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 |
|---|---|---|---|---|
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $2,627.20 | $3,620.00 | $269.64 – $993.28 | 2 |
| PSA (Prostate) Test CPT 84153 | $239.20 | $330.00 | $18.17 – $41.51 | 8 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $128.00 | $176.00 | $28.60 – $87.38 | 8 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $128.00 | $176.00 | $42.90 – $113.75 | 8 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $128.00 | $176.00 | $57.20 – $166.92 | 8 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $47.00 | $64.00 | $21.44 – $33.15 | 2 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $124.80 | $172.00 | $16.97 – $35.33 | 2 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $122.40 | $169.00 | $13.38 – $24.37 | 2 |
| Pt application of modality traction mechanical CPT 97012 | $124.80 | $172.00 | $16.76 – $38.06 | 2 |
| Pt-focused hlth risk assmt CPT 96160 | $68.80 | $94.00 | $3.83 – $5.93 | 8 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $269.60 | $372.00 | $28.31 – $28.31 | 1 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $137.60 | $190.00 | $9.52 – $9.52 | 1 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $157.60 | $217.00 | $18.43 – $29.86 | 8 |
| Pt wheelchair management each 15 minutes CPT 97542 | $200.00 | $276.00 | $25.14 – $30.81 | 2 |
| Pulmonary vent imaging CPT 78579 | $1,697.60 | $2,339.00 | $141.75 – $237.70 | 8 |
| Pulse ox continuous overnight monitoring CPT 94762 | $365.60 | $504.00 | $87.92 – $113.55 | 2 |
| Pulse ox multiple CPT 94761 | $469.60 | $647.00 | $4.25 – $39.81 | 8 |
| Pulse ox single CPT 94760 | $75.80 | $104.00 | $2.18 – $19.13 | 8 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $105.60 | $146.00 | $13.00 – $33.57 | 8 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $1,352.80 | $1,865.00 | $26.40 – $993.28 | 8 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,470.60 | $2,451.00 | $46.20 – $458.24 | 8 |
| Puraply xt 1 sq cm HCPCS Q4197 | $11,245.60 | $15,498.00 | $70.70 – $77.77 | 2 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $70.20 | $117.00 | $6.05 – $6.65 | 5 |
| Pyruvate CPT 84210 | $328.00 | $453.00 | $8.00 – $14.31 | 8 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $3,736.00 | $5,149.00 | $245.43 – $411.18 | 8 |
| Quant diff pulm perf w/imaging CPT 78597 | $1,362.40 | $1,877.00 | $151.94 – $268.52 | 8 |
| Quest t3 uptake CPT 84479 | $357.60 | $492.00 | $6.39 – $15.25 | 8 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | $3,289.80 | $5,483.00 | $11.00 – $347.32 | 7 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $15,010.80 | $25,018.00 | $11.00 – $279.85 | 7 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $464.80 | $641.00 | not published | 0 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,645.60 | $2,268.00 | $89.60 – $690.14 | 8 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $2,886.40 | $3,977.00 | $394.09 – $610.55 | 8 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $3,347.20 | $4,613.00 | $609.33 – $944.02 | 8 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $3,347.20 | $4,613.00 | $284.40 – $685.71 | 8 |
| Radphm lcl tumor plr sgl day CPT 78800 | $930.40 | $1,282.00 | $70.40 – $422.21 | 8 |
| Radphm quant measure sgl area add-on CPT 78835 | $3,347.20 | $4,613.00 | $80.00 – $137.49 | 8 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $5,140.20 | $8,567.00 | $74.36 – $81.79 | 6 |
| Rapid Strep Test CPT 87880 | $36.00 | $49.00 | $6.30 – $16.34 | 8 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $3,833.40 | $6,389.00 | $377.52 – $415.27 | 6 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $14,859.00 | $24,765.00 | $225.11 – $247.62 | 6 |
| Rbc count only automated CPT 85041 | $21.40 | $29.00 | $2.98 – $6.85 | 8 |
| Rbc serum pretx incubj drugs CPT 86975 | $229.60 | $316.00 | $294.81 – $294.81 | 1 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | $993.28 – $4,297.36 | 2 |
| Red blood cells each unit HCPCS P9021 | $919.20 | $1,266.00 | $33.00 – $189.29 | 8 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $1,242.40 | $1,713.00 | $147.74 – $189.29 | 2 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $1,438.40 | $1,982.00 | $202.32 – $202.32 | 1 |
| Red cell sequestration CPT 78140 | $3,163.20 | $4,360.00 | $24.32 – $404.98 | 8 |
| Release of foot tendon 28225 CPT 28225 | not published | not published | $116.05 – $993.28 | 8 |
| Release palm contracture CPT 26123 | not published | not published | $993.28 – $1,802.45 | 2 |
| Rem/biv cast full arm/leg CPT 29705 | $569.60 | $785.00 | $187.33 – $187.33 | 1 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $16.00 | $20.00 | $6.73 – $7.40 | 6 |
| Remote 30 day ecg tech supp CPT 93229 | $1,580.00 | $2,178.00 | $113.55 – $113.55 | 1 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $2,627.20 | $3,620.00 | $319.83 – $993.28 | 2 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $3,725.60 | $5,135.00 | $202.50 – $993.28 | 8 |
| Removal cerumen impacted (both sides) CPT 69210 | $247.20 | $412.00 | $72.84 – $993.28 | 2 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $712.80 | $983.00 | $29.70 – $46.01 | 7 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | $2,137.60 | $2,946.00 | $33.55 – $994.56 | 8 |
| Removal foreign body foot subcutaneous right CPT 28190 | $1,778.40 | $2,451.00 | $33.55 – $994.56 | 8 |
| Removal of adenoids CPT 42830 | not published | not published | $417.01 – $793.60 | 2 |
| Removal of foot lesion CPT 28080 | $644.40 | $1,074.00 | $193.05 – $997.12 | 8 |
| Removal of foot lesion CPT 28090 | not published | not published | $169.95 – $1,134.08 | 8 |
| Removal of heel bone CPT 28118 | not published | not published | $1,064.96 – $1,145.96 | 2 |
| Removal of heel spur CPT 28119 | not published | not published | $317.90 – $1,064.96 | 8 |
| Removal of hydrocele CPT 55040 | not published | not published | $952.75 – $1,066.24 | 2 |
| Removal of implant deep CPT 20680 | $744.60 | $1,241.00 | $188.65 – $921.60 | 8 |
| Removal of skin tags each add'l 10 CPT 11201 | $396.00 | $546.00 | $16.03 – $40.26 | 8 |
| Removal of tendon lesion CPT 27630 | $639.60 | $1,066.00 | $188.65 – $1,045.76 | 8 |
| Removal of toe lesions CPT 28092 | $476.40 | $794.00 | $106.15 – $1,053.44 | 8 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | $471.00 | $785.00 | $34.10 – $993.28 | 8 |
| Removal sutr and stapl no anes CPT 15854 | $39.00 | $65.00 | $12.70 – $15.58 | 2 |
| Removal sutr or stapl no anes CPT 15853 | $3,927.20 | $4,909.00 | $9.00 – $11.04 | 2 |
| Removal w/reinsrt nonbiogrdble CPT 11983 | $2,071.20 | $2,854.00 | $182.58 – $404.78 | 8 |
| Remove anal fist subq CPT 46270 | not published | not published | $233.75 – $928.00 | 8 |
| Remove epididymis lesion CPT 54840 | not published | not published | $902.40 – $946.77 | 2 |
| Remove ext hem groups 2+ CPT 46250 | not published | not published | $142.45 – $948.48 | 8 |
| Remove foreign body from eye CPT 65235 | $4,494.00 | $7,490.00 | $993.28 – $1,174.04 | 2 |
| Remove in/ex hem groups 2+ CPT 46260 | not published | not published | $369.60 – $1,348.46 | 8 |
| Remove pilonidal cyst compl CPT 11772 | not published | not published | $256.30 – $1,100.89 | 8 |
| Remove pilonidal cyst exten CPT 11771 | not published | not published | $256.30 – $1,072.64 | 8 |
| Remove tonsils and adenoids CPT 42820 | not published | not published | $635.33 – $888.32 | 2 |
| Remove tonsils and adenoids CPT 42821 | not published | not published | $764.89 – $896.00 | 2 |
| Remove wrist tendon lesion CPT 25111 | not published | not published | $632.45 – $1,093.12 | 2 |
| Renal function panel CPT 80069 | $188.80 | $260.00 | $8.58 – $16.36 | 8 |
| Reopen fallopian tube CPT 58350 | not published | not published | $163.62 – $3,619.10 | 2 |
| Repair blood vessel direct hand finger CPT 35207 | $7,133.40 | $11,889.00 | $726.32 – $1,959.19 | 8 |
| Repair blood vessel dir lower extr CPT 35226 | $1,582.20 | $2,637.00 | $993.28 – $1,833.20 | 2 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $2,627.20 | $3,620.00 | $577.06 – $993.28 | 2 |
| Repair deformity of toe CPT 28313 | $624.60 | $1,041.00 | $343.20 – $993.28 | 8 |
| Repair dental ellis ii fx CPT 41899 | $278.40 | $383.00 | $162.28 – $162.28 | 1 |
| Repair/graft achilles tendon CPT 27652 | not published | not published | $993.28 – $2,029.06 | 2 |
| Repair of achilles tendon CPT 27654 | not published | not published | $524.70 – $1,970.19 | 8 |
| Repair of ankle ligament CPT 27695 | not published | not published | $993.28 – $1,679.39 | 2 |
| Repair of eye wound CPT 65280 | $8,442.40 | $11,635.00 | $566.69 – $1,495.71 | 8 |
| Repair of foot tendon CPT 28200 | not published | not published | $260.70 – $993.28 | 8 |
| Repair of shoulder CPT 23420 | not published | not published | $636.90 – $2,666.90 | 8 |
| Repair of thigh muscle CPT 27385 | not published | not published | $535.15 – $1,604.02 | 8 |
| Repair rotator cuff acute CPT 23410 | not published | not published | $492.80 – $2,215.83 | 8 |
| Repair rotator cuff chronic CPT 23412 | not published | not published | $636.90 – $2,539.58 | 8 |
| Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252 | $5,218.40 | $7,191.00 | $95.15 – $747.52 | 8 |
| Repair rpr lip full thickness vermilion only CPT 40650 | $4,051.20 | $5,583.00 | $273.82 – $993.28 | 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.