WellSpan Chambersburg Hospital
112 N. 7th St., Chambersburg, PA · Wellspan · · NPI 1902804552
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Exploration maxillary sinus CPT 31256 | not published | not published | $970.00 – $27,206.69 | 17 |
| Exploration of toe joint CPT 28024 | not published | not published | $970.00 – $7,360.42 | 17 |
| Explore parathyroid glands CPT 60500 | not published | not published | $970.00 – $27,206.69 | 17 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | not published | not published | $970.00 – $7,451.66 | 17 |
| Explore scrotum CPT 55110 | not published | not published | $970.00 – $15,862.15 | 17 |
| Ex sq tumor/face or scalp < 2 cm 21011 CPT 21011 | not published | not published | $970.00 – $7,451.66 | 17 |
| Extensive prostate surgery CPT 55810 | not published | not published | $970.00 – $4,177.55 | 13 |
| Extensive prostate surgery CPT 55840 | not published | not published | $970.00 – $3,745.27 | 13 |
| Extensive thyroid surgery CPT 60254 | not published | not published | $970.00 – $5,337.69 | 13 |
| External chromosome analysis 20-25 cells CPT 88264 | $722.40 | $903.00 | $137.80 – $650.16 | 26 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $718.40 | $898.00 | $143.75 – $646.56 | 26 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $75.20 | $94.00 | $17.93 – $79.76 | 26 |
| F-18 fdg pet diag HCPCS A9552 | $903.20 | $1,129.00 | $812.88 – $1,336.29 | 2 |
| Facial bones <3 CPT 70140 | $224.00 | $280.00 | $18.91 – $497.84 | 25 |
| Factor ix CPT 85250 | $111.20 | $139.00 | $5.00 – $100.08 | 26 |
| Factor ix recombinant nos HCPCS J7195 | $2,557.20 | $3,196.50 | $2.01 – $4,112.45 | 25 |
| Factor viii CPT 85240 | $124.00 | $155.00 | $13.00 – $111.60 | 26 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $16.80 | $21.00 | $0.01 – $15.12 | 10 |
| Fat/lipids feces qualitative CPT 82705 | $21.60 | $27.00 | $5.10 – $22.69 | 26 |
| Fatty acids nonesterified CPT 82725 | $78.40 | $98.00 | $13.18 – $83.49 | 26 |
| #fecal-sodium CPT 84302 | $19.20 | $24.00 | $4.86 – $21.62 | 26 |
| Fem/popl revasc w/stent CPT 37226 | $16,129.60 | $20,162.00 | $531.94 – $52,156.41 | 23 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $20.00 | $25.00 | $1.00 – $9.72 | 6 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $2,096.60 | $2,620.75 | $1.20 – $3,693.20 | 26 |
| Ferritin CPT 82728 | $40.00 | $103.00 | $12.00 – $60.63 | 26 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $3,524.40 | $4,405.50 | $0.35 – $735.04 | 25 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $86.40 | $108.00 | $7.73 – $77.76 | 26 |
| Fetal hemoglobin rosette CPT 85461 | $70.40 | $88.00 | $9.17 – $63.36 | 26 |
| Fetal non stress test CPT 59025 | $1,448.80 | $1,811.00 | $21.88 – $1,303.92 | 22 |
| Fibrin degradation d dimer quantitative CPT 85379 | $163.20 | $204.00 | $10.18 – $146.88 | 26 |
| Fibrin degradation products CPT 85362 | $36.80 | $46.00 | $6.89 – $33.12 | 26 |
| Fibrinogen activity CPT 85384 | $106.40 | $133.00 | $9.72 – $95.76 | 26 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $1,820.28 | $2,275.35 | $1,638.25 – $1,638.25 | 1 |
| Filter vena cava fem denali HCPCS C1880 | $1,583.98 | $1,979.98 | $1,425.59 – $1,425.59 | 1 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $2,478.40 | $3,098.00 | $50.89 – $2,230.56 | 2 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | not published | not published | $970.00 – $14,922.27 | 17 |
| Flecainide (tambocor)-sendout CPT 80181 | $92.80 | $116.00 | $13.98 – $83.52 | 22 |
| Fl exam g/colon tube w contrast CPT 49465 | $488.00 | $610.00 | $29.67 – $1,111.67 | 23 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | $942.62 – $4,193.06 | 18 |
| Flow cytometry marker each additional CPT 88185 | $156.00 | $195.00 | $22.83 – $140.40 | 5 |
| Flow cytometry one marker technical component CPT 88184 | $948.00 | $1,185.00 | $37.14 – $1,654.37 | 26 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $21.20 | $26.50 | $2.34 – $18.72 | 6 |
| Fluorescent antibody titer dna CPT 86256 | $49.60 | $62.00 | $9.11 – $53.60 | 26 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $700.00 | $875.00 | $29.08 – $630.00 | 3 |
| Fluoroguide needle placement CPT 77002 | $423.20 | $529.00 | $41.10 – $380.88 | 3 |
| Fluoroscopy up to 1 hour CPT 76000 | $659.20 | $824.00 | $14.38 – $1,342.45 | 25 |
| Fna bx w/ct gdn 1st les CPT 10009 | $1,301.60 | $1,627.00 | $116.28 – $3,235.87 | 23 |
| Folic acid CPT 82746 | $45.00 | $77.00 | $12.00 – $65.39 | 26 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $58.40 | $73.00 | $0.07 – $105.00 | 10 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $2,718.00 | $3,397.50 | $7.40 – $4,511.50 | 21 |
| Fondaparinux sodium HCPCS J1652 | $77.60 | $97.00 | $0.78 – $18.00 | 6 |
| Foot X-ray CPT 73630 | $460.00 | $575.00 | $14.38 – $497.84 | 25 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $724.80 | $906.00 | $182.41 – $1,118.53 | 18 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $892.80 | $1,116.00 | $0.11 – $803.52 | 6 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $43.20 | $54.00 | $1.73 – $46.78 | 4 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | $970.00 – $15,862.15 | 17 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $369.60 | $462.00 | $30.00 – $374.95 | 23 |
| Fresh frozen plasma thawing ea un CPT 86927 | $870.40 | $1,088.00 | $128.52 – $788.11 | 19 |
| Frozen blood thaw CPT 86931 | $1,348.80 | $1,686.00 | $128.52 – $1,213.92 | 19 |
| Fructosamine glycated protein CPT 82985 | $69.60 | $87.00 | $16.44 – $74.55 | 26 |
| Ftl cgen abnor four anal CPT 81511 | $639.20 | $799.00 | $94.37 – $682.81 | 26 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $945.62 – $4,206.40 | 18 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $11.20 | $14.00 | $0.02 – $10.08 | 10 |
| Fusion of big toe joint CPT 28750 | not published | not published | $970.00 – $32,854.70 | 17 |
| Fusion of foot bones CPT 28730 | not published | not published | $970.00 – $59,175.78 | 17 |
| Fusion of foot bones CPT 28740 | not published | not published | $970.00 – $59,175.78 | 17 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $13.60 | $17.00 | $0.27 – $0.91 | 2 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $49.60 | $62.00 | $15.26 – $51.49 | 3 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $970.00 – $26,832.77 | 17 |
| Gammaglobulin iga CPT 82784 | $35.00 | $49.00 | $9.30 – $41.37 | 26 |
| Gammaglobulin ige CPT 82785 | $68.00 | $85.00 | $16.46 – $73.22 | 26 |
| Gamma glutamyltransferase CPT 82977 | $29.60 | $37.00 | $7.20 – $32.03 | 26 |
| Gamunex-c/gammaked HCPCS J1561 | $294.00 | $367.50 | $53.12 – $435.62 | 26 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $77.20 | $96.50 | $41.11 – $126.78 | 6 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $31.20 | $39.00 | $3.07 – $28.08 | 6 |
| General health panel CPT 80050 | $70.00 | $254.00 | $43.89 – $118.86 | 8 |
| Generator barostim neo2 2014 HCPCS C1767 | $52,962.36 | $66,202.95 | $14,568.99 – $14,568.99 | 1 |
| Generator emblem MRI sicd subq HCPCS C1722 | $27,720.00 | $34,650.00 | $11,969.10 – $11,969.10 | 1 |
| Genetic tstg severe inh cond CPT 81443 | $10,186.40 | $12,733.00 | $1,224.28 – $10,891.93 | 22 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $14.40 | $18.00 | $2.40 – $8.65 | 6 |
| Gentamicin peak therapeutic drug level CPT 80170 | $81.60 | $102.00 | $12.00 – $73.44 | 26 |
| Ghs abscess perianal iandd CPT 46050 | $2,531.20 | $3,164.00 | $94.58 – $4,193.06 | 23 |
| Ghs abscess postoperative iandd complex CPT 10180 | not published | not published | $970.00 – $13,162.83 | 17 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $408.80 | $511.00 | $102.26 – $454.88 | 26 |
| Ghs bladder cath - complex-foley CPT 51703 | $614.40 | $768.00 | $93.26 – $719.56 | 23 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | not published | not published | $716.00 – $3,184.98 | 18 |
| Ghs change cysto/gastrost CPT 43762 | $1,094.40 | $1,368.00 | $38.88 – $1,118.53 | 23 |
| Ghs chemo IV push, ea addtl CPT 96411 | $148.00 | $185.00 | $66.11 – $327.31 | 23 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $211.20 | $264.00 | $35.09 – $190.08 | 26 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $774.40 | $968.00 | $45.63 – $1,103.22 | 23 |
| Ghs closed reduction ankle dislocation CPT 27840 | $900.00 | $1,125.00 | $111.88 – $1,103.22 | 23 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,091.20 | $1,364.00 | $246.88 – $7,360.42 | 22 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $1,368.00 | $1,710.00 | $291.88 – $7,360.42 | 22 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $3,244.80 | $4,056.00 | $305.00 – $8,412.80 | 23 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $536.80 | $671.00 | $146.88 – $1,103.22 | 23 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $462.40 | $578.00 | $48.75 – $1,103.22 | 23 |
| Ghs community re-entry 15 minutes CPT 97537 | $157.60 | $197.00 | $50.00 – $325.00 | 8 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $504.00 | $630.00 | $34.38 – $592.82 | 20 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $532.80 | $666.00 | $33.13 – $1,835.24 | 23 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $606.40 | $758.00 | $32.50 – $592.82 | 23 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.