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 |
|---|---|---|---|---|
| Esophagoscop stent placement CPT 43212 | $7,896.80 | $10,883.00 | $275.30 – $993.28 | 2 |
| Esophagoscop ultrasound exam CPT 43231 | $4,128.80 | $5,690.00 | $180.76 – $993.28 | 8 |
| Esophagoscopy balloon <30mm CPT 43220 | $4,128.80 | $5,690.00 | $122.47 – $993.28 | 8 |
| Esophagoscopy control bleed CPT 43227 | $4,128.80 | $5,690.00 | $202.32 – $993.28 | 8 |
| Esophagoscopy flex biopsy CPT 43202 | $4,128.80 | $5,690.00 | $111.63 – $543.53 | 8 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $4,264.00 | $5,877.00 | $102.82 – $1,132.80 | 8 |
| Esophagoscopy flex dx brush CPT 43197 | $4,264.00 | $5,877.00 | $249.74 – $993.28 | 2 |
| Esophagoscopy flex remove fb CPT 43215 | $4,128.80 | $5,690.00 | $577.28 – $683.72 | 2 |
| Esophagoscopy lesion ablate CPT 43229 | $7,896.80 | $10,883.00 | $973.38 – $993.28 | 2 |
| Esophagoscopy snare les remv CPT 43217 | $4,128.80 | $5,690.00 | $164.50 – $993.28 | 8 |
| Esophagoscopy w/us needle bx CPT 43232 | $4,128.80 | $5,690.00 | $535.78 – $993.28 | 2 |
| Esophagus endoscopy/ligation CPT 43205 | $4,128.80 | $5,690.00 | $559.77 – $993.28 | 2 |
| Esophagus motility study CPT 91010 | $2,426.40 | $3,344.00 | $21.12 – $217.69 | 8 |
| Esoph egd dilation <30 mm CPT 43249 | $4,128.80 | $5,690.00 | $621.62 – $993.28 | 2 |
| Esoph endoscopy dilation CPT 43226 | $4,128.80 | $5,690.00 | $135.28 – $993.28 | 8 |
| Esoph imped function test CPT 91037 | $6,467.20 | $8,912.00 | $93.94 – $260.00 | 8 |
| Established Patient Office Visit (level 1) CPT 99211 | $199.80 | $333.00 | $22.00 – $34.08 | 8 |
| Established Patient Office Visit (level 2) CPT 99212 | $250.80 | $418.00 | $28.60 – $58.20 | 8 |
| Established Patient Office Visit (level 3) CPT 99213 | $250.80 | $418.00 | $38.50 – $82.05 | 8 |
| Established Patient Office Visit (level 4) CPT 99214 | $327.00 | $545.00 | $59.86 – $122.27 | 8 |
| Established Patient Office Visit (level 5) CPT 99215 | $421.20 | $702.00 | $85.86 – $187.68 | 8 |
| Estradiol total CPT 82670 | $451.20 | $622.00 | $21.50 – $36.64 | 8 |
| Estrogens total-sendout CPT 82672 | $375.20 | $517.00 | $13.92 – $23.72 | 8 |
| Ethanolamine oleate 100 mg HCPCS J1430 | $1,605.00 | $2,675.00 | $508.96 – $559.86 | 6 |
| Ethylene glycol -sendout CPT 82693 | $245.60 | $338.00 | $11.64 – $14.73 | 2 |
| Etonogestrel implant system HCPCS J7307 | $5,044.00 | $6,305.00 | $1,019.14 – $1,019.14 | 1 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $52.20 | $87.00 | $0.94 – $1.04 | 5 |
| Etoposide 50 mg cap HCPCS J8560 | $285.60 | $476.00 | $77.46 – $85.21 | 5 |
| Euflexxa inj per dose HCPCS J7323 | $752.40 | $1,254.00 | $112.45 – $123.70 | 6 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $375.20 | $517.00 | $97.63 – $196.51 | 2 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $270.40 | $373.00 | $76.61 – $96.96 | 2 |
| Evaluation of speech fluency 92521 CPT 92521 | $552.80 | $762.00 | $113.04 – $155.06 | 2 |
| Evaluation psychiatric diagnostic CPT 90791 | $182.40 | $251.00 | $33.60 – $209.34 | 2 |
| Event monitor CPT 93270 | $558.40 | $770.00 | $16.17 – $102.84 | 8 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $154.40 | $213.00 | $24.36 – $37.75 | 7 |
| Evok oa screening qual CPT 92558 | $140.80 | $194.00 | $6.62 – $6.62 | 1 |
| Exam of vagina w/scope 57420 CPT 57420 | $162.60 | $271.00 | $89.90 – $993.28 | 8 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $43.45 – $128.00 | 8 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $1,741.60 | $2,400.00 | $41.25 – $993.28 | 8 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $490.80 | $818.00 | $59.95 – $993.28 | 8 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $490.80 | $818.00 | $46.75 – $867.84 | 8 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | not published | not published | $39.60 – $884.48 | 8 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | not published | not published | $133.10 – $1,082.88 | 8 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $346.40 | $478.00 | $51.15 – $737.28 | 8 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $636.00 | $877.00 | $71.50 – $750.08 | 8 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | $1,534.40 | $2,115.00 | $102.30 – $993.28 | 8 |
| Exchange drainage catheter CPT 49423 | $1,175.20 | $1,619.00 | $64.68 – $993.28 | 8 |
| Excise/repair mouth lesion CPT 40812 | not published | not published | $72.05 – $674.56 | 8 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | not published | not published | $72.05 – $674.56 | 8 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | not published | not published | $41.25 – $948.48 | 8 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $346.40 | $478.00 | $59.40 – $872.96 | 8 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | not published | not published | $129.25 – $1,071.36 | 8 |
| Excision of anal lesion(s) CPT 46922 | not published | not published | $119.17 – $993.28 | 8 |
| Excision olecranon bursa CPT 24105 | not published | not published | $206.25 – $979.20 | 8 |
| Excis partial tal calc CPT 28120 | not published | not published | $243.65 – $1,294.08 | 8 |
| Exc leg/ankle tum subfasc<5cm 27619 CPT 27619 | not published | not published | $132.00 – $1,158.97 | 8 |
| Exc malig feenl <0.5cm 11640 CPT 11640 | $1,534.40 | $2,115.00 | $84.70 – $993.28 | 8 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | not published | not published | $148.50 – $993.28 | 8 |
| Exc malig feenl 3.1-4.0 11644 CPT 11644 | not published | not published | $243.10 – $993.28 | 8 |
| Exc malig feenl >4cm 11646 CPT 11646 | not published | not published | $281.60 – $993.28 | 8 |
| Exc malig tal <0.5cm 11600 CPT 11600 | not published | not published | $88.00 – $993.28 | 8 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | $1,534.40 | $2,115.00 | $108.90 – $993.28 | 8 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | $2,371.20 | $3,268.00 | $89.10 – $993.28 | 8 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | not published | not published | $94.05 – $993.28 | 8 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | not published | not published | $138.05 – $993.28 | 8 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | $8,618.40 | $11,878.00 | $166.62 – $883.20 | 8 |
| Exc prtl bn phlnx toe CPT 28124 | not published | not published | $798.54 – $993.28 | 2 |
| Exc shoulder tum deep < 5 cm CPT 23076 | not published | not published | $129.25 – $1,071.36 | 8 |
| Exc skn hdrdnt ax smpl/ntrm CPT 11450 | not published | not published | $201.56 – $993.28 | 8 |
| Exc snhfg mal+mrg 3.1-4 11624 CPT 11624 | not published | not published | $207.90 – $993.28 | 8 |
| Exc snhfg mal+mrg >4 cm 11626 CPT 11626 | not published | not published | $264.00 – $993.28 | 8 |
| Exc subq tum/sft tis/pel/hip 3cm/> 27043 CPT 27043 | not published | not published | $691.01 – $993.28 | 2 |
| Exc tendon sheath or cap lesion 26160 CPT 26160 | not published | not published | $559.88 – $992.00 | 2 |
| Exc thigh/knee les sc<3cm 27327 CPT 27327 | not published | not published | $129.25 – $1,071.36 | 8 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | $8,618.40 | $11,878.00 | $44.00 – $993.28 | 8 |
| Exc tmr sft tiss shldr subq <3cm CPT 23075 | not published | not published | $59.40 – $872.96 | 8 |
| Exc vagina lesion 57135 CPT 57135 | not published | not published | $157.30 – $993.28 | 8 |
| Expander breast 300cc mod hght extra proj smth natrelle HCPCS L8600 | $3,588.80 | $4,946.00 | $651.42 – $3,257.10 | 13 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $4,135.20 | $5,698.00 | $723.42 – $3,617.10 | 13 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $4,051.20 | $5,583.00 | $767.96 – $993.28 | 2 |
| Explore/treat wrist joint CPT 25101 | $6,511.20 | $8,973.00 | $306.35 – $1,026.76 | 8 |
| Ext ecg>48hr<7d scan a/r CPT 93243 | $341.60 | $470.00 | $90.66 – $294.83 | 8 |
| Ext ecg>7d<15d scan a/r CPT 93247 | $229.80 | $383.00 | $90.66 – $291.33 | 8 |
| External chromosome analysis 20-25 cells CPT 88264 | $1,140.00 | $1,571.00 | $137.80 – $234.84 | 8 |
| External newborn metabolic screening panel HCPCS S3620 | $301.60 | $377.00 | $24.32 – $24.32 | 1 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $146.40 | $202.00 | $19.49 – $19.49 | 1 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $428.80 | $591.00 | $142.07 – $297.49 | 8 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $212.00 | $292.00 | $17.72 – $30.68 | 8 |
| Eye implant band 40 HCPCS C1784 | $3,584.00 | $4,939.00 | $806.40 – $4,032.00 | 13 |
| Eye Socket (Orbit) X-ray CPT 70200 | $482.40 | $665.00 | $26.88 – $102.91 | 8 |
| Eye Socket, Pituitary or Ear CT Scan (with and without contrast) CPT 70482 | $3,280.80 | $4,521.00 | $194.56 – $775.93 | 8 |
| Eye Socket, Pituitary or Ear CT Scan (with contrast) CPT 70481 | $2,600.80 | $3,585.00 | $165.12 – $649.55 | 8 |
| Eye Socket, Pituitary or Ear CT Scan (without contrast) CPT 70480 | $1,962.40 | $2,705.00 | $145.92 – $558.68 | 8 |
| Face, Eye Socket and Neck MRI (with and without contrast) CPT 70543 | $4,600.00 | $6,340.00 | $605.15 – $1,992.24 | 8 |
| Face, Eye Socket and Neck MRI (without contrast) CPT 70540 | $2,900.80 | $3,997.00 | $344.32 – $1,125.38 | 8 |
| Facial Bones X-ray (1 to 2 views) CPT 70140 | $388.00 | $534.00 | $23.18 – $76.46 | 8 |
| Facial Bones X-ray (complete) CPT 70150 | $536.80 | $740.00 | $28.80 – $100.42 | 8 |
| Factor ix CPT 85250 | $321.60 | $536.00 | $5.00 – $18.83 | 8 |
| Factor viii CPT 85240 | $289.60 | $399.00 | $13.00 – $22.15 | 8 |
| Factor viii recombinant nos HCPCS J7192 | $4.20 | $7.00 | $1.61 – $1.77 | 6 |
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.