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 |
|---|---|---|---|---|
| Mayo fbl culture fungi blood CPT 87103 | $84.80 | $106.00 | $12.46 – $91.01 | 26 |
| Mayo ffspg allergen clam igg CPT 86001 | $32.80 | $41.00 | $5.78 – $34.79 | 26 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $89.60 | $112.00 | $14.47 – $96.39 | 26 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $6,833.60 | $8,542.00 | $461.52 – $461.52 | 1 |
| Mayo hemosiderin qualitative urine CPT 83070 | $20.00 | $25.00 | $3.00 – $21.13 | 26 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $175.20 | $219.00 | $17.55 – $157.68 | 22 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $145.60 | $182.00 | $26.32 – $156.09 | 21 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $107.20 | $134.00 | $12.00 – $114.81 | 26 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $36.80 | $46.00 | $8.89 – $39.55 | 26 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $56.80 | $71.00 | $13.52 – $60.14 | 26 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $136.00 | $170.00 | $20.50 – $122.40 | 26 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $71.20 | $89.00 | $8.64 – $76.82 | 22 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $62.40 | $78.00 | $14.99 – $66.68 | 26 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $85.00 | $108.00 | $20.81 – $92.57 | 26 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $104.00 | $130.00 | $20.81 – $93.60 | 26 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $80.00 | $100.00 | $12.05 – $72.00 | 21 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $60.00 | $75.00 | $11.98 – $54.00 | 26 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $145.60 | $182.00 | $35.09 – $156.09 | 26 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $175.20 | $219.00 | $28.07 – $157.68 | 26 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $211.20 | $264.00 | $17.55 – $190.08 | 22 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $178.40 | $223.00 | $42.84 – $190.57 | 26 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $300.00 | $375.00 | $57.75 – $321.12 | 26 |
| Mayo infliximab therapeutic drug level CPT 80230 | $160.80 | $201.00 | $19.29 – $171.57 | 22 |
| Mayo inhab inhibin a CPT 86336 | $64.80 | $81.00 | $7.80 – $69.35 | 22 |
| Mayo insulin antibodies CPT 86337 | $88.80 | $111.00 | $11.00 – $95.24 | 26 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $95.20 | $119.00 | $13.56 – $120.59 | 22 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $55.20 | $69.00 | $13.25 – $58.94 | 26 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $53.60 | $67.00 | $11.00 – $56.89 | 26 |
| Mayo legionella antibody CPT 86713 | $64.00 | $80.00 | $15.30 – $68.06 | 26 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $77.60 | $97.00 | $15.49 – $69.84 | 26 |
| Mayo metanephrines plasma CPT 83835 | $70.40 | $88.00 | $13.00 – $75.35 | 26 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $91.20 | $114.00 | $12.05 – $82.08 | 26 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $76.80 | $96.00 | $14.72 – $81.85 | 25 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $60.80 | $76.00 | $7.91 – $64.72 | 26 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $77.60 | $97.00 | $15.30 – $82.92 | 26 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | $770.40 | $963.00 | $92.60 – $823.83 | 19 |
| Mayo muramidase CPT 85549 | $98.40 | $123.00 | $16.44 – $88.56 | 26 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $76.80 | $96.00 | $13.80 – $81.85 | 20 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $89.60 | $112.00 | $18.05 – $80.64 | 26 |
| Mayo myoglobin CPT 83874 | $64.80 | $81.00 | $12.92 – $58.32 | 26 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $88.00 | $110.00 | $18.20 – $94.35 | 26 |
| Mayo oxalate 24 hour urine CPT 83945 | $60.00 | $75.00 | $13.00 – $64.28 | 26 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $75.20 | $94.00 | $15.03 – $67.68 | 26 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $60.00 | $75.00 | $12.05 – $54.00 | 26 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $116.80 | $146.00 | $17.98 – $105.12 | 26 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $57.60 | $72.00 | $13.00 – $61.21 | 26 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $35.20 | $44.00 | $2.00 – $37.54 | 26 |
| Mayo pregnenolone CPT 84140 | $85.60 | $107.00 | $20.67 – $91.95 | 26 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $68.80 | $86.00 | $16.59 – $73.80 | 26 |
| Mayo proinsulin CPT 84206 | $132.80 | $166.00 | $8.00 – $119.52 | 26 |
| Mayo psaft prostate specific antigen free CPT 84154 | $45.00 | $96.00 | $18.39 – $81.80 | 26 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $76.80 | $96.00 | $9.20 – $81.85 | 22 |
| Mayo receptor assay transferrin soluble CPT 84238 | $152.00 | $190.00 | $22.00 – $162.67 | 26 |
| Mayo renin CPT 84244 | $109.60 | $137.00 | $12.00 – $98.64 | 26 |
| Mayo repu protein electrophoresis urine CPT 84166 | $45.00 | $93.00 | $17.83 – $79.31 | 26 |
| Mayo selenium CPT 84255 | $127.20 | $159.00 | $19.15 – $114.48 | 21 |
| Mayo serotonin CPT 84260 | $128.80 | $161.00 | $30.98 – $137.81 | 26 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $80.80 | $101.00 | $19.35 – $86.07 | 26 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $57.60 | $72.00 | $13.73 – $61.08 | 26 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $292.80 | $366.00 | $263.52 – $263.52 | 1 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $21.60 | $27.00 | $4.00 – $19.44 | 26 |
| Mayo tau phosphorylated 217 each CPT 84393 | $972.00 | $1,215.00 | $874.80 – $874.80 | 1 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $869.60 | $1,087.00 | $104.46 – $929.34 | 22 |
| Mayo tgrp testosterone free CPT 84402 | $105.60 | $132.00 | $25.47 – $113.30 | 26 |
| Mayo tgrp testosterone total CPT 84403 | $156.80 | $196.00 | $25.81 – $141.12 | 26 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $385.60 | $482.00 | $17.74 – $347.04 | 26 |
| Mayo thyroglobulin CPT 84432 | $66.40 | $83.00 | $16.06 – $71.44 | 26 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $42.40 | $53.00 | $10.18 – $45.28 | 26 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $61.60 | $77.00 | $9.29 – $55.44 | 21 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $56.80 | $71.00 | $13.54 – $60.23 | 26 |
| Mayo vasoactive intestinal peptide CPT 84586 | $176.00 | $220.00 | $35.33 – $158.40 | 26 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $84.00 | $105.00 | $8.00 – $90.03 | 26 |
| Mayo vitamin b3 (niacin) CPT 84591 | $70.40 | $88.00 | $12.80 – $75.89 | 21 |
| Mayo vitamin k CPT 84597 | $57.60 | $72.00 | $6.86 – $61.03 | 22 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $55.20 | $69.00 | $13.25 – $58.94 | 26 |
| Measurement post void urine by ultrasound CPT 51798 | $162.40 | $203.00 | $17.59 – $273.17 | 23 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $970.00 – $26,832.77 | 17 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $970.00 – $26,832.77 | 17 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $165.40 | $206.75 | $0.46 – $299.25 | 5 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $39.60 | $49.50 | $0.46 – $17.82 | 6 |
| Metabolic Blood Panel (Basic) CPT 80048 | $20.00 | $74.00 | $8.46 – $37.63 | 26 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $25.00 | $93.00 | $10.56 – $46.97 | 26 |
| Metabolic panel ionized ca CPT 80047 | $70.40 | $88.00 | $11.91 – $63.36 | 26 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $3.20 | $4.00 | $0.20 – $2.88 | 6 |
| Methotrexate therapeutic drug level CPT 80204 | $133.60 | $167.00 | $19.13 – $171.57 | 22 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $2,679.80 | $3,349.75 | $10.29 – $970.31 | 21 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $44.80 | $56.00 | $22.47 – $74.52 | 6 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $451.20 | $564.00 | $1.41 – $609.00 | 3 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $2.80 | $3.50 | $0.12 – $2.52 | 5 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $17.20 | $21.50 | $0.13 – $21.17 | 26 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $67.20 | $84.00 | $0.23 – $8.82 | 26 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $8.20 | $10.25 | $1.03 – $7.38 | 6 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $14.80 | $18.50 | $0.13 – $13.32 | 9 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $14.40 | $18.00 | $0.03 – $12.96 | 10 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $66.60 | $83.25 | $0.28 – $99.20 | 6 |
| Microdissection manual CPT 88381 | $640.80 | $801.00 | $141.90 – $790.66 | 4 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $22.40 | $28.00 | $0.17 – $10.26 | 6 |
| Middle cerebral artery echo CPT 76821 | $316.00 | $395.00 | $58.72 – $602.31 | 25 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $98.00 | $122.50 | $1.58 – $13.68 | 6 |
| Minocycline hydrochloride HCPCS J2265 | $720.00 | $900.00 | $2.57 – $1,187.70 | 21 |
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.