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 |
|---|---|---|---|---|
| Ghs diphtheria toxoid ab igg CPT 86648 | $63.20 | $79.00 | $15.21 – $67.66 | 26 |
| Ghs dislocation elbow closed treatment CPT 24600 | $900.00 | $1,125.00 | $128.13 – $1,103.22 | 23 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $1,209.60 | $1,512.00 | $115.21 – $3,184.98 | 23 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $2,904.00 | $3,630.00 | $161.76 – $3,201.00 | 24 |
| Ghs excision ingrown nail CPT 11765 | $510.40 | $638.00 | $62.50 – $1,837.46 | 23 |
| Ghs flow volume loop CPT 94375 | $1,039.20 | $1,299.00 | $22.55 – $1,432.17 | 23 |
| Ghs gastric intub aspiration lavage CPT 43753 | $456.00 | $570.00 | $20.64 – $1,432.17 | 23 |
| Ghs histoplasma antigen CPT 87385 | $55.20 | $69.00 | $6.63 – $58.94 | 22 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $6,372.80 | $7,966.00 | $135.63 – $5,735.52 | 23 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $535.20 | $669.00 | $140.63 – $3,235.87 | 23 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $1,445.60 | $1,807.00 | $51.25 – $1,301.04 | 23 |
| Ghs inf midline insertion CPT 36140 | $473.60 | $592.00 | $426.24 – $13,939.00 | 2 |
| Ghs inhibitor screen CPT 85335 | $77.60 | $97.00 | $7.55 – $69.84 | 26 |
| Ghs init tx 1st degree burn CPT 16000 | $556.00 | $695.00 | $22.50 – $913.86 | 23 |
| Ghs inj neurolytic other perph nerve CPT 64640 | not published | not published | $970.00 – $8,189.05 | 18 |
| Ghs inj transforaminal cerv single bil CPT 64479 | not published | not published | $920.47 – $4,094.53 | 18 |
| Ghs insertion of needle - bone CPT 36680 | $680.00 | $850.00 | $61.88 – $1,835.24 | 23 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $1,440.80 | $1,801.00 | $115.00 – $1,837.46 | 23 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $1,560.00 | $1,950.00 | $115.00 – $2,815.24 | 23 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $100.80 | $126.00 | $10.10 – $90.72 | 2 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $1,235.20 | $1,544.00 | $155.05 – $1,118.53 | 20 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $804.00 | $1,005.00 | $248.77 – $1,525.46 | 18 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $496.80 | $621.00 | $39.38 – $1,835.24 | 23 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $1,125.60 | $1,407.00 | $30.63 – $1,837.46 | 23 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $1,034.40 | $1,293.00 | $30.63 – $1,837.46 | 23 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $1,016.80 | $1,271.00 | $39.38 – $1,837.46 | 23 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $1,160.00 | $1,450.00 | $59.38 – $1,044.00 | 23 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $1,160.00 | $1,450.00 | $44.38 – $1,837.46 | 23 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $1,252.80 | $1,566.00 | $59.38 – $1,837.46 | 23 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $1,315.20 | $1,644.00 | $58.13 – $1,837.46 | 23 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $1,315.20 | $1,644.00 | $60.63 – $2,815.24 | 23 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $1,314.40 | $1,643.00 | $76.88 – $1,837.46 | 23 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $1,440.80 | $1,801.00 | $115.00 – $1,837.46 | 23 |
| Ghs mbp CPT 83873 | $85.60 | $107.00 | $15.00 – $77.04 | 26 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $128.80 | $161.00 | $23.77 – $115.92 | 2 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $168.00 | $210.00 | $93.10 – $151.20 | 2 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $149.60 | $187.00 | $76.38 – $134.64 | 2 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $128.80 | $161.00 | $10.41 – $115.92 | 2 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $128.80 | $161.00 | $57.89 – $115.92 | 2 |
| Ghs musc test done w/n test comp CPT 95886 | $548.00 | $685.00 | $36.74 – $493.20 | 2 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $315.20 | $394.00 | $34.86 – $283.68 | 2 |
| Ghs myocardial strain img spckl track CPT 93356 | $235.20 | $294.00 | $211.68 – $2,587.00 | 2 |
| Ghs nailbed repair/nail removal CPT 11760 | not published | not published | $970.00 – $14,922.27 | 17 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $1,413.60 | $1,767.00 | $54.38 – $4,094.53 | 23 |
| Ghs nerve blk intercostal, single level CPT 64420 | $1,108.00 | $1,385.00 | $54.38 – $3,184.98 | 23 |
| Ghs ng placement w fluoro guidance CPT 43752 | $368.00 | $460.00 | $299.28 – $1,835.24 | 18 |
| Ghs o2 saturation CPT 82810 | $40.80 | $51.00 | $9.77 – $43.46 | 26 |
| Ghs ot prosthetic training/15 min CPT 97761 | $118.40 | $148.00 | $50.00 – $106.56 | 7 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $116.80 | $146.00 | $8.16 – $105.12 | 4 |
| Ghs peritonsillar abscess i andd CPT 42700 | $1,197.60 | $1,497.00 | $77.50 – $1,077.84 | 23 |
| Ghs plngl fx pm cl CPT 26725 | $452.00 | $565.00 | $96.25 – $1,103.22 | 23 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $4,918.40 | $6,148.00 | $964.02 – $4,679.08 | 23 |
| Ghs ppd (tb intradermal) CPT 86580 | $104.80 | $131.00 | $5.50 – $112.63 | 26 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $40.00 | $50.00 | $9.66 – $42.97 | 26 |
| Ghs pr without cont pulse ox CPT 94625 | $284.00 | $355.00 | $29.70 – $273.17 | 19 |
| Ghs quinidine CPT 80194 | $60.80 | $76.00 | $14.60 – $64.95 | 26 |
| Ghs removal intranasal foreign body CPT 30300 | $165.60 | $207.00 | $28.13 – $592.82 | 23 |
| Ghs removal pharyngeal foreign body CPT 42809 | $135.20 | $169.00 | $81.25 – $1,835.24 | 23 |
| Ghs semen analysis fert CPT 89320 | $61.60 | $77.00 | $9.23 – $55.44 | 21 |
| Ghs sensitivity (per antimicro) CPT 87184 | $37.60 | $47.00 | $7.48 – $33.84 | 26 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $1,248.00 | $1,560.00 | $115.00 – $1,837.46 | 23 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $1,376.00 | $1,720.00 | $115.00 – $1,837.46 | 23 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $1,472.00 | $1,840.00 | $115.00 – $1,837.46 | 23 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $881.60 | $1,102.00 | $59.38 – $913.86 | 23 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $1,122.40 | $1,403.00 | $60.63 – $1,010.16 | 23 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $1,068.80 | $1,336.00 | $76.88 – $961.92 | 23 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $1,588.00 | $1,985.00 | $115.00 – $1,429.20 | 23 |
| Ghs sleep study unattended CPT 95800 | $847.20 | $1,059.00 | $115.03 – $762.48 | 22 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $263.20 | $329.00 | $50.00 – $325.00 | 8 |
| Ghs st - re-eval for alt comm CPT 92597 | $737.60 | $922.00 | $51.71 – $663.84 | 3 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $993.60 | $1,242.00 | $117.50 – $2,815.24 | 23 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $900.00 | $1,125.00 | $91.25 – $1,103.22 | 23 |
| Ghs urine, porphyrins quant CPT 84120 | $61.60 | $77.00 | $7.50 – $65.43 | 26 |
| Gi inhouse confirmation CPT 87045 | $47.20 | $59.00 | $6.90 – $42.48 | 26 |
| Glove finger flexion right lg xl HCPCS L3912 | $200.00 | $250.00 | $87.50 – $571.47 | 19 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $653.00 | $816.25 | $113.15 – $662.75 | 26 |
| Glucose 1 hr post dose CPT 82950 | $20.00 | $25.00 | $4.75 – $21.13 | 26 |
| Glucose blood quantitative CPT 82947 | $20.00 | $25.00 | $3.93 – $18.00 | 26 |
| Glucose body fluid CPT 82945 | $20.00 | $25.00 | $3.93 – $18.00 | 26 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $64.00 | $80.00 | $12.50 – $57.60 | 26 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $20.00 | $25.00 | $3.27 – $18.00 | 26 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $10.80 | $13.50 | $0.50 – $9.72 | 26 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $6,234.40 | $7,793.00 | $11.98 – $2,455.24 | 26 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $77.60 | $97.00 | $17.50 – $82.65 | 26 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $77.60 | $97.00 | $17.00 – $82.38 | 26 |
| Graft axiofill 1000mg HCPCS J3590 | $622.80 | $778.50 | $114.12 – $114.12 | 1 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $6,597.36 | $8,246.70 | $124.74 – $124.74 | 1 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $11,657.25 | $14,571.56 | $84.00 – $84.00 | 1 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $970.00 – $3,506.35 | 13 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $3,645.98 | $4,557.47 | $141.32 – $477.30 | 4 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $46.40 | $58.00 | $41.76 – $181.27 | 4 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $6,296.40 | $7,870.50 | $42.42 – $42.42 | 1 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $288.17 | $360.21 | $5.92 – $5.92 | 1 |
| Gu dilat ureter/urethra s&i CPT 74485 | $5,041.60 | $6,302.00 | $84.36 – $11,158.80 | 24 |
| Guided cath fluid drainage 10030 CPT 10030 | $1,889.60 | $2,362.00 | $156.60 – $3,235.87 | 23 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $924.00 | $1,155.00 | $8.57 – $8.57 | 1 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $104.26 | $130.33 | $46.66 – $46.66 | 1 |
| Guid loc target vol rad tx CPT 77387 | $722.40 | $903.00 | $79.76 – $650.16 | 2 |
| Gw stiffened micro access kit HCPCS C1894 | $1,116.86 | $1,396.08 | $7.73 – $7.73 | 1 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $71.60 | $89.50 | $4.77 – $64.44 | 6 |
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.