CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: UPMC Wellsboro

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$74
about 0.6× the $118 Medicare rate · typically $61–$137
modeled estimate · not a bill or quote
What this hospital charges insurers
$60
Below the fair price — a good deal
about $14 under the fair price · 0.5× Medicare
Medicare pays $118 Fair price $74 This hospital $60 Cash price $134 Hospital's list price $223

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

A typical price — 3 charge more and 5 charge less, among the 9 PA hospitals compared.

Cheapest $25 Priciest $64

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

A fair price for a New patient office visit (30-44 min) is about $74 (about 0.6× the $118 Medicare rate). UPMC Wellsboro charges insurers about $60, or about $134 in cash — below the fair price — a good deal. Located in Wellsboro, PA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $18 - $463 15%
Blue Cross Blue Shieldmajor $17 - $276 14%
Aetnamajor $15 - $470 13%
Cignamajor $18 - $114 15%
AmeriHealth $60 51%
Geisinger $57 - $365 48%
HealthPartners $82 70%
UPMC Health Plan $17 - $238 14%
+ 4 smaller / regional plans $18 - $490
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

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