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 syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $176.80 | $244.00 | $4.00 – $6.82 | 8 |
| Mayo tau phosphorylated 217 each CPT 84393 | $259.80 | $433.00 | $77.94 – $389.70 | 12 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $413.60 | $517.00 | $163.12 – $206.48 | 2 |
| Mayo tgrp testosterone free CPT 84402 | $87.20 | $120.00 | $25.17 – $46.01 | 8 |
| Mayo tgrp testosterone total CPT 84403 | $222.40 | $307.00 | $25.52 – $46.01 | 8 |
| Mayo thyroglobulin CPT 84432 | $514.40 | $709.00 | $15.88 – $37.08 | 8 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $118.40 | $163.00 | $10.06 – $19.17 | 8 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $147.20 | $203.00 | $9.68 – $12.25 | 2 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $178.40 | $246.00 | $13.99 – $24.51 | 8 |
| Mayo vasoactive intestinal peptide CPT 84586 | $454.40 | $626.00 | $34.92 – $83.22 | 8 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $304.00 | $419.00 | $8.00 – $20.00 | 8 |
| Mayo vitamin b3 (niacin) CPT 84591 | $282.40 | $390.00 | $13.32 – $16.86 | 2 |
| Mayo vitamin k CPT 84597 | $388.00 | $534.00 | $10.71 – $13.55 | 2 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $372.80 | $513.00 | $13.09 – $24.66 | 8 |
| Measurement post void urine by ultrasound CPT 51798 | $157.60 | $217.00 | $15.48 – $35.70 | 8 |
| Mechlorethamine hcl inj HCPCS J9230 | $690.00 | $1,150.00 | $207.00 – $1,035.00 | 13 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $533.40 | $889.00 | $1.08 – $5.40 | 13 |
| Megestrol 20 mg tabs 100 each bottle HCPCS S0179 | $4.20 | $5.25 | $0.27 – $1.35 | 13 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $8,335.20 | $11,487.00 | $204.96 – $225.45 | 2 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $28.20 | $47.00 | $15.69 – $17.26 | 5 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $7,678.20 | $12,797.00 | $31.27 – $34.40 | 6 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $55.20 | $92.00 | $0.42 – $5.61 | 6 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $153.60 | $256.00 | $1.86 – $2.04 | 5 |
| Metabolic Blood Panel (Basic) CPT 80048 | $225.60 | $311.00 | $8.36 – $15.95 | 8 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $260.80 | $359.00 | $10.43 – $19.92 | 8 |
| Metered dose inhaler drug HCPCS J3535 | $2,333.60 | $2,917.00 | $2.22 – $2.22 | 1 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | $463.20 | $772.00 | $1.75 – $1.93 | 5 |
| Methadone oral 5mg HCPCS S0109 | $3.40 | $4.25 | $0.19 – $0.19 | 1 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $78.20 | $97.75 | $4.79 – $5.27 | 5 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $38.60 | $48.25 | $0.16 – $0.21 | 6 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $332.00 | $415.00 | $1.84 – $3.10 | 6 |
| Methotrexate therapeutic drug level CPT 80204 | $438.60 | $731.00 | $30.12 – $38.12 | 2 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $1,135.20 | $1,892.00 | $8.73 – $8.73 | 1 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $53.00 | $66.25 | $20.72 – $22.79 | 5 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $504.60 | $841.00 | not published | 0 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $9.00 | $11.25 | $0.11 – $0.12 | 5 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $1.60 | $2.00 | $0.12 – $8.20 | 7 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $4.60 | $5.75 | $0.21 – $6.23 | 7 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $5.40 | $6.75 | $0.57 – $1.19 | 6 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $1.20 | $2.00 | $0.12 – $0.14 | 5 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $0.20 | $0.25 | $0.03 – $0.03 | 5 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $5.80 | $7.25 | $0.26 – $0.28 | 5 |
| Microdissection manual CPT 88381 | $1,058.40 | $1,764.00 | $141.03 – $321.35 | 2 |
| Microwave bronch, 3d, ebus HCPCS C9751 | $3,523.20 | $4,855.00 | $2,928.40 – $2,928.40 | 1 |
| Mid and Lower Back (Thoracolumbar Spine) X-ray CPT 72080 | $405.60 | $559.00 | $21.12 – $85.30 | 8 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $97.20 | $162.00 | $0.15 – $0.42 | 6 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $73.20 | $122.00 | $1.45 – $1.60 | 5 |
| Minocycline hydrochloride HCPCS J2265 | $5.20 | $6.50 | $2.67 – $2.67 | 1 |
| Minoxidil, 10 mg HCPCS S0139 | $13.20 | $16.50 | $0.10 – $0.10 | 1 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $3,278.40 | $5,464.00 | $20.35 – $22.38 | 6 |
| Mitomycin instillation HCPCS J9281 | $818.40 | $1,023.00 | $318.53 – $350.38 | 6 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $1,254.00 | $2,090.00 | $23.88 – $26.26 | 6 |
| Mlh1 gene CPT 81288 | $1,619.20 | $2,024.00 | $150.17 – $190.07 | 2 |
| Mlh1 gene dup/delete variant CPT 81294 | $1,502.40 | $1,878.00 | $152.54 – $259.96 | 8 |
| Mlh1 gene full seq CPT 81292 | $1,502.40 | $1,878.00 | $516.99 – $881.05 | 8 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $140.80 – $725.76 | 8 |
| Mopath procedure level 1 CPT 81400 | $303.20 | $379.00 | $49.95 – $63.21 | 2 |
| Mopath procedure level 3 CPT 81402 | $1,211.20 | $1,514.00 | $117.38 – $148.57 | 2 |
| Mopath procedure level 5 CPT 81404 | $6,400.00 | $8,000.00 | $214.59 – $271.62 | 2 |
| Mopath procedure level 6 CPT 81405 | $2,934.00 | $4,890.00 | $235.29 – $297.84 | 2 |
| Mopath procedure level 7 CPT 81406 | $8,366.40 | $10,458.00 | $220.88 – $279.57 | 2 |
| Mopath procedure level 8 CPT 81407 | $2,276.80 | $2,846.00 | $660.76 – $836.39 | 2 |
| Mopath procedure level 9 CPT 81408 | $4,626.40 | $5,783.00 | $1,561.60 – $1,976.64 | 2 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $1,561.20 | $2,602.00 | $1.60 – $2.40 | 6 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $918.00 | $1,530.00 | $12.05 – $13.26 | 5 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $337.60 | $422.00 | $151.72 – $265.77 | 8 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $599.40 | $999.00 | $79.54 – $247.86 | 8 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $1,050.40 | $1,448.00 | $45.41 – $190.58 | 8 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $488.80 | $674.00 | $141.17 – $279.34 | 8 |
| Mpl gene analysis common variants CPT 81338 | $1,223.20 | $1,529.00 | $117.38 – $148.57 | 2 |
| MRA abdomen post contrast CPT 74185 | $3,306.40 | $4,133.00 | $435.20 – $1,158.32 | 8 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $4,049.60 | $5,062.00 | $435.20 – $1,154.37 | 2 |
| MRA pelvis CPT 72198 | $1,811.20 | $2,264.00 | $435.20 – $717.37 | 7 |
| MRA pelvis w IV cont HCPCS C8918 | $1,497.60 | $2,496.00 | $287.67 – $287.67 | 1 |
| MRA upper extremity post contrast-bil CPT 73225 | $2,369.60 | $3,266.00 | $435.20 – $435.20 | 1 |
| MRA w/cont, abd HCPCS C8900 | $1,653.60 | $2,756.00 | $287.67 – $287.67 | 1 |
| MRA without fol w/cont, abd HCPCS C8902 | $2,734.20 | $4,557.00 | $287.67 – $287.67 | 1 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $3,348.60 | $5,581.00 | $287.67 – $287.67 | 1 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $3,040.00 | $4,190.00 | $322.19 – $697.19 | 8 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $3,689.60 | $5,085.00 | $492.35 – $986.57 | 8 |
| MRI chest without contrast CPT 71550 | $3,040.00 | $4,190.00 | $344.32 – $1,141.28 | 8 |
| MRI chest without & w/contrast CPT 71552 | $4,820.80 | $6,643.00 | $605.30 – $1,997.73 | 8 |
| MRI chest w IV cont CPT 71551 | $3,689.60 | $5,085.00 | $399.62 – $1,125.45 | 8 |
| MRI loex nonjt w IV cont CPT 73719 | $3,689.60 | $5,085.00 | $393.92 – $1,109.81 | 2 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $3,040.00 | $4,190.00 | $328.78 – $926.26 | 2 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $4,850.40 | $6,684.00 | $344.32 – $1,125.38 | 2 |
| MRI orbit fac&nck w IV cont CPT 70542 | $3,520.00 | $4,851.00 | $393.92 – $1,109.81 | 8 |
| MRI tmj CPT 70336 | $3,040.00 | $4,190.00 | $338.62 – $1,083.17 | 8 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $3,040.00 | $4,190.00 | $328.78 – $926.26 | 2 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $4,850.40 | $6,684.00 | $344.32 – $1,125.38 | 2 |
| MRI upper extremity w/dye CPT 73219 | $3,689.60 | $5,085.00 | $393.92 – $1,109.81 | 2 |
| Mr safety determination physician/other qhp CPT 76016 | $160.20 | $267.00 | $65.26 – $65.26 | 1 |
| Mr safety implant elec prepj CPT 76018 | $166.80 | $278.00 | $101.97 – $101.97 | 1 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $18.60 | $31.00 | $46.33 – $46.33 | 1 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $44.40 | $74.00 | $9.61 – $9.61 | 1 |
| Mr sfty med physics xm cstmz CPT 76017 | $439.80 | $733.00 | $199.31 – $199.31 | 1 |
| Msh2 gene dup/delete variant CPT 81297 | $1,502.40 | $1,878.00 | $121.37 – $210.81 | 8 |
| Msh2 gene full seq CPT 81295 | $1,502.40 | $1,878.00 | $121.37 – $377.24 | 8 |
| Msh6 gene dup/delete variant CPT 81300 | $1,502.40 | $1,878.00 | $129.34 – $235.22 | 8 |
| Msh6 gene full seq CPT 81298 | $1,502.40 | $1,878.00 | $230.26 – $634.35 | 8 |
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.