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 |
|---|---|---|---|---|
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $17.40 | $29.00 | $2.54 – $2.80 | 5 |
| Total Hip Replacement CPT 27130 | $19,440.80 | $26,792.00 | $993.28 – $4,895.36 | 2 |
| Total Knee Replacement CPT 27447 | not published | not published | $993.28 – $5,731.96 | 2 |
| Toxoplasma antibody igg CPT 86777 | $292.00 | $402.00 | $14.22 – $33.79 | 8 |
| Toxoplasma antibody igm CPT 86778 | $292.00 | $402.00 | $14.24 – $33.91 | 8 |
| Tpmt gene com vrnts CPT 81335 | $450.00 | $750.00 | $136.49 – $172.77 | 2 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | $13,269.60 | $22,116.00 | $391.07 – $430.18 | 6 |
| Transcutaneous hgb 88738 CPT 88738 | $80.80 | $111.00 | $4.47 – $7.62 | 8 |
| Transferrin CPT 84466 | $130.40 | $180.00 | $12.62 – $28.97 | 8 |
| Transparent film >16<=48 in HCPCS A6258 | $5.60 | $7.00 | $4.95 – $9.93 | 2 |
| Transparent film <= 16 sq in HCPCS A6257 | $18.60 | $25.00 | $1.77 – $3.53 | 2 |
| Transplant forearm tendon CPT 25310 | not published | not published | $492.80 – $1,441.20 | 8 |
| Transvaginal Pelvic Ultrasound (not pregnancy) CPT 76830 | $820.80 | $1,131.00 | $59.52 – $221.76 | 8 |
| Transvaginal Pregnancy Ultrasound CPT 76817 | $820.80 | $1,131.00 | $67.88 – $175.50 | 8 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $7,007.40 | $11,679.00 | $75.03 – $82.53 | 6 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $448.80 | $748.00 | $47.55 – $52.30 | 5 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | $5,910.00 | $9,850.00 | $27.99 – $30.79 | 5 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | $7,799.20 | $10,748.00 | $899.12 – $899.12 | 1 |
| Treat ankle dislocation CPT 27842 | $3,791.20 | $5,225.00 | $130.35 – $1,012.48 | 8 |
| Treat clavicle dislocation 23545 CPT 23545 | $998.40 | $1,376.00 | $129.80 – $993.28 | 8 |
| Treat ectopic pregnancy CPT 59151 | not published | not published | $993.28 – $1,480.67 | 2 |
| Treat elbow dislocation CPT 24605 | $3,791.20 | $5,225.00 | $173.25 – $993.28 | 8 |
| Treat elbow fracture CPT 24620 | $3,791.20 | $5,225.00 | $154.55 – $993.28 | 8 |
| Treat finger fracture each CPT 26742 | $3,791.20 | $5,225.00 | $80.85 – $993.28 | 8 |
| Treat fracture of radius CPT 25505 | $998.40 | $1,376.00 | $159.50 – $817.46 | 8 |
| Treat fracture of ulna CPT 25535 | $604.00 | $833.00 | $176.55 – $993.28 | 8 |
| Treat hip dislocation CPT 27252 | $3,688.80 | $5,084.00 | $309.65 – $1,315.49 | 8 |
| Treat hip dislocation CPT 27257 | $4,051.20 | $5,583.00 | $260.70 – $993.28 | 8 |
| Treat humerus fracture CPT 24535 | $3,931.20 | $5,418.00 | $226.60 – $1,080.46 | 8 |
| Treat humerus fracture CPT 24565 | $4,070.40 | $5,609.00 | $190.85 – $993.28 | 8 |
| Treat kneecap dislocation CPT 27562 | $2,336.00 | $3,219.00 | $147.95 – $993.28 | 8 |
| Treat kneecap fracture CPT 27524 | not published | not published | $446.60 – $1,922.66 | 8 |
| Treat knee dislocation CPT 27552 | $3,791.20 | $5,225.00 | $172.70 – $1,029.97 | 8 |
| Treat knee fracture 27530 CPT 27530 | $998.40 | $1,376.00 | $141.35 – $993.28 | 8 |
| Treat lower leg joint CPT 27829 | not published | not published | $993.28 – $1,247.22 | 2 |
| Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah) CPT 25608 | not published | not published | $993.28 – $1,105.17 | 2 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | $8,618.40 | $11,878.00 | $199.65 – $993.28 | 8 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $297.60 | $411.00 | $28.27 – $51.26 | 8 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $282.40 | $390.00 | $10.78 – $19.54 | 8 |
| Treatment missed abortion completed surgically 1st trimester CPT 59820 | $10,578.40 | $14,578.00 | $743.25 – $748.80 | 2 |
| Treatment of ankle fracture CPT 27792 | not published | not published | $993.28 – $1,448.70 | 2 |
| Treatment of ankle fracture CPT 27814 | $1,622.40 | $2,704.00 | $495.00 – $1,933.21 | 8 |
| Treatment of ankle fracture CPT 27822 | not published | not published | $993.28 – $1,899.65 | 2 |
| Treatment of ankle fracture 27786 CPT 27786 | $825.60 | $1,376.00 | $130.35 – $993.28 | 8 |
| Treatment of fibula fracture 27780 CPT 27780 | $998.40 | $1,376.00 | $511.11 – $993.28 | 2 |
| Treatment of heel fracture 28400 CPT 28400 | $998.40 | $1,376.00 | $154.00 – $596.50 | 8 |
| Treatment of thigh fracture CPT 27501 | $766.40 | $1,056.00 | $993.28 – $1,213.22 | 2 |
| Treatment of thigh fracture CPT 27503 | $6,511.20 | $8,973.00 | $993.28 – $1,830.87 | 2 |
| Treatment of thigh fracture CPT 27508 | $998.40 | $1,376.00 | $268.95 – $1,098.00 | 8 |
| Treatment of thigh fracture CPT 27510 | $3,791.20 | $5,225.00 | $348.70 – $1,496.80 | 8 |
| Treatment of tibia fracture CPT 27759 | not published | not published | $993.28 – $2,343.47 | 2 |
| Treatment of toe fracture 28510 CPT 28510 | $825.60 | $1,376.00 | $189.47 – $993.28 | 2 |
| Treat metacarpal fracture CPT 26615 | not published | not published | $255.20 – $1,117.44 | 8 |
| Treat metatarsal fracture CPT 28485 | not published | not published | $168.85 – $1,085.44 | 8 |
| Treat midfoot fracture each CPT 28455 | $7,873.60 | $10,851.00 | $139.70 – $585.85 | 8 |
| Treat thigh fracture CPT 27238 | $4,291.20 | $5,914.00 | $267.30 – $662.90 | 8 |
| Treat thigh fracture CPT 27246 | $647.20 | $891.00 | $123.20 – $801.25 | 8 |
| Treat toe fracture CPT 28525 | $6,191.20 | $8,532.00 | $540.62 – $993.28 | 2 |
| Treat ulnar fracture CPT 24675 | $4,070.40 | $5,609.00 | $200.75 – $993.28 | 8 |
| Treat ulnar fracture CPT 24685 | not published | not published | $460.90 – $1,626.93 | 8 |
| Treat wrist bone fracture CPT 25635 | $2,793.60 | $3,850.00 | $159.50 – $993.28 | 8 |
| Treat wrist dislocation CPT 25675 | $998.40 | $1,376.00 | $114.40 – $993.28 | 8 |
| Tremelimumab-actl 20 mg/ml intravenous solution HCPCS J9347 | $246.00 | $410.00 | $140.90 – $154.99 | 6 |
| Treponema pallidum antibody CPT 86780 | $176.80 | $244.00 | $13.08 – $25.87 | 8 |
| Trg gene rearrangement anal CPT 81342 | $636.00 | $795.00 | $157.34 – $199.14 | 2 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $43.20 | $72.00 | $0.84 – $2.33 | 6 |
| Triamcinolone a inj prs-free HCPCS J3300 | $696.00 | $1,160.00 | $24.50 – $26.95 | 6 |
| Triglycerides CPT 84478 | $147.20 | $203.00 | $5.68 – $12.25 | 8 |
| Trimethobenzamide hcl inj HCPCS J3250 | $162.60 | $271.00 | $57.51 – $63.26 | 5 |
| Trim nondyst nails CPT 11719 | $157.60 | $217.00 | $28.21 – $44.88 | 2 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | $882.40 | $1,216.00 | $256.85 – $1,213.22 | 8 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $5,236.20 | $8,727.00 | $314.51 – $993.28 | 8 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | not published | not published | $993.28 – $1,534.60 | 2 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | not published | not published | $230.53 – $341.70 | 2 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | not published | not published | $268.40 – $1,730.23 | 8 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | not published | not published | $128.70 – $833.44 | 8 |
| Troponin quantitative CPT 84484 | $110.40 | $152.00 | $9.87 – $16.82 | 8 |
| Tte w or without fol w/con,stres HCPCS C8928 | $1,171.20 | $1,614.00 | $578.38 – $578.38 | 1 |
| Tte w or without fol w/cont, com HCPCS C8921 | $904.80 | $1,508.00 | $578.38 – $578.38 | 1 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | $647.20 | $891.00 | $578.38 – $578.38 | 1 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $761.95 – $993.28 | 2 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | $266.40 | $368.00 | $48.18 – $89.35 | 2 |
| Tubular dressing HCPCS A6457 | $5.80 | $8.00 | $1.16 – $2.02 | 2 |
| Tx closed distal humerus fx CPT 24999 | $153.60 | $212.00 | $161.64 – $161.64 | 1 |
| Tx closed hip disl traumatic without anes CPT 27250 | $998.40 | $1,376.00 | $225.12 – $1,091.84 | 8 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $4,518.40 | $6,227.00 | $250.25 – $1,208.92 | 8 |
| Tx closed tib shaft fx without manip CPT 27750 | $718.20 | $1,197.00 | $156.75 – $709.98 | 8 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $7,873.60 | $10,851.00 | $195.80 – $1,064.96 | 8 |
| Tx open nsl fx uncomp CPT 21325 | $6,492.00 | $8,947.00 | $198.55 – $965.12 | 8 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | $6,348.00 | $10,580.00 | $246.40 – $1,152.00 | 8 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $825.60 | $1,376.00 | $125.40 – $993.28 | 8 |
| Ultrasound breast complete CPT 76641 | $888.80 | $1,225.00 | $68.39 – $140.97 | 2 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $630.40 | $868.00 | $52.40 – $116.07 | 2 |
| Ultrasound encephalogram CPT 76506 | $738.40 | $1,017.00 | $60.80 – $203.98 | 8 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $869.60 | $1,198.00 | $81.27 – $181.47 | 8 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $652.80 | $900.00 | $62.31 – $187.76 | 8 |
| Ultrasound Guidance for a Needle Procedure CPT 76942 | $1,221.60 | $1,683.00 | $55.30 – $218.59 | 8 |
| Ultrasound guidance for vascular access CPT 76937 | $484.00 | $667.00 | $16.15 – $60.61 | 8 |
| Ultrasound guide intraoperative CPT 76998 | $760.00 | $1,048.00 | $171.00 – $855.00 | 12 |
| Ultrasound hips infant dynamic CPT 76885 | $1,209.60 | $1,667.00 | $107.96 – $207.06 | 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.