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 |
|---|---|---|---|---|
| Cefepime 1 gram solution for injection HCPCS J0692 | $186.60 | $311.00 | $1.22 – $3.73 | 6 |
| Cefotaxime sodium injection HCPCS J0698 | $10.20 | $17.00 | $3.06 – $15.30 | 13 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $105.00 | $175.00 | $4.78 – $5.26 | 5 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $814.20 | $1,357.00 | $4.23 – $4.65 | 6 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $41.40 | $69.00 | $1.57 – $3.86 | 6 |
| Ceftazidime and avibactam HCPCS J0714 | $1,516.80 | $2,528.00 | $104.73 – $115.20 | 6 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $75.00 | $125.00 | $0.43 – $0.84 | 6 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | $30.60 | $51.00 | $1.85 – $2.03 | 5 |
| #celiac hla-dq8 CPT 81383 | $1,607.40 | $2,679.00 | $107.86 – $202.97 | 8 |
| Cell count body fluid CPT 89050 | $224.80 | $310.00 | $4.50 – $7.67 | 8 |
| Cell count w differential body fluid CPT 89051 | $191.20 | $264.00 | $5.54 – $11.93 | 8 |
| Cell cryopreserve/storage CPT 88240 | $161.60 | $223.00 | $10.20 – $12.92 | 2 |
| Cell function assay w/stim CPT 86352 | $1,087.20 | $1,498.00 | $77.84 – $134.27 | 8 |
| Cell marker study CPT 88182 | $166.40 | $229.00 | $8.79 – $187.13 | 8 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | $42,145.80 | $70,243.00 | $29.29 – $32.22 | 6 |
| Cerebrospinal fld flw imag CPT 78645 | $700.00 | $965.00 | $140.80 – $417.57 | 8 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | $34.60 | $43.25 | $3.91 – $5,821.73 | 7 |
| Cervical or vaginal cancer screening g0101 HCPCS G0101 | $48.00 | $80.00 | $59.23 – $59.23 | 1 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $2,809.20 | $4,682.00 | $78.37 – $86.21 | 6 |
| #cf-97variants CPT 81220 | $3,108.00 | $5,180.00 | $445.28 – $758.85 | 8 |
| Cftr gene intron poly t CPT 81224 | $288.00 | $360.00 | $131.76 – $166.78 | 2 |
| Change cystostomy tube simple CPT 51705 | $998.40 | $1,376.00 | $30.80 – $121.47 | 8 |
| Change of windpipe airway 31502 CPT 31502 | $571.20 | $788.00 | $117.61 – $162.28 | 2 |
| Chemo adm cns w/lmbr punct CPT 96450 | $841.60 | $1,160.00 | $84.33 – $162.34 | 8 |
| Chemo extend IV infus w/pump HCPCS G0498 | $841.60 | $1,160.00 | $259.71 – $259.71 | 1 |
| Chemotherapy injection 96542 CPT 96542 | $841.60 | $1,160.00 | $41.17 – $223.04 | 8 |
| Chemotx admn pertl cav impl CPT 96446 | $637.60 | $879.00 | $18.81 – $260.09 | 8 |
| Chest 2 vws w oblique CPT 71048 | $603.20 | $832.00 | $24.87 – $55.27 | 8 |
| Chest apical lordotic proj CPT 71047 | $603.20 | $832.00 | $24.19 – $51.48 | 8 |
| Chest CT scan (with and without contrast) CPT 71270 | $3,812.80 | $5,254.00 | $132.48 – $914.06 | 8 |
| Chest CT scan (with contrast) CPT 71260 | $3,222.40 | $4,440.00 | $112.00 – $748.17 | 8 |
| Chest CT scan (without contrast) CPT 71250 | $2,714.40 | $3,741.00 | $106.37 – $641.23 | 8 |
| Chest Physiotherapy (first session) CPT 94667 | $287.20 | $396.00 | $49.73 – $90.66 | 2 |
| Chest Physiotherapy (follow-up session) CPT 94668 | $233.60 | $322.00 | $30.14 – $90.66 | 2 |
| Chest Ultrasound CPT 76604 | $557.60 | $769.00 | $60.06 – $184.89 | 8 |
| Chest X-ray CPT 71046 | $701.60 | $967.00 | $19.01 – $40.29 | 8 |
| Chest X-ray (single view) CPT 71045 | $212.00 | $292.00 | $10.38 – $26.38 | 8 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $862.40 | $1,189.00 | $71.69 – $143.29 | 8 |
| Chlamydia culture CPT 87110 | $883.20 | $1,217.00 | $19.38 – $44.48 | 8 |
| Chlamydia type CPT 87140 | $63.20 | $87.00 | $3.00 – $5.50 | 8 |
| Chlnggrphy intraop addl s&i CPT 74301 | $288.80 | $398.00 | $92.81 – $92.81 | 1 |
| Chloride CPT 82435 | $47.80 | $66.00 | $4.55 – $10.80 | 8 |
| Chloride 24 hour urine CPT 82436 | $80.80 | $111.00 | $5.68 – $11.84 | 8 |
| Chloroprocaine hcl injection HCPCS J2401 | $1.20 | $1.50 | $0.04 – $0.04 | 5 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $1,236.80 | $1,546.00 | $39.45 – $43.39 | 5 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $215.40 | $359.00 | $25.27 – $27.79 | 5 |
| Chlorpromazine 100 mg tablet HCPCS Q0161 | $0.80 | $1.00 | $0.18 – $0.90 | 13 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $1,188.80 | $1,638.00 | $112.07 – $112.07 | 1 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $4,756.80 | $6,555.00 | $241.92 – $845.77 | 2 |
| Cholesterol CPT 82465 | $47.80 | $66.00 | $4.30 – $10.24 | 8 |
| Cholesterol body fluid CPT 84999 | $622.40 | $858.00 | $64.62 – $323.10 | 12 |
| Cholesterol (Lipid) Test CPT 80061 | $276.00 | $380.00 | $13.24 – $23.86 | 8 |
| Cholinesterase CPT 82480 | $103.20 | $172.00 | $6.00 – $10.23 | 8 |
| Chromatography CPT 83021 | $22.40 | $31.00 | $17.85 – $34.03 | 8 |
| Chromogenic substrate assay CPT 85130 | $158.40 | $264.00 | $9.28 – $11.76 | 2 |
| Chromo high res and frag x - sendout CPT 81243 | $770.40 | $1,148.00 | $45.63 – $77.76 | 8 |
| Chromosome analysis 15-20 cell count CPT 88262 | $1,241.60 | $1,712.00 | $124.02 – $293.55 | 8 |
| Chromosome analysis 45 CPT 88263 | $1,109.60 | $1,529.00 | $148.54 – $353.91 | 8 |
| Chromosome study additional CPT 88289 | $1,276.00 | $1,759.00 | $34.03 – $69.11 | 8 |
| Chronic urticaria - sendout CPT 86343 | $160.00 | $221.00 | $9.73 – $12.32 | 2 |
| Chylomicron screen, bf - sendout CPT 82664 | $404.80 | $558.00 | $48.03 – $60.78 | 2 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $9.00 | $15.00 | $2.90 – $3.19 | 5 |
| Circum 28 days or older CPT 54161 | not published | not published | $140.80 – $787.20 | 8 |
| Circumcision (newborn) CPT 54150 | $630.60 | $1,051.00 | $86.90 – $456.96 | 6 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $83.40 | $139.00 | $2.29 – $2.52 | 5 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $2,014.80 | $3,358.00 | $10.68 – $11.75 | 6 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $2,100.00 | $2,894.00 | $472.50 – $2,362.50 | 12 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $45.80 | $57.25 | $0.70 – $2.01 | 6 |
| Clip ligating vesolock lg HCPCS C1760 | $736.00 | $1,014.00 | $165.60 – $828.00 | 12 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $453.60 | $756.00 | $18.17 – $19.98 | 5 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | $3,630.40 | $5,003.00 | $439.68 – $1,887.48 | 2 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | $561.60 | $774.00 | $313.50 – $1,172.75 | 8 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $3,791.20 | $5,225.00 | $203.50 – $993.28 | 8 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $998.40 | $1,376.00 | $128.15 – $993.28 | 8 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $998.40 | $1,376.00 | $179.30 – $950.71 | 8 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $998.40 | $1,376.00 | $59.95 – $252.19 | 8 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $998.40 | $1,376.00 | $122.10 – $546.42 | 8 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $998.40 | $1,376.00 | $34.65 – $631.04 | 8 |
| Clos txnose fx without stablz 21315 CPT 21315 | $998.40 | $1,376.00 | $131.45 – $751.36 | 8 |
| Clot factor viii reltd antgn CPT 85244 | $348.00 | $480.00 | $20.18 – $48.09 | 8 |
| Clot factor xii hageman CPT 85280 | $197.60 | $272.00 | $13.00 – $22.15 | 8 |
| Clozapine, 25 mg HCPCS S0136 | $8.40 | $10.50 | $0.27 – $0.27 | 1 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $998.40 | $1,376.00 | $108.90 – $993.28 | 8 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $998.40 | $1,376.00 | $586.57 – $993.28 | 2 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $998.40 | $1,376.00 | $53.35 – $367.64 | 8 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $647.20 | $891.00 | $69.30 – $346.45 | 8 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $998.40 | $1,376.00 | $77.55 – $993.28 | 8 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $998.40 | $1,376.00 | $52.80 – $229.39 | 8 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $868.80 | $1,197.00 | $174.90 – $993.28 | 8 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $766.40 | $1,056.00 | $731.96 – $993.28 | 2 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $998.40 | $1,376.00 | $58.30 – $993.28 | 8 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $3,540.00 | $4,878.00 | $434.50 – $1,830.87 | 8 |
| Clsd tx fracture of radius 25500 CPT 25500 | $998.40 | $1,376.00 | $86.35 – $993.28 | 8 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $825.60 | $1,376.00 | $60.50 – $190.44 | 8 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $825.60 | $1,376.00 | $73.15 – $993.28 | 8 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $998.40 | $1,376.00 | $125.95 – $993.28 | 8 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $998.40 | $1,482.00 | $182.60 – $1,272.32 | 8 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $998.40 | $1,376.00 | $125.95 – $993.28 | 8 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $995.20 | $1,371.00 | $220.55 – $1,062.25 | 8 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $882.40 | $1,216.00 | $172.70 – $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.