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 |
|---|---|---|---|---|
| Mayo c1 esterase inhibitor CPT 83883 | $158.40 | $218.00 | $10.62 – $13.44 | 2 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $400.80 | $552.00 | $13.17 – $16.67 | 2 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $351.00 | $585.00 | $26.46 – $51.01 | 8 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $463.20 | $579.00 | $120.80 – $227.32 | 8 |
| Mayo ceruloplasmin CPT 82390 | $118.40 | $163.00 | $10.00 – $17.04 | 8 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $356.80 | $491.00 | $11.02 – $13.96 | 2 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $436.00 | $601.00 | $10.06 – $12.73 | 2 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $47.00 | $64.00 | $9.88 – $16.84 | 8 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $47.00 | $64.00 | $12.53 – $29.91 | 8 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $1,327.20 | $1,829.00 | $115.13 – $274.38 | 8 |
| Mayo chromium CPT 82495 | $280.80 | $387.00 | $6.00 – $20.05 | 8 |
| Mayo coccidioides antibody CPT 86635 | $278.40 | $383.00 | $11.33 – $27.01 | 8 |
| Mayo cocou cortisone urine CPT 82542 | $369.60 | $509.00 | $19.27 – $32.84 | 8 |
| Mayo cortisol free CPT 82530 | $329.60 | $412.00 | $16.51 – $39.79 | 8 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $164.00 | $205.00 | $11.16 – $41.64 | 8 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $206.40 | $285.00 | $11.98 – $28.55 | 8 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $124.00 | $171.00 | $13.09 – $24.71 | 8 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $580.00 | $799.00 | $21.00 – $35.79 | 8 |
| Mayo dihydrotestosterone CPT 82642 | $364.80 | $503.00 | $22.86 – $28.94 | 2 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | $171.20 | $236.00 | $7.53 – $9.53 | 2 |
| Mayo efpo chloride stool CPT 82438 | $324.00 | $446.00 | $3.00 – $5.11 | 8 |
| Mayo estriol CPT 82677 | $147.20 | $203.00 | $17.50 – $29.82 | 8 |
| Mayo estrone CPT 82679 | $215.20 | $296.00 | $13.00 – $24.66 | 8 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $385.60 | $531.00 | $13.00 – $22.15 | 8 |
| Mayo everolimus therapeutic drug level CPT 80169 | $434.40 | $599.00 | $13.56 – $25.53 | 8 |
| Mayo factor ii CPT 85210 | $65.80 | $90.00 | $4.00 – $12.83 | 8 |
| Mayo factor v CPT 85220 | $408.80 | $564.00 | $5.00 – $17.44 | 8 |
| Mayo factor vii CPT 85230 | $224.00 | $309.00 | $5.00 – $17.69 | 8 |
| Mayo factor viii vw factor antigen CPT 85246 | $289.60 | $399.00 | $22.67 – $54.04 | 8 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $289.60 | $399.00 | $22.67 – $54.04 | 8 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $289.60 | $399.00 | $22.67 – $54.04 | 8 |
| Mayo factor x CPT 85260 | $431.20 | $594.00 | $12.00 – $20.45 | 8 |
| Mayo factor xi CPT 85270 | $196.80 | $271.00 | $12.00 – $20.45 | 8 |
| Mayo fat/lipids feces quantitative CPT 82710 | $239.20 | $330.00 | $4.02 – $16.60 | 8 |
| Mayo fbl culture fungi blood CPT 87103 | $471.60 | $786.00 | $12.46 – $21.23 | 8 |
| Mayo ffspg allergen clam igg CPT 86001 | $183.20 | $252.00 | $5.78 – $9.85 | 8 |
| Mayo fibrinogen antigen CPT 85385 | $144.80 | $200.00 | $9.91 – $16.89 | 8 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $522.40 | $720.00 | $14.47 – $24.66 | 8 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $9,836.80 | $12,296.00 | $39.78 – $198.90 | 12 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $432.80 | $596.00 | $27.39 – $34.68 | 2 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $609.60 | $840.00 | $27.39 – $34.68 | 2 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $248.80 | $343.00 | $13.62 – $29.45 | 8 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $355.20 | $494.00 | $12.00 – $25.52 | 8 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $180.80 | $249.00 | $8.79 – $20.65 | 8 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $180.80 | $249.00 | $13.36 – $23.57 | 8 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $564.00 | $777.00 | $20.50 – $34.94 | 8 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $1,267.20 | $1,746.00 | $13.48 – $17.07 | 2 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $594.40 | $819.00 | $14.82 – $34.92 | 8 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $238.40 | $329.00 | $20.57 – $39.21 | 8 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $440.00 | $607.00 | $20.57 – $49.01 | 8 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $227.20 | $313.00 | $12.54 – $15.88 | 2 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $516.80 | $712.00 | $11.84 – $20.98 | 8 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $693.60 | $1,156.00 | $34.68 – $66.86 | 8 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $65.40 | $90.00 | $27.39 – $34.68 | 2 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $290.40 | $484.00 | $34.10 – $34.10 | 1 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $611.20 | $842.00 | $42.34 – $82.72 | 8 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $669.00 | $1,115.00 | $57.75 – $98.42 | 8 |
| Mayo infliximab therapeutic drug level CPT 80230 | $236.80 | $327.00 | $30.12 – $38.12 | 2 |
| Mayo inhab inhibin a CPT 86336 | $154.40 | $213.00 | $12.17 – $15.41 | 2 |
| Mayo insft insulin free CPT 83527 | $148.80 | $205.00 | $12.80 – $30.51 | 8 |
| Mayo insulin antibodies CPT 86337 | $238.40 | $329.00 | $11.00 – $21.16 | 8 |
| Mayo iodine CPT 83789 | $244.80 | $337.00 | $18.83 – $23.82 | 2 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $248.80 | $343.00 | $21.17 – $26.79 | 2 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $400.00 | $551.00 | $13.09 – $24.66 | 8 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $37.80 | $52.00 | $11.00 – $18.75 | 8 |
| Mayo legionella antibody CPT 86713 | $472.80 | $652.00 | $15.12 – $35.53 | 8 |
| Mayo lipoprotein electrophoresis CPT 83700 | $315.20 | $435.00 | $11.13 – $21.44 | 8 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $282.40 | $390.00 | $15.31 – $36.47 | 8 |
| Mayo manganese CPT 83785 | $100.80 | $139.00 | $20.81 – $26.33 | 2 |
| Mayo metanephrines plasma CPT 83835 | $496.80 | $685.00 | $13.00 – $22.15 | 8 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $284.00 | $392.00 | $11.91 – $25.09 | 8 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $390.40 | $538.00 | $7.91 – $14.38 | 8 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $530.40 | $663.00 | $15.30 – $26.07 | 8 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $1,528.80 | $1,911.00 | $106.97 – $135.40 | 2 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $235.20 | $392.00 | $18.18 – $18.18 | 1 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $244.80 | $337.00 | $17.84 – $33.57 | 8 |
| Mayo myoglobin CPT 83874 | $556.80 | $768.00 | $12.77 – $25.56 | 8 |
| Mayo nickel CPT 83885 | $326.40 | $449.00 | $11.00 – $24.23 | 8 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $732.80 | $1,010.00 | $18.20 – $31.02 | 8 |
| Mayo oxalate 24 hour urine CPT 83945 | $205.60 | $284.00 | $13.00 – $22.15 | 8 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $441.60 | $609.00 | $14.85 – $35.40 | 8 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $523.20 | $721.00 | $11.91 – $28.02 | 8 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $215.20 | $296.00 | $34.68 – $67.78 | 8 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $232.20 | $387.00 | $17.78 – $34.49 | 8 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $93.60 | $129.00 | $13.00 – $22.15 | 8 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $317.60 | $438.00 | $2.00 – $8.34 | 8 |
| Mayo pregnenolone CPT 84140 | $422.40 | $582.00 | $20.43 – $48.71 | 8 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $129.60 | $179.00 | $16.40 – $28.97 | 8 |
| Mayo proinsulin CPT 84206 | $526.40 | $726.00 | $8.00 – $26.38 | 8 |
| Mayo psaft prostate specific antigen free CPT 84154 | $509.60 | $702.00 | $18.17 – $34.66 | 8 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $700.00 | $965.00 | $14.36 – $18.18 | 2 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $99.20 | $137.00 | $12.00 – $20.45 | 8 |
| Mayo receptor assay transferrin soluble CPT 84238 | $700.00 | $965.00 | $22.00 – $37.49 | 8 |
| Mayo renin CPT 84244 | $222.40 | $307.00 | $12.00 – $21.73 | 8 |
| Mayo repu protein electrophoresis urine CPT 84166 | $265.60 | $366.00 | $17.62 – $33.98 | 8 |
| Mayo selenium CPT 84255 | $182.40 | $251.00 | $19.93 – $25.23 | 2 |
| Mayo serotonin CPT 84260 | $763.20 | $1,052.00 | $30.62 – $52.83 | 8 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $103.20 | $142.00 | $19.13 – $36.47 | 8 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $340.00 | $468.00 | $13.56 – $26.14 | 8 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $491.40 | $819.00 | $147.42 – $737.10 | 12 |
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.