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 |
|---|---|---|---|---|
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $7,545.60 | $9,432.00 | $399.15 – $14,475.66 | 22 |
| Insert pm/icd lead dual CPT 33217 | $12,016.00 | $15,020.00 | $445.56 – $38,062.06 | 19 |
| Insert/repl sq defib w/eltrd CPT 33270 | $107,872.80 | $134,841.00 | $13,939.00 – $147,454.34 | 19 |
| Insert vad art access left hrt arterial access CPT 33990 | $12,522.40 | $15,653.00 | $332.48 – $13,939.00 | 13 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $304.80 | $381.00 | $65.11 – $537.80 | 5 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $565.60 | $707.00 | $14.42 – $788.11 | 26 |
| Insj stablj dev without dcmprn CPT 22869 | not published | not published | $970.00 – $59,175.78 | 15 |
| Ins picc wo subq prt/pmp w image guidnc <5yr CPT 36572 | $1,317.60 | $1,647.00 | $94.15 – $2,843.44 | 23 |
| Ins pm gen w/exist mlt leads CPT 33221 | $7,546.40 | $9,433.00 | $353.33 – $87,710.11 | 19 |
| Ins pq tunnld ip cath w/img CPT 49418 | $2,670.40 | $3,338.00 | $233.98 – $16,230.51 | 18 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | not published | not published | $970.00 – $140,150.99 | 17 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | $49,884.00 | $62,355.00 | $13,939.00 – $87,710.11 | 18 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | $5,328.80 | $6,661.00 | $526.35 – $48,131.05 | 19 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | not published | not published | $970.00 – $98,624.82 | 17 |
| Insrt/redo neurostim 1 array CPT 61885 | not published | not published | $970.00 – $98,624.82 | 17 |
| Instillation anticarcinogenic agent bladder CPT 51720 | not published | not published | $970.00 – $15,862.15 | 17 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $2,836.00 | $3,545.00 | $331.88 – $14,475.66 | 22 |
| Inst via cath agent pleurds CPT 32560 | $3,580.80 | $4,476.00 | $104.00 – $3,222.72 | 19 |
| Insulin total CPT 83525 | $47.20 | $59.00 | $11.00 – $50.84 | 26 |
| Interdiscal perq aspir dx CPT 62267 | $1,187.20 | $1,484.00 | $122.26 – $3,235.87 | 20 |
| Interrog evl pm/ldls pm ip CPT 93288 | $224.00 | $280.00 | $12.39 – $2,587.00 | 24 |
| Intracard echo interv w/s&i CPT 93662 | $2,460.00 | $3,075.00 | $2,214.00 – $13,939.00 | 2 |
| Intrapul surf admin endo tube CPT 94610 | $720.00 | $900.00 | $59.23 – $935.39 | 19 |
| Intraventricular pacing CPT 93612 | $2,496.80 | $3,121.00 | $234.38 – $34,898.43 | 22 |
| Intrinsic factor antibody CPT 86340 | $62.40 | $78.00 | $15.08 – $67.08 | 26 |
| Intro cath dialysis circuit CPT 36901 | $3,617.60 | $4,522.00 | $149.05 – $7,144.41 | 22 |
| Intro cath dialysis circuit w/pta CPT 36902 | $10,528.00 | $13,160.00 | $222.08 – $26,221.84 | 22 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $21,761.60 | $27,202.00 | $304.01 – $52,156.41 | 22 |
| Intro catheter aorta CPT 36200 | $713.60 | $892.00 | $642.24 – $13,939.00 | 2 |
| Intro cath svc/ivc CPT 36010 | $1,604.80 | $2,006.00 | $143.13 – $1,444.32 | 2 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $4,220.80 | $5,276.00 | $3,798.72 – $13,939.00 | 2 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $1,132.80 | $1,416.00 | $1,019.52 – $13,939.00 | 2 |
| Intubation endotracheal emergency procedure CPT 31500 | $877.60 | $1,097.00 | $90.00 – $1,010.32 | 23 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $8.00 | $10.00 | $0.46 – $1.44 | 3 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $1.60 | $2.00 | $0.16 – $0.49 | 3 |
| Iron CPT 83540 | $20.00 | $49.00 | $6.47 – $28.78 | 26 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $99.80 | $124.75 | $19.64 – $161.07 | 26 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $312.80 | $391.00 | $0.25 – $84.00 | 6 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $100.00 | $354.00 | $24.35 – $273.17 | 23 |
| Ivc venogram s&i CPT 75825 | $2,898.40 | $3,623.00 | $28.13 – $17,462.81 | 24 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $283.20 | $354.00 | $24.05 – $327.31 | 23 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $123.20 | $154.00 | $14.28 – $110.88 | 2 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $154.40 | $193.00 | $15.36 – $212.18 | 23 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $552.00 | $690.00 | $49.13 – $968.97 | 23 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $844.00 | $1,055.00 | $34.38 – $1,006.60 | 25 |
| Jak2 targeted sequence analysis CPT 81279 | $770.40 | $963.00 | $148.16 – $823.83 | 23 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $40.80 | $51.00 | $5.00 – $36.72 | 26 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $21.20 | $26.50 | $0.30 – $1.75 | 10 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $2,225.60 | $2,782.00 | $86.25 – $2,961.19 | 25 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $893.60 | $1,117.00 | $61.25 – $602.31 | 25 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $6,204.00 | $7,755.00 | $5,583.60 – $5,583.60 | 1 |
| Kit hfx iq ipg bundle HCPCS C1822 | $32,828.40 | $41,035.50 | $29,545.56 – $29,545.56 | 1 |
| Kit lead specify 5-6-5 HCPCS C1778 | $10,956.00 | $13,695.00 | $72.71 – $72.71 | 1 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $970.00 – $14,922.27 | 17 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $970.00 – $14,922.27 | 17 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $970.00 – $32,854.70 | 17 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $970.00 – $32,854.70 | 17 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $970.00 – $32,854.70 | 17 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $970.00 – $32,854.70 | 17 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $970.00 – $32,854.70 | 17 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $970.00 – $32,854.70 | 17 |
| Knee MRI (with and without contrast) CPT 73723 | $712.50 | $3,764.00 | $369.24 – $2,106.92 | 25 |
| Knee MRI (with contrast) CPT 73722 | $645.00 | $3,193.00 | $384.69 – $4,386.56 | 25 |
| Knee MRI (without contrast) CPT 73721 | $462.00 | $2,225.00 | $249.91 – $1,342.45 | 25 |
| Knee X-ray CPT 73564 | $736.80 | $921.00 | $25.91 – $602.31 | 25 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $22.00 | $27.50 | $0.26 – $24.96 | 10 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $273.20 | $341.50 | $140.00 – $245.88 | 2 |
| Lactate dehydrogenase (ldh) CPT 83615 | $25.00 | $37.00 | $6.04 – $26.87 | 26 |
| Lactated ringers intravenous solution HCPCS J7120 | $8.00 | $10.00 | $2.55 – $8.05 | 5 |
| Lactic acid CPT 83605 | $75.20 | $94.00 | $8.00 – $67.68 | 26 |
| Lactoferrin fecal qualitative CPT 83630 | $82.40 | $103.00 | $12.31 – $87.63 | 26 |
| Lam facetec & foramot crv CPT 63045 | not published | not published | $970.00 – $59,175.78 | 17 |
| Lam facetec & foramot lumbar CPT 63047 | not published | not published | $970.00 – $32,854.70 | 17 |
| Lam facetec & foramot thrc CPT 63046 | not published | not published | $970.00 – $32,854.70 | 17 |
| Laminotomy single lumbar CPT 63042 | not published | not published | $970.00 – $32,854.70 | 17 |
| Laparo cholecystectomy/graph CPT 47563 | not published | not published | $970.00 – $26,832.77 | 17 |
| Laparo partial nephrectomy CPT 50543 | not published | not published | $970.00 – $47,882.21 | 16 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | not published | not published | $970.00 – $26,832.77 | 15 |
| Laparoscopy aspiration CPT 49322 | not published | not published | $970.00 – $47,882.21 | 17 |
| Laparoscopy biopsy CPT 49321 | not published | not published | $970.00 – $26,832.77 | 17 |
| Laparoscopy excise lesions CPT 58662 | not published | not published | $970.00 – $47,882.21 | 17 |
| Laparoscopy lymphadenectomy CPT 38571 | not published | not published | $970.00 – $47,882.21 | 17 |
| Laparoscopy lymphadenectomy CPT 38572 | not published | not published | $970.00 – $47,882.21 | 17 |
| Laparoscopy lysis CPT 58660 | not published | not published | $970.00 – $26,832.77 | 17 |
| Laparoscopy remove adnexa CPT 58661 | not published | not published | $970.00 – $26,832.77 | 17 |
| Laparoscopy surg colpopexy CPT 57425 | not published | not published | $970.00 – $47,882.21 | 17 |
| Laparo-vag hyst incl t/o CPT 58552 | not published | not published | $970.00 – $47,882.21 | 17 |
| Lap gastr bypass incl smll i CPT 43645 | not published | not published | $970.00 – $3,057.97 | 12 |
| Lap gastric bypass/roux-en-y CPT 43644 | not published | not published | $970.00 – $5,571.48 | 13 |
| Lap ing hernia repair init CPT 49650 | not published | not published | $970.00 – $26,832.77 | 17 |
| Lap ing hernia repair recur CPT 49651 | not published | not published | $970.00 – $26,832.77 | 17 |
| Lap paraesophag hern repair CPT 43281 | not published | not published | $970.00 – $47,882.21 | 17 |
| Lap paraesoph her rpr w/mesh CPT 43282 | not published | not published | $970.00 – $47,882.21 | 16 |
| Lap sleeve gastrectomy CPT 43775 | not published | not published | $970.00 – $3,544.16 | 13 |
| Laps pelvic lymphadec CPT 38573 | not published | not published | $970.00 – $47,882.21 | 17 |
| Laps surg prst8ect rpbic rad CPT 55866 | not published | not published | $970.00 – $47,882.21 | 16 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | not published | not published | $970.00 – $8,724.45 | 17 |
| Laryngoscopy w/biopsy CPT 31535 | not published | not published | $970.00 – $16,956.65 | 17 |
| Laryngoscopy w/bx & op scope CPT 31536 | not published | not published | $970.00 – $16,956.65 | 17 |
| Laryngoscopy w/exc of tumor CPT 31540 | not published | not published | $970.00 – $26,832.77 | 17 |
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.