CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: UPMC Wellsboro

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $2,273
Cash Discount Price: $2,480
vs. Medicare Baseline: 21.28x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at UPMC Wellsboro is $2,273. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,480. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 21.28x the Medicare baseline. Located in 32-36 Central Avenue, Wellsboro, PA.

Cash / Self-Pay

$2,480

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,273

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $2,480 (2322%)

Insurance Median: $2,273 (2128%)

Cash: $2,480 (2322% of Medicare)

Ins. Median: $2,273 (2128% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 2128% of the Medicare baseline (a markup of 2028%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
UnitedHealthcare	$106 - $3,180	99%
Amerihealth Caritas	$147	138%
Geisinger	$147 - $2,506	138%
Upmc Health Plan	$147 - $1,631	138%
Highmark Wholecare (Prev Gateway)	$149 - $748	140%
Health Partners Plans (Jefferson Health Plan)	$201	188%
Pa Health & Wellness	$228 - $808	213%
Aetna	$611 - $3,228	572%
Upmc Work Partners	$641	600%
Blue Cross Blue Shield	$679 - $1,892	636%
Cigna	$713 - $786	668%
Wirerope Works	$1,887 - $2,080	1767%
Multiplan	$2,647 - $3,554	2478%
America'S Choice	$3,054 - $3,367	2859%
Intergroup	$3,054 - $3,367	2859%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,480.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71250.

Insurance In-Network Protection Plan

Contact your insurance company to confirm UPMC Wellsboro is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 71250.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.