CMS Price Transparency Data

Varicella (chickenpox) vaccine

Facility: UPMC Wellsboro

Billing Code: 90716 (HCPCS)

The BaseRate · fair price low confidence
A fair price for this
$130
modeled fair price · typically $25–$245
modeled estimate · not a bill or quote
Fair price $130 Cash price $749 Hospital's list price $936

How we calculate the fair BaseRate →

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 $13 - $796 —
Blue Cross Blue Shieldmajor $11 - $473 —
Aetnamajor $168 - $808 —
Cignamajor $197 —
AmeriHealth $11 —
Geisinger $11 - $627 —
HealthPartners $15 —
UPMC Health Plan $11 - $408 —
+ 4 smaller / regional plans $17 - $842
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

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