UPMC Cole
UPMC Cole in Coudersport, PA publishes cash prices for 52 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
1001 East Second Street, Coudersport, PA 16915 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/CONTRAST | $1,431.00 | $2,385.00 | 40% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN & PELVIS W/CONTRAST | $1,431.00 | $2,385.00 | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CONTRAST VIZ.AI | $753.00 | $1,255.00 | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CONTRAST-TECH | $753.00 | $1,255.00 | 40% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD W/O CONTRAST-TECH | $753.00 | $1,255.00 | 40% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD W/O CONTRAST VIZ.AI | $753.00 | $1,255.00 | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTR & VENOGRAM | $679.80 | $1,133.00 | 40% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/CONTR & VENOGRAM | $679.80 | $1,133.00 | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO-DIAG BILAT W/WO CAD | $458.40 | $764.00 | 40% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO-DIAG BILAT W/WO CAD | $458.40 | $764.00 | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMO-UNILATERAL | $360.00 | $600.00 | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO-UNILATERAL | $360.00 | $600.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWER EXT JOINT W/O CONT | $966.60 | $1,611.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOWER EXT JOINT W/O CONT | $966.60 | $1,611.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOWER EXT JOINT W/WO CONT | $1,857.00 | $3,095.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LOWER EXT JOINT W/WO CONT | $1,857.00 | $3,095.00 | 40% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST | $977.40 | $1,629.00 | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONTRAST | $977.40 | $1,629.00 | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/WO CONTRAST | $1,909.80 | $3,183.00 | 40% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W/WO CONTRAST | $1,909.80 | $3,183.00 | 40% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O CONTRAST | $1,032.00 | $1,720.00 | 40% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINE W/O CONTRAST | $1,032.00 | $1,720.00 | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 PHCUS PREG FETAL 20 WEEKS | $632.40 | $1,054.00 | 40% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 PHCUS PREG FETAL 20 WEEKS | $632.40 | $1,054.00 | 40% |
| Screening mammogram, both breasts CPT 77067 MAMMO-SCREENING W/WO CAD | $381.00 | $635.00 | 40% |
| Screening mammogram, both breasts inpatient CPT 77067 MAMMO-SCREENING W/WO CAD | $381.00 | $635.00 | 40% |
| Transvaginal pelvic ultrasound CPT 76830 PHCUS TRANSVAG GYN | $337.20 | $562.00 | 40% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 PHCUS TRANSVAG GYN | $337.20 | $562.00 | 40% |
| Ultrasound of the abdomen, complete CPT 76700 PHCUS ABDOMEN | $439.20 | $732.00 | 40% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 PHCUS ABDOMEN | $439.20 | $732.00 | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 LUMBO/SACRAL SPINE | $292.80 | $488.00 | 40% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBO/SACRAL SPINE | $292.80 | $488.00 | 40% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL-LC SCRN | $81.60 | $136.00 | 40% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL-LC SCRN | $81.60 | $136.00 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL - LC SCREENING | $97.80 | $163.00 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL - LC SCREENING | $97.80 | $163.00 | 40% |
| Complete blood count (CBC) with differential CPT 85025 CBC-LC SCREENING | $42.60 | $71.00 | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC-LC SCREENING | $42.60 | $71.00 | 40% |
| Complete blood count (CBC), no differential CPT 85027 CBC COMPLETE AUTO | $46.80 | $78.00 | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC COMPLETE AUTO | $46.80 | $78.00 | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREH METABOLIC PANEL-LC SCR | $100.80 | $168.00 | 40% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREH METABOLIC PANEL-LC SCR | $100.80 | $168.00 | 40% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $82.80 | $138.00 | 40% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $82.80 | $138.00 | 40% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL-LC SCRN | $79.20 | $132.00 | 40% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL-LC SCRN | $79.20 | $132.00 | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $171.00 | $285.00 | 40% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE | $171.00 | $285.00 | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL | $125.40 | $209.00 | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL | $125.40 | $209.00 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN TIME | $44.40 | $74.00 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBOPLASTIN TIME | $44.40 | $74.00 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 CIRCULATING ANTICOAGULANT | $30.60 | $51.00 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 CIRCULATING ANTICOAGULANT | $30.60 | $51.00 | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH - LC SCREENING | $78.60 | $131.00 | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH - LC SCREENING | $78.60 | $131.00 | 40% |
| Urinalysis with microscope exam, automated CPT 81001 URINE FOR KEOTONES | $34.20 | $57.00 | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINE FOR KEOTONES | $34.20 | $57.00 | 40% |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS-DIP W/MICRO | $24.00 | $40.00 | 40% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS-DIP W/MICRO | $24.00 | $40.00 | 40% |
| Urinalysis without microscope exam, automated CPT 81003 SPECIFIC GRAVITY FLUID | $19.20 | $32.00 | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 SPECIFIC GRAVITY FLUID | $19.20 | $32.00 | 40% |
| Urinalysis without microscope exam, manual CPT 81002 OCC HEALTH URINE DIP | $19.80 | $33.00 | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 OCC HEALTH URINE DIP | $19.80 | $33.00 | 40% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/REMOVAL BY SNARE | $862.80 | $1,438.00 | 40% |
| Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY W/REMOVAL BY SNARE | $862.80 | $1,438.00 | 40% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY W/BIOPSY SGL/MULTI | $727.20 | $1,212.00 | 40% |
| Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY W/BIOPSY SGL/MULTI | $727.20 | $1,212.00 | 40% |
| Colonoscopy, diagnostic CPT 45378 COLONOSCOPY | $609.00 | $1,015.00 | 40% |
| Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY | $609.00 | $1,015.00 | 40% |
| Gallbladder removal, laparoscopic CPT 47562 LAPAROS SURG;CHOLECYSTECTOMY | $1,009.80 | $1,683.00 | 40% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 LAPAROS SURG;CHOLECYSTECTOMY | $1,009.80 | $1,683.00 | 40% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR INGUINAL HERIA > 5Y | $918.00 | $1,530.00 | 40% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 REPAIR INGUINAL HERIA > 5Y | $918.00 | $1,530.00 | 40% |
| Knee arthroscopy with meniscus trim CPT 29881 ARTHRO;KNEE-MED/LAT MENISCE | $1,639.20 | $2,732.00 | 40% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 ARTHRO;KNEE-MED/LAT MENISCE | $1,639.20 | $2,732.00 | 40% |
| Lower-back epidural injection, with imaging guidance CPT 62323 EPIDURAL INJ LUMBAR OR SACRAL | $165.60 | $276.00 | 40% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 EPIDURAL INJ LUMBAR OR SACRAL | $165.60 | $276.00 | 40% |
| Prostate biopsy CPT 55700 BIOPSY,PROSTATE;NEEDLE/PUNCH | $427.80 | $713.00 | 40% |
| Prostate biopsy inpatient CPT 55700 BIOPSY,PROSTATE;NEEDLE/PUNCH | $427.80 | $713.00 | 40% |
| Removal of a breast lump, open surgery CPT 19120 EXCISION OF CYST | $620.40 | $1,034.00 | 40% |
| Removal of a breast lump, open surgery inpatient CPT 19120 EXCISION OF CYST | $620.40 | $1,034.00 | 40% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 ARTHRO;SHOULDER-SAD | $1,742.40 | $2,904.00 | 40% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 ARTHRO;SHOULDER-SAD | $1,742.40 | $2,904.00 | 40% |
| Total hip replacement CPT 27130 ARTHROPLASTY TOTAL HIP REPLACE | $3,477.00 | $5,795.00 | 40% |
| Total hip replacement inpatient CPT 27130 ARTHROPLASTY TOTAL HIP REPLACE | $3,477.00 | $5,795.00 | 40% |
| Total knee replacement CPT 27447 T.K.R. | $3,271.80 | $5,453.00 | 40% |
| Total knee replacement inpatient CPT 27447 T.K.R. | $3,271.80 | $5,453.00 | 40% |
| Upper endoscopy (EGD) with biopsy CPT 43239 UPPER GI ENDO W/BIOPSY | $637.20 | $1,062.00 | 40% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 UPPER GI ENDO W/BIOPSY | $637.20 | $1,062.00 | 40% |
| Upper endoscopy (EGD), diagnostic CPT 43235 ENDOSCOPY UPPER GI COMPLEX DI | $878.40 | $1,464.00 | 40% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 ENDOSCOPY UPPER GI COMPLEX DI | $878.40 | $1,464.00 | 40% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ED PEDIATRIC EKG UPMC | $52.20 | $87.00 | 40% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ONC ECG INTP/REP W/AT LEAST 1 | $154.20 | $257.00 | 40% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 ED PEDIATRIC EKG UPMC | $52.20 | $87.00 | 40% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 ONC ECG INTP/REP W/AT LEAST 1 | $154.20 | $257.00 | 40% |
| New patient office visit, about 30 minutes CPT 99203 NEW PT OFFICE VISIT; LEVEL 3 | $271.80 | $453.00 | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PT OFFICE VISIT; LEVEL 3 | $271.80 | $453.00 | 40% |
| New patient office visit, about 45 minutes CPT 99204 NEW PT OFFICE VISIT; LEVEL 4 | $420.00 | $700.00 | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PT OFFICE VISIT; LEVEL 4 | $420.00 | $700.00 | 40% |
| New patient office visit, about 60 minutes CPT 99205 NEW PT OFFICE VISIT; LEVEL 5 | $526.20 | $877.00 | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW PT OFFICE VISIT; LEVEL 5 | $526.20 | $877.00 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 SME PT THER ES,ROM,END,FLX 15' | $76.80 | $128.00 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THER ES,ROM,END,FLX 15' | $76.80 | $128.00 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THER ES,ROM,END,FLX 15' | $76.80 | $128.00 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 SME PT THER ES,ROM,END,FLX 15' | $76.80 | $128.00 | 40% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 OFFICE CONSULTATION | $359.40 | $599.00 | 40% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 OFFICE CONSULTATION | $359.40 | $599.00 | 40% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFFICE CONSULTATION | $537.00 | $895.00 | 40% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 OFFICE CONSULTATION | $537.00 | $895.00 | 40% |