Upstate Community Hospital
,
Upstate Community Hospital. This page also lists hospital-published cash prices for services and billing-code line items.
Overview
- CCN335870
Procedures & prices
Hospital-published price lines. These are billing-code items from the hospital transparency file, not a personalized estimate. Cash is the self-pay price; gross is the pre-discount list price.
Price definitions
- Cash
- — self-pay price (no insurance)
- Gross
- — chargemaster list price; the pre-discount sticker rate, rarely what anyone pays
- Negotiated range
- — min–max of rates the hospital negotiated with insurers
- Payers
- — number of insurers with a published rate (“0” / “—” = none)
Available here:CashGross listInsurer-negotiated rates were not published for these rows.
- Perq Stent/Chestablished Vert ArtProcedureCPT 0075THospital-published line item—cashGross $12,755
- S&i Stent/Chestablished Vert ArtProcedureCPT 0076THospital-published line item—cashGross $4,074
- Perq Sacral Augmt Unilateral InjProcedureCPT 0200THospital-published line item—cashGross $44,058
- Perq Sacral Augmt Bilateral InjProcedureCPT 0201THospital-published line item—cashGross $45,191
- Nfct Ds 22 Trgt sars-cov-2ProcedureCPT 0202UHospital-published line item—cashGross $992
- Trluml Perip Athrc Renal ArtProcedureCPT 0234THospital-published line item—cashGross $17,978
- Trluml Perip Athrc VisceralProcedureCPT 0235THospital-published line item—cashGross $11,959
- Trluml Perip Athrc Abd AortaProcedureCPT 0236THospital-published line item—cashGross $17,978
- Trluml Perip Athrc BrchiocphProcedureCPT 0237THospital-published line item—cashGross $17,978
- Trluml Perip Athrc Iliac ArtProcedureCPT 0238THospital-published line item—cashGross $17,161
| Service / code | Self-pay cash↑ | Gross list |
|---|---|---|
Perq Stent/Chestablished Vert Art ProcedureCPT 0075THospital-published line item | — | $12,755 |
S&i Stent/Chestablished Vert Art ProcedureCPT 0076THospital-published line item | — | $4,074 |
Perq Sacral Augmt Unilateral Inj ProcedureCPT 0200THospital-published line item | — | $44,058 |
Perq Sacral Augmt Bilateral Inj ProcedureCPT 0201THospital-published line item | — | $45,191 |
Nfct Ds 22 Trgt sars-cov-2 ProcedureCPT 0202UHospital-published line item | — | $992 |
Trluml Perip Athrc Renal Art ProcedureCPT 0234THospital-published line item | — | $17,978 |
Trluml Perip Athrc Visceral ProcedureCPT 0235THospital-published line item | — | $11,959 |
Trluml Perip Athrc Abd Aorta ProcedureCPT 0236THospital-published line item | — | $17,978 |
Trluml Perip Athrc Brchiocph ProcedureCPT 0237THospital-published line item | — | $17,978 |
Trluml Perip Athrc Iliac Art ProcedureCPT 0238THospital-published line item | — | $17,161 |
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