CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: UPMC Wellsboro

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$88
about 0.6× the $136 Medicare rate · typically $58–$156
modeled estimate · not a bill or quote
What this hospital charges insurers
$61
Below the fair price — a good deal
about $27 under the fair price · 0.4× Medicare
Medicare pays $136 Fair price $88 This hospital $61 Cash price $102 Hospital's list price $156

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

On the higher side — 6 of 8 other PA hospitals charge less.

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 Office visit, established patient (30-39 min) is about $88 (about 0.6× the $136 Medicare rate). UPMC Wellsboro charges insurers about $61, or about $102 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 $17 - $463 13%
Blue Cross Blue Shieldmajor $16 - $276 12%
Aetnamajor $14 - $470 10%
Cignamajor $17 - $114 13%
AmeriHealth $60 44%
Geisinger $53 - $365 39%
HealthPartners $82 60%
UPMC Health Plan $16 - $238 12%
+ 4 smaller / regional plans $17 - $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