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 |
|---|---|---|---|---|
| Bundled special stain group 1 microorganisms CPT 88312 | $195.20 | $269.00 | $60.54 – $125.55 | 8 |
| Bundled special stain group 2 CPT 88313 | $287.20 | $396.00 | $41.44 – $86.93 | 8 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $0.40 | $0.50 | $0.01 – $0.01 | 5 |
| Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572 | $13.40 | $16.75 | $4.79 – $4.79 | 1 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | $64.40 | $80.50 | $8.60 – $8.60 | 1 |
| Buprenorphine hydrochloride HCPCS J0592 | $14.20 | $17.75 | $4.17 – $4.58 | 5 |
| Buprenorphine X-ray over 100 mg HCPCS Q9992 | $7,236.00 | $9,045.00 | $2,016.42 – $2,218.07 | 5 |
| Buprenorph X-ray 100 mg or less HCPCS Q9991 | $5,427.00 | $9,045.00 | $2,016.42 – $2,218.07 | 5 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $133.20 | $222.00 | $6.43 – $7.08 | 5 |
| Bx bone trocar/ndl deep CPT 20225 | $1,352.80 | $1,865.00 | $107.80 – $993.28 | 8 |
| Bx breast 1st lesion strtctc CPT 19081 | $4,474.40 | $6,167.00 | $163.13 – $993.28 | 8 |
| Bx breast add lesion strtctc CPT 19082 | $2,515.20 | $3,466.00 | $77.42 – $721.00 | 8 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $2,315.20 | $3,191.00 | $72.73 – $710.72 | 8 |
| Bx breast perq without image 19100 CPT 19100 | $4,291.20 | $5,914.00 | $67.38 – $1,112.32 | 8 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | $1,015.20 | $1,399.00 | $116.53 – $993.28 | 8 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | not published | not published | $149.60 – $951.04 | 8 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | not published | not published | $448.22 – $839.68 | 2 |
| Bx of cervix w/scope leep 57460 CPT 57460 | not published | not published | $164.78 – $993.28 | 8 |
| Bx pancreas pq ndl CPT 48102 | $1,175.20 | $1,619.00 | $600.87 – $993.28 | 2 |
| Bx pleura pq ndl CPT 32400 | $1,175.20 | $1,619.00 | $89.14 – $993.28 | 8 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $320.80 | $442.00 | $28.92 – $85.16 | 8 |
| Bx skin punch ea sep/ addl les CPT 11105 | $180.00 | $248.00 | $24.25 – $72.21 | 8 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $180.00 | $248.00 | $20.52 – $62.98 | 8 |
| Bx soft tiss pelvis/hip deep 27041 CPT 27041 | $1,352.80 | $1,865.00 | $37.95 – $993.28 | 8 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $1,352.80 | $1,865.00 | $72.05 – $936.96 | 8 |
| Bx vag mucos smpl (sep proc) CPT 57100 | $849.60 | $1,171.00 | $65.99 – $776.96 | 8 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | $4,291.20 | $5,914.00 | $61.06 – $993.28 | 8 |
| Bx vulva or perineum/ea add lesion 56606 CPT 56606 | $557.60 | $769.00 | $30.14 – $76.81 | 8 |
| Bypass temp external fem-fem CPT 37799 | $1,781.60 | $2,455.00 | $451.70 – $451.70 | 1 |
| C-1 esterase, berinert HCPCS J0597 | $156.00 | $195.00 | $75.86 – $83.44 | 6 |
| C1 esterase inhibitor func - sendout CPT 86161 | $143.20 | $197.00 | $11.86 – $28.27 | 8 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $808.20 | $1,347.00 | $227.28 – $250.00 | 6 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $111.00 | $185.00 | $2.70 – $13.50 | 13 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $20,030.40 | $25,038.00 | $484.97 – $484.97 | 1 |
| Calcium 24 hour urine CPT 82340 | $95.20 | $131.00 | $5.96 – $13.63 | 8 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $0.80 | $1.00 | $0.04 – $0.04 | 5 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $0.80 | $1.00 | $0.09 – $0.09 | 5 |
| Calcium ionized CPT 82330 | $129.60 | $179.00 | $8.85 – $15.08 | 8 |
| Calcium total CPT 82310 | $47.80 | $66.00 | $5.10 – $12.12 | 8 |
| Calprotectin fecal CPT 83993 | $351.20 | $484.00 | $19.40 – $37.39 | 8 |
| Campylobacter antibody CPT 86625 | $92.80 | $128.00 | $12.97 – $30.90 | 8 |
| Candida dna CPT 87480 | $267.20 | $369.00 | $19.82 – $38.72 | 8 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $168.60 | $281.00 | $4.14 – $20.70 | 13 |
| Cap nerve 2x15mm HCPCS C1763 | $2,275.20 | $3,135.00 | $58.86 – $294.30 | 13 |
| Cap trach decann 15mm HCPCS C1750 | $1,127.20 | $1,553.00 | $83.16 – $415.80 | 13 |
| Carbamazepine free CPT 80157 | $284.00 | $392.00 | $10.99 – $18.73 | 8 |
| Carbamazepine free -sendout CPT 80161 | $238.40 | $329.00 | $14.55 – $18.42 | 2 |
| Carbamazepine total therapeutic drug level CPT 80156 | $238.40 | $329.00 | $14.40 – $31.53 | 8 |
| Carbohydrate urine - sendout CPT 84377 | $30.60 | $42.00 | $5.44 – $10.38 | 8 |
| Carbon dioxide CPT 82374 | $47.80 | $66.00 | $4.82 – $11.45 | 8 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $500.40 | $834.00 | $2.47 – $2.72 | 5 |
| Carboxyhemoglobin quantitative CPT 82375 | $274.40 | $378.00 | $5.60 – $12.18 | 8 |
| Carcinoembryonic ag (cea) CPT 82378 | $496.80 | $685.00 | $17.00 – $28.97 | 8 |
| Cardiac MRI w/stress img CPT 75559 | $3,213.60 | $4,429.00 | $321.97 – $748.23 | 8 |
| Cardiac perf planar mult/ef/wm CPT 78454 | $3,152.00 | $4,344.00 | $272.88 – $505.43 | 8 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | $3,868.00 | $5,331.00 | $218.19 – $356.50 | 8 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $4,562.40 | $6,287.00 | $243.44 – $414.02 | 8 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $218.40 | $301.00 | $66.23 – $93.75 | 2 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $213.60 | $294.00 | $41.38 – $93.75 | 2 |
| Cardiac shunt imaging CPT 78428 | $2,004.80 | $2,763.00 | $96.00 – $346.86 | 8 |
| Cardiolipin antibody iga CPT 86147 | $485.60 | $669.00 | $25.16 – $59.92 | 8 |
| Cardioversion (Scheduled Heart Rhythm Shock) CPT 92960 | $1,505.60 | $2,075.00 | $95.70 – $993.28 | 8 |
| Caregiver health risk assmt CPT 96161 | $68.80 | $94.00 | $3.83 – $5.93 | 8 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | $103.20 | $172.00 | $49.67 – $49.67 | 1 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $10,440.00 | $17,400.00 | $55.65 – $61.21 | 6 |
| Carmustine 100 mg intravenous powder for solution HCPCS J9050 | $21,846.60 | $36,411.00 | $238.46 – $262.30 | 6 |
| Carotene CPT 82380 | $252.80 | $349.00 | $9.12 – $18.75 | 8 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $1,733.60 | $2,389.00 | $152.76 – $549.31 | 8 |
| Carpal Tunnel Release Surgery CPT 64721 | not published | not published | $330.00 – $921.15 | 8 |
| Casiri and imdev repeat HCPCS M0240 | $1,360.00 | $1,700.00 | $396.00 – $613.51 | 8 |
| Caspofungin acetate HCPCS J0637 | $1,752.00 | $2,920.00 | $3.54 – $3.90 | 5 |
| Cataract Surgery CPT 66984 | not published | not published | $662.78 – $2,930.19 | 8 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $454.40 | $626.00 | $102.24 – $511.20 | 13 |
| Cath ablt clsfast 7fx100cmx HCPCS C1888 | $3,656.80 | $5,040.00 | $822.78 – $4,113.90 | 12 |
| Cath ablt rx lasr 2.0mm turbo HCPCS C1885 | $42.80 | $59.00 | $9.63 – $48.15 | 12 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $157.60 | $217.00 | $9.63 – $48.15 | 12 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $276.00 | $380.00 | $25.02 – $125.10 | 12 |
| Cath bi-dir df smarttouch HCPCS C1732 | $1,433.60 | $1,976.00 | $322.56 – $1,612.80 | 12 |
| Cath council tip 16fr 5cc HCPCS A4344 | $57.60 | $79.00 | $15.37 – $31.77 | 2 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $1,068.80 | $1,473.00 | $4.28 – $59.47 | 13 |
| Cath entrl fd nutri 5fr 40cm HCPCS B4082 | $8.40 | $14.00 | $18.85 – $18.85 | 1 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $42.60 | $71.00 | $6.69 – $8.73 | 2 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $2,151.20 | $2,964.00 | $122.40 – $612.00 | 13 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $78.60 | $108.00 | $17.68 – $88.42 | 12 |
| Cath indw foley 3 way HCPCS A4346 | $73.60 | $101.00 | $12.80 – $39.80 | 2 |
| Cath infuse micro 150cm rapidtransit HCPCS A4351 | $114.00 | $190.00 | $2.34 – $4.02 | 2 |
| Cathj umbilical vein dx/ther nb CPT 36510 | $1,015.20 | $1,399.00 | $46.75 – $123.00 | 8 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $812.80 | $1,120.00 | $3.51 – $79.99 | 13 |
| Cath pezzer 34fr drain bardex propor head mushrm ltx HCPCS A4340 | $103.20 | $142.00 | $12.80 – $48.31 | 2 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $460.00 | $634.00 | $57.20 – $993.28 | 8 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $348.80 | $481.00 | $6.88 – $34.42 | 12 |
| Cath w/drainage 2-way latex HCPCS A4314 | $155.20 | $214.00 | $18.78 – $55.99 | 2 |
| Cath w/drainage 2-way silcne HCPCS A4315 | $196.20 | $327.00 | $19.46 – $60.19 | 2 |
| Cauterization chemical granulation tissue CPT 17250 | $494.40 | $681.00 | $28.40 – $79.52 | 8 |
| #cbg+cort-cbg CPT 84449 | $246.00 | $410.00 | $17.79 – $42.38 | 8 |
| Cciiv4 vacc abx free im CPT 90756 | $21.00 | $35.00 | $11.00 – $29.13 | 8 |
| Cciiv4 vac no prsv 0.5 ml im CPT 90674 | $21.00 | $35.00 | $11.00 – $17.04 | 7 |
| Cdna analysis for variants CPT 81403 | $2,276.80 | $2,846.00 | $144.60 – $183.04 | 2 |
| Cebpa gene full sequence CPT 81218 | $2,643.20 | $3,642.00 | $239.08 – $449.24 | 8 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $42.00 | $70.00 | $0.80 – $0.97 | 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.