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 |
|---|---|---|---|---|
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $213.60 | $294.00 | $20.49 – $142.38 | 8 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $256.00 | $353.00 | $9.97 – $84.57 | 8 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $333.60 | $460.00 | $9.60 – $199.91 | 8 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $891.20 | $1,229.00 | $13.26 – $183.70 | 8 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $222.40 | $307.00 | $48.00 – $132.96 | 2 |
| Consult comp w/report rfrd material CPT 88325 | $212.80 | $293.00 | $62.72 – $189.89 | 2 |
| Contrast baths charges CPT 97034 | $124.80 | $172.00 | $16.61 – $26.74 | 2 |
| Contrast x-ray gallbladder CPT 74290 | $870.40 | $1,199.00 | $28.80 – $104.08 | 8 |
| Contrast x-ray of ankle CPT 73615 | $868.80 | $1,197.00 | $35.20 – $245.64 | 2 |
| Contrast x-ray of elbow CPT 73085 | $868.80 | $1,197.00 | $35.20 – $245.64 | 2 |
| Contrast x-ray of hip CPT 73525 | $868.80 | $1,197.00 | $60.80 – $245.64 | 2 |
| Contrast x-ray of knee joint CPT 73580 | $868.80 | $1,197.00 | $21.12 – $290.47 | 2 |
| Contrast x-ray of wrist CPT 73115 | $868.80 | $1,197.00 | $35.20 – $205.25 | 2 |
| Control nosebleed pack+caut 30905 CPT 30905 | $569.60 | $785.00 | $87.45 – $993.28 | 8 |
| Control of nosebleed ant comp 30903 CPT 30903 | $569.60 | $785.00 | $44.55 – $508.16 | 8 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $569.60 | $785.00 | $29.70 – $993.28 | 8 |
| Conv gtube to jtube CPT 44373 | $4,128.80 | $5,690.00 | $196.35 – $993.28 | 8 |
| Coombs direct CPT 86880 | $84.80 | $117.00 | $5.32 – $12.66 | 8 |
| Coombs indirect titer reference CPT 86886 | $370.40 | $510.00 | $5.12 – $12.19 | 8 |
| Copper intrauterine device HCPCS J7300 | $2,606.40 | $3,258.00 | $976.19 – $976.19 | 1 |
| Core ndl bx lng/med perq CPT 32408 | $3,521.60 | $4,853.00 | $133.56 – $1,058.79 | 8 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | not published | not published | $1,388.80 – $1,662.99 | 2 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | not published | not published | $1,544.15 – $1,756.16 | 2 |
| Cornea pre-cut midwest eye cornea pre-cut midwest eye HCPCS V2785 | $1,451.20 | $2,000.00 | $326.52 – $1,632.60 | 13 |
| Coronary thrombolysis/iv infusion 92977 CPT 92977 | $577.60 | $796.00 | $113.51 – $408.90 | 2 |
| Correct bunion/keller/mcbride/mayo 28292 CPT 28292 | not published | not published | $329.45 – $1,582.08 | 8 |
| Cortisol total am CPT 82533 | $1,184.80 | $1,633.00 | $12.00 – $20.45 | 8 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $594.40 | $743.00 | $25.37 – $27.91 | 5 |
| Co-treatment - group 15 mins, st CPT 92508 | $110.40 | $152.00 | $12.80 – $41.15 | 2 |
| Counseling smoke cess interm >10mins CPT 99407 | $64.00 | $84.00 | $21.26 – $37.93 | 8 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $3,664.00 | $5,049.00 | $824.40 – $4,122.00 | 13 |
| Cover eye w/membrane CPT 65778 | $17,461.60 | $24,064.00 | $993.28 – $1,838.17 | 2 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $25.20 | $42.00 | not published | 0 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose HCPCS M0249 | $1,360.00 | $1,700.00 | $351.76 – $460.81 | 2 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose HCPCS M0250 | $1,360.00 | $1,700.00 | $351.76 – $460.81 | 2 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $112.80 | $155.00 | $10.18 – $12.87 | 2 |
| CPAP or BiPAP Setup (first day) CPT 94660 | $208.00 | $287.00 | $43.85 – $168.46 | 2 |
| C-peptide CPT 84681 | $421.60 | $581.00 | $20.57 – $49.00 | 8 |
| CPR (Cardiopulmonary Resuscitation) CPT 92950 | $729.60 | $1,006.00 | $218.68 – $218.68 | 1 |
| Cr-51 sodium chromate HCPCS A9553 | $504.80 | $696.00 | $113.58 – $567.90 | 12 |
| Crbrospnl fld flw imag cistern CPT 78630 | $3,645.60 | $5,024.00 | $104.32 – $531.61 | 8 |
| C-reactive protein CPT 86140 | $288.00 | $397.00 | $3.00 – $5.12 | 8 |
| C-reactive protein high sensitivity CPT 86141 | $571.20 | $952.00 | $10.53 – $17.95 | 8 |
| C-reactive protein, quantitative CPT 86406 | $533.60 | $735.00 | $10.51 – $24.85 | 8 |
| Create eardrum opening CPT 69436 | $8,618.40 | $11,878.00 | $108.35 – $657.92 | 8 |
| Creatine kinase CPT 82550 | $153.60 | $212.00 | $6.44 – $12.25 | 8 |
| Creatine kinase isoenzymes CPT 82552 | $45.80 | $63.00 | $13.24 – $31.53 | 8 |
| Creatine kinase mb CPT 82553 | $176.80 | $244.00 | $10.08 – $17.18 | 8 |
| Creatinine CPT 82565 | $47.80 | $66.00 | $5.07 – $10.92 | 8 |
| Creatinine 24 hour urine CPT 82570 | $128.80 | $177.00 | $5.12 – $12.19 | 8 |
| Creatinine clearance urine CPT 82575 | $176.80 | $244.00 | $9.35 – $17.04 | 8 |
| #creutz-prot.,western blot CPT 84182 | $176.80 | $244.00 | $24.55 – $41.84 | 8 |
| Critical care each additional 30 minutes CPT 99292 | $609.60 | $840.00 | $81.84 – $168.81 | 8 |
| Critical Care (first 30 to 74 minutes) CPT 99291 | $2,172.00 | $2,994.00 | $166.79 – $343.60 | 8 |
| Crizanlizumab-tmca 10 mg/ml intravenous solution HCPCS J0791 | $272.40 | $454.00 | $129.48 – $142.43 | 6 |
| Crotalidae poly immune fab HCPCS J0840 | $14,450.40 | $24,084.00 | $1,828.71 – $2,011.59 | 6 |
| Cryocautery of cervix 57511 CPT 57511 | $723.20 | $996.00 | $56.65 – $1,004.80 | 8 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $65.40 | $90.00 | $5.00 – $13.97 | 8 |
| Cryoprecipitate each unit HCPCS P9012 | $284.00 | $392.00 | $58.09 – $64.28 | 2 |
| Cryptosporidium antigen CPT 87272 | $196.80 | $271.00 | $9.36 – $11.84 | 2 |
| Crystal identification light microscopy CPT 89060 | $112.80 | $155.00 | $7.24 – $12.78 | 8 |
| Csf leakage imaging CPT 78650 | $4,322.40 | $5,957.00 | $69.12 – $622.07 | 8 |
| CT 3d report other modality w/workstation CPT 76377 | $843.20 | $1,162.00 | $30.43 – $282.47 | 2 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $3,747.20 | $5,164.00 | $241.37 – $680.98 | 2 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $8,850.40 | $12,197.00 | $427.14 – $768.10 | 8 |
| CT Angiogram of the Abdomen CPT 74175 | $4,521.60 | $6,232.00 | $268.54 – $757.69 | 8 |
| CT Angiogram of the Abdomen and Both Legs CPT 75635 | $5,761.60 | $7,940.00 | $292.30 – $831.10 | 8 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $4,092.00 | $5,640.00 | $277.50 – $783.06 | 8 |
| CT Angiogram of the Head CPT 70496 | $4,948.80 | $6,820.00 | $256.26 – $722.50 | 8 |
| CT Angiogram of the Neck CPT 70498 | $3,143.20 | $4,331.00 | $256.26 – $722.50 | 8 |
| CT angio hrt w/3d image CPT 75574 | $2,580.00 | $3,555.00 | $265.05 – $562.36 | 8 |
| CT angio pelvis CPT 72191 | $3,016.00 | $4,157.00 | $268.54 – $757.69 | 8 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $4,521.60 | $6,232.00 | $241.37 – $680.98 | 2 |
| CT guidance for needle placement CPT 77012 | $3,512.00 | $4,841.00 | $130.88 – $468.73 | 8 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $3,532.80 | $4,869.00 | $12.80 – $388.27 | 8 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $200.00 | $250.00 | $44.52 – $107.43 | 8 |
| CT hrt w/3d image CPT 75572 | $4,092.00 | $5,640.00 | $216.36 – $402.80 | 8 |
| CT limited or localized follow-up study CPT 76380 | $654.40 | $902.00 | $67.84 – $418.31 | 2 |
| CT lwr extremity w/o&w/dye CPT 73702 | $3,409.60 | $4,699.00 | $118.40 – $775.00 | 2 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $6,921.60 | $9,539.00 | $326.02 – $634.65 | 8 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $5,385.60 | $7,422.00 | $246.69 – $501.96 | 8 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $4,015.20 | $5,534.00 | $129.37 – $321.00 | 8 |
| CT t-spine w /wo contrast CPT 72130 | $3,146.40 | $4,337.00 | $174.08 – $899.77 | 8 |
| CT uppr extremity w/o&w/dye CPT 73202 | $4,323.20 | $5,958.00 | $118.40 – $775.00 | 2 |
| Culture aerobic additional method definitive id each CPT 87077 | $205.60 | $284.00 | $7.10 – $12.10 | 8 |
| Culture afb any source CPT 87116 | $92.80 | $128.00 | $7.50 – $12.78 | 8 |
| Culture anaerobic additional method definitive id each CPT 87076 | $154.40 | $213.00 | $7.99 – $14.91 | 8 |
| Culture anaerobic except blood CPT 87075 | $177.60 | $245.00 | $9.36 – $17.04 | 8 |
| Culture bact stool aero addl path ea CPT 87046 | $104.00 | $144.00 | $2.61 – $9.33 | 8 |
| Culture body fluid CPT 87070 | $280.80 | $387.00 | $6.90 – $11.76 | 8 |
| Culture fungi definitive id mold CPT 87107 | $166.40 | $229.00 | $10.20 – $19.46 | 8 |
| Culture fungi definitive id yeast CPT 87106 | $90.40 | $125.00 | $9.70 – $16.53 | 8 |
| Culture fungi other (except blood) CPT 87102 | $207.20 | $286.00 | $8.31 – $16.53 | 8 |
| Culture fungi skin/hair/nail CPT 87101 | $85.60 | $118.00 | $7.62 – $16.53 | 8 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $154.20 | $257.00 | $14.44 – $25.77 | 8 |
| Culture mycoplasma any source CPT 87109 | $350.40 | $483.00 | $15.21 – $27.27 | 8 |
| Culture screening strep group a CPT 87081 | $337.60 | $465.00 | $5.20 – $8.86 | 8 |
| Culture typing immunologic CPT 87147 | $17.40 | $24.00 | $3.00 – $5.12 | 8 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $65.40 | $90.00 | $34.68 – $68.54 | 8 |
| Culture urine each isolate CPT 87088 | $92.80 | $128.00 | $8.00 – $13.63 | 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.