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UPMC Wellsboro

32-36 Central Avenue, Wellsboro, PA 16901 · (570) 723-7764

Critical Access HospitalsVoluntary non-profit - PrivateCMS rating 3/5

Price file

Prices published

File dated 2026-03-06

8,407 price rows for 56 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines

$187
cash
$4,453
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines

$1,603
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines

$1,902
cash
—
cash
—
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 28 lines

$276
cash
Colonoscopy (diagnostic)

CPT 45378 · lowest of 2 lines

$1,575
cash
Colonoscopy with biopsy

CPT 45380 · lowest of 4 lines

$363
cash
Colonoscopy with polyp removal

CPT 45385 · lowest of 2 lines

$3,253
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 4 lines

$95
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines

$215
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 2 lines

$483
cash
$194
cash
Family psychotherapy with the patient

CPT 90847 · lowest of 2 lines

$106
cash
Family psychotherapy without the patient

CPT 90846 · lowest of 2 lines

$106
cash
—
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 22 lines

$276
cash
—
cash
—
cash
—
cash
—
cash
—
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 14 lines

$228
cash
Liver function panel

CPT 80076 · lowest of 4 lines

$232
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines

$3,804
cash
$2,514
cash
$2,514
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines

$2,424
cash
—
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 4 lines

$134
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 4 lines

$225
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 4 lines

$293
cash
PSA test (prostate)

CPT 84153 · lowest of 10 lines

$198
cash
$106
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines

$691
cash
Preventive visit, new patient age 18 to 39

CPT 99385 · lowest of 4 lines

$115
cash
Preventive visit, new patient age 40 to 64

CPT 99386 · lowest of 2 lines

$209
cash
Prostate biopsy

CPT 55700 · lowest of 4 lines

$235
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 10 lines

$77
cash
Psychotherapy, 30 minutes

CPT 90832 · lowest of 2 lines

$106
cash
Psychotherapy, 45 minutes

CPT 90834 · lowest of 2 lines

$106
cash
Psychotherapy, 60 minutes

CPT 90837 · lowest of 2 lines

$106
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 2 lines

$226
cash
—
cash
Sleep study (overnight, attended)

CPT 95810 · lowest of 2 lines

$5,467
cash
$1,261
cash
TSH test (thyroid)

CPT 84443 · lowest of 12 lines

$227
cash
—
cash
Transvaginal ultrasound

CPT 76830 · lowest of 2 lines

$679
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines

$917
cash
Upper endoscopy (EGD)

CPT 43235 · lowest of 2 lines

$3,526
cash
Upper endoscopy with biopsy

CPT 43239 · lowest of 2 lines

$3,526
cash
Urinalysis with microscope

CPT 81001 · lowest of 4 lines

$70
cash
—
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 2 lines

$710
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.