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 |
|---|---|---|---|---|
| Clsd tx hip disloc without anes 27265 CPT 27265 | $868.80 | $1,197.00 | $260.70 – $1,080.46 | 8 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $998.40 | $1,376.00 | $135.85 – $993.28 | 8 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $998.40 | $1,376.00 | $123.20 – $993.28 | 8 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $4,051.20 | $5,583.00 | $437.41 – $993.28 | 2 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | $1,163.20 | $1,603.00 | $148.50 – $993.28 | 8 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $882.40 | $1,216.00 | $42.90 – $993.28 | 8 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $998.40 | $1,376.00 | $76.45 – $993.28 | 8 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $998.40 | $1,376.00 | $116.60 – $993.28 | 8 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $647.20 | $891.00 | $129.80 – $993.28 | 8 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $825.60 | $1,376.00 | $92.95 – $993.28 | 8 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $998.40 | $1,376.00 | $112.20 – $432.19 | 8 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $998.40 | $1,376.00 | $144.10 – $618.80 | 8 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $950.40 | $1,309.00 | $216.70 – $993.28 | 8 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $998.40 | $1,376.00 | $61.60 – $993.28 | 8 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $998.40 | $1,376.00 | $113.30 – $993.28 | 8 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $4,070.40 | $5,609.00 | $130.35 – $993.28 | 8 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $998.40 | $1,376.00 | $80.30 – $364.94 | 8 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $3,791.20 | $5,225.00 | $172.70 – $993.28 | 8 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $3,791.20 | $5,225.00 | $152.90 – $993.28 | 8 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $998.40 | $1,376.00 | $31.88 – $728.32 | 8 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $742.40 | $1,023.00 | $53.35 – $197.21 | 8 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $998.40 | $1,376.00 | $731.96 – $993.28 | 2 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $868.80 | $1,197.00 | $262.90 – $1,243.08 | 8 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $998.40 | $1,376.00 | $118.80 – $993.28 | 8 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $998.40 | $1,376.00 | $558.02 – $993.28 | 2 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $998.40 | $1,376.00 | $134.20 – $993.28 | 8 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $882.40 | $1,216.00 | $160.60 – $993.28 | 8 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $998.40 | $1,376.00 | $110.00 – $993.28 | 8 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $882.40 | $1,216.00 | $172.70 – $993.28 | 8 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $998.40 | $1,376.00 | $122.10 – $993.28 | 8 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | $998.40 | $1,376.00 | $122.10 – $494.01 | 8 |
| Cltx lunate dislc w/mnpj CPT 25690 | $998.40 | $1,376.00 | $250.80 – $993.28 | 8 |
| Cltx mndblr fx w/mnpj CPT 21451 | $4,051.20 | $5,583.00 | $439.45 – $1,219.84 | 8 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $2,933.60 | $4,043.00 | $123.20 – $993.28 | 8 |
| #cmvcul-virus inoculation shell CPT 87254 | $10.00 | $14.00 | $5.41 – $19.33 | 8 |
| Cmv pcr-sendout CPT 87496 | $1,040.80 | $1,434.00 | $34.68 – $67.78 | 8 |
| Co2 monitor per day CPT 94681 | $1,197.60 | $1,651.00 | $28.80 – $235.10 | 8 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $32,266.20 | $53,777.00 | $2.65 – $2.92 | 6 |
| Coagulation time activated teg CPT 85347 | $31.00 | $42.00 | $4.23 – $8.98 | 8 |
| Coagulation time otr method CPT 85348 | $40.20 | $55.00 | $4.44 – $8.76 | 8 |
| Cold agglutinin titer CPT 86157 | $120.80 | $167.00 | $7.96 – $18.98 | 8 |
| Colistimethate sodium inj HCPCS J0770 | $129.00 | $215.00 | $13.06 – $14.37 | 5 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $312.00 | $431.00 | $14.72 – $64.11 | 2 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $75.60 | $104.00 | $19.20 – $48.29 | 2 |
| Collar cerv ascend 172 reg HCPCS L0172 | $163.20 | $225.00 | $110.66 – $241.85 | 2 |
| Collar cerv patriot adlt HCPCS L0150 | $141.60 | $195.00 | $115.55 – $207.45 | 2 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $196.00 | $270.00 | $31.08 – $90.66 | 2 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $196.00 | $270.00 | $38.42 – $90.66 | 2 |
| Colonoscopy (diagnostic) CPT 45378 | $2,000.00 | $2,625.00 | $198.55 – $728.81 | 8 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | $3,933.60 | $5,421.00 | $261.22 – $1,152.55 | 8 |
| Colonoscopy for bleeding 44391 CPT 44391 | $3,933.60 | $5,421.00 | $241.94 – $850.17 | 8 |
| Colonoscopy for foreign body CPT 44390 | $3,933.60 | $5,421.00 | $213.15 – $569.41 | 8 |
| Colonoscopy & polypectomy 44392 CPT 44392 | $3,933.60 | $5,421.00 | $212.64 – $1,144.47 | 8 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | $3,933.60 | $5,421.00 | $993.28 – $1,144.47 | 2 |
| Colonoscopy submucous njx CPT 45381 | $3,933.60 | $5,421.00 | $234.53 – $993.28 | 8 |
| Colonoscopy thru stoma spx CPT 44388 | $3,816.80 | $5,261.00 | $160.08 – $993.28 | 8 |
| Colonoscopy w/ablation CPT 45388 | $3,933.60 | $5,421.00 | $993.28 – $993.28 | 1 |
| Colonoscopy w/balloon dilat CPT 45386 | $3,933.60 | $5,421.00 | $255.45 – $1,348.86 | 8 |
| Colonoscopy w/band ligation CPT 45398 | $3,933.60 | $5,421.00 | $993.28 – $993.28 | 1 |
| Colonoscopy w/control bleed CPT 45382 | $3,933.60 | $5,421.00 | $279.40 – $1,050.06 | 8 |
| Colonoscopy w/decompression CPT 44408 | $3,816.80 | $5,261.00 | $993.28 – $993.28 | 1 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | $3,933.60 | $5,421.00 | $241.22 – $993.28 | 8 |
| Colonoscopy w/endoscopic fnb CPT 45392 | $3,933.60 | $5,421.00 | $305.16 – $993.28 | 8 |
| Colonoscopy/w endoscopic stent 45389 CPT 45389 | $7,896.80 | $10,883.00 | $993.28 – $993.28 | 1 |
| Colonoscopy w/fb removal CPT 45379 | $2,431.20 | $3,351.00 | $260.75 – $985.01 | 8 |
| Colonoscopy w/injection CPT 44404 | $3,933.60 | $5,421.00 | $993.28 – $993.28 | 1 |
| Colonoscopy with ablation CPT 44401 | $3,933.60 | $5,421.00 | $993.28 – $993.28 | 1 |
| Colonoscopy (with biopsy) CPT 45380 | $3,933.60 | $5,421.00 | $247.96 – $841.35 | 8 |
| Colonoscopy with biopsy CPT 44389 | $3,933.60 | $5,421.00 | $177.36 – $837.42 | 8 |
| Colonoscopy (with polyp removal) CPT 45385 | $3,933.60 | $5,421.00 | $294.89 – $1,152.55 | 8 |
| Colonoscopy w/resection CPT 45390 | $3,933.60 | $5,421.00 | $993.28 – $993.28 | 1 |
| Colonoscopy w/stent plcmt CPT 44402 | $7,896.80 | $10,883.00 | $993.28 – $993.28 | 1 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | $434.40 | $599.00 | $43.45 – $747.52 | 8 |
| Colposcopy vulva 56820 CPT 56820 | $1,577.60 | $2,175.00 | $84.96 – $993.28 | 8 |
| Colposcopy vulva w/biopsy 56821 CPT 56821 | $2,133.60 | $2,940.00 | $116.29 – $993.28 | 8 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | $2,084.80 | $2,873.00 | $111.85 – $993.28 | 8 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $524.00 | $722.00 | $21.00 – $95.54 | 8 |
| Compatibility test each unit electronic CPT 86923 | $100.00 | $138.00 | $21.00 – $35.79 | 7 |
| Compatibility test each unit immediate spin technique CPT 86920 | $266.40 | $368.00 | $21.00 – $95.54 | 8 |
| Comp cystometrogram/void presssure 51728 CPT 51728 | $2,793.60 | $3,850.00 | $179.71 – $426.43 | 8 |
| Comp cystometrogram/void/uret pres 51729 CPT 51729 | $2,826.40 | $3,896.00 | $185.05 – $459.50 | 8 |
| Complement antigen each component c3 CPT 86160 | $332.00 | $458.00 | $11.86 – $28.27 | 8 |
| Complement fixation each CPT 86171 | $120.80 | $167.00 | $7.00 – $11.93 | 8 |
| Complex cystometrogram 51726 CPT 51726 | $4,291.20 | $5,914.00 | $46.75 – $993.28 | 8 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $998.40 | $1,376.00 | $66.00 – $993.28 | 8 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $2,627.20 | $3,620.00 | $491.80 – $993.28 | 2 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | $1,703.20 | $2,347.00 | $26.40 – $153.87 | 8 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $2,627.20 | $3,620.00 | $194.70 – $993.28 | 8 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $2,627.20 | $3,620.00 | $993.28 – $1,091.00 | 2 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $798.40 | $1,100.00 | $151.64 – $287.80 | 2 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $2,627.20 | $3,620.00 | $78.10 – $993.28 | 8 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $2,627.20 | $3,620.00 | $756.33 – $993.28 | 2 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $998.40 | $1,376.00 | $93.25 – $176.83 | 2 |
| Composite drsg >16<=48 sq in HCPCS A6204 | $5.40 | $7.00 | $7.18 – $14.32 | 2 |
| Concentration infection agents any type CPT 87015 | $92.80 | $128.00 | $6.60 – $12.78 | 8 |
| Condylomata destruction 56420 CPT 56420 | $712.80 | $983.00 | $55.55 – $864.00 | 8 |
| Conform band n/s w>=3"<5"/yd HCPCS A6443 | $4.80 | $6.00 | $0.29 – $0.52 | 2 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | not published | not published | $239.75 – $993.28 | 8 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $1,375.20 | $2,292.00 | $392.06 – $431.27 | 6 |
| Consultation pathology during surgery CPT 88329 | $192.00 | $265.00 | $29.77 – $90.51 | 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.