Does UPMC Cole publish its standard charges and chargemaster?

Yes. UPMC Cole publishes a machine-readable file with 30,047 standard-charge rows — gross charges, cash prices, and payer-negotiated rates, earning a CMS price transparency compliance grade of A. Browse the negotiated rates by procedure and payer on this page.

How much does UPMC Cole charge for procedures?

UPMC Cole (Coudersport, PA) publishes a separately negotiated rate for each insurance payer, plus a discounted cash price and a gross (list) charge, for every procedure in its price transparency file. This page compares each procedure's negotiated median against the national median so you can see whether a price is above or below market.

▸ Hospital · PA · CCN 391313

UPMC Cole

Coudersport, PA, 16915

25 bedsCritical Access Hospitals2

Compliance grade

100/100

Rates published

30,047

last crawl 2026-05-24

Procedures tracked

169

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All PA hospitalsJSON

The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.

Source MRF: https://dam.upmc.com/-/media/upmc/locations/hospitals/documents/cdm-json-files/240802108_upmc-cole_standardcharges.csv? · CSV

Procedures & rates

vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	vs nat'l	Neg max
behavioral
Psychoses	MS-DRG	885	3	—	—	$6,282.04	$8,093.82	0.63×	$13,564
emergency
ED visit level 1	CPT	99281	13	$227	$136.2	$18.26	$66.4	0.47×	$334
ED visit level 2	CPT	99282	14	$350	$210	$30.27	$98	0.41×	$334
ED visit level 3	CPT	99283	14	$457	$274.2	$39.46	$178.4	0.44×	$781
ED visit level 4	CPT	99284	14	$595	$357	$56.38	$301.6	0.45×	$909
ED visit level 5	CPT	99285	14	$1,050	$630	$56.38	$441.6	0.42×	$909
Critical care, first hour	CPT	99291	14	$1,976	$1,185.6	$159.21	$550.4	0.51×	$1,580.8
imaging
CT head without contrast	CPT	70450	14	$1,255	$753	$115.89	$382.77	1.8×	$1,279
CT head with contrast	CPT	70460	14	$2,058	$1,234.8	$140.7	$622.34	2.7×	$1,646.4
CT head with and without contrast	CPT	70470	14	$2,786	$1,671.6	$167	$819.08	3.1×	$2,228.8
CT neck with contrast	CPT	70491	14	$2,792	$1,675.2	$144.38	$826.36	3.0×	$2,233.6
MRI brain without contrast	CPT	70551	14	$1,629	$977.4	$230.42	$719.91	1.8×	$1,977
MRI brain with contrast	CPT	70552	14	$2,072	$1,243.2	$319.01	$1,064.58	2.2×	$2,144.3
MRI brain with and without contrast	CPT	70553	14	$3,183	$1,909.8	$355.95	$1,206.45	2.0×	$3,812.26
Chest X-ray single view	CPT	71045	14	$171	$102.6	$16.25	$68.4	0.72×	$136.8
Chest X-ray 2 views	CPT	71046	14	$251	$150.6	$24.82	$100.4	1.0×	$200.8
Chest X-ray 3 views	CPT	71047	14	$257	$154.2	$31.72	$102.8	1.1×	$227.64
CT chest without contrast	CPT	71250	14	$1,253	$751.8	$140.27	$466.78	2.2×	$1,279
CT chest with contrast	CPT	71260	14	$2,875	$1,725	$152.41	$845.25	3.0×	$2,300
CT chest with and without contrast	CPT	71270	14	$3,321	$1,992.6	$175.74	$976.37	3.3×	$2,656.8
MRI chest without contrast	CPT	71550	14	$2,226	$1,335.6	$303.21	$1,141.28	2.7×	$1,977
MRI chest with contrast	CPT	71551	14	$2,369	$1,421.4	$412.09	$1,125.45	1.4×	$6,553.4
MRI chest with and without contrast	CPT	71552	14	$3,404	$2,042.4	$516.77	$1,953.4	3.3×	$2,723.2
Lumbosacral spine X-ray	CPT	72100	14	$285	$171	$34.16	$114	1.1×	$228
CT cervical spine without contrast	CPT	72125	14	$1,253	$751.8	$140.27	$470.42	2.3×	$1,279
CT thoracic spine without contrast	CPT	72128	14	$1,253	$751.8	$148.14	$470.42	2.4×	$1,279
CT lumbar spine without contrast	CPT	72131	14	$1,286	$771.6	$145.52	$466.78	2.3×	$1,279
MRI cervical spine without contrast	CPT	72141	14	$1,636	$981.6	$224.02	$689.41	1.7×	$1,977
MRI thoracic spine without contrast	CPT	72146	14	$1,737	$1,042.2	$224.37	$689.41	1.8×	$1,977
MRI lumbar spine without contrast	CPT	72148	14	$1,720	$1,032	$223.32	$692.99	1.8×	$1,977
MRI lumbar spine with and without contrast	CPT	72149	14	$2,063	$1,237.8	$320.31	$1,064.7	2.3×	$2,162.05
MRI cervical spine with and without contrast	CPT	72156	14	$3,207	$1,924.2	$355.95	$1,215.43	2.2×	$3,834.32
MRI lumbar spine with contrast	CPT	72158	14	$3,179	$1,907.4	$355.95	$1,211.85	2.2×	$3,794.78
CT pelvis without contrast	CPT	72192	14	$999	$599.4	$118.12	$465.02	2.3×	$1,279
CT pelvis with contrast	CPT	72193	14	$1,133	$679.8	$147.09	$718.56	2.6×	$1,279
Shoulder X-ray	CPT	73030	13	$241	$144.6	$31.8	$132.55	1.4×	$192.8
Humerus X-ray	CPT	73060	13	$214	$128.4	$29.83	$117.7	1.3×	$171.2
Hand X-ray 3 views	CPT	73130	13	$234	$140.4	$33.56	$128.7	1.4×	$187.97
MRI upper extremity joint without contrast	CPT	73221	13	$1,610	$966	$236.38	$885.5	2.1×	$1,977
MRI upper extremity joint with and without contrast	CPT	73223	13	$3,092	$1,855.2	$467.77	$1,700.6	2.8×	$2,473.6
Knee X-ray 1-2 views	CPT	73560	13	$198	$118.8	$31.66	$108.9	1.2×	$172.69
Ankle X-ray 3 views	CPT	73610	13	$234	$140.4	$33.86	$128.7	1.4×	$187.97
MRI lower extremity joint without contrast	CPT	73721	13	$1,611	$966.6	$236.03	$886.05	1.9×	$1,977
MRI lower extremity joint with and without contrast	CPT	73723	13	$3,095	$1,857	$468.12	$1,702.25	2.7×	$2,599.74
CT abdomen without contrast	CPT	74150	14	$984	$590.4	$135.45	$459.63	2.4×	$1,279
CT abdomen with contrast	CPT	74160	14	$1,257	$754.2	$156.5	$732.91	2.6×	$1,279
CT abdomen with and without contrast	CPT	74170	14	$1,615	$969	$185.29	$888.14	2.7×	$1,419.66
CT abdomen and pelvis without contrast	CPT	74176	14	$1,976	$1,185.6	$176.7	$597.54	1.6×	$2,682.79
CT abdomen and pelvis with contrast	CPT	74177	14	$2,385	$1,431	$276.32	$954	1.7×	$3,952.42
CT abdomen and pelvis with and without contrast	CPT	74178	14	$3,080	$1,848	$349.36	$1,232	2.1×	$4,601.97
MRI abdomen without contrast	CPT	74181	14	$2,226	$1,335.6	$240.06	$728.94	1.9×	$1,977
MRI abdomen with and without contrast	CPT	74183	14	$3,192	$1,915.2	$423.03	$1,348.32	2.4×	$2,553.6
Abdominal ultrasound complete	CPT	76700	14	$732	$439.2	$100.03	$273.02	1.8×	$585.6
Abdominal ultrasound limited	CPT	76705	14	$468	$280.8	$65.62	$198.49	1.4×	$395.72
Retroperitoneal ultrasound complete	CPT	76770	14	$675	$405	$85.58	$270	1.9×	$540
Obstetric ultrasound first trimester	CPT	76801	14	$743	$445.8	$88.29	$270	1.9×	$594.4
Obstetric ultrasound after first trimester	CPT	76805	14	$1,054	$632.4	$81.38	$321.47	2.1×	$843.2
Transvaginal ultrasound	CPT	76830	14	$562	$337.2	$80.33	$241.81	1.6×	$572.83
Pelvic ultrasound complete	CPT	76856	14	$528	$316.8	$80.33	$221.76	1.5×	$480.99
Scrotal ultrasound	CPT	76870	14	$415	$249	$77.7	$213.89	1.6×	$465.63
Diagnostic mammography unilateral	CPT	77065	13	$600	$360	$107.53	$249.32	1.7×	$572.83
Diagnostic mammography bilateral	CPT	77066	13	$764	$458.4	$136.34	$315.69	1.7×	$730.23
Screening mammography bilateral	CPT	77067	13	$635	$381	$109.94	$263.77	1.7×	$605.61
EKG complete	CPT	93000	14	$257	$154.2	$16.94	$69.6	2.8×	$210.74
EKG tracing only	CPT	93005	14	$257	$154.2	$7.51	$47.2	0.40×	$210.74
EKG interpretation only	CPT	93010	12	$50	$30	$9.01	$28.33	1.6×	$58.46
Transthoracic echocardiogram complete	CPT	93306	14	$1,395	$837	$148.07	$536.14	0.90×	$1,143.9
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	3	—	—	$12,292	$16,425	0.81×	$20,000
Intracranial hemorrhage/CVA w CC	MS-DRG	065	3	—	—	$6,175.53	$10,065	0.94×	$12,564
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	3	—	—	$4,183.44	$7,353.2	0.96×	$9,814.84
Respiratory infections & inflammations w MCC	MS-DRG	177	3	—	—	$9,552.11	$12,658	0.82×	$15,413
COPD w MCC	MS-DRG	190	3	—	—	$6,770.89	$8,539.82	0.76×	$10,757
COPD w CC	MS-DRG	191	3	—	—	$5,152.9	$7,545.46	0.86×	$9,188.06
COPD w/o CC/MCC	MS-DRG	192	3	—	—	$3,924.27	$6,024.67	0.86×	$7,336.2
Simple pneumonia & pleurisy w CC	MS-DRG	194	3	—	—	$4,926.12	$7,147.72	0.84×	$8,703.73
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	3	—	—	$3,841.75	$5,369.56	0.80×	$6,538.48
AMI discharged alive w MCC	MS-DRG	280	3	—	—	$9,805.17	$12,821	0.82×	$15,613
AMI discharged alive w CC	MS-DRG	281	3	—	—	$5,618.06	$8,843.98	0.91×	$10,769
AMI discharged alive w/o CC/MCC	MS-DRG	282	3	—	—	$4,420	$7,500.16	0.96×	$9,715.12
Heart failure & shock w MCC	MS-DRG	291	3	—	—	$7,847.32	$9,908.54	0.78×	$12,467
Heart failure & shock w CC	MS-DRG	292	3	—	—	$5,189.57	$6,761.67	0.76×	$8,244.64
Heart failure & shock w/o CC/MCC	MS-DRG	293	3	—	—	$3,459.71	$5,772.25	0.93×	$7,364.69
Cardiac arrhythmia w MCC	MS-DRG	308	3	—	—	$7,359.53	$9,194.93	0.76×	$11,692
Cardiac arrhythmia w CC	MS-DRG	309	3	—	—	$4,497.02	$5,790.7	0.75×	$7,144.38
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	3	—	—	$3,460.33	$4,527.28	0.73×	$5,512.83
GI hemorrhage w CC	MS-DRG	378	3	—	—	$5,994.6	$9,007.76	0.90×	$10,969
GI hemorrhage w/o CC/MCC	MS-DRG	379	3	—	—	$3,853.36	$6,237.02	0.91×	$7,735.06
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	3	—	—	$4,765.36	$6,071.46	0.75×	$7,570.7
Fractures of femur w/o MCC	MS-DRG	533	3	—	—	$9,582.68	$16,550	1.1×	$21,766
Kidney/UTI w MCC	MS-DRG	689	3	—	—	$7,092.41	$10,669	0.92×	$12,991
Kidney/UTI w/o MCC	MS-DRG	690	3	—	—	$4,948.13	$5,837.5	0.70×	$7,861.05
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	3	—	—	$11,874	$16,401	0.88×	$19,972
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	3	—	—	$6,254.99	$8,376.05	0.81×	$10,199
Initial hospital care, low complexity	CPT	99221	12	$205	$123	$56.83	$153.75	1.7×	$415.1
Initial hospital care, moderate complexity	CPT	99222	12	$404	$242.4	$111.99	$282.8	1.7×	$650.56
Initial hospital care, high complexity	CPT	99223	12	$579	$347.4	$160.5	$405.3	1.8×	$867.37
lab
Basic metabolic panel (BMP)	CPT	80048	14	$136	$81.6	$5.5	$41.13	1.3×	$108.8
Electrolyte panel	CPT	80051	14	$111	$66.6	$4.56	$33.57	1.4×	$88.8
Comprehensive metabolic panel	CPT	80053	14	$168	$100.8	$6.86	$50.8	1.1×	$134.4
Lipid panel	CPT	80061	14	$163	$97.8	$8.7	$53	1.4×	$130.4
Renal function panel	CPT	80069	14	$138	$82.8	$5.64	$41.73	1.5×	$110.4
Hepatic function panel	CPT	80076	14	$132	$79.2	$5.31	$39.92	1.5×	$105.6
Urinalysis non-automated	CPT	81002	14	$33	$19.8	$2.26	$13.2	1.9×	$53
Urinalysis automated	CPT	81003	14	$32	$19.2	$1.46	$10.43	0.75×	$53
Glucose quantitative	CPT	82947	14	$51	$30.6	$2.55	$18.22	1.0×	$53
Hemoglobin A1c	CPT	83036	14	$125	$75	$6.31	$45.01	1.7×	$100
Thyroid stimulating hormone (TSH)	CPT	84443	14	$131	$78.6	$10.92	$52.4	1.1×	$104.8
Complete blood count with automated differential	CPT	85025	14	$71	$42.6	$5.05	$28.4	1.1×	$56.8
Complete blood count without differential	CPT	85027	14	$78	$46.8	$4.21	$26.32	1.2×	$62.4
Urine culture bacterial	CPT	87086	14	$96	$57.6	$5.25	$37.41	1.6×	$76.8
Urine culture identification	CPT	87088	14	$97	$58.2	$5.26	$37.5	1.7×	$77.6
Tissue exam by pathologist level IV	CPT	88305	14	$282	$169.2	$35.7	$100.13	0.98×	$225.6
maternity
Vaginal delivery only	CPT	59409	13	$5,685	$3,411	$685.79	$1,979.2	0.89×	$4,661.7
C-section delivery only	CPT	59514	12	$2,924	$1,754.4	$658.5	$2,193	2.3×	$4,920.97
C-section with postpartum	CPT	59515	12	$3,418	$2,050.8	$947.47	$2,648.95	2.1×	$7,074.05
office
Office visit, new patient, 15-29 min	CPT	99202	14	$305	$183	$37.1	$93.03	1.1×	$250.1
Office visit, new patient, 30-44 minutes	CPT	99203	14	$453	$271.8	$56.06	$136.99	1.1×	$371.46
Office visit, new patient, 45-59 min	CPT	99204	14	$700	$420	$61.3	$211.68	1.2×	$574
Office visit, new patient, 60-74 min	CPT	99205	14	$877	$526.2	$65.78	$265.2	1.2×	$719.14
Office visit, established patient, 5 min	CPT	99211	14	$140	$84	$19.64	$45.2	0.70×	$2,094.25
Office visit, established patient, 10-19 min	CPT	99212	14	$184	$110.4	$27.3	$56.12	0.70×	$168
Office visit, established patient, 20-29 minutes	CPT	99213	14	$305	$183	$36.75	$92.23	0.81×	$250.1
Office visit, established patient, 30-39 minutes	CPT	99214	14	$455	$273	$51.57	$137.59	0.90×	$373.1
Office visit, established patient, 40-54 min	CPT	99215	14	$613	$367.8	$59.28	$185.37	0.98×	$502.66
preventive
Upper GI endoscopy diagnostic	CPT	43235	13	$1,464	$878.4	$131.48	$1,024.8	1.1×	$1,713.43
Upper GI endoscopy with biopsy	CPT	43239	13	$1,062	$637.2	$156.01	$796.5	0.83×	$2,316.5
Sigmoidoscopy diagnostic	CPT	45330	13	$294	$176.4	$55.81	$220.5	0.26×	$2,325.85
Sigmoidoscopy with biopsy	CPT	45331	13	$351	$210.6	$66.85	$280.8	0.31×	$1,715.28
Colonoscopy diagnostic	CPT	45378	13	$1,015	$609	$189.53	$761.25	0.87×	$2,315.6
Colonoscopy with biopsy	CPT	45380	13	$1,212	$727.2	$236.69	$909	0.75×	$2,321.75
Colonoscopy with polyp removal	CPT	45385	13	$1,438	$862.8	$281.48	$1,078.5	0.90×	$2,433.54
surgery
Total shoulder arthroplasty	CPT	23472	12	$4,803	$2,881.8	$1,331.39	$3,842.4	0.93×	$7,805.47
Total hip replacement	CPT	27130	12	$5,795	$3,477	$1,606.37	$4,491.13	1.0×	$6,936.39
Total knee replacement	CPT	27447	12	$5,453	$3,271.8	$1,511.57	$4,362.4	1.0×	$14,888
Knee revision arthroplasty single component	CPT	27486	12	$4,430	$2,658	$1,228	$3,433.25	2.1×	$7,578.08
Knee revision arthroplasty all components	CPT	27487	12	$5,669	$3,401.4	$1,571.45	$4,393.48	2.2×	$9,452.74
Shoulder arthroscopy with decompression	CPT	29826	12	$2,904	$1,742.4	$761.99	$1,597.2	4.9×	$2,655.58
Shoulder arthroscopy with rotator cuff repair	CPT	29827	12	$3,624	$2,174.4	$1,004.57	$2,718	0.82×	$5,782.59
Knee arthroscopy with meniscectomy	CPT	29881	13	$2,732	$1,639.2	$570.67	$1,912.4	0.93×	$3,250.3
ACL reconstruction	CPT	29888	12	$4,945	$2,967	$1,192.92	$3,461.5	1.0×	$5,276.73
Major small/large bowel procedures w MCC	MS-DRG	329	3	—	—	$28,096	$33,691	0.78×	$44,637
Major small/large bowel procedures w CC	MS-DRG	330	3	—	—	$14,653	$20,718	0.89×	$25,228
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	3	—	—	$10,287	$15,571	0.95×	$18,960
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	3	—	—	$10,340	$14,927	0.91×	$18,177
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	3	—	—	$8,348.55	$12,412	0.92×	$15,114
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	3	—	—	$20,826	$36,091	1.1×	$47,607
Open appendectomy	CPT	44950	12	$1,504	$902.4	$416.91	$1,203.2	1.1×	$5,150.82
Laparoscopic appendectomy	CPT	44970	12	$1,342	$805.2	$372	$1,073.6	0.69×	$5,169.42
Major joint replacement w MCC	MS-DRG	469	4	—	—	$18,541	$25,982	0.88×	$31,638
Major joint replacement w/o MCC	MS-DRG	470	4	—	—	$13,291	$14,108	0.75×	$18,732
Laparoscopic cholecystectomy	CPT	47562	12	$1,683	$1,009.8	$466.53	$1,346.4	0.76×	$5,150.38
Lap cholecystectomy with cholangiography	CPT	47563	12	$1,808	$1,084.8	$501.18	$1,446.4	0.77×	$5,167.01
Hip & femur procedures except major joint w MCC	MS-DRG	480	4	—	—	$17,802	$28,281	1.0×	$36,311
Hip & femur procedures except major joint w CC	MS-DRG	481	4	—	—	$12,803	$20,340	1.0×	$25,470
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	4	—	—	$11,042	$15,149	0.95×	$18,447
Open umbilical hernia repair	CPT	49560	11	$2,257	$1,354.2	$625.64	$1,470.59	0.77×	$1,850.74
Umbilical hernia repair age 5+	CPT	49585	11	$998	$598.8	$276.65	$698.6	0.53×	$1,470.59
Lap inguinal hernia repair	CPT	49650	12	$1,286	$771.6	$356.48	$1,028.8	0.91×	$3,267.82
Lap incisional hernia repair	CPT	49652	11	$2,323	$1,393.8	$643.94	$1,626.1	0.60×	$1,904.86
Total abdominal hysterectomy	CPT	58150	12	$3,038	$1,822.8	$842.13	$2,278.5	2.3×	$5,509.54
Vaginal hysterectomy	CPT	58260	12	$2,549	$1,529.4	$706.58	$2,039.2	1.1×	$5,083.62
Lap-assisted vaginal hysterectomy	CPT	58550	12	$2,740	$1,644	$759.53	$2,055	1.4×	$6,756.62
Lap-assisted vaginal hysterectomy >250g	CPT	58552	3	—	—	$1,582.65	$4,385.69	2.0×	$6,682.7
Lap salpingo-oophorectomy	CPT	58661	12	$2,023	$1,213.8	$560.78	$1,618.4	0.80×	$3,908.07
OR procedure for obesity w MCC	MS-DRG	619	3	—	—	$17,649	$25,596	0.94×	$31,168
OR procedure for obesity w CC	MS-DRG	620	3	—	—	$9,781.95	$14,939	0.92×	$18,191
OR procedure for obesity w/o CC/MCC	MS-DRG	621	3	—	—	$9,220.2	$12,061	0.80×	$14,687
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	3	—	—	$7,583.87	$10,213	0.83×	$12,436
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	3	—	—	$11,921	$13,520	0.71×	$19,899

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 14)

Payer	Codes covered	Median rate
Blue Cross Blue Shield	169	$723.2
upmc health plan	169	$416.32
UnitedHealthcare	134	$420.7
Aetna	130	$236.69
geisinger	125	$434.25
intergroup	125	$602.8
Multiplan	125	$602.8
pa health & wellness	125	$228.36
Humana	125	$441.6
amerihealth caritas	125	$232.42
Cigna	125	$221.53
galaxy health plan	125	$602.8
upmc work partners	120	$570.88
health partners plans (jefferson health plan)	88	$156.16

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