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 |
|---|---|---|---|---|
| Mthfr gene analy common variants CPT 81291 | $349.60 | $437.00 | $51.02 – $64.58 | 2 |
| Mucopolysaccharides CPT 83864 | $340.00 | $468.00 | $18.00 – $30.68 | 8 |
| Multiple sleep latency test CPT 95805 | $5,312.80 | $7,322.00 | $257.69 – $610.75 | 8 |
| Mumps antibody igg CPT 86735 | $344.80 | $476.00 | $10.19 – $12.90 | 2 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $120.00 | $200.00 | $0.16 – $0.17 | 5 |
| Mycoplasma antibody igm CPT 86738 | $703.20 | $969.00 | $13.08 – $31.05 | 8 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $358.40 | $448.00 | $136.95 – $173.35 | 2 |
| Myelogphy 2/> spine regions CPT 72270 | $4,915.20 | $6,774.00 | $49.92 – $678.57 | 8 |
| Myelography l-s spine CPT 72265 | $4,168.00 | $5,745.00 | $42.24 – $447.05 | 8 |
| Myelography neck spine CPT 72240 | $4,204.00 | $5,794.00 | $47.04 – $512.42 | 8 |
| Myelography thoracic spine CPT 72255 | $3,476.80 | $4,791.00 | $47.04 – $478.27 | 8 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $4,915.20 | $6,774.00 | $114.50 – $993.28 | 8 |
| Myelography via inj w/s&i cervical CPT 62302 | $4,204.00 | $5,794.00 | $111.12 – $993.28 | 8 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $4,168.00 | $5,745.00 | $109.28 – $993.28 | 8 |
| Myelography via inj w/s&i thoracic CPT 62303 | $3,476.80 | $4,791.00 | $112.58 – $993.28 | 8 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $152.00 | $210.00 | $9.00 – $11.39 | 2 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $1.80 | $2.25 | $0.05 – $0.06 | 5 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $16.20 | $27.00 | $3.70 – $4.07 | 5 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $1.20 | $2.00 | $0.08 – $0.08 | 5 |
| Naltrexone, depot form HCPCS J2315 | $7,275.00 | $12,125.00 | $4.24 – $1,622.23 | 7 |
| Nasal endoscopy with removal of nasal foreign body CPT 30999 | $135.00 | $225.00 | $162.28 – $162.28 | 1 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $441.60 | $609.00 | $126.64 – $139.57 | 2 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | $28,621.80 | $47,703.00 | $24.00 – $26.40 | 6 |
| Natriuretic peptide CPT 83880 | $413.60 | $570.00 | $37.94 – $64.66 | 8 |
| Natural killer cells total count CPT 86357 | $136.00 | $188.00 | $37.28 – $71.85 | 8 |
| Navigational bronchoscopy 31627 CPT 31627 | $6,768.80 | $9,328.00 | $74.09 – $1,677.84 | 2 |
| Nebulizer Breathing Treatment CPT 94640 | $346.40 | $478.00 | $45.78 – $149.53 | 2 |
| Neck Airway (Soft Tissue) X-ray CPT 70360 | $344.80 | $476.00 | $12.80 – $57.73 | 8 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $4,323.20 | $5,958.00 | $174.08 – $899.77 | 8 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $3,841.60 | $5,294.00 | $120.32 – $744.90 | 8 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $2,550.40 | $3,514.00 | $106.37 – $641.23 | 8 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $4,677.60 | $6,446.00 | $344.32 – $2,405.45 | 8 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $3,557.60 | $4,902.00 | $344.32 – $1,368.07 | 8 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $2,932.00 | $4,040.00 | $344.32 – $1,141.28 | 8 |
| Neck (Cervical Spine) X-ray (2 to 3 views) CPT 72040 | $770.40 | $1,062.00 | $21.12 – $79.34 | 8 |
| Neck (Cervical Spine) X-ray (4 to 5 views) CPT 72050 | $636.00 | $877.00 | $33.92 – $115.45 | 8 |
| Neck (Cervical Spine) X-ray (6 or more views) CPT 72052 | $821.60 | $1,132.00 | $41.60 – $140.64 | 8 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $4,627.20 | $6,377.00 | $605.85 – $1,826.39 | 8 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $3,878.40 | $5,345.00 | $342.28 – $959.98 | 8 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $2,861.60 | $3,944.00 | $342.28 – $959.98 | 8 |
| Neck Soft Tissue CT Scan (with and without contrast) CPT 70492 | $3,804.00 | $5,243.00 | $118.40 – $775.93 | 8 |
| Neck Soft Tissue CT Scan (with contrast) CPT 70491 | $3,036.80 | $4,185.00 | $105.60 – $649.55 | 8 |
| Neck Soft Tissue CT Scan (without contrast) CPT 70490 | $2,492.80 | $3,436.00 | $101.12 – $558.68 | 8 |
| Neg pres wound ther drsg set HCPCS A6550 | $1,965.60 | $2,709.00 | $28.08 – $52.06 | 2 |
| Neisseria meningitidis CPT 86741 | $168.80 | $233.00 | $10.30 – $13.03 | 2 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $166.80 | $278.00 | $2.52 – $12.60 | 13 |
| Nerve teasing preparations CPT 88362 | $1,171.20 | $1,614.00 | $39.42 – $221.82 | 7 |
| Neuroeltrd stim post tibial CPT 64566 | $1,827.20 | $2,518.00 | $190.41 – $212.29 | 2 |
| New Patient Office Visit (level 2) CPT 99202 | $250.80 | $418.00 | $38.86 – $100.71 | 8 |
| New Patient Office Visit (level 3) CPT 99203 | $327.00 | $545.00 | $59.67 – $126.65 | 8 |
| New Patient Office Visit (level 4) CPT 99204 | $421.20 | $702.00 | $99.41 – $193.76 | 8 |
| New Patient Office Visit (level 5) CPT 99205 | $589.80 | $983.00 | $129.29 – $236.04 | 8 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $3.00 | $3.75 | $0.07 – $0.08 | 5 |
| Nintedanib 150 mg capsule HCPCS J8999 | $111.20 | $139.00 | $0.13 – $0.13 | 1 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $4.00 | $5.00 | $1.49 – $1.64 | 5 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $12,144.00 | $20,240.00 | $32.96 – $36.26 | 6 |
| Njx interlaminar crv/thrc CPT 62324 | $3,647.20 | $5,026.00 | $83.56 – $993.28 | 8 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $1,996.80 | $2,752.00 | $78.08 – $586.01 | 8 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $2,045.60 | $2,819.00 | $49.92 – $504.02 | 8 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $2,005.60 | $2,764.00 | $88.32 – $485.58 | 8 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $2,680.80 | $3,695.00 | $254.48 – $438.93 | 8 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,806.40 | $2,490.00 | $196.58 – $318.84 | 8 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $1,142.40 | $1,574.00 | $48.37 – $341.52 | 8 |
| Non-card vasc flow imaging CPT 78445 | $504.80 | $696.00 | $40.32 – $242.63 | 8 |
| Nose (Nasal Bone) X-ray (complete) CPT 70160 | $316.80 | $437.00 | $14.72 – $66.45 | 8 |
| Npm1 gene CPT 81310 | $2,643.20 | $3,642.00 | $197.22 – $336.10 | 8 |
| Nuclear exam of tear flow CPT 78660 | $770.40 | $1,062.00 | $73.60 – $228.62 | 8 |
| Nuclear rx intracav admin CPT 79200 | $3,796.80 | $5,232.00 | $80.55 – $745.73 | 8 |
| Nuclear rx IV admin CPT 79101 | $3,156.80 | $4,350.00 | $47.65 – $357.04 | 8 |
| Nuclear Stress Test (Heart) CPT 78452 | $5,087.20 | $7,011.00 | $356.28 – $580.79 | 8 |
| Nudt15 gene common variants CPT 81306 | $450.00 | $750.00 | $227.49 – $287.96 | 2 |
| Nushield 1 square cm HCPCS Q4160 | $3,704.80 | $5,106.00 | $2,784.38 – $3,062.82 | 2 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $898.20 | $1,497.00 | $79.00 – $86.90 | 6 |
| Observation direct referral from physician office for admission HCPCS G0379 | $141.60 | $195.00 | not published | 0 |
| Observation per hour HCPCS G0378 | $213.60 | $294.00 | $1,074.19 – $1,088.84 | 2 |
| Obstetric panel inc HIV tstg CPT 80081 | $351.60 | $586.00 | $73.99 – $139.03 | 8 |
| Obstetrics panel CPT 80055 | $276.00 | $380.00 | $12.00 – $47.26 | 8 |
| Obtaining screen pap smear HCPCS Q0091 | $64.00 | $84.00 | $19.49 – $19.49 | 1 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $628.80 | $866.00 | $65.00 – $185.33 | 8 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $238.40 | $329.00 | $79.01 – $88.57 | 2 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $238.40 | $329.00 | $79.01 – $88.57 | 2 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $238.40 | $329.00 | $32.42 – $88.57 | 2 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $146.40 | $244.00 | $59.41 – $65.36 | 6 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $220.80 | $368.00 | $0.61 – $2.80 | 6 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $28,302.00 | $47,170.00 | $203.58 – $4,443.72 | 7 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | $109.80 | $183.00 | $62.23 – $62.23 | 1 |
| Off/op cnsltj new/est low 30 CPT 99243 | $166.80 | $278.00 | $88.91 – $199.18 | 2 |
| Off/op cnsltj new/est mod 40 CPT 99244 | $268.20 | $447.00 | $135.60 – $294.71 | 2 |
| Off/op consltj new/est hi 55 CPT 99245 | $333.00 | $555.00 | $181.72 – $348.71 | 2 |
| Off/op consltj new/est sf 20 CPT 99242 | $120.00 | $200.00 | $56.19 – $165.35 | 2 |
| Oil silicone ophth 8.5ml silikon 1000 HCPCS C1814 | $2,772.80 | $3,821.00 | $410.58 – $2,052.90 | 13 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $12.80 | $16.00 | $0.87 – $23.81 | 6 |
| Onco (ovar) two proteins CPT 81500 | $127.20 | $212.00 | $203.40 – $257.45 | 2 |
| Ondansetron 4 mg s0119 HCPCS S0119 | $136.80 | $171.00 | $0.16 – $0.16 | 1 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $25.20 | $42.00 | $0.01 – $0.02 | 4 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $27.40 | $34.25 | $0.09 – $0.17 | 6 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | $539.07 – $993.28 | 2 |
| Ophthalmic mitomycin HCPCS J7315 | $1,663.20 | $2,772.00 | $498.96 – $2,494.80 | 13 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $993.28 – $1,051.57 | 2 |
| Oral aprepitant HCPCS J8501 | $1,583.40 | $2,639.00 | $2.73 – $46.44 | 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.