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 |
|---|---|---|---|---|
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $7.00 | $8.75 | $0.87 – $6.30 | 6 |
| Hand X-ray CPT 73130 | $445.60 | $557.00 | $14.38 – $497.84 | 25 |
| Haptoglobin quantitative CPT 83010 | $45.00 | $66.00 | $12.00 – $55.96 | 26 |
| Hast w/oxygen titrate CPT 94453 | $316.80 | $396.00 | $96.68 – $592.82 | 18 |
| Hbot, full body chamber, 30m HCPCS G0277 | $584.80 | $731.00 | $54.86 – $634.19 | 23 |
| Hcg quantitative CPT 84702 | $55.00 | $112.00 | $15.05 – $66.95 | 26 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $308.80 | $386.00 | $277.92 – $302.24 | 3 |
| Head CT scan (with and without contrast) CPT 70470 | $569.00 | $2,645.00 | $125.00 – $1,006.60 | 25 |
| Head CT scan (with contrast) CPT 70460 | $478.00 | $2,362.00 | $100.00 – $1,006.60 | 25 |
| Head CT scan (without contrast) CPT 70450 | $296.00 | $2,011.00 | $96.88 – $602.31 | 25 |
| Heart image spect CPT 78494 | $1,697.60 | $2,122.00 | $205.53 – $2,259.58 | 25 |
| Hematocrit CPT 85014 | $35.20 | $44.00 | $2.37 – $31.68 | 26 |
| Hemodialysis one evaluation CPT 90935 | $1,124.00 | $1,405.00 | $524.79 – $3,218.08 | 18 |
| Hemoglobin CPT 85018 | $14.40 | $18.00 | $2.37 – $12.96 | 26 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $34.40 | $43.00 | $3.00 – $36.48 | 26 |
| Hemoglobin plasma CPT 83051 | $30.40 | $38.00 | $3.50 – $32.52 | 26 |
| Hemophilus influenza antibdy CPT 86684 | $65.60 | $82.00 | $15.84 – $70.46 | 26 |
| Heparin assay CPT 85520 | $94.40 | $118.00 | $6.53 – $84.96 | 26 |
| Heparin bolus from bag HCPCS J1644 | $44.80 | $56.00 | $0.22 – $9.00 | 6 |
| Hepatitis a antibody igm CPT 86709 | $46.40 | $58.00 | $11.26 – $50.09 | 26 |
| Hepatitis b core antibody igm CPT 86705 | $48.80 | $61.00 | $11.77 – $52.36 | 26 |
| Hepatitis b core antibody total CPT 86704 | $60.00 | $75.00 | $12.05 – $54.00 | 26 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $1,820.60 | $2,275.75 | $12.50 – $596.92 | 26 |
| Hepatitis b surface antibody CPT 86706 | $44.80 | $56.00 | $10.74 – $47.77 | 26 |
| Hepatitis c antibody CPT 86803 | $55.00 | $107.00 | $14.27 – $63.48 | 26 |
| Hepatobiliary system imaging CPT 78226 | $1,713.60 | $2,142.00 | $268.09 – $2,259.58 | 25 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | $970.00 – $16,230.51 | 17 |
| Herpes simplex type 1 antibody igg CPT 86695 | $65.60 | $82.00 | $13.19 – $59.04 | 26 |
| Herpes simplex type 2 antibody igg CPT 86696 | $96.80 | $121.00 | $19.35 – $87.12 | 26 |
| Heterophile antibodies screening CPT 86308 | $25.60 | $32.00 | $5.18 – $23.04 | 26 |
| Hfo nontorsion jnts pre cst HCPCS L3929 | $244.80 | $306.00 | $70.26 – $436.65 | 19 |
| Hip X-ray CPT 73502 | $489.60 | $612.00 | $27.95 – $497.84 | 25 |
| Histamine CPT 83088 | $123.20 | $154.00 | $13.00 – $131.36 | 26 |
| Histochemical stains add-on CPT 88314 | $283.20 | $354.00 | $10.74 – $356.62 | 5 |
| Hla class i high defin qual CPT 86832 | $1,294.40 | $1,618.00 | $133.14 – $1,440.14 | 26 |
| Hla ii typing 1 loc hr CPT 81382 | $514.40 | $643.00 | $123.68 – $550.17 | 23 |
| Hla i low res one antigen equiv ea CPT 81374 | $309.60 | $387.00 | $74.33 – $330.64 | 26 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $588.00 | $735.00 | $103.22 – $755.77 | 23 |
| Hla i typing low res one locus ea CPT 81373 | $701.60 | $877.00 | $121.54 – $631.44 | 26 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $5.60 | $7.00 | $0.23 – $5.04 | 4 |
| Homocysteine CPT 83090 | $89.60 | $112.00 | $17.92 – $80.64 | 26 |
| Homogenization tissue CPT 87176 | $28.80 | $36.00 | $5.88 – $26.16 | 26 |
| Hpv combo assay ca screen HCPCS G0476 | $150.40 | $188.00 | $35.09 – $156.09 | 26 |
| H pylori (c-13) breath CPT 83013 | $280.00 | $350.00 | $60.10 – $299.64 | 26 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $155.80 | $194.75 | $0.39 – $189.00 | 6 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $8.60 | $10.75 | $5.38 – $17.03 | 6 |
| Hydration IV infusion each additional hour CPT 96361 | $154.40 | $193.00 | $11.25 – $212.18 | 23 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $548.00 | $685.00 | $39.53 – $968.97 | 23 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $68.80 | $86.00 | $22.00 – $72.03 | 6 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $13.40 | $16.75 | $0.10 – $6.12 | 10 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $256.80 | $321.00 | $2.16 – $18.00 | 3 |
| Hydroxyurea 500 mg HCPCS S0176 | $1.40 | $1.75 | $1.26 – $10.12 | 3 |
| Hysterosalpingography s&i CPT 74740 | $784.00 | $980.00 | $53.77 – $1,342.45 | 20 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $970.00 – $22,703.23 | 17 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $970.00 – $14,622.99 | 17 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $970.00 – $14,622.99 | 17 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $970.00 – $14,622.99 | 17 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $970.00 – $22,703.23 | 17 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $970.00 – $22,703.23 | 17 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $130.40 | $163.00 | $117.36 – $379.26 | 3 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $145.60 | $182.00 | $26.32 – $156.09 | 21 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $520.20 | $650.25 | $140.23 – $1,087.14 | 21 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $21,186.00 | $26,482.50 | $12,578.54 – $12,578.54 | 1 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $23,199.00 | $28,998.75 | $92.66 – $92.66 | 1 |
| Icd crtp serena MRI HCPCS C2621 | $6,768.96 | $8,461.20 | $5,381.64 – $5,381.64 | 1 |
| Igh@ var region somatic mutation analy CPT 81263 | $1,225.60 | $1,532.00 | $294.52 – $1,310.11 | 26 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $202.40 | $253.00 | $42.53 – $340.73 | 5 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $761.60 | $952.00 | $71.44 – $1,654.37 | 26 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $554.40 | $693.00 | $50.17 – $788.11 | 26 |
| Iliac/fem angio cath insert HCPCS G0278 | $3,283.20 | $4,104.00 | $2,954.88 – $13,939.00 | 2 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $250.40 | $313.00 | $13.67 – $302.97 | 19 |
| Immune complex assay CPT 86332 | $101.60 | $127.00 | $24.37 – $108.41 | 26 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $85.00 | $108.00 | $20.81 – $92.57 | 26 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $85.00 | $108.00 | $20.81 – $92.57 | 26 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $49.60 | $62.00 | $8.00 – $53.29 | 26 |
| Immunofixation electrophoresis serum CPT 86334 | $92.80 | $116.00 | $22.34 – $99.38 | 26 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $198.40 | $248.00 | $15.03 – $458.44 | 5 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $55.20 | $69.00 | $19.13 – $788.11 | 26 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $8,184.00 | $10,230.00 | $356.40 – $356.40 | 1 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $970.00 – $140,150.99 | 17 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $970.00 – $98,624.82 | 17 |
| Implant spine infusion pump CPT 62362 | not published | not published | $970.00 – $81,284.99 | 17 |
| Implant ureth bulk agent HCPCS L8606 | $1,650.00 | $2,062.50 | $630.24 – $630.24 | 1 |
| Impl neurostim electr perc CPT 63650 | not published | not published | $970.00 – $140,150.99 | 17 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $970.00 – $59,175.78 | 17 |
| In-111 autol wbc diag per dose HCPCS A9570 | $6,836.00 | $8,545.00 | $1,031.39 – $15,029.56 | 7 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $6,989.60 | $8,737.00 | $715.29 – $3,161.24 | 7 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $4,440.80 | $5,551.00 | $29.38 – $7,451.66 | 22 |
| Incision of eardrum CPT 69420 | $340.80 | $426.00 | $93.13 – $1,067.99 | 23 |
| Incision of heel bone CPT 28300 | not published | not published | $970.00 – $32,854.70 | 17 |
| Incision of metatarsal CPT 28308 | not published | not published | $970.00 – $59,175.78 | 17 |
| Incision of tendon sheath CPT 25000 | not published | not published | $970.00 – $7,360.42 | 17 |
| Incision of urethra CPT 53020 | not published | not published | $970.00 – $9,421.28 | 17 |
| Incision tendon sheath CPT 26055 | not published | not published | $970.00 – $7,360.42 | 17 |
| Incisn of toe tndn CPT 28010 | not published | not published | $970.00 – $14,922.27 | 17 |
| Indigotindisulfonate 8 mg/ml soln 5 ml ampule HCPCS J9220 | $902.60 | $1,128.25 | $9.96 – $1,771.49 | 19 |
| Infect ag drug suscept pheno predict CPT 87900 | $650.40 | $813.00 | $130.35 – $585.36 | 26 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $642.40 | $803.00 | $128.73 – $578.16 | 26 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $1,285.60 | $1,607.00 | $257.45 – $1,157.04 | 26 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $52.00 | $226.00 | $39.77 – $228.24 | 24 |
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.