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 |
|---|---|---|---|---|
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $667.20 | $834.00 | $22.08 – $362.05 | 26 |
| Mlh1 gene CPT 81288 | $800.00 | $1,000.00 | $96.16 – $855.50 | 23 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $6,204.00 | $7,755.00 | $5,346.00 – $5,346.00 | 1 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $181.40 | $226.75 | $2.37 – $16.21 | 6 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $60.60 | $75.75 | $11.20 – $54.54 | 6 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $660.00 | $825.00 | $148.16 – $1,188.78 | 26 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $264.00 | $330.00 | $77.67 – $1,654.37 | 26 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $554.40 | $693.00 | $44.35 – $788.11 | 26 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $970.00 – $14,915.19 | 17 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $636.80 | $796.00 | $137.86 – $1,554.77 | 26 |
| MRA abdomen post contrast CPT 74185 | $735.50 | $2,646.00 | $231.78 – $1,485.51 | 24 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $734.50 | $2,646.00 | $228.18 – $1,466.71 | 24 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $734.50 | $2,646.00 | $231.18 – $1,476.08 | 24 |
| MRA pelvis CPT 72198 | $735.50 | $2,646.00 | $232.98 – $1,493.05 | 24 |
| MRI breast w IV cont bi CPT 77049 | $705.34 | $2,600.00 | $214.39 – $1,381.96 | 24 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $685.50 | $2,752.00 | $369.24 – $2,106.92 | 25 |
| MRI chest without contrast CPT 71550 | $457.00 | $2,225.00 | $249.91 – $1,342.45 | 25 |
| MRI chest without & w/contrast CPT 71552 | $706.00 | $2,646.00 | $369.24 – $2,106.92 | 25 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $463.00 | $2,225.00 | $249.91 – $1,342.45 | 25 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $712.50 | $2,646.00 | $336.25 – $2,106.92 | 25 |
| MRI orbit/face/neck without contrast CPT 70540 | $463.50 | $2,225.00 | $249.91 – $1,342.45 | 25 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $713.00 | $2,646.00 | $369.24 – $2,106.92 | 25 |
| MRI tmj CPT 70336 | $658.00 | $2,225.00 | $249.91 – $1,342.45 | 25 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $463.50 | $2,225.00 | $249.91 – $1,342.45 | 25 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $712.50 | $2,646.00 | $336.25 – $2,106.92 | 25 |
| Mthfr gene analy common variants CPT 81291 | $277.60 | $347.00 | $32.67 – $290.65 | 18 |
| Multiple sleep latency test CPT 95805 | $3,068.80 | $3,836.00 | $296.06 – $2,761.92 | 23 |
| Mumps antibody igg CPT 86735 | $54.40 | $68.00 | $6.53 – $58.05 | 22 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $1.40 | $1.75 | $0.16 – $1.26 | 6 |
| Mycoplasma antibody igm CPT 86738 | $55.20 | $69.00 | $13.24 – $58.90 | 26 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $729.60 | $912.00 | $87.70 – $780.23 | 22 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $57.60 | $72.00 | $8.65 – $51.84 | 21 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $122.20 | $152.75 | $0.08 – $11.16 | 9 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $691.20 | $864.00 | $73.58 – $892.86 | 23 |
| Nasal endoscopy with removal of nasal foreign body CPT 30999 | not published | not published | $970.00 – $31,837.11 | 17 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | not published | not published | $970.00 – $16,956.65 | 17 |
| Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 | not published | not published | $970.00 – $31,837.11 | 17 |
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | not published | not published | $970.00 – $31,837.11 | 17 |
| Nasal/sinus endo w/front sinus expl 31276 CPT 31276 | not published | not published | $970.00 – $31,837.11 | 17 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $239.20 | $299.00 | $145.61 – $892.86 | 18 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | $19,702.60 | $24,628.25 | $26.03 – $32,022.42 | 26 |
| Natriuretic peptide CPT 83880 | $80.00 | $244.00 | $37.94 – $175.68 | 26 |
| Natural killer cells total count CPT 86357 | $188.00 | $235.00 | $37.73 – $169.20 | 26 |
| Navigational bronchoscopy 31627 CPT 31627 | not published | not published | $970.00 – $7,515.00 | 8 |
| N block inj hypogas plxs CPT 64517 | $1,304.00 | $1,630.00 | $131.21 – $4,094.53 | 23 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | $425.60 | $532.00 | $21.58 – $592.82 | 23 |
| Ndl round specialty proguide HCPCS C1715 | $1,577.40 | $1,971.75 | $1,419.66 – $1,419.66 | 1 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $472.00 | $2,350.00 | $117.50 – $2,106.92 | 25 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $282.00 | $2,312.00 | $103.88 – $602.31 | 25 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $701.50 | $2,646.00 | $336.25 – $2,106.92 | 25 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $633.50 | $2,350.00 | $336.25 – $2,106.92 | 25 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $454.00 | $2,225.00 | $249.91 – $1,342.45 | 25 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $473.00 | $2,225.00 | $249.91 – $1,342.45 | 25 |
| Neck spine disk surgery CPT 63020 | not published | not published | $970.00 – $32,854.70 | 17 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $15.80 | $19.75 | $1.10 – $101.76 | 4 |
| Nerve conduction 7-8 studies CPT 95910 | $1,476.00 | $1,845.00 | $174.83 – $1,432.17 | 23 |
| Nerve conduction studies 11-12 CPT 95912 | $2,152.80 | $2,691.00 | $248.41 – $2,440.29 | 23 |
| Nerve conduction studies 1-2 CPT 95907 | $660.00 | $825.00 | $89.74 – $719.56 | 23 |
| Nerve conduction studies 13+ CPT 95913 | $2,283.20 | $2,854.00 | $288.19 – $2,440.29 | 23 |
| Nerve conduction studies 3-4 CPT 95908 | $1,118.40 | $1,398.00 | $110.75 – $1,432.17 | 23 |
| Nerve conduction studies 5-6 CPT 95909 | $1,118.40 | $1,398.00 | $132.75 – $1,432.17 | 23 |
| Nerve conduction studies 9-10 CPT 95911 | $1,934.40 | $2,418.00 | $211.92 – $2,440.29 | 23 |
| Neuromuscular junction testing ea nerve any 1 method CPT 95937 | $82.40 | $103.00 | $15.28 – $719.56 | 23 |
| New Patient Office Visit (level 3) CPT 99203 | $467.20 | $584.00 | $50.00 – $592.69 | 21 |
| New Patient Office Visit (level 4) CPT 99204 | $608.00 | $760.00 | $50.00 – $592.69 | 21 |
| New Patient Office Visit (level 5) CPT 99205 | $754.40 | $943.00 | $50.00 – $678.96 | 20 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $32.20 | $40.25 | $0.08 – $78.75 | 10 |
| N-invas est c ffr sw aly cta CPT 75580 | $3,644.80 | $4,556.00 | $763.04 – $4,679.08 | 19 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $74.40 | $93.00 | $1.13 – $23.76 | 10 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | $1,516.80 | $1,896.00 | $169.58 – $3,069.77 | 22 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $1,713.60 | $2,142.00 | $148.75 – $2,259.58 | 25 |
| Nm imaging bone/joint whole body CPT 78306 | $1,713.60 | $2,142.00 | $76.88 – $2,259.58 | 25 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $1,713.60 | $2,142.00 | $76.25 – $2,259.58 | 25 |
| Nm imaging gastric emptying study CPT 78264 | $1,713.60 | $2,142.00 | $123.75 – $2,259.58 | 25 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,713.60 | $2,142.00 | $48.75 – $2,259.58 | 25 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $2,225.60 | $2,782.00 | $372.27 – $2,961.19 | 25 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $2,225.60 | $2,782.00 | $86.25 – $2,961.19 | 25 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $2,225.60 | $2,782.00 | $248.51 – $2,961.19 | 25 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,713.60 | $2,142.00 | $199.95 – $2,259.58 | 25 |
| Noninv pace analysis CPT 93724 | $1,812.80 | $2,266.00 | $55.40 – $2,587.00 | 24 |
| No pt prsnt train initial 30 HCPCS G0541 | $201.60 | $252.00 | $32.81 – $325.00 | 19 |
| Nqhp ol dig assmt&mgmt 21+ CPT 98972 | $128.00 | $160.00 | $31.31 – $325.00 | 22 |
| Nsl/sins ndsc sphn tiss rmvl CPT 31259 | not published | not published | $970.00 – $31,837.11 | 17 |
| Nsl/sins ndsc total CPT 31253 | not published | not published | $970.00 – $31,837.11 | 17 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | not published | not published | $970.00 – $31,837.11 | 17 |
| Nsl/sinus endoscopy surg dcr CPT 31239 | not published | not published | $970.00 – $31,837.11 | 17 |
| Nsl/sinus ndsc cryoabltj pnn CPT 31243 | not published | not published | $970.00 – $27,206.69 | 17 |
| Ntrk translocation analysis CPT 81194 | $2,156.00 | $2,695.00 | $259.14 – $2,305.46 | 22 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $4,041.60 | $5,052.00 | $355.61 – $3,637.44 | 23 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $3,235.20 | $4,044.00 | $336.00 – $2,911.68 | 23 |
| Nuclear rx intra-arterial CPT 79445 | $1,090.40 | $1,363.00 | $107.64 – $1,362.98 | 20 |
| Nuclear Stress Test (Heart) CPT 78452 | $6,240.00 | $7,800.00 | $278.10 – $7,779.35 | 25 |
| Observation direct referral from physician office for admission HCPCS G0379 | $173.60 | $217.00 | $156.24 – $2,819.69 | 21 |
| Observation per hour HCPCS G0378 | $173.60 | $217.00 | $109.44 – $2,600.00 | 5 |
| Obstetric panel inc HIV tstg CPT 80081 | $230.00 | $389.00 | $74.86 – $333.00 | 26 |
| Obstetrics panel CPT 80055 | $190.00 | $249.00 | $12.00 – $212.67 | 25 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $47,087.40 | $58,859.25 | $64.46 – $79,287.39 | 26 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $9.20 | $11.50 | $0.66 – $8.28 | 6 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $46.20 | $57.75 | $0.95 – $65.10 | 10 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $13.20 | $16.50 | $0.10 – $11.88 | 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.