UPMC · Wellsboro, PA
32
In-network payers
188
Disclosed rate categories
25
Beds
4
Care quality
Upmc Wellsboro is a 25-bed voluntary non-profit - private hospital in Wellsboro, PA, affiliated with UPMC. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 188 disclosed rate categories.
CCN (Medicare provider number)
391316
NPI
1427501766
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
25
Care Quality
4
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Upmc Wellsboro most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$3,347 - $6,101
from 4 insurers · median $5,432
Typical for a hospital with this service line
Childbirth · Inpatient
MS-DRG 807
$8,893
negotiated rate
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
CT imaging
CPT 74176
$2,799 - $4,554
from 4 insurers · median $4,050
Typical for a hospital with this service line
Childbirth · Inpatient
MS-DRG 788
$13,541
negotiated rate
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
CT imaging
CPT 70450
$1,205 - $1,745
from 2 insurers · median $1,475
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$3,433 - $8,324
from 4 insurers · median $4,301
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$436 - $784
from 4 insurers · median $704
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$1,909 - $3,060
from 4 insurers · median $2,236
Typical for a hospital with this service line
MRI imaging
CPT 70553
$3,206 - $5,406
from 4 insurers · median $4,640
Typical for a hospital with this service line
CT imaging
CPT 71260
$2,245 - $2,900
from 3 insurers · median $2,548
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$3,541 - $6,065
from 4 insurers · median $4,039
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$2,921 - $7,047
from 4 insurers · median $3,774
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$3,311 - $5,762
from 4 insurers · median $5,131
Hospital reports nuclear medicine services to CMS
Medicine & Surgery
CPT 47562
$8,097 - $19,874
from 2 insurers · median $13,985
Typical for a hospital with this service line
MRI imaging
CPT 72148
$1,988 - $3,443
from 4 insurers · median $3,066
Typical for a hospital with this service line
Mammography
CPT 77067
$246 - $361
from 4 insurers · median $298
Typical for a hospital with this service line
MRI imaging
CPT 74183
$3,380 - $5,428
from 4 insurers · median $4,892
Typical for a hospital with this service line
MRI imaging
CPT 70551
$1,896 - $3,240
from 4 insurers · median $2,653
Typical for a hospital with this service line
Ultrasound
CPT 76705
$510 - $933
from 4 insurers · median $799
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$4,213 - $7,384
from 4 insurers · median $6,541
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$666 - $1,193
from 4 insurers · median $1,011
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$1,955 - $5,804
from 2 insurers · median $3,879
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$1,264 - $4,529
from 4 insurers · median $1,967
Typical for a hospital with this service line
Lung function and sleep
CPT 95811
$5,217 - $8,769
from 4 insurers · median $7,884
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 18 | 877% | 11 | 0 |
| Insurer B* | 21 | 873% | 21 | 0 |
| Insurer C* | 20 | 758% | 4 | 0 |
| Insurer D* | 24 | 485% | 19 | 1 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Upmc Wellsboro.
32-36 Central Ave, Wellsboro, PA 16901
(570) 724-1631
The nearest hospitals of similar type and size. Their rates are compared with Upmc Wellsboro for the same insurers and services above.
Troy Community Hospital
▼ Rates typically 55% lower than Upmc Wellsboro (22 services)
Bucktail Medical Center
▼ Rates typically 89% lower than Upmc Wellsboro (14 services)
Geisinger Jersey Shore Hospital
▼ Rates typically 69% lower than Upmc Wellsboro (20 services)
Schuyler Hospital
▼ Rates typically 67% lower than Upmc Wellsboro (21 services)
Cuba Memorial Hospital Inc
▼ Rates typically 91% lower than Upmc Wellsboro (21 services)
Soldiers & Sailors Memorial Hospital
▼ Rates typically 80% lower than Upmc Wellsboro (17 services)
Upmc Cole
Upmc Muncy
Brookville Hospital
Corry Memorial Hospital
About Upmc Wellsboro's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Upmc Wellsboro range from $3,206 to $5,406 across 4 insurers. UnitedHealthcare's rate is $5,138. The median at nearby comparable hospitals is $747. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Upmc Wellsboro range from $3,347 to $6,101 across 4 insurers. Blue Cross Blue Shield's rate is $3,347. The median at nearby comparable hospitals is $1,252. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Upmc Wellsboro range from $3,541 to $6,065 across 4 insurers. Aetna's rate is $6,065. The median at nearby comparable hospitals is $1,445. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Upmc Wellsboro range from $8,893 to $8,893 across 1 insurers. Blue Cross Blue Shield's rate is $8,893. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Upmc Wellsboro range from $246 to $361 across 4 insurers. Cigna's rate is $246. The median at nearby comparable hospitals is $225. What a patient pays depends on their plan's deductible, coinsurance and network status.
Upmc Wellsboro has 25 beds. Facility type: Critical Access Hospital.
Upmc Wellsboro is located at 32-36 Central Ave, Wellsboro, PA 16901. Its main phone number is (570) 724-1631.
Upmc Wellsboro's CMS Certification Number (CCN), also called its Medicare provider number, is 391316.
The National Provider Identifier (NPI) on file for Upmc Wellsboro is 1427501766.
Upmc Wellsboro is affiliated with UPMC.
Upmc Wellsboro lists 32 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
188 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers