CMS Price Transparency Data

CT scan, head (no contrast)

Facility: UPMC Wellsboro

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $1,623
  • Cash Discount Price: $1,771
  • vs. Medicare Baseline: 15.20x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at UPMC Wellsboro is $1,623. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,771. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 15.20x the Medicare baseline. Located in 32-36 Central Avenue, Wellsboro, PA.
Cash / Self-Pay
$1,771

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,623

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: $1,771 (1658%)
Insurance Median: $1,623 (1520%)
Cash: $1,771 (1658% of Medicare)
Ins. Median: $1,623 (1520% 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 1520% of the Medicare baseline (a markup of 1420%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 $99 - $2,270 93%
Amerihealth Caritas $128 120%
Geisinger $128 - $1,790 120%
Upmc Health Plan $128 - $1,165 120%
Highmark Wholecare (Prev Gateway) $130 - $534 122%
Health Partners Plans (Jefferson Health Plan) $176 165%
Pa Health & Wellness $199 - $577 186%
Aetna $436 - $2,305 408%
Blue Cross Blue Shield $485 - $1,351 454%
Cigna $509 - $561 477%
Upmc Work Partners $524 491%
Wirerope Works $1,347 - $1,485 1261%
Multiplan $1,890 - $2,537 1769%
America'S Choice $2,181 - $2,404 2042%
Intergroup $2,181 - $2,404 2042%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 32-36 Central Avenue, Wellsboro, PA 16901
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals