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 |
|---|---|---|---|---|
| Biopsy needle liver percutaneous CPT 47000 | $1,285.60 | $1,771.00 | $98.61 – $355.84 | 8 |
| Biopsy needle lymph node superficial CPT 38505 | $1,352.80 | $1,865.00 | $74.17 – $993.28 | 8 |
| Biopsy of lip 40490 CPT 40490 | $1,065.60 | $1,469.00 | $40.15 – $687.36 | 8 |
| Biopsy of prostate CPT 55700 | $1,818.40 | $2,506.00 | $98.45 – $993.28 | 8 |
| Biopsy of salivary gland 42400 CPT 42400 | $1,175.20 | $1,619.00 | $38.50 – $993.28 | 8 |
| Biopsy/removal lymph nodes CPT 38525 | not published | not published | $171.60 – $993.28 | 8 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $1,352.80 | $1,865.00 | $150.82 – $993.28 | 8 |
| Biopsy skin incisional single lesion CPT 11106 | $640.80 | $883.00 | $54.13 – $993.28 | 8 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | $2,204.00 | $3,038.00 | $37.95 – $993.28 | 8 |
| Biovance 1 square cm HCPCS Q4154 | $9,393.60 | $12,945.00 | $131.90 – $145.09 | 2 |
| Bivalirudin HCPCS J0583 | $5,267.40 | $8,779.00 | $0.17 – $0.19 | 5 |
| Bladder Catheter Insertion (simple) CPT 51702 | $1,009.80 | $1,683.00 | $30.26 – $167.61 | 8 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $998.40 | $1,376.00 | $31.57 – $90.45 | 8 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $306.40 | $383.00 | $21.52 – $31.78 | 6 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $5,457.60 | $9,096.00 | $69.66 – $348.30 | 12 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $5,793.60 | $7,984.00 | $39.06 – $195.30 | 13 |
| Bln dil 900ml preperitnl HCPCS C1727 | $2,731.20 | $3,764.00 | $102.24 – $511.20 | 12 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $4,375.20 | $6,029.00 | $984.42 – $4,922.10 | 13 |
| Bln press regulation 71-80cm HCPCS C1815 | $10,689.60 | $14,732.00 | $964.98 – $4,824.90 | 13 |
| Bln ureth 5ml 28f 2wy ltx st HCPCS A4338 | $52.80 | $72.00 | $10.42 – $25.26 | 2 |
| Block plantar digital nerve CPT 64455 | $61.80 | $103.00 | $29.63 – $75.03 | 2 |
| Block tap inj(s) w/wo img bi CPT 64488 | $792.80 | $1,093.00 | $81.63 – $202.44 | 2 |
| Blood Clotting (PT/INR) Test CPT 85610 | $93.60 | $129.00 | $4.00 – $6.82 | 8 |
| Blood Clotting (PTT) Test CPT 85730 | $511.20 | $705.00 | $5.94 – $12.78 | 8 |
| Blood Count (CBC) Test CPT 85025 | $115.20 | $159.00 | $6.00 – $10.23 | 8 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $97.60 | $134.00 | $6.39 – $12.82 | 8 |
| Blood Culture Test CPT 87040 | $483.20 | $666.00 | $10.20 – $23.86 | 8 |
| Blood draw capillary 36416 CPT 36416 | $33.80 | $46.00 | $7.61 – $38.02 | 12 |
| Blood Draw (Venipuncture) CPT 36415 | $34.00 | $47.00 | $6.69 – $8.73 | 2 |
| Blood gases o2 saturation direct measurement CPT 82805 | $147.20 | $203.00 | $38.86 – $77.85 | 8 |
| Blood gases ph venous CPT 82800 | $137.60 | $190.00 | $10.87 – $19.94 | 8 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $279.20 | $384.00 | $2.80 – $15.74 | 8 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $27.20 | $35.00 | $3.63 – $6.19 | 8 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $27.20 | $35.00 | $3.47 – $5.91 | 8 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $61.40 | $84.00 | $3.63 – $6.19 | 8 |
| Blood smear interpretation CPT 85060 | $108.00 | $149.00 | $18.79 – $60.17 | 2 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $60.20 | $83.00 | $3.75 – $7.67 | 8 |
| Blood split unit HCPCS P9011 | $247.80 | $413.00 | $69.44 – $108.57 | 2 |
| Blood Transfusion CPT 36430 | $2,201.60 | $3,035.00 | $30.62 – $993.28 | 8 |
| Blood typing abo CPT 86900 | $10.00 | $14.00 | $2.96 – $7.02 | 8 |
| Blood typing ag donor ea ag CPT 86902 | $78.60 | $108.00 | $2.82 – $6.28 | 8 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $98.40 | $135.00 | $3.28 – $5.59 | 8 |
| Blood typing rh (d) CPT 86901 | $49.20 | $67.00 | $2.96 – $7.11 | 8 |
| Blood typing rh phenotype complete reference CPT 86906 | $146.40 | $202.00 | $7.66 – $17.89 | 8 |
| Blood volume CPT 78122 | $1,552.80 | $2,140.00 | $87.04 – $441.35 | 8 |
| Bone Age X-ray (hand and wrist) CPT 77072 | $350.40 | $483.00 | $12.54 – $32.94 | 8 |
| Bone biopsy open superficial CPT 20240 | $5,752.80 | $7,929.00 | $104.50 – $1,077.76 | 8 |
| Bone Density Scan (DEXA) CPT 77080 | $320.00 | $420.00 | $66.12 – $161.04 | 8 |
| Bone imaging multiple areas CPT 78305 | $1,412.80 | $1,947.00 | $64.00 – $412.81 | 8 |
| Bone/joint imaging ltd area CPT 78300 | $1,036.80 | $1,429.00 | $53.12 – $300.76 | 8 |
| Bone marrow;aspiration only 38220 CPT 38220 | $917.60 | $1,264.00 | $60.15 – $387.00 | 8 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $1,042.40 | $1,436.00 | $76.80 – $414.76 | 8 |
| Bone marrow imaging body CPT 78104 | $2,800.00 | $3,859.00 | $70.40 – $557.76 | 8 |
| Bone marrow interpretation CPT 85097 | $304.00 | $419.00 | $19.20 – $111.18 | 8 |
| Bone survey-lead poisoning CPT 77074 | $844.00 | $1,163.00 | $38.68 – $93.43 | 8 |
| Bone void filler nanoss 10cc HCPCS C9362 | $4,825.60 | $6,651.00 | $1,085.76 – $5,428.80 | 13 |
| Boot j walker l HCPCS L4386 | $1,714.40 | $2,363.00 | $159.46 – $241.75 | 2 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $974.40 | $1,343.00 | $282.00 – $532.07 | 2 |
| Borrelia antibody CPT 86619 | $176.40 | $294.00 | $10.44 – $13.23 | 2 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $85.60 | $118.00 | $16.83 – $40.12 | 8 |
| Borrelia miyamotoi amp prb CPT 87478 | $351.20 | $484.00 | $28.07 – $47.84 | 8 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $7,423.80 | $12,373.00 | $2.79 – $3.07 | 5 |
| (both sides) smear without diff wbc count CPT 85008 | $147.20 | $203.00 | $3.40 – $6.14 | 8 |
| Bowel imaging CPT 78290 | $1,751.20 | $2,413.00 | $57.60 – $367.70 | 8 |
| Brace ank air stirrup univ HCPCS L4350 | $328.80 | $454.00 | $77.16 – $173.07 | 2 |
| Brace ankle stablizing lg HCPCS L1902 | $346.40 | $478.00 | $78.11 – $161.22 | 2 |
| Brace knee extender plus 22-30in HCPCS L1832 | $424.80 | $586.00 | $288.00 – $1,223.04 | 2 |
| Brace or Splint Fitting and Training (each 15 minutes) CPT 97760 | $157.60 | $217.00 | $38.37 – $43.30 | 2 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $436.00 | $601.00 | $183.10 – $183.10 | 1 |
| Brace wrist classic lft sm HCPCS L3908 | $160.00 | $221.00 | $63.44 – $113.83 | 2 |
| Braf gene CPT 81210 | $1,656.00 | $2,070.00 | $143.18 – $244.01 | 8 |
| Brain flow imaging only CPT 78610 | $1,882.40 | $2,595.00 | $43.52 – $277.55 | 8 |
| Brain image 4+ views CPT 78605 | $1,228.00 | $1,693.00 | $69.12 – $415.61 | 8 |
| Brain image w/flow 4 + views CPT 78606 | $2,265.60 | $3,123.00 | $75.52 – $404.66 | 8 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $4,627.20 | $6,377.00 | $605.85 – $1,826.39 | 8 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $3,878.40 | $5,345.00 | $342.28 – $959.98 | 8 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $2,861.60 | $3,944.00 | $342.28 – $959.98 | 8 |
| Brain MRI (with and without contrast) CPT 70553 | $4,600.00 | $6,340.00 | $344.32 – $2,380.18 | 8 |
| Brain MRI (with contrast) CPT 70552 | $3,520.00 | $4,851.00 | $344.32 – $1,350.45 | 8 |
| Brain MRI (without contrast) CPT 70551 | $2,900.80 | $3,997.00 | $344.32 – $1,125.38 | 8 |
| Bra surgical elizabeth pink sm HCPCS L8000 | $180.00 | $248.00 | $35.84 – $67.28 | 2 |
| Brca1&2 gen ful dup/del alys CPT 81164 | $3,464.00 | $4,330.00 | $467.38 – $796.51 | 8 |
| Brcassure comprehensive panel-sendout CPT 81162 | $2,560.00 | $3,200.00 | $1,622.11 – $2,764.40 | 8 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $4,629.60 | $6,380.00 | $152.78 – $993.28 | 8 |
| Breastbone (Sternum) X-ray CPT 71120 | $401.60 | $553.00 | $14.72 – $79.77 | 8 |
| Breast punct aspir cyst, bil CPT 19000 | $1,119.00 | $1,865.00 | $40.15 – $122.32 | 8 |
| Breath tst attain/anal c-14 CPT 78267 | $716.80 | $988.00 | $8.64 – $10.93 | 2 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $31,641.60 | $52,736.00 | $258.64 – $284.50 | 6 |
| Bronch ebus samplng 1/2 node CPT 31652 | $4,214.40 | $5,808.00 | $208.90 – $1,161.81 | 8 |
| Bronch ebus samplng 3/> node CPT 31653 | $4,214.40 | $5,808.00 | $230.59 – $1,235.75 | 8 |
| Bronchial challenge CPT 94070 | $920.80 | $1,269.00 | $14.59 – $195.04 | 8 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | $4,214.40 | $5,808.00 | $193.38 – $981.76 | 8 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | $4,214.40 | $5,808.00 | $206.13 – $993.28 | 8 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | $3,540.00 | $4,878.00 | $173.59 – $849.92 | 8 |
| Bronchoscopy w/fb removal 31635 CPT 31635 | $3,540.00 | $4,878.00 | $193.76 – $993.28 | 8 |
| Bronch w/debrdmt subgltc & uppr trach CPT 31899 | $2,664.80 | $3,673.00 | $139.57 – $139.57 | 1 |
| Br punct aspir ea add, l CPT 19001 | $1,022.40 | $1,619.00 | $22.43 – $63.64 | 8 |
| Budesonide non-comp con HCPCS J7633 | $58.20 | $72.75 | $0.80 – $0.80 | 1 |
| Budesonide non-comp unit HCPCS J7626 | $463.20 | $579.00 | $0.76 – $1.49 | 6 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $8.20 | $10.25 | $0.37 – $0.40 | 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.