin CPT 85018 | $31.20 | $52.00 | $2.35 – $10.23 | 11 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $90.60 | $151.00 | $3.30 – $35.39 | 11 |
| Hemoglobin plasma CPT 83051 | $107.40 | $179.00 | $3.85 – $31.55 | 11 |
| Hemolysin acid CPT 85475 | $163.80 | $273.00 | $8.76 – $38.28 | 11 |
| Hemophilus influenza antibdy CPT 86684 | $202.80 | $338.00 | $15.65 – $68.37 | 11 |
| Heparin assay CPT 85520 | $27.00 | $45.00 | $7.18 – $56.50 | 11 |
| Heparin bolus from bag HCPCS J1644 | $19.20 | $32.00 | $0.21 – $0.48 | 6 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $6.60 | $11.00 | $0.02 – $0.23 | 6 |
| Hepatitis a antibody igm CPT 86709 | $163.20 | $272.00 | $11.13 – $48.60 | 11 |
| Hepatitis b core antibody igm CPT 86705 | $174.60 | $291.00 | $11.64 – $50.80 | 11 |
| Hepatitis b core antibody total CPT 86704 | $150.00 | $250.00 | $11.91 – $52.01 | 11 |
| Hepatitis b surface antibody CPT 86706 | $58.20 | $97.00 | $10.62 – $46.35 | 11 |
| Hepatitis c antibody CPT 86803 | $78.00 | $130.00 | $14.10 – $61.59 | 11 |
| Herpes simplex type 1 antibody igg CPT 86695 | $165.00 | $275.00 | $13.03 – $56.93 | 11 |
| Herpes simplex type 2 antibody igg CPT 86696 | $165.00 | $275.00 | $19.13 – $83.51 | 11 |
| Herpes simplex virus isolation CPT 87255 | $121.20 | $202.00 | $33.46 – $146.14 | 11 |
| Heterophile antibodies screening CPT 86308 | $108.00 | $180.00 | $5.12 – $22.36 | 11 |
| Hip and Pelvis X-ray (2 views, both hips) CPT 73521 | $513.60 | $856.00 | $33.02 – $125.51 | 10 |
| Hip and Pelvis X-ray (single view, left side) CPT 73501 | $106.20 | $177.00 | $37.62 – $160.99 | 4 |
| Hip arthr0 w/debridement CPT 29862 | $4,613.40 | $7,689.00 | $665.70 – $3,433.29 | 10 |
| Hip arthroscopy dx CPT 29860 | $5,169.00 | $8,615.00 | $1,055.59 – $4,250.05 | 4 |
| Hip X-ray CPT 73502 | $256.20 | $427.00 | $52.44 – $163.67 | 4 |
| Histamine CPT 83088 | $382.20 | $637.00 | $14.30 – $127.45 | 11 |
| Hiv-1 ag ia CPT 87390 | $90.00 | $150.00 | $11.55 – $103.84 | 11 |
| Hla typing a b or c CPT 86813 | $924.60 | $1,541.00 | $57.32 – $250.33 | 11 |
| Hla typing dr/dq CPT 86816 | $1,444.80 | $2,408.00 | $29.82 – $130.21 | 11 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $220.20 | $367.00 | $0.27 – $0.55 | 2 |
| Homocysteine CPT 83090 | $91.20 | $152.00 | $17.71 – $77.34 | 11 |
| Homovanillic acid (hva) CPT 83150 | $150.00 | $250.00 | $8.25 – $96.72 | 11 |
| Hopd covid-19 spec collect HCPCS C9803 | $50.40 | $84.00 | $31.96 – $31.96 | 1 |
| H pylori (c-13) breath CPT 83013 | $139.80 | $233.00 | $66.11 – $290.73 | 11 |
| Human epididymis protein 4 (he4) CPT 86305 | $91.20 | $152.00 | $20.57 – $89.82 | 11 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $37.80 | $63.00 | $5.60 – $16.32 | 6 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $292.20 | $487.00 | $17.90 – $34.55 | 6 |
| Hydrogel drg > 48 sq in w/b HCPCS A6247 | $2.40 | $4.00 | $54.81 – $136.52 | 4 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $34.20 | $57.00 | $0.10 – $0.48 | 6 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $94.80 | $158.00 | $7.70 – $77.26 | 11 |
| Hysterosalpingography s&i CPT 74740 | $363.00 | $605.00 | $157.04 – $319.25 | 4 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $163.20 | $272.00 | $109.25 – $261.69 | 3 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $139.20 | $232.00 | $45.47 – $238.80 | 11 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $356.40 | $594.00 | $76.97 – $532.16 | 11 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $449.40 | $749.00 | $38.10 – $268.80 | 11 |
| Immune complex assay CPT 86332 | $227.40 | $379.00 | $24.09 – $105.18 | 11 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $112.20 | $187.00 | $20.57 – $89.82 | 11 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $200.40 | $334.00 | $20.57 – $89.82 | 11 |
| Immunofixation electrophoresis serum CPT 86334 | $121.20 | $202.00 | $22.08 – $96.42 | 11 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $241.20 | $402.00 | $28.05 – $476.18 | 11 |
| Immunoglobulin assay CPT 86023 | $116.40 | $194.00 | $12.32 – $53.78 | 11 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $6,820.80 | $11,368.00 | $2,489.60 – $2,489.60 | 1 |
| Implant open hernia repair w/mesh 49568 CPT 49568 | $4,243.80 | $7,073.00 | $3,927.04 – $3,927.04 | 1 |
| Impl neurostim electr perc CPT 63650 | $5,749.20 | $9,582.00 | $410.25 – $9,493.47 | 10 |
| Impreg gauze no h20/sal/yard HCPCS A6266 | $5.40 | $9.00 | $4.41 – $10.96 | 4 |
| Incise wrist/forearm tendon CPT 25290 | not published | not published | $687.97 – $1,955.21 | 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.