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 |
|---|---|---|---|---|
| Gauze >16<=48 no w/sal without b HCPCS A6223 | $17.60 | $24.00 | $2.78 – $5.55 | 2 |
| Gauze >16 <=48 sq in w/bordr HCPCS A6220 | $5.20 | $7.00 | $2.97 – $5.97 | 2 |
| Gauze <=16 in no w/sal without b HCPCS A6222 | $0.60 | $1.00 | $2.44 – $4.93 | 2 |
| Gel-syn injection 0.1 mg HCPCS J7328 | $8.40 | $14.00 | $0.70 – $0.77 | 5 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $365.40 | $609.00 | $3.13 – $20.00 | 6 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | $37,978.20 | $63,297.00 | $236.62 – $260.28 | 6 |
| Generator barostim neo2 2014 HCPCS C1767 | $29,759.20 | $41,012.00 | $330.84 – $1,654.20 | 13 |
| Genetic tstg severe inh cond CPT 81443 | $13,264.80 | $22,108.00 | $1,911.83 – $2,419.96 | 2 |
| Genome sequence analysis CPT 81425 | $4,188.00 | $6,980.00 | $3,928.36 – $4,972.44 | 2 |
| Genome sequence analysis CPT 81426 | $4,188.00 | $6,980.00 | $2,115.93 – $2,678.30 | 2 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $49.60 | $62.00 | $1.66 – $2.43 | 6 |
| Gentamicin peak therapeutic drug level CPT 80170 | $424.80 | $586.00 | $12.00 – $20.45 | 8 |
| G-esoph reflx tst w/electrod CPT 91035 | $5,380.80 | $7,415.00 | $365.89 – $802.67 | 8 |
| Ghs abscess perianal iandd CPT 46050 | $1,829.60 | $2,521.00 | $83.23 – $931.84 | 8 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $133.60 | $184.00 | $13.36 – $16.91 | 2 |
| Ghs antibodies (torch) igm CPT 86694 | $551.20 | $759.00 | $14.22 – $33.79 | 8 |
| Ghs aspiration bladder - needle CPT 51100 | $688.20 | $1,147.00 | $32.98 – $97.47 | 8 |
| Ghs bladder cath - complex-foley CPT 51703 | $492.00 | $678.00 | $82.07 – $993.28 | 8 |
| Ghs change cysto/gastrost CPT 43762 | $2,128.00 | $2,933.00 | $34.21 – $260.42 | 8 |
| Ghs chemo >8 hrs CPT 96416 | $841.60 | $1,160.00 | $148.68 – $281.93 | 8 |
| Ghs chemo IV push, ea addtl CPT 96411 | $540.00 | $744.00 | $58.18 – $108.14 | 8 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $65.40 | $90.00 | $34.68 – $67.78 | 8 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $998.40 | $1,376.00 | $40.15 – $295.67 | 8 |
| Ghs closed reduction ankle dislocation CPT 27840 | $998.40 | $1,376.00 | $98.45 – $576.17 | 8 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $868.80 | $1,197.00 | $993.28 – $1,114.22 | 2 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $998.40 | $1,376.00 | $114.40 – $993.28 | 8 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $868.80 | $1,197.00 | $256.85 – $996.67 | 8 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $998.40 | $1,376.00 | $562.15 – $993.28 | 2 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $3,540.00 | $4,878.00 | $782.84 – $993.28 | 2 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $3,419.20 | $4,712.00 | $993.28 – $1,243.08 | 2 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $998.40 | $1,376.00 | $42.90 – $300.58 | 8 |
| Ghs community re-entry 15 minutes CPT 97537 | $85.60 | $118.00 | $36.65 – $36.65 | 1 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $494.40 | $681.00 | $120.84 – $993.28 | 2 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $494.40 | $681.00 | $111.02 – $993.28 | 2 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $494.40 | $681.00 | $29.15 – $988.16 | 8 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $494.40 | $681.00 | $28.60 – $810.24 | 8 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $368.00 | $507.00 | $15.03 – $35.82 | 8 |
| Ghs dislocation elbow closed treatment CPT 24600 | $998.40 | $1,376.00 | $112.75 – $570.36 | 8 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $5,277.60 | $8,796.00 | $85.38 – $993.28 | 8 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $471.00 | $785.00 | $187.33 – $187.33 | 1 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $1,644.80 | $2,267.00 | $101.39 – $993.28 | 8 |
| Ghs excision ingrown nail CPT 11765 | $589.80 | $983.00 | $55.00 – $148.03 | 8 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $868.80 | $1,197.00 | $174.00 – $994.56 | 2 |
| Ghs fb removal foot - deep - left CPT 28192 | $7,126.80 | $11,878.00 | $71.50 – $921.60 | 8 |
| Ghs fb removal - incisional CPT 10121 | $7,126.80 | $11,878.00 | $71.50 – $921.60 | 8 |
| Ghs fb removal - non-incisional CPT 20520 | $3,784.80 | $5,216.00 | $68.75 – $957.44 | 8 |
| Ghs fish cytogen CPT 88271 | $428.80 | $591.00 | $16.73 – $21.16 | 2 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $428.80 | $591.00 | $39.97 – $50.59 | 2 |
| Ghs flow volume loop CPT 94375 | $198.40 | $273.00 | $23.09 – $99.00 | 8 |
| Ghs gastric intub aspiration lavage CPT 43753 | $1,759.80 | $2,933.00 | $18.16 – $993.28 | 8 |
| Ghs hcv amplificaiton CPT 87521 | $482.40 | $665.00 | $34.68 – $65.12 | 8 |
| Ghs histoplasma antigen CPT 87385 | $815.20 | $1,124.00 | $10.34 – $13.09 | 2 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | $746.40 | $1,029.00 | $88.98 – $151.64 | 8 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $8,618.40 | $11,878.00 | $42.35 – $993.28 | 8 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $2,627.20 | $3,620.00 | $119.35 – $993.28 | 8 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $4,051.20 | $5,583.00 | $123.75 – $727.04 | 8 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $712.80 | $983.00 | $39.60 – $993.28 | 8 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $998.40 | $1,376.00 | $45.10 – $993.28 | 8 |
| Ghs inf midline insertion CPT 36140 | $395.20 | $545.00 | $105.24 – $993.28 | 8 |
| Ghs inhibitor screen CPT 85335 | $417.60 | $575.00 | $7.55 – $12.87 | 8 |
| Ghs init tx 1st degree burn CPT 16000 | $569.60 | $785.00 | $19.80 – $107.59 | 8 |
| Ghs inj tendon origin/insertion CPT 20551 | $616.20 | $1,027.00 | $42.64 – $116.19 | 8 |
| Ghs insertion of needle - bone CPT 36680 | $569.60 | $785.00 | $54.45 – $213.06 | 8 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $998.40 | $1,376.00 | $101.20 – $993.28 | 8 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $4,494.00 | $7,490.00 | $101.20 – $993.28 | 8 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $8,088.00 | $11,147.00 | $101.20 – $993.28 | 8 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $143.20 | $197.00 | $8.89 – $993.28 | 8 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $2,619.00 | $4,365.00 | $377.20 – $993.28 | 2 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $177.60 | $245.00 | $19.79 – $30.66 | 7 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | $1,360.00 | $1,700.00 | $338.72 – $613.51 | 8 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $1,360.00 | $1,700.00 | $338.72 – $613.51 | 8 |
| Ghs IV infusion sotrovimab HCPCS M0247 | $1,360.00 | $1,700.00 | $396.00 – $613.51 | 8 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $620.80 | $856.00 | $259.71 – $642.37 | 2 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $569.60 | $785.00 | $34.65 – $631.04 | 8 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $998.40 | $1,376.00 | $26.95 – $673.28 | 8 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $998.40 | $1,376.00 | $26.95 – $673.28 | 8 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $998.40 | $1,376.00 | $34.65 – $631.04 | 8 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $998.40 | $1,376.00 | $52.25 – $993.28 | 8 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $998.40 | $1,376.00 | $39.05 – $993.28 | 8 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $998.40 | $1,376.00 | $52.25 – $993.28 | 8 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $998.40 | $1,376.00 | $51.15 – $993.28 | 8 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $998.40 | $1,376.00 | $53.35 – $944.64 | 8 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $998.40 | $1,376.00 | $67.65 – $702.72 | 8 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $1,372.00 | $1,891.00 | $101.20 – $993.28 | 8 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $998.40 | $1,376.00 | $101.20 – $993.28 | 8 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $352.80 | $486.00 | $8.00 – $13.63 | 8 |
| Ghs mbp CPT 83873 | $252.80 | $349.00 | $15.00 – $25.56 | 8 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $177.60 | $245.00 | $20.92 – $97.83 | 8 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $177.60 | $245.00 | $9.16 – $14.20 | 8 |
| Ghs myocardial strain img spckl track CPT 93356 | $958.40 | $1,321.00 | $9.00 – $46.89 | 2 |
| Ghs nailbed repair/nail removal CPT 11760 | $998.40 | $1,376.00 | $25.30 – $993.28 | 8 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $1,886.40 | $2,600.00 | $47.85 – $251.99 | 8 |
| Ghs nerve block axillary nerve CPT 64417 | $2,764.00 | $3,809.00 | $23.10 – $180.39 | 8 |
| Ghs nerve block brachial plexus CPT 64415 | $2,764.00 | $3,809.00 | $38.50 – $993.28 | 8 |
| Ghs nerve block sciatic nerve CPT 64445 | $2,902.40 | $3,999.00 | $25.85 – $166.07 | 8 |
| Ghs ng placement w fluoro guidance CPT 43752 | $712.80 | $983.00 | $294.81 – $294.81 | 1 |
| Ghs o2 saturation CPT 82810 | $128.80 | $177.00 | $9.66 – $20.55 | 8 |
| Ghs o2 uptake rest & exercise CPT 94680 | $799.20 | $1,101.00 | $19.20 – $98.10 | 8 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $47.80 | $66.00 | $25.55 – $48.94 | 2 |
| Ghs ot prosthetic training/15 min CPT 97761 | $157.60 | $217.00 | $33.08 – $39.87 | 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.