UPMC Kane
UPMC Kane in Kane, PA publishes cash prices for 42 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
4372 Route 6, Kane, PA 16735 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN PELVIS W | $738.60 | $1,231.00 | 40% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN PELVIS W | $738.60 | $1,231.00 | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 PF HEAD W/O | $259.80 | $433.00 | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO | $993.60 | $1,656.00 | 40% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 PF HEAD W/O | $259.80 | $433.00 | 40% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO | $993.60 | $1,656.00 | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 PF PELVIS W | $234.60 | $391.00 | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W | $1,190.40 | $1,984.00 | 40% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 PF PELVIS W | $234.60 | $391.00 | 40% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W | $1,190.40 | $1,984.00 | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MA MAMMO DIGITAL BILATERAL | $238.80 | $398.00 | 40% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MA MAMMO DIGITAL BILATERAL | $238.80 | $398.00 | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 MA MAMMO DIGITAL RIGHT | $186.60 | $311.00 | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 MA MAMMO DIGITAL LEFT | $186.60 | $311.00 | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MA MAMMO DIGITAL LEFT | $186.60 | $311.00 | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MA MAMMO DIGITAL RIGHT | $186.60 | $311.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MR LOWER EXTREMITY JOINT WO BILATERAL | $4,363.20 | $7,272.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR LOWER EXTREMITY JOINT WO RIGHT | $2,181.60 | $3,636.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR LOWER EXTREMITY JOINT WO LEFT | $2,181.60 | $3,636.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MR LOWER EXTREMITY JOINT WO BILATERAL | $4,363.20 | $7,272.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR LOWER EXTREMITY JOINT WO RIGHT | $2,181.60 | $3,636.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR LOWER EXTREMITY JOINT WO LEFT | $2,181.60 | $3,636.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MR LOWER EXTREMITY JOINT W/WO BILATERAL | $8,550.60 | $14,251.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR LOWER EXTREMITY JOINT W/WO RIGHT | $4,275.60 | $7,126.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR LOWER EXTREMITY JOINT W/WO LEFT | $4,275.60 | $7,126.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient both sides CPT 73723 MR LOWER EXTREMITY JOINT W/WO BILATERAL | $8,550.60 | $14,251.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR LOWER EXTREMITY JOINT W/WO RIGHT | $4,275.60 | $7,126.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR LOWER EXTREMITY JOINT W/WO LEFT | $4,275.60 | $7,126.00 | 40% |
| MRI of the brain, no contrast dye CPT 70551 PF MR BRAIN/STEM WO | $160.80 | $268.00 | 40% |
| MRI of the brain, no contrast dye CPT 70551 MR BRAIN WO | $2,244.60 | $3,741.00 | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 PF MR BRAIN/STEM WO | $160.80 | $268.00 | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MR BRAIN WO | $2,244.60 | $3,741.00 | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 PF MR BRAIN/STEM WO/W | $255.00 | $425.00 | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN W/WO | $2,954.40 | $4,924.00 | 40% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 PF MR BRAIN/STEM WO/W | $255.00 | $425.00 | 40% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MR BRAIN W/WO | $2,954.40 | $4,924.00 | 40% |
| MRI of the lower back, no contrast dye CPT 72148 MR LUMBAR WO | $2,338.80 | $3,898.00 | 40% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MR LUMBAR WO | $2,338.80 | $3,898.00 | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 PF FETAL OB COMPLETE | $100.80 | $168.00 | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB >14WEEKS SINGLE FETUS | $491.40 | $819.00 | 40% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 PF FETAL OB COMPLETE | $100.80 | $168.00 | 40% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB >14WEEKS SINGLE FETUS | $491.40 | $819.00 | 40% |
| Screening mammogram, both breasts CPT 77067 MA MAMMO SPECIAL | $56.40 | $94.00 | 40% |
| Screening mammogram, both breasts CPT 77067 MA MAMMO DIGITAL SCREEN | $174.60 | $291.00 | 40% |
| Screening mammogram, both breasts inpatient CPT 77067 MA MAMMO SPECIAL | $56.40 | $94.00 | 40% |
| Screening mammogram, both breasts inpatient CPT 77067 MA MAMMO DIGITAL SCREEN | $174.60 | $291.00 | 40% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $337.20 | $562.00 | 40% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL | $337.20 | $562.00 | 40% |
| Ultrasound of the abdomen, complete CPT 76700 PF ABDOMEN | $139.80 | $233.00 | 40% |
| Ultrasound of the abdomen, complete CPT 76700 TF US COMPLETE | $478.20 | $797.00 | 40% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN | $528.00 | $880.00 | 40% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 PF ABDOMEN | $139.80 | $233.00 | 40% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 TF US COMPLETE | $478.20 | $797.00 | 40% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN | $528.00 | $880.00 | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 PF LUMBAR COMPLETE | $52.20 | $87.00 | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 XR LUMBAR COMPLETE | $293.40 | $489.00 | 40% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 PF LUMBAR COMPLETE | $52.20 | $87.00 | 40% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR LUMBAR COMPLETE | $293.40 | $489.00 | 40% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 ISTAT CHEM 8 WITH HGB AND HCT | $132.00 | $220.00 | 40% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $132.00 | $220.00 | 40% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL FREQ | $132.00 | $220.00 | 40% |
| Basic metabolic panel (blood test) inpatient CPT 80048 ISTAT CHEM 8 WITH HGB AND HCT | $132.00 | $220.00 | 40% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $132.00 | $220.00 | 40% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL FREQ | $132.00 | $220.00 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $94.80 | $158.00 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 TRIGLYCERIDES SEND OUT | $94.80 | $158.00 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 TRIGLYCERIDES SEND OUT | $94.80 | $158.00 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $94.80 | $158.00 | 40% |
| Complete blood count (CBC) with differential CPT 85025 CBC AUTO DIFFERENTIAL CHARGE ONLY | $79.20 | $132.00 | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC AUTO DIFFERENTIAL CHARGE ONLY | $79.20 | $132.00 | 40% |
| Complete blood count (CBC), no differential CPT 85027 KOM CBC | $15.60 | $26.00 | 40% |
| Complete blood count (CBC), no differential CPT 85027 CBC HEMOGRAM CHARGE ONLY | $40.20 | $67.00 | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 KOM CBC | $15.60 | $26.00 | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC HEMOGRAM CHARGE ONLY | $40.20 | $67.00 | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL FREQ | $169.80 | $283.00 | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $169.80 | $283.00 | 40% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL FREQ | $169.80 | $283.00 | 40% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL | $169.80 | $283.00 | 40% |
| Kidney function blood test panel CPT 80069 RENAL PROFILE | $222.60 | $371.00 | 40% |
| Kidney function blood test panel inpatient CPT 80069 RENAL PROFILE | $222.60 | $371.00 | 40% |
| Liver function blood test panel CPT 80076 LIVER PROFILE | $121.20 | $202.00 | 40% |
| Liver function blood test panel CPT 80076 LIVER PROFILE FREQ | $121.20 | $202.00 | 40% |
| Liver function blood test panel inpatient CPT 80076 LIVER PROFILE | $121.20 | $202.00 | 40% |
| Liver function blood test panel inpatient CPT 80076 LIVER PROFILE FREQ | $121.20 | $202.00 | 40% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $366.60 | $611.00 | 40% |
| Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL | $366.60 | $611.00 | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 FREE PSA | $191.40 | $319.00 | 40% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 FREE PSA | $191.40 | $319.00 | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL | $70.20 | $117.00 | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL | $70.20 | $117.00 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $40.80 | $68.00 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT PARTIAL THOMBOPLASTI | $40.80 | $68.00 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 APTT/PTT FREQ | $40.80 | $68.00 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT PARTIAL THOMBOPLASTI | $40.80 | $68.00 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $40.80 | $68.00 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT/PTT FREQ | $40.80 | $68.00 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT/INR PLASMA | $40.80 | $68.00 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT/INR PLASMA FREQ | $40.80 | $68.00 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT/INR PLASMA FREQ | $40.80 | $68.00 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT/INR PLASMA | $40.80 | $68.00 | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE SERUM FREQ | $99.60 | $166.00 | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE SERUM | $108.00 | $180.00 | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE SERUM FREQ | $99.60 | $166.00 | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE SERUM | $108.00 | $180.00 | 40% |
| Urinalysis with microscope exam, automated CPT 81001 URINE WITH MICROSCOPIC | $51.60 | $86.00 | 40% |
| Urinalysis with microscope exam, automated CPT 81001 UA W/MICRO CHARGE ONLY | $100.80 | $168.00 | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINE WITH MICROSCOPIC | $51.60 | $86.00 | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 UA W/MICRO CHARGE ONLY | $100.80 | $168.00 | 40% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS DIPSTICK CHARGE ONLY | $43.80 | $73.00 | 40% |
| Urinalysis without microscope exam, automated CPT 81003 LEUKOCYTES | $80.40 | $134.00 | 40% |
| Urinalysis without microscope exam, automated CPT 81003 TOTAL PROTEIN SERUM | $80.40 | $134.00 | 40% |
| Urinalysis without microscope exam, automated CPT 81003 SPECIFIC GRAVITY URINE | $80.40 | $134.00 | 40% |
| Urinalysis without microscope exam, automated CPT 81003 PH | $80.40 | $134.00 | 40% |
| Urinalysis without microscope exam, automated CPT 81003 KETONES | $80.40 | $134.00 | 40% |
| Urinalysis without microscope exam, automated CPT 81003 BILIRUBIN | $80.40 | $134.00 | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS DIPSTICK CHARGE ONLY | $43.80 | $73.00 | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 TOTAL PROTEIN SERUM | $80.40 | $134.00 | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 SPECIFIC GRAVITY URINE | $80.40 | $134.00 | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 PH | $80.40 | $134.00 | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 LEUKOCYTES | $80.40 | $134.00 | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 KETONES | $80.40 | $134.00 | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 BILIRUBIN | $80.40 | $134.00 | 40% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy with polyp removal CPT 45385 COLONSCOPY/LESION REMOVE | $1,398.60 | $2,331.00 | 40% |
| Colonoscopy with polyp removal inpatient CPT 45385 COLONSCOPY/LESION REMOVE | $1,398.60 | $2,331.00 | 40% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY/BIOPSY/COLD F | $1,398.60 | $2,331.00 | 40% |
| Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY/BIOPSY/COLD F | $1,398.60 | $2,331.00 | 40% |
| Colonoscopy, diagnostic CPT 45378 COLONOSCOPY | $746.40 | $1,244.00 | 40% |
| Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY | $746.40 | $1,244.00 | 40% |
| Lower-back epidural injection, with imaging guidance CPT 62323 TF NJX DX/THER SBST INTRLMNR LMBR/SAC W/ | $1,044.60 | $1,741.00 | 40% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 TF NJX DX/THER SBST INTRLMNR LMBR/SAC W/ | $1,044.60 | $1,741.00 | 40% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 TF INJ ANES/STEROID EPIDURL LUMB/SAC 1 L | $844.20 | $1,407.00 | 40% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 TF INJ ANES/STEROID EPIDURL LUMB/SAC 1 L | $844.20 | $1,407.00 | 40% |
| Prostate biopsy CPT 55700 BIOPSY OF PROSTATE | $1,848.60 | $3,081.00 | 40% |
| Prostate biopsy inpatient CPT 55700 BIOPSY OF PROSTATE | $1,848.60 | $3,081.00 | 40% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD W/BIOPSY | $1,346.40 | $2,244.00 | 40% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD W/BIOPSY | $1,346.40 | $2,244.00 | 40% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD | $903.00 | $1,505.00 | 40% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD | $903.00 | $1,505.00 | 40% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| New patient office visit, about 30 minutes CPT 99203 TF NEW PAT LEVEL 3 INTERMED | $103.20 | $172.00 | 40% |
| New patient office visit, about 30 minutes CPT 99203 TF OV NEW PATIENT DETAILED | $103.20 | $172.00 | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 TF NEW PAT LEVEL 3 INTERMED | $103.20 | $172.00 | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 TF OV NEW PATIENT DETAILED | $103.20 | $172.00 | 40% |
| New patient office visit, about 45 minutes CPT 99204 TF NEW PAT LEVEL 4 EXTENDED | $130.20 | $217.00 | 40% |
| New patient office visit, about 45 minutes CPT 99204 TF OV NEW PATIENT COMPREHENS | $130.20 | $217.00 | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 TF OV NEW PATIENT COMPREHENS | $130.20 | $217.00 | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 TF NEW PAT LEVEL 4 EXTENDED | $130.20 | $217.00 | 40% |
| New patient office visit, about 60 minutes CPT 99205 TF NEW PAT LEVEL 5 COMPREHEN | $190.20 | $317.00 | 40% |
| New patient office visit, about 60 minutes CPT 99205 TF OV NEW PATIENT HIGH COMP | $190.80 | $318.00 | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 TF NEW PAT LEVEL 5 COMPREHEN | $190.20 | $317.00 | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 TF OV NEW PATIENT HIGH COMP | $190.80 | $318.00 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EXERCISE 15 MIN | $66.00 | $110.00 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PTA THERAPEUTIC EXERCISES 15 MIN | $90.60 | $151.00 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC EXERCISES 15 MIN | $90.60 | $151.00 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT CONTINUOUS PASSIVE MOTION | $90.60 | $151.00 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PTA CONTINUOUS PASSIVE MOTION | $90.60 | $151.00 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERAPEUTIC EXERCISE 15 MIN | $66.00 | $110.00 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PTA THERAPEUTIC EXERCISES 15 MIN | $90.60 | $151.00 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THERAPEUTIC EXERCISES 15 MIN | $90.60 | $151.00 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PTA CONTINUOUS PASSIVE MOTION | $90.60 | $151.00 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT CONTINUOUS PASSIVE MOTION | $90.60 | $151.00 | 40% |