Hospital

UPMC Wellsboro

UPMC Wellsboro in Wellsboro, PA publishes cash prices for 53 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.

32-36 Central Ave, Wellsboro, PA 16901 Collected Sep 23, 2026 Source price file

Scans and imaging

Procedure	Cash price	List price	Off list
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PLVS W CONTRAST	$4,453.20	$7,422.00	40%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD & PLVS W CONTRAST	$4,453.20	$7,422.00	40%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CONTRAST	$1,602.60	$2,671.00	40%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CONTRAST	$1,602.60	$2,671.00	40%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CON	$1,902.00	$3,170.00	40%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CON	$1,902.00	$3,170.00	40%
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIGITAL DX BILAT WWO CAD	$483.00	$805.00	40%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO DIGITAL DX BILAT WWO CAD	$483.00	$805.00	40%
Diagnostic mammogram, one breast CPT 77065 MAMMO DIGITAL DX UNI WWO CAD	$316.80	$528.00	40%
Diagnostic mammogram, one breast inpatient CPT 77065 MAMMO DIGITAL DX UNI WWO CAD	$316.80	$528.00	40%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR LOW EXTREM ANY JNT WO	$2,514.00	$4,190.00	40%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MR LOW EXTREM ANY JNT WO	$2,514.00	$4,190.00	40%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MR LOW EXTREM ANY JNT W/WO	$4,010.40	$6,684.00	40%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MR LOW EXTREM ANY JNT W/WO	$4,010.40	$6,684.00	40%
MRI of the brain, no contrast dye CPT 70551 MR BRAIN WO CON	$2,398.20	$3,997.00	40%
MRI of the brain, no contrast dye inpatient CPT 70551 MR BRAIN WO CON	$2,398.20	$3,997.00	40%
MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN W WO CON	$3,804.00	$6,340.00	40%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR BRAIN W WO CON	$3,804.00	$6,340.00	40%
MRI of the lower back, no contrast dye CPT 72148 MR SP CANAL LUMBAR WO	$2,514.00	$4,190.00	40%
MRI of the lower back, no contrast dye inpatient CPT 72148 MR SP CANAL LUMBAR WO	$2,514.00	$4,190.00	40%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREGNANT UTERUS>14WKS	$690.60	$1,151.00	40%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREGNANT UTERUS>14WKS	$690.60	$1,151.00	40%
Screening mammogram, both breasts both sides CPT 77067 MAMMO DIGI SCR BILAT WWO CAD	$226.20	$377.00	40%
Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMO DIGI SCR BILAT WWO CAD	$226.20	$377.00	40%
Sleep study in a lab (polysomnography) CPT 95810 PSG 9+PARAM ATTENDED	$5,466.60	$9,111.00	40%
Sleep study in a lab (polysomnography) inpatient CPT 95810 PSG 9+PARAM ATTENDED	$5,466.60	$9,111.00	40%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL	$678.60	$1,131.00	40%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL	$678.60	$1,131.00	40%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMINAL COMPLETE	$916.80	$1,528.00	40%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMINAL COMPLETE	$916.80	$1,528.00	40%
X-ray of the lower back, 4 or more views CPT 72110 SPINE LUMBOSAC MIN 4 VWS	$710.40	$1,184.00	40%
X-ray of the lower back, 4 or more views inpatient CPT 72110 SPINE LUMBOSAC MIN 4 VWS	$710.40	$1,184.00	40%

Lab tests

Procedure	Cash price	List price	Off list
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$186.60	$311.00	40%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL	$186.60	$311.00	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL P8093	$228.00	$380.00	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE	$228.00	$380.00	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CARDIO IQ LIPID PANEL	$228.00	$380.00	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL P5181	$228.00	$380.00	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL P4483	$228.00	$380.00	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL 2	$228.00	$380.00	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CARD IQ LIPID PN W/REF DIR LDL	$228.00	$380.00	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 CARDIO IQ LIPID PANEL	$228.00	$380.00	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL 2	$228.00	$380.00	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL P4483	$228.00	$380.00	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE	$228.00	$380.00	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL P8093	$228.00	$380.00	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL P5181	$228.00	$380.00	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 CARD IQ LIPID PN W/REF DIR LDL	$228.00	$380.00	40%
Complete blood count (CBC) with differential CPT 85025 CBC & PLT & AUTO COMP DIFF	$95.40	$159.00	40%
Complete blood count (CBC) with differential CPT 85025 OXLDL	$95.40	$159.00	40%
Complete blood count (CBC) with differential inpatient CPT 85025 OXLDL	$95.40	$159.00	40%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC & PLT & AUTO COMP DIFF	$95.40	$159.00	40%
Complete blood count (CBC), no differential CPT 85027 CBC & PLT ONLY	$80.40	$134.00	40%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC & PLT ONLY	$80.40	$134.00	40%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$215.40	$359.00	40%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL	$215.40	$359.00	40%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$156.00	$260.00	40%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$156.00	$260.00	40%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$232.20	$387.00	40%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL P5144	$232.20	$387.00	40%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL P5144	$232.20	$387.00	40%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$232.20	$387.00	40%
Obstetric blood test panel CPT 80055 OBSTETRICS PANEL	$228.00	$380.00	40%
Obstetric blood test panel inpatient CPT 80055 OBSTETRICS PANEL	$228.00	$380.00	40%
PSA (prostate-specific antigen) blood test, free CPT 84154 FREE PSA	$421.20	$702.00	40%
PSA (prostate-specific antigen) blood test, free CPT 84154 FREE PSA PNL 2770	$421.20	$702.00	40%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 FREE PSA PNL 2770	$421.20	$702.00	40%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 FREE PSA	$421.20	$702.00	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 TOTAL PSA PNL 2770	$198.00	$330.00	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA POST-PROSTECTOMY HAMA	$198.00	$330.00	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA ULTRA-SENSITIVE	$198.00	$330.00	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 DIAGNOSTIC PSA	$198.00	$330.00	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC	$198.00	$330.00	40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA ULTRA-SENSITIVE	$198.00	$330.00	40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA DIAGNOSTIC	$198.00	$330.00	40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA POST-PROSTECTOMY HAMA	$198.00	$330.00	40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 DIAGNOSTIC PSA	$198.00	$330.00	40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 TOTAL PSA PNL 2770	$198.00	$330.00	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 ACT PART THROMBOP TIME P P7021	$105.60	$176.00	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 ACTIVATED PTT	$423.00	$705.00	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME P0267	$423.00	$705.00	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME P2635	$423.00	$705.00	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME P3391	$423.00	$705.00	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 APTT (BASELINE) PNL 5464	$423.00	$705.00	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPL TIME PARTL(PTT)P2441	$423.00	$705.00	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 ACT PART THROMBOP TIME P P7021	$105.60	$176.00	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPL TIME PARTL(PTT)P2441	$423.00	$705.00	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME P3391	$423.00	$705.00	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME P2635	$423.00	$705.00	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME P0267	$423.00	$705.00	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT (BASELINE) PNL 5464	$423.00	$705.00	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 ACTIVATED PTT	$423.00	$705.00	40%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME P P7021	$77.40	$129.00	40%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME P0070	$77.40	$129.00	40%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME P2680	$77.40	$129.00	40%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME P5674	$77.40	$129.00	40%
Prothrombin time (PT/INR) clotting test CPT 85610 PT PROTHROMBIN TIME	$77.40	$129.00	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME P0070	$77.40	$129.00	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT PROTHROMBIN TIME	$77.40	$129.00	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME P5674	$77.40	$129.00	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME P2680	$77.40	$129.00	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME P P7021	$77.40	$129.00	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH W/HAMA TREATMENT	$226.80	$378.00	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH THIRD GENERATION	$226.80	$378.00	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH W/FREE T4 RFX	$226.80	$378.00	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE	$226.80	$378.00	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID FUNCTION CASCADE SERUM	$226.80	$378.00	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$448.80	$748.00	40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID FUNCTION CASCADE SERUM	$226.80	$378.00	40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH W/HAMA TREATMENT	$226.80	$378.00	40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH W/FREE T4 RFX	$226.80	$378.00	40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH THIRD GENERATION	$226.80	$378.00	40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE	$226.80	$378.00	40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$448.80	$748.00	40%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS R & M	$70.20	$117.00	40%
Urinalysis with microscope exam, automated CPT 81001 UR COMPL W/REFLEX TO CULTURE	$70.20	$117.00	40%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS R & M	$70.20	$117.00	40%
Urinalysis with microscope exam, automated inpatient CPT 81001 UR COMPL W/REFLEX TO CULTURE	$70.20	$117.00	40%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTOMATED	$37.80	$63.00	40%
Urinalysis without microscope exam, automated CPT 81003 URINE MACRO	$37.80	$63.00	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINE MACRO	$37.80	$63.00	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTOMATED	$37.80	$63.00	40%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS DIPSTICK	$51.00	$85.00	40%
Urinalysis without microscope exam, manual CPT 81002 URINE DIPSTICK WO MICRO	$51.00	$85.00	40%
Urinalysis without microscope exam, manual CPT 81002 CHEMSTRIP URINE TEST	$51.00	$85.00	40%
Urinalysis without microscope exam, manual CPT 81002 URINE DIP	$51.00	$85.00	40%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS DIPSTICK	$51.00	$85.00	40%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINE DIPSTICK WO MICRO	$51.00	$85.00	40%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINE DIP	$51.00	$85.00	40%
Urinalysis without microscope exam, manual inpatient CPT 81002 CHEMSTRIP URINE TEST	$51.00	$85.00	40%

Surgery and procedures

Procedure	Cash price	List price	Off list
Colonoscopy with endoscopic ultrasound CPT 45391 COLONOSCOPY WITH USN	$3,252.60	$5,421.00	40%
Colonoscopy with endoscopic ultrasound inpatient CPT 45391 COLONOSCOPY WITH USN	$3,252.60	$5,421.00	40%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/SNARE TECHNIQUE	$3,252.60	$5,421.00	40%
Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY W/SNARE TECHNIQUE	$3,252.60	$5,421.00	40%
Colonoscopy with tissue sample CPT 45380 P COLONOSCOPY W/BX SIN/MULT	$363.00	$605.00	40%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY W/BX SINGLE/MULT	$3,252.60	$5,421.00	40%
Colonoscopy with tissue sample inpatient CPT 45380 P COLONOSCOPY W/BX SIN/MULT	$363.00	$605.00	40%
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY W/BX SINGLE/MULT	$3,252.60	$5,421.00	40%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY DIAG W/WO BRUSHING	$1,575.00	$2,625.00	40%
Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY DIAG W/WO BRUSHING	$1,575.00	$2,625.00	40%
Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC	$1,260.60	$2,101.00	40%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 NJX INTERLAMINAR LMBR/SAC	$1,260.60	$2,101.00	40%
Prostate biopsy CPT 55700 P BX PROST NDL/PNCH SGL/MULT	$234.60	$391.00	40%
Prostate biopsy CPT 55700 BX PROSTATE NDL/PNCH SGL/MULT	$1,503.60	$2,506.00	40%
Prostate biopsy inpatient CPT 55700 P BX PROST NDL/PNCH SGL/MULT	$234.60	$391.00	40%
Prostate biopsy inpatient CPT 55700 BX PROSTATE NDL/PNCH SGL/MULT	$1,503.60	$2,506.00	40%
Total hip replacement CPT 27130 P TOTAL HIP ARTHROPLASTY	$2,737.80	$4,563.00	40%
Total hip replacement CPT 27130 TOTAL HIP ARTHROPLASTY	$16,075.20	$26,792.00	40%
Total hip replacement inpatient CPT 27130 P TOTAL HIP ARTHROPLASTY	$2,737.80	$4,563.00	40%
Total hip replacement inpatient CPT 27130 TOTAL HIP ARTHROPLASTY	$16,075.20	$26,792.00	40%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD W/BIOPSY SINGLE/MULT	$3,526.20	$5,877.00	40%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD W/BIOPSY SINGLE/MULT	$3,526.20	$5,877.00	40%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD W/WO BRUSHINGS	$3,526.20	$5,877.00	40%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD W/WO BRUSHINGS	$3,526.20	$5,877.00	40%

Doctor visits and therapy

Procedure	Cash price	List price	Off list
Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYTX W/ PT 50 MIN	$105.60	$176.00	40%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYTX W/ PT 50 MIN	$105.60	$176.00	40%
Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYTX W/O PT 50 MIN	$105.60	$176.00	40%
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYTX W/O PT 50 MIN	$105.60	$176.00	40%
New patient office visit, about 30 minutes CPT 99203 P CLINIC VISIT NEW 99203	$133.80	$223.00	40%
New patient office visit, about 30 minutes CPT 99203 CLINIC VISIT NEW 99203	$327.00	$545.00	40%
New patient office visit, about 30 minutes inpatient CPT 99203 P CLINIC VISIT NEW 99203	$133.80	$223.00	40%
New patient office visit, about 30 minutes inpatient CPT 99203 CLINIC VISIT NEW 99203	$327.00	$545.00	40%
New patient office visit, about 45 minutes CPT 99204 P CLINIC VISIT NEW 99204	$225.00	$375.00	40%
New patient office visit, about 45 minutes CPT 99204 CLINIC VISIT NEW 99204	$421.20	$702.00	40%
New patient office visit, about 45 minutes inpatient CPT 99204 P CLINIC VISIT NEW 99204	$225.00	$375.00	40%
New patient office visit, about 45 minutes inpatient CPT 99204 CLINIC VISIT NEW 99204	$421.20	$702.00	40%
New patient office visit, about 60 minutes CPT 99205 P CLINIC VISIT NEW 99205	$293.40	$489.00	40%
New patient office visit, about 60 minutes CPT 99205 CLINIC VISIT NEW 99205	$589.80	$983.00	40%
New patient office visit, about 60 minutes inpatient CPT 99205 P CLINIC VISIT NEW 99205	$293.40	$489.00	40%
New patient office visit, about 60 minutes inpatient CPT 99205 CLINIC VISIT NEW 99205	$589.80	$983.00	40%
Preventive checkup, new patient aged 18–39 CPT 99385 PREV VISIT NEW AGE 18-39	$115.20	$192.00	40%
Preventive checkup, new patient aged 18–39 CPT 99385 P PRVNT VST NEW 18-39 YRS	$171.60	$286.00	40%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PREV VISIT NEW AGE 18-39	$115.20	$192.00	40%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 P PRVNT VST NEW 18-39 YRS	$171.60	$286.00	40%
Preventive checkup, new patient aged 40–64 CPT 99386 P PRVNT VST NEW 40-64 YRS	$208.80	$348.00	40%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 P PRVNT VST NEW 40-64 YRS	$208.80	$348.00	40%
Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY 30 MINUTES	$105.60	$176.00	40%
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHOTHERAPY 30 MINUTES	$105.60	$176.00	40%
Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY 45 MINUTES	$105.60	$176.00	40%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHERAPY 45 MINUTES	$105.60	$176.00	40%
Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY 60 MINUTES	$105.60	$176.00	40%
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCHOTHERAPY 60 MINUTES	$105.60	$176.00	40%
Specialist consultation, low complexity or 30+ minutes CPT 99243 P OFFICE CONSULT 99243	$166.80	$278.00	40%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 P OFFICE CONSULT 99243	$166.80	$278.00	40%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 P OFFICE CONSULT 99244	$268.20	$447.00	40%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 P OFFICE CONSULT 99244	$268.20	$447.00	40%

Source file: https://dam.upmc.com/-/media/upmc/locations/hospitals/documents/cdm-json-files/232176963_upmc-wellsboro_standardcharges.csv?