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 |
|---|---|---|---|---|
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | $970.00 – $17,611.22 | 17 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | not published | not published | $970.00 – $140,150.99 | 15 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $970.00 – $32,854.70 | 17 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $970.00 – $32,854.70 | 17 |
| Optx medial ankle fx CPT 27766 | not published | not published | $970.00 – $32,854.70 | 17 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $970.00 – $59,175.78 | 17 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $970.00 – $32,854.70 | 17 |
| Orchiectomy partial CPT 54522 | not published | not published | $970.00 – $15,862.15 | 17 |
| Organic acids total quant ea spec CPT 83918 | $118.40 | $148.00 | $22.75 – $106.56 | 26 |
| Ortho dvc repair per 15 min HCPCS L4205 | $158.40 | $198.00 | $30.02 – $142.56 | 18 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $157.60 | $197.00 | $141.84 – $3,341.79 | 19 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $148.00 | $185.00 | $133.20 – $1,289.38 | 19 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | $283.20 | $354.00 | $254.88 – $1,529.24 | 19 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $454.40 | $568.00 | $210.51 – $1,780.30 | 19 |
| Oscillation chest wall mechanical per session CPT 94669 | $612.80 | $766.00 | $152.54 – $935.39 | 18 |
| Osmolality blood CPT 83930 | $33.60 | $42.00 | $3.00 – $30.24 | 26 |
| Osmolality urine CPT 83935 | $34.40 | $43.00 | $3.00 – $30.96 | 26 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $970.00 – $59,175.78 | 16 |
| Ot evaluation high complexity patient/family CPT 97167 | $576.00 | $720.00 | $56.80 – $518.40 | 8 |
| Ot evaluation low complexity patient/family CPT 97165 | $335.20 | $419.00 | $56.80 – $325.00 | 8 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $440.00 | $550.00 | $56.80 – $396.00 | 8 |
| Oth resp proc, group HCPCS G0239 | $288.80 | $361.00 | $19.63 – $259.92 | 19 |
| Oth resp proc, indiv HCPCS G0238 | $140.00 | $175.00 | $18.37 – $126.00 | 18 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $84.00 | $105.00 | $50.00 – $325.00 | 8 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $156.00 | $195.00 | $50.00 – $325.00 | 8 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $140.00 | $175.00 | $50.00 – $325.00 | 8 |
| Ot re-evaluation patient/family CPT 97168 | $206.40 | $258.00 | $50.86 – $325.00 | 8 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $187.20 | $234.00 | $50.00 – $325.00 | 8 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $162.40 | $203.00 | $20.32 – $325.00 | 22 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $162.40 | $203.00 | $20.97 – $325.00 | 22 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $160.00 | $200.00 | $50.00 – $325.00 | 8 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $170.40 | $213.00 | $50.00 – $325.00 | 8 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $162.40 | $203.00 | $50.00 – $325.00 | 8 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $6.00 | $7.50 | $1.79 – $6.43 | 4 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $225.60 | $282.00 | $0.15 – $203.04 | 6 |
| Palonosetron hcl HCPCS J2469 | $56.20 | $70.25 | $0.39 – $50.58 | 6 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $47.60 | $59.50 | $10.46 – $48.58 | 6 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $21.40 | $26.75 | $3.24 – $30.53 | 4 |
| Papaverin hcl injection HCPCS J2440 | $50.60 | $63.25 | $37.35 – $147.01 | 4 |
| Parathormone (pth) intact CPT 83970 | $248.80 | $311.00 | $41.28 – $223.92 | 26 |
| Parathyrd planar w/spect&ct CPT 78072 | $2,225.60 | $2,782.00 | $322.69 – $2,961.19 | 24 |
| Parathyroid planar imaging CPT 78070 | $1,713.60 | $2,142.00 | $78.13 – $2,259.58 | 25 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $970.00 – $29,992.84 | 17 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $479.20 | $599.00 | $25.00 – $913.86 | 23 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $970.00 – $14,922.27 | 17 |
| Partial removal foot fascia CPT 28060 | not published | not published | $970.00 – $14,922.27 | 17 |
| Partial removal of thyroid CPT 60220 | not published | not published | $970.00 – $26,832.77 | 17 |
| Partial removal of tibia CPT 27640 | not published | not published | $970.00 – $14,922.27 | 17 |
| Partial removal of toe CPT 28160 | not published | not published | $970.00 – $14,922.27 | 17 |
| Part removal of metatarsal CPT 28110 | not published | not published | $970.00 – $14,922.27 | 17 |
| Passy muir valve metal trach HCPCS L8501 | $136.80 | $171.00 | $93.75 – $644.96 | 19 |
| Pelvic CT scan (with contrast) CPT 72193 | $475.50 | $2,362.00 | $108.13 – $1,006.60 | 25 |
| Pelvic CT scan (without contrast) CPT 72192 | $281.00 | $2,416.00 | $84.38 – $602.31 | 25 |
| Pelvic MRI (with and without contrast) CPT 72197 | $706.00 | $2,646.00 | $369.24 – $2,106.92 | 25 |
| Pelvic MRI (with contrast) CPT 72196 | $639.00 | $2,350.00 | $254.25 – $2,106.92 | 25 |
| Pelvic MRI (without contrast) CPT 72195 | $455.50 | $2,225.00 | $249.91 – $1,342.45 | 25 |
| Pelvic Ultrasound (complete) CPT 76856 | $517.60 | $647.00 | $58.13 – $602.31 | 24 |
| Pelvic Ultrasound (limited) CPT 76857 | $468.00 | $585.00 | $23.75 – $602.31 | 25 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $57.20 | $71.50 | $4.72 – $193.72 | 26 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $979.60 | $1,224.50 | $32.56 – $1,601.97 | 26 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $49.80 | $62.25 | $0.86 – $21.42 | 6 |
| Penile injection CPT 54235 | $490.40 | $613.00 | $182.41 – $1,118.53 | 18 |
| Perc cryo ablate renal tum CPT 50593 | $13,924.80 | $17,406.00 | $7,808.42 – $47,882.21 | 17 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $35,649.60 | $44,562.00 | $674.98 – $82,584.69 | 19 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $9,396.00 | $11,745.00 | $8,456.40 – $13,939.00 | 2 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $23,046.40 | $28,808.00 | $601.71 – $52,156.41 | 19 |
| Perc drug-el cor stent bran HCPCS C9601 | $8,457.60 | $10,572.00 | $7,611.84 – $13,939.00 | 2 |
| Perc drug-el cor stent sing HCPCS C9600 | $19,388.00 | $24,235.00 | $602.38 – $52,156.41 | 19 |
| Percut ablate liver rf CPT 47382 | $22,308.00 | $27,885.00 | $798.67 – $26,832.77 | 22 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $400.00 | $500.00 | $85.50 – $293.16 | 5 |
| Pericardiocentesis wwo imaging CPT 33016 | $2,207.20 | $2,759.00 | $242.41 – $7,144.41 | 22 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $970.00 – $44,008.99 | 17 |
| Perq dev breast 1st strtctc CPT 19283 | $699.20 | $874.00 | $104.23 – $3,235.87 | 23 |
| Pet CT skull-mid thgh initial CPT 78815 | $6,880.00 | $8,600.00 | $972.09 – $8,570.95 | 25 |
| Pet CT whole body initial CPT 78816 | $6,880.00 | $8,600.00 | $972.09 – $8,570.95 | 25 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $8,448.00 | $10,560.00 | $41.58 – $41.58 | 1 |
| Ph body fluid CPT 83986 | $15.20 | $19.00 | $2.00 – $15.92 | 26 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $39.60 | $49.50 | $22.91 – $103.04 | 10 |
| Phenobarbital therapeutic drug level CPT 80184 | $64.00 | $80.00 | $15.30 – $68.06 | 26 |
| Phentolaine mesylate inj HCPCS J2760 | $796.40 | $995.50 | $328.09 – $1,921.75 | 26 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $13.00 | $16.25 | $0.01 – $17.50 | 10 |
| Phenytoin total therapeutic drug level CPT 80185 | $55.20 | $69.00 | $13.00 – $58.94 | 26 |
| Phlebotomy therapeutic CPT 99195 | $110.00 | $580.00 | $12.50 – $592.82 | 23 |
| Phosphorus CPT 84100 | $15.00 | $29.00 | $4.74 – $21.08 | 26 |
| Phosphorus 24 hour urine CPT 84105 | $24.00 | $30.00 | $5.78 – $25.71 | 26 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $139.80 | $174.75 | $2.95 – $65.34 | 6 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | $1,686.40 | $2,108.00 | $249.33 – $2,195.76 | 21 |
| Pin caspar distraction 12mm HCPCS C1821 | $9,504.00 | $11,880.00 | $1,900.80 – $1,900.80 | 1 |
| Pin finger fracture each CPT 26756 | not published | not published | $970.00 – $14,922.27 | 17 |
| Pinworm exam CPT 87172 | $17.60 | $22.00 | $2.14 – $18.99 | 22 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $37.00 | $46.25 | $1.16 – $26.46 | 6 |
| Place gastrostomy tube perc CPT 49440 | $3,048.80 | $3,811.00 | $220.67 – $8,724.45 | 22 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $1,616.80 | $2,021.00 | $103.24 – $7,451.66 | 22 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | not published | not published | $970.00 – $29,992.84 | 17 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $3,552.80 | $4,441.00 | $224.45 – $9,421.28 | 22 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $196.80 | $246.00 | $177.12 – $13,939.00 | 2 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $13,369.60 | $16,712.00 | $477.33 – $52,156.41 | 23 |
| Place non-slctv cath thoracic arta CPT 36221 | $5,274.40 | $6,593.00 | $216.77 – $14,475.66 | 22 |
| Platelet aggregation each agent teg CPT 85576 | $151.20 | $189.00 | $24.91 – $136.08 | 26 |
| Platelet automated CPT 85049 | $64.80 | $81.00 | $3.00 – $58.32 | 26 |
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.