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UPMC HAMOT (TRANSPLANT CENTER)

Hospital

201 STATE STREET

ERIE, PA, 16550

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Procedure Prices at UPMC HAMOT (TRANSPLANT CENTER)

VENIPUNCTURE ROUTINE LAB STAFF

CPT 36415

$1.9

Therapeutic Activities

CPT 97530

$2.18

CBC W/DIFF & PLATELETS

CPT 85025

$6.3

EKG Tracing

CPT 93005

$6.97

Therapeutic Exercises

CPT 97110

$8.29

Chest X-Ray (1 view)

CPT 71045

$9.29

COMPREHENSIVE METABOLIC PANEL

CPT 80053

$9.45

CLINIC VISIT EST 99213

CPT 99213

$12.79

Chest X-Ray (2 views)

CPT 71046

$13.94

Screening Mammogram (bilateral)

CPT 77067

$19.97

Thoracic Spine X-Ray

CPT 72072

$27.88

Retroperitoneal Ultrasound

CPT 76770

$36.15

ER Visit — Low-Moderate Complexity

CPT 99283

$36.75

Abdominal Ultrasound — Limited

CPT 76705

$37.17

Diagnostic Mammogram (unilateral)

CPT 77065

$39.13

Diagnostic Mammogram (bilateral)

CPT 77066

$50.05

OB Ultrasound

CPT 76805

$51.11

ER Visit — Moderate Complexity

CPT 99284

$52.5

ER Visit — High Complexity

CPT 99285

$52.5

Abdominal Ultrasound

CPT 76700

$53.2

Echocardiogram

CPT 93307

$66.28

CT Chest

CPT 71250

$89.53

CT Abdomen & Pelvis

CPT 74177

$100.29

Echocardiogram w/ Doppler

CPT 93306

$122.23

Colonoscopy

CPT 45378

$146

MRI Joint of Lower Extremity

CPT 73721

$167.14

MRI Brain w/o Contrast

CPT 70551

$189.23

Colonoscopy w/ Biopsy

CPT 45380

$253.28

Upper GI Endoscopy w/ Biopsy

CPT 43239

$255.32

MRI Brain w/ Contrast

CPT 70553

$302.84

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Prices sourced from federally mandated hospital price transparency files. Cash prices reflect self-pay discounted rates. Negotiated rates vary by insurance plan. Data may not reflect current pricing — always confirm with the hospital before scheduling.