Supplies, drugs & other prices at UPMC Chautauqua at WCA
Jamestown, NY · every code in this section with a posted price and a Medicare benchmark.
43 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,co (C8923) | $1,747.80 | $2,913 | 1.8× |
| 2d tte w or w/o fol w/con,fu (C8924) | $507 | $845 | 1.2× |
| Adm tocilizu covid-19 1st (M0249) | $1,020 | $1,700 | 1.9× |
| Adm tocilizu covid-19 2nd (M0250) | $1,020 | $1,700 | 1.9× |
| Admin hepatitis b vaccine (G0010) | $12 | $20 | 0.2× |
| Admin influenza virus vac (G0008) | $12 | $20 | 0.2× |
| Admin pneumococcal vaccine (G0009) | $12 | $20 | 0.2× |
| Catheterize for urine spec (P9612) | $7.80 | $13 | 0.8× |
| Chemo extend iv infus w/pump (G0498) | $754.80 | $1,258 | 1.8× |
| Colon ca scrn not hi rsk ind (G0121) | $1,440 | $2,400 | 1.2× |
| Colorectal scrn; hi risk ind (G0105) | $1,590 | $2,650 | 1.4× |
| Diab manage trn per indiv (G0108) | $121.20 | $202 | 2.2× |
| Diab manage trn ind/group (G0109) | $93 | $155 | 5.8× |
| Direct refer hospital observ (G0379) | $50.40 | $84 | 0.1× |
| Drug test def 1-7 classes (G0480) range across 160 matching MRF lines |
$46.80–$49.80 | $78–$83 | varies |
| Hepb screen high risk indiv (G0499) | $63 | $105 | 2.2× |
| Home sleep test/type 2 porta (G0398) | $1,159.80 | $1,933 | 4.3× |
| Inj for sacroiliac jt anesth (G0260) | $472.20 | $787 | 0.5× |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) | $1,212 | $2,020 | 2.4× |
| Mra w/o cont, abd (C8901) | $923.40 | $1,539 | 3.1× |
| Mra w/o cont, chest (C8910) | $930 | $1,550 | 3.1× |
| Mra w/o fol w/cont, abd (C8902) | $923.40 | $1,539 | 2.1× |
| Mra w/o fol w/cont, chest (C8911) | $930 | $1,550 | 2.1× |
| Mra w/o fol w/cont, lwr ext (C8914) | $924 | $1,540 | 2.1× |
| Mra w/o fol w/cont, pelvis (C8920) | $922.20 | $1,537 | 2.1× |
| Mri w/o fol w/cont, breast, (C8908) | $1,793.40 | $2,989 | 4.1× |
| Mri w/o fol w/cont, brst, un (C8905) | $1,422 | $2,370 | 3.3× |
| Oth resp proc, group (G0239) | $75.60 | $126 | 1.6× |
| Perc drug-el cor stent sing (C9600) | $11,263.20 | $18,772 | 0.8× |
| Prostate biopsy, any mthd (G0416) | $910.20 | $1,517 | 2.0× |
| Psa screening (G0103) | $96 | $160 | 5.0× |
| Rx Metab Advrs Trgt Seq Alys (0029U) | $2,053.20 | $3,422 | 2.8× |
| Rx metab warfarin rx response trgt seq alys (0030U) | $1,911.60 | $3,186 | 14.3× |
| Scr c/v cyto,thinlayer,rescr (G0145) range across 2 matching MRF lines |
$78–$99 | $130–$165 | varies |
| Screen cerv/vag thin layer (G0123) | $61.20 | $102 | 3.0× |
| Tomosynthesis, mammo (G0279) range across 2 matching MRF lines |
$93–$123 | $155–$205 | varies |
| Trim nail(s) (G0127) | $109.20 | $182 | 1.5× |
| Tte w or w/o contr, cont ecg (C8930) | $618.60 | $1,031 | 0.6× |
| Tte w or w/o fol w/con,stres (C8928) | $618.60 | $1,031 | 0.6× |
| Tte w or w/o fol w/cont, com (C8921) | $873.60 | $1,456 | 0.9× |
| Tte w or w/o fol w/cont, f/u (C8922) | $1,789.20 | $2,982 | 1.8× |
| Tte w or wo fol wcon,doppler (C8929) | $1,329.60 | $2,216 | 1.4× |
| Unsched dialysis esrd pt hos (G0257) | $406.20 | $677 | 0.5× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.