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 |
|---|---|---|---|---|
| Place po breast cath for rad CPT 19296 | $720.80 | $993.00 | $993.28 – $8,233.65 | 2 |
| Platelet aggregation each agent teg CPT 85576 | $466.40 | $643.00 | $24.62 – $49.95 | 8 |
| Platelet automated CPT 85049 | $42.80 | $59.00 | $3.00 – $5.11 | 8 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $4,912.80 | $6,770.00 | $33.00 – $51.13 | 7 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $3,282.40 | $4,523.00 | $379.20 – $379.20 | 1 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $3,498.40 | $4,822.00 | $498.30 – $498.30 | 1 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $2,166.40 | $2,985.00 | $451.21 – $451.21 | 1 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $1,958.40 | $2,699.00 | $43.55 – $268.81 | 8 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $1,144.80 | $1,578.00 | $37.38 – $515.71 | 8 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $282.40 | $390.00 | $38.96 – $73.86 | 8 |
| Pms2 gene dup/delet variants CPT 81319 | $1,502.40 | $1,878.00 | $177.33 – $302.21 | 8 |
| Pms2 gene full seq analysis CPT 81317 | $1,502.40 | $1,878.00 | $625.03 – $1,065.18 | 8 |
| #pnh-flow cytometry interp CPT 88187 | $793.60 | $1,094.00 | $53.98 – $123.43 | 8 |
| Pn soln nos 10 grams lipids HCPCS B4185 | $190.20 | $317.00 | $11.15 – $19.14 | 2 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $324.80 | $447.00 | $25.77 – $45.57 | 8 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $36,544.20 | $60,907.00 | $136.67 – $150.33 | 6 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $7,850.40 | $10,819.00 | $662.62 – $1,103.57 | 8 |
| Positioner proc acufex leg acs HCPCS E0190 | $51.40 | $71.00 | $11.56 – $57.83 | 12 |
| Post op service lvrs min 6 HCPCS G0305 | $598.40 | $824.00 | $377.46 – $377.46 | 1 |
| Potassium 24 hour urine CPT 84133 | $63.20 | $87.00 | $4.67 – $10.12 | 8 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $61.80 | $103.00 | $0.11 – $0.12 | 5 |
| Potassium serum/plasma/whole blood CPT 84132 | $47.80 | $66.00 | $4.70 – $10.80 | 8 |
| Pq dr cath chg w cont s&i CPT 75984 | $1,628.80 | $2,245.00 | $12.80 – $259.63 | 8 |
| Pq thr inj ext pse CPT 36002 | $884.00 | $1,218.00 | $113.66 – $339.67 | 8 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $399.60 | $666.00 | $119.88 – $599.40 | 13 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $7,427.20 | $10,235.00 | $200.75 – $703.07 | 8 |
| Pr application of long arm splint CPT 29105 | $569.60 | $785.00 | $36.85 – $993.28 | 8 |
| Pr application splint static short arm CPT 29125 | $569.60 | $785.00 | $28.60 – $91.25 | 8 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | $84.80 | $117.00 | $4.40 – $6.89 | 8 |
| Pr biopsy skin punch single lesion CPT 11104 | $362.40 | $500.00 | $44.47 – $993.28 | 8 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | $1,059.00 | $1,765.00 | $993.28 – $1,687.62 | 2 |
| Pr correction hammertoe CPT 28285 | $669.00 | $1,115.00 | $254.65 – $1,212.16 | 8 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $40.20 | $52.00 | $19.22 – $23.17 | 2 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $158.09 – $993.28 | 8 |
| Prealbumin CPT 84134 | $137.60 | $190.00 | $14.42 – $34.36 | 8 |
| Pr ecg 12 lead report only CPT 93010 | $42.60 | $71.00 | $9.60 – $28.33 | 2 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | $111.60 | $186.00 | $28.17 – $137.43 | 8 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $13.80 | $23.00 | $0.23 – $0.25 | 5 |
| Prednisone 1 mg tablet HCPCS J7512 | $14.80 | $18.50 | $0.01 – $0.04 | 6 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $4,078.80 | $6,798.00 | $993.28 – $1,020.27 | 2 |
| Pregnancy associated plasma protein-a CPT 84163 | $191.20 | $264.00 | $14.88 – $27.64 | 8 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $835.20 | $1,151.00 | $59.52 – $309.29 | 8 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $835.20 | $1,151.00 | $49.14 – $170.50 | 8 |
| Pregnancy Ultrasound (limited) CPT 76815 | $796.80 | $1,098.00 | $49.92 – $189.37 | 8 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | $178.80 | $298.00 | $25.60 – $25.60 | 1 |
| Prep skin to 100cm2 other CPT 15004 | $475.20 | $792.00 | $537.67 – $993.28 | 2 |
| Prep skin to 100cm2 trk/ext CPT 15002 | not published | not published | $445.52 – $993.28 | 2 |
| Pressure max expiratory/inspiratory CPT 94799 | $187.20 | $258.00 | $113.55 – $113.55 | 1 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $227.20 | $313.00 | $122.78 – $122.78 | 1 |
| Pretreat rbc absorption reference CPT 86978 | $118.40 | $163.00 | $26.52 – $26.52 | 1 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $295.20 | $406.00 | $26.52 – $26.52 | 1 |
| Prev med cnsl indiv apprx 15 CPT 99401 | $152.00 | $210.00 | $12.80 – $12.80 | 1 |
| Prev med cnsl indiv apprx 30 CPT 99402 | $211.20 | $291.00 | $37.57 – $37.57 | 1 |
| Prev med cnsl indiv apprx 45 CPT 99403 | $968.80 | $1,336.00 | $56.36 – $56.36 | 1 |
| Prev med cnsl indiv apprx 60 CPT 99404 | $412.00 | $568.00 | $74.88 – $74.88 | 1 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $208.20 | $347.00 | $94.36 – $94.36 | 1 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $4,352.80 | $5,999.00 | $44.00 – $732.16 | 8 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | $88.55 – $2,024.96 | 8 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $1,470.60 | $2,451.00 | $354.07 – $993.28 | 2 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $712.80 | $983.00 | $57.75 – $768.00 | 8 |
| Pr incision & drainage abscess simple/single CPT 10060 | $589.80 | $983.00 | $25.85 – $792.32 | 8 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $998.40 | $1,376.00 | $103.19 – $993.28 | 8 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $589.80 | $983.00 | $33.55 – $994.56 | 8 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $278.40 | $464.00 | $94.36 – $316.41 | 2 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $307.20 | $423.00 | $94.36 – $224.03 | 2 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $177.60 | $245.00 | $10.89 – $64.78 | 8 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $993.28 – $1,230.05 | 2 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $533.60 | $667.00 | $294.69 – $324.16 | 6 |
| Procalcitonin CPT 84145 | $161.60 | $223.00 | $22.21 – $37.85 | 8 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $115.20 | $144.00 | $1.81 – $1.99 | 5 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | $3.00 | $5.00 | $0.90 – $4.50 | 13 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | $3,933.60 | $5,421.00 | $31.14 – $993.28 | 8 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $3,816.80 | $5,261.00 | $26.81 – $993.28 | 8 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | $3,933.60 | $5,421.00 | $58.30 – $993.28 | 8 |
| Progesterone CPT 84144 | $324.80 | $447.00 | $17.00 – $28.97 | 8 |
| Prolactin CPT 84146 | $372.00 | $512.00 | $19.15 – $40.90 | 8 |
| Promethazine hcl injection HCPCS J2550 | $8.40 | $10.50 | $1.62 – $3.25 | 6 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $174.00 | $290.00 | $0.09 – $0.10 | 5 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $4.80 | $6.00 | $1.08 – $5.40 | 13 |
| Prostate biopsy, any mthd HCPCS G0416 | $118.40 | $163.00 | $253.07 – $253.07 | 1 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $115.20 | $192.00 | $1.75 – $1.92 | 5 |
| Protein c activity CPT 85303 | $375.20 | $517.00 | $13.68 – $32.57 | 8 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $207.20 | $286.00 | $10.62 – $24.97 | 8 |
| Protein s total CPT 85305 | $666.40 | $919.00 | $11.47 – $27.30 | 8 |
| Protein total 24 hour urine CPT 84156 | $45.00 | $62.00 | $3.63 – $6.99 | 8 |
| Protein total body fluid CPT 84157 | $100.00 | $138.00 | $3.96 – $6.99 | 8 |
| Protein total serum plasma whole blood CPT 84155 | $104.00 | $144.00 | $3.63 – $7.96 | 8 |
| Prothrombin complex kcentra HCPCS J7168 | $13.80 | $17.25 | $2.14 – $2.14 | 1 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $230.40 | $317.00 | $3.90 – $9.25 | 8 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $993.28 – $1,222.76 | 2 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $95.40 | $159.00 | $59.23 – $59.23 | 1 |
| Pr removal drug delivery implant CPT 11982 | $2,048.80 | $2,823.00 | $101.56 – $993.28 | 8 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $298.40 | $412.00 | $33.00 – $622.08 | 8 |
| Pr removal intrauterine device CPT 58301 | $712.80 | $983.00 | $18.98 – $993.28 | 7 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $998.40 | $1,376.00 | $36.30 – $993.28 | 8 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $712.80 | $983.00 | $34.65 – $631.04 | 8 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $712.80 | $983.00 | $52.25 – $993.28 | 8 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $712.80 | $983.00 | $26.95 – $673.28 | 8 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $712.80 | $983.00 | $39.05 – $993.28 | 8 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $730.88 – $1,580.10 | 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.