Upmc Wellsboro

Wellsboro, PA · 20 beds · 70 procedures priced

Sourced from this hospital's machine-readable file, posted Wed Jun 03 2026 00:00:00 GMT+0000 (Coordinated Universal Time) · data quality 100/100 · source file ↗

Category

Procedure ▲	Negotiated i	Cash i	Gross i
ACL Reconstruction (Arthroscopic)	$2,059$993$3.1k	—	—
Basic Metabolic Panel	$123$8$295	$206	$297
Bone Marrow Biopsy	$311$65$1.4k	$930	$1,276
Breast Biopsy (Ultrasound-guided)	$2,523$153$6.1k	$4,229	$6,084
Bunion Correction Surgery	$1,526$1.4k$1.7k	—	—
Carpal Tunnel Release Surgery	$335$330$921	—	—
Cataract Surgery with Lens Implant	$672$663$2.9k	—	—
Chemotherapy Infusion (First Hour)	$533$137$1.3k	$893	$1,285
Chest X-ray (2 Views)	$382$19$919	$641	$922
Colonoscopy with Biopsy	$1,042$109$5.1k	$3,253	$4,917
Complete Abdominal Ultrasound	$604$74$1.5k	$1,013	$1,457
Complete Blood Count (CBC) with Differential	$63$6$151	$105	$152
Comprehensive Metabolic Panel	$142$10$341	$238	$343
Critical Care, First Hour	$539$74$2.8k	$1,093	$1,682
CT Abdomen and Pelvis with Contrast	$2,935$247$7.1k	$4,919	$7,077
CT Cardiac Calcium Scoring	$106$38$238	$163	$230
CT Chest without Contrast	$1,479$106$3.6k	$2,480	$3,567
CT Head without Contrast	$1,056$99$2.5k	$1,771	$2,547
DEXA Bone Density Scan	$174$66$399	$286	$410
Diagnostic Colonoscopy	$1,090$199$2.5k	$1,788	$2,563
Diagnostic Mammogram (Both Breasts)	$332$116$765	$534	$768
Ear Tube Placement (Tympanostomy)	$4,697$108$11k	$7,873	$11,326
Echocardiogram (Complete with Doppler)	$1,493$126$3.6k	$2,502	$3,600
Emergency Room Visit (Level 3)	$248$37$1.2k	$620	$976
Hemoglobin A1c (Diabetes Test)	$119$7$262	$166	$263
HIV Antibody Test	$109$9$237	$161	$232
Home Sleep Study	$455$114$856	$597	$859
Individual Therapy Session (45 Minutes)	$77$29$167	$117	$168
Inguinal Hernia Repair (Open)	$354$349$1.1k	—	—
Initial Psychiatric Diagnostic Evaluation	$132$34$238	$167	$240
IUD Insertion	$182$19$960	$394	$572
IUD Removal	$192$19$993	$590	$891
Knee Arthroscopy with Meniscectomy	$606$598$1.9k	—	—
Laparoscopic Appendectomy	$1,031$993$1.1k	—	—
Laparoscopic Gallbladder Removal	$1,204$993$1.4k	—	—
Laparoscopic Tubal Ligation	$1,179$993$1.4k	—	—
Lipid Panel (Cholesterol Test)	$163$13$361	$263	$345
Lumbar Puncture (Spinal Tap)	$552$46$2.3k	$1,241	$1,858
Lumpectomy (Partial Mastectomy)	$773$553$993	—	—
MRI Abdomen with and without Contrast	$2,643$604$6.3k	$4,430	$6,374
MRI Brain with and without Contrast	$2,507$344$6.0k	$4,202	$6,045
MRI Brain with Contrast	$1,918$344$4.6k	$3,215	$4,626
MRI Brain without Contrast	$1,581$344$3.8k	$2,650	$3,812
MRI Cervical Spine (Neck) without Contrast	$1,598$344$3.8k	$2,678	$3,853
MRI Knee without Contrast	$2,101$344$4.0k	$2,777	$3,995
MRI Lower Back (Lumbar Spine) without Contrast	$1,657$240$4.0k	$2,777	$3,995
MRI Thoracic Spine (Mid-back) without Contrast	$1,657$240$4.0k	$2,777	$3,995
Newborn Circumcision	$458$87$1.5k	$600	$953
Nuclear Cardiac Stress Test	$2,773$356$6.7k	$4,647	$6,685
Office Visit, Established Patient (Level 3)	$68$13$397	$106	$176
Office Visit, New Patient (Level 3)	$80$15$518	$134	$223
Pregnancy Ultrasound (Second or Third Trimester)	$455$60$1.1k	$763	$1,098
Prostate Biopsy	$489$70$2.4k	$1,504	$2,273
PSA Prostate Cancer Screening	$142$18$314	$228	$299
Pulmonary Function Test with Bronchodilator	$347$15$834	$582	$837
Rotator Cuff Repair (Arthroscopic)	$1,473$993$2.0k	—	—
Screening Mammogram	$169$62$358	$250	$360
Skin Biopsy (Tangential)	$196$35$993	$300	$453
Skin Lesion Removal (Benign, up to 0.5 cm)	$1,153$43$5.7k	$3,599	$5,441
Sleep Study (In-lab Polysomnography)	$3,603$346$8.7k	$6,039	$8,688
Spirometry (Breathing Test)	$113$12$361	$228	$345
Tonsillectomy and Adenoidectomy (Age 12 and Over)	$830$765$896	—	—
Tonsillectomy and Adenoidectomy (Under Age 12)	$762$635$888	—	—
Total Hip Replacement	$5,412$821$25k	$16,075	$24,301
Total Knee Replacement	$3,363$993$5.7k	—	—
TSH Thyroid Function Test	$191$17$711	$274	$378
Upper GI Endoscopy (EGD)	$2,324$138$5.6k	$3,895	$5,604
Urinalysis with Microscopy	$46$3$111	$78	$112
Vasectomy	$1,221$121$6.0k	$3,810	$5,760
Vitamin D Blood Test	$162$29$359	$262	$343

Median facility price per procedure. Negotiated shows the median across payers with the full range. Figures as reported in the hospital's file — not a quote.