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Upmc Chautauqua At Wca

Jamestown, NY · 95 beds · 77 procedures priced

Sourced from this hospital's machine-readable file, posted Thu Jun 04 2026 00:00:00 GMT+0000 (Coordinated Universal Time) · data quality 98/100 · source file ↗

Category

Procedure ▲	Negotiated i	Cash i	Gross i
ACL Reconstruction (Arthroscopic)	$8,728$974$11k	—	—
Basic Metabolic Panel	$12$8$31	$20	$34
Bone Marrow Biopsy	$321$59$2.5k	$229	$382
Breast Biopsy (Ultrasound-guided)	$1,300$174$2.5k	$975	$1,625
Cardiac Catheterization (Left Heart)	$4,087$745$7.0k	$4,667	$7,778
Chemotherapy Infusion (First Hour)	$355$122$1.0k	$266	$444
Chest X-ray (2 Views)	$110$30$270	$139	$232
Colonoscopy with Biopsy	$1,339$167$2.0k	$1,004	$1,674
Complete Abdominal Ultrasound	$139$119$326	$182	$303
Complete Blood Count (CBC) with Differential	$8$6$28	$19	$31
Comprehensive Metabolic Panel	$15$11$39	$26	$43
Critical Care, First Hour	$1,040$190$2.8k	$1,895	$3,159
CT Abdomen and Pelvis with Contrast	$447$329$1.1k	$475	$791
CT Chest without Contrast	$194$130$761	$507	$845
CT Head without Contrast	$177$114$743	$495	$825
DEXA Bone Density Scan	$170$38$360	$240	$400
Diagnostic Colonoscopy	$1,125$154$2.3k	$1,500	$2,500
Diagnostic Mammogram (Both Breasts)	$233$145$338	$226	$376
Ear Tube Placement (Tympanostomy)	$1,810$123$2.4k	—	—
Echocardiogram (Complete with Doppler)	$693$176$2.0k	$1,352	$2,254
Emergency Room Visit (Level 3)	$352$71$905	$361	$601
Group Therapy Session	$59$25$155	$44	$74
Hemoglobin A1c (Diabetes Test)	$10$7$36	$24	$40
HIV Antibody Test	$12$9$85	$56	$94
Home Sleep Study	$228$95$479	$214	$356
Individual Therapy Session (45 Minutes)	$138$49$319	$212	$354
Inguinal Hernia Repair (Open)	$4,355$397$8.2k	$5,441	$9,068
Initial Psychiatric Diagnostic Evaluation	$220$65$392	$240	$400
Initial Psychiatric Evaluation with Medication Management	$131$65$235	$119	$198
Intensity-modulated Radiation Therapy (IMRT) Treatment	$738$286$1.0k	$686	$1,144
IUD Insertion	$148$22$222	$148	$247
IUD Removal	$133$22$5.6k	$91	$151
Knee Arthroscopy with Meniscectomy	$3,938$679$5.0k	—	—
Laparoscopic Appendectomy	$7,129$505$8.9k	—	—
Laparoscopic Gallbladder Removal	$7,129$974$8.9k	—	—
Laparoscopic Tubal Ligation	$7,129$1.2k$9.6k	$6,385	$10,642
Lipid Panel (Cholesterol Test)	$18$13$49	$32	$54
Lumbar Epidural Steroid Injection	$867$102$2.1k	$1,409	$2,348
Lumbar Puncture (Spinal Tap)	$507$53$1.4k	$262	$436
Lumpectomy (Partial Mastectomy)	$4,679$518$5.8k	—	—
MRI Abdomen with and without Contrast	$805$374$1.5k	$979	$1,631
MRI Brain with and without Contrast	$613$350$1.5k	$975	$1,625
MRI Brain with Contrast	$495$296$1.1k	$736	$1,227
MRI Brain without Contrast	$467$214$1.0k	$682	$1,137
MRI Cervical Spine (Neck) without Contrast	$468$210$1.0k	$682	$1,137
MRI Knee without Contrast	$572$221$1.0k	$686	$1,143
MRI Lower Back (Lumbar Spine) without Contrast	$378$210$1.0k	$682	$1,137
MRI Thoracic Spine (Mid-back) without Contrast	$382$209$1.0k	$682	$1,137
Newborn Circumcision	$2,022$99$5.6k	$1,517	$2,528
Nuclear Cardiac Stress Test	$1,126$426$4.0k	$805	$1,341
Office Visit, Established Patient (Level 3)	$83$32$234	$98	$163
Office Visit, New Patient (Level 3)	$106$43$199	$130	$216
Pacemaker Insertion (Dual Chamber)	$12,787$579$17k	$11,075	$18,459
PET/CT Scan, Whole Body	$1,912$893$4.8k	$3,190	$5,316
Pregnancy Ultrasound (Second or Third Trimester)	$138$97$326	$182	$303
Prostate Biopsy	$1,247$112$3.1k	$891	$1,485
PSA Prostate Cancer Screening	$30$18$68	$45	$75
Pulmonary Function Test with Bronchodilator	$380$24$954	$300	$500
Rotator Cuff Repair (Arthroscopic)	$8,728$1.4k$11k	—	—
Screening Mammogram	$206$117$308	$205	$342
Septoplasty (Deviated Septum Repair)	$3,962$1.2k$5.0k	—	—
Skin Biopsy (Tangential)	$251$31$5.6k	$326	$544
Skin Lesion Removal (Benign, up to 0.5 cm)	$1,980$50$5.6k	—	—
Sleep Study (In-lab Polysomnography)	$1,268$282$3.1k	$1,188	$1,980
Spinal Cord Stimulator Trial	$4,341$466$10k	$4,007	$6,679
Spirometry (Breathing Test)	$191$19$479	$151	$251
Tonsillectomy and Adenoidectomy (Age 12 and Over)	$3,962$675$5.0k	—	—
Tonsillectomy and Adenoidectomy (Under Age 12)	$7,228$632$9.0k	—	—
Total Hip Replacement	$15,721$1.1k$20k	—	—
Total Knee Replacement	$15,721$1.1k$20k	—	—
TSH Thyroid Function Test	$25$17$62	$41	$69
TURP (Transurethral Prostate Resection)	$6,211$1.2k$7.8k	—	—
Upper GI Endoscopy (EGD)	$1,146$102$1.5k	$980	$1,633
Urinalysis with Microscopy	$4$3$12	$8	$13
Vaginal Hysterectomy	$6,031$1.6k$7.5k	—	—
Vasectomy	$2,206$186$5.6k	—	—
Vitamin D Blood Test	$45$30$109	$73	$121

Median facility price per procedure. Negotiated shows the median across payers with the full range. Figures as reported in the hospital's file — not a quote.