UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $2,739.20 | $3,775.00 | $578.38 – $578.38 | 1 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $440.00 | $607.00 | $287.67 – $287.67 | 1 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $922.40 | $1,272.00 | $26.30 – $129.33 | 8 |
| Echo exam uterus 76831- CPT 76831 | $840.80 | $1,159.00 | $182.34 – $205.55 | 2 |
| Echograp trans r pros study CPT 76873 | $474.40 | $654.00 | $83.46 – $302.57 | 2 |
| Echo guidance radiotherapy CPT 76965 | $2,659.20 | $3,665.00 | $21.43 – $715.18 | 2 |
| Echo guide for amniocentesis CPT 76946 | $603.20 | $832.00 | $23.81 – $176.59 | 8 |
| Echo guide for artery repair CPT 76936 | $1,220.80 | $1,682.00 | $112.96 – $701.76 | 8 |
| Echo stress CPT 93350 | $1,056.00 | $1,455.00 | $59.52 – $933.78 | 8 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,040.80 | $1,434.00 | $170.15 – $580.53 | 8 |
| Echo transesophageal CPT 93314 | $472.80 | $652.00 | $170.15 – $465.73 | 8 |
| Echo transesophageal intraop CPT 93318 | $2,591.20 | $3,571.00 | $392.84 – $392.84 | 1 |
| Echo transthoracic CPT 93303 | $1,094.40 | $1,508.00 | $121.60 – $464.26 | 8 |
| Echo transthoracic CPT 93304 | $647.20 | $891.00 | $27.52 – $254.18 | 8 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $1,026.40 | $1,414.00 | $121.60 – $621.58 | 8 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | $268.80 | $336.00 | $44.82 – $49.30 | 6 |
| Eculizumab injection HCPCS J1300 | $30,211.20 | $50,352.00 | not published | 0 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $1,439.20 | $1,983.00 | $377.46 – $377.46 | 1 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $1,439.20 | $1,983.00 | $17.28 – $208.33 | 8 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $1,439.20 | $1,983.00 | $24.32 – $295.75 | 8 |
| Eeg recording awake and asleep CPT 95819 | $1,439.20 | $1,983.00 | $17.28 – $249.27 | 8 |
| E equine encephalitis igg CPT 86652 | $111.20 | $153.00 | $13.03 – $31.05 | 8 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | $79.20 | $99.00 | $32.15 – $35.36 | 6 |
| Egd balloon dil esoph30 mm/> CPT 43233 | $4,128.80 | $5,690.00 | $332.32 – $993.28 | 2 |
| Egd control bleeding any CPT 43255 | $4,128.80 | $5,690.00 | $255.75 – $1,051.75 | 8 |
| Egd dilate stricture CPT 43245 | $4,128.80 | $5,690.00 | $180.20 – $993.28 | 8 |
| Egd endo mucosal resection CPT 43254 | $4,128.80 | $5,690.00 | $400.54 – $993.28 | 2 |
| Egd endoscopic stent place CPT 43266 | $7,896.80 | $10,883.00 | $331.59 – $993.28 | 2 |
| Egd guide wire insertion CPT 43248 | $4,264.00 | $5,877.00 | $637.56 – $993.28 | 2 |
| Egd injection varices CPT 43243 | $4,128.80 | $5,690.00 | $993.28 – $1,004.29 | 2 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | $4,128.80 | $5,690.00 | $148.54 – $993.28 | 8 |
| Egd lesion ablation CPT 43270 | $4,128.80 | $5,690.00 | $973.70 – $993.28 | 2 |
| Egd remove foreign body CPT 43247 | $4,264.00 | $5,877.00 | $191.43 – $843.52 | 8 |
| Egd remove lesion snare CPT 43251 | $4,128.80 | $5,690.00 | $208.28 – $1,072.14 | 8 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | $4,128.80 | $5,690.00 | $993.28 – $1,072.14 | 2 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | $4,128.80 | $5,690.00 | $993.28 – $993.28 | 1 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | $4,128.80 | $5,690.00 | $232.08 – $993.28 | 8 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | $4,128.80 | $5,690.00 | $277.43 – $993.28 | 8 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | $4,128.80 | $5,690.00 | $385.47 – $993.28 | 2 |
| Egd varices ligation CPT 43244 | $4,128.80 | $5,690.00 | $678.33 – $993.28 | 2 |
| Egd w/thrml txmnt gerd CPT 43257 | $7,896.80 | $10,883.00 | $541.08 – $2,545.95 | 2 |
| Egfr gene com variants CPT 81235 | $1,008.00 | $1,260.00 | $263.34 – $448.78 | 8 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $351.20 | $484.00 | $28.07 – $47.84 | 8 |
| EKG (Tracing Only) CPT 93005 | $271.80 | $453.00 | $11.51 – $54.51 | 8 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $659.20 | $908.00 | $14.72 – $63.25 | 2 |
| Elbow X-ray (3 or more views, both sides) CPT 73080 | $452.00 | $623.00 | $14.72 – $69.84 | 2 |
| Electrical Stimulation Therapy (each 15 minutes) CPT 97032 | $124.80 | $172.00 | $16.20 – $29.54 | 2 |
| Electrical stimulation/unattended 97014 CPT 97014 | $27.00 | $45.00 | $21.44 – $40.74 | 2 |
| Electrolyte panel CPT 80051 | $158.40 | $218.00 | $6.92 – $11.93 | 8 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | $28.80 | $48.00 | $7.88 – $8.67 | 6 |
| Emb w/colposcopy 58110 CPT 58110 | $706.40 | $973.00 | $35.26 – $85.14 | 8 |
| Emb without cervical dilation 58100 CPT 58100 | $2,633.60 | $3,630.00 | $56.10 – $934.40 | 8 |
| Encephalitis, california igg/igm CPT 86651 | $111.20 | $153.00 | $13.03 – $31.05 | 8 |
| Encephalitis, st louis igg/igm CPT 86653 | $111.20 | $153.00 | $13.03 – $31.05 | 8 |
| Encephalitis, western equine igg/igm CPT 86654 | $111.20 | $153.00 | $13.03 – $31.05 | 8 |
| Endo cath bile duct s&i CPT 74328 | $1,471.20 | $2,028.00 | $352.88 – $352.88 | 1 |
| Endo cath panc duct s&i CPT 74329 | $1,471.20 | $2,028.00 | $352.88 – $352.88 | 1 |
| Endocerv curettage w/scope 57456 CPT 57456 | $232.00 | $320.00 | $104.51 – $993.28 | 8 |
| Endocervical curettage 57505 CPT 57505 | $1,478.40 | $2,037.00 | $24.20 – $993.28 | 8 |
| Endo cholangiopancreatograph CPT 43261 | $7,896.80 | $10,883.00 | $993.28 – $1,064.19 | 2 |
| Endo cholangiopancreatograph CPT 43262 | $7,896.80 | $10,883.00 | $184.32 – $1,425.04 | 2 |
| Endoscopic injection/implant CPT 51715 | $12,844.00 | $17,701.00 | $204.26 – $993.28 | 8 |
| Endoscopic pancreatoscopy CPT 43273 | $7,896.80 | $10,883.00 | $96.90 – $192.68 | 2 |
| Endoscopic Ultrasound exam esoph CPT 43237 | $4,128.80 | $5,690.00 | $186.92 – $993.28 | 8 |
| Endoscopy bowel pouch/biop CPT 44386 | $3,816.80 | $5,261.00 | $121.29 – $321.67 | 8 |
| Endoscopy of bowel pouch 44385 CPT 44385 | $3,816.80 | $5,261.00 | $103.09 – $439.60 | 8 |
| Endoscopy swallow (fees) vid CPT 92612 | $196.00 | $270.00 | $69.17 – $316.31 | 8 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $2,765.60 | $3,812.00 | $453.07 – $993.28 | 2 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $64.20 | $107.00 | $36.74 – $40.42 | 6 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $69.60 | $116.00 | $0.59 – $8.74 | 6 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $441.60 | $552.00 | $0.48 – $14.24 | 6 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | $213.00 | $355.00 | $2.11 – $2.32 | 5 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $229.80 | $383.00 | $7.85 – $21.40 | 6 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $4,764.60 | $7,941.00 | $8.54 – $103.97 | 7 |
| Epstein barr early antigen antibody CPT 86663 | $271.20 | $374.00 | $12.97 – $30.90 | 8 |
| Epstein barr nuclear antigen antibody CPT 86664 | $353.60 | $487.00 | $15.11 – $36.03 | 8 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $353.60 | $487.00 | $17.93 – $42.72 | 8 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $2,520.60 | $4,201.00 | not published | 0 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $46.40 | $58.00 | $19.97 – $21.97 | 6 |
| Ercp biliary & pancreas CPT 74330 | $1,294.40 | $1,784.00 | $352.88 – $352.88 | 1 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | $7,896.80 | $10,883.00 | $686.48 – $993.28 | 2 |
| Ercp ea duct/ampulla dilate CPT 43277 | $7,896.80 | $10,883.00 | $569.35 – $993.28 | 2 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | $7,896.80 | $10,883.00 | $647.45 – $993.28 | 2 |
| Ercp lithotripsy calculi CPT 43265 | $7,896.80 | $10,883.00 | $993.28 – $1,369.04 | 2 |
| Ercp remove duct calculi 43264 CPT 43264 | $7,896.80 | $10,883.00 | $993.28 – $1,617.74 | 2 |
| Ercp remove forgn body duct 43275 CPT 43275 | $7,896.80 | $10,883.00 | $565.94 – $993.28 | 2 |
| Ercp stent exchange w/dilate CPT 43276 | $7,896.80 | $10,883.00 | $714.16 – $993.28 | 2 |
| Ercp w/specimen collection CPT 43260 | $7,896.80 | $10,883.00 | $524.80 – $1,037.81 | 2 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $509.40 | $849.00 | $89.34 – $98.28 | 6 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $595.80 | $993.00 | $9.86 – $33.03 | 6 |
| ER Visit (level 1, minor) CPT 99281 | $352.80 | $588.00 | $48.64 – $58.62 | 2 |
| ER Visit (level 2) CPT 99282 | $492.00 | $678.00 | $36.28 – $74.43 | 7 |
| ER Visit (level 3) CPT 99283 | $900.00 | $1,240.00 | $62.31 – $114.35 | 7 |
| ER Visit (level 4) CPT 99284 | $1,504.00 | $2,073.00 | $104.86 – $168.00 | 7 |
| ER Visit (level 5, high severity) CPT 99285 | $1,557.60 | $2,146.00 | $152.61 – $258.18 | 7 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $460.00 | $575.00 | $64.62 – $71.08 | 5 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $11.80 | $14.75 | $0.22 – $0.24 | 5 |
| Esophageal dilat s&i CPT 74360 | $672.80 | $927.00 | $105.43 – $332.67 | 8 |
| Esophagosc flex trnsn biopsy CPT 43198 | $4,264.00 | $5,877.00 | $279.43 – $993.28 | 2 |
| Esophagoscop mucosal resect CPT 43211 | $4,128.80 | $5,690.00 | $347.79 – $993.28 | 2 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.