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 |
|---|---|---|---|---|
| Platelets leukocytes reduced each unit HCPCS P9031 | $565.60 | $707.00 | $30.00 – $559.46 | 23 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $1,183.20 | $1,479.00 | $30.00 – $1,064.88 | 23 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $2,944.00 | $3,680.00 | $30.00 – $2,649.60 | 23 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $3,188.00 | $3,985.00 | $30.00 – $3,005.54 | 23 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $5,962.40 | $7,453.00 | $312.10 – $16,230.51 | 22 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $8,096.80 | $10,121.00 | $222.02 – $15,862.15 | 22 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $1,201.60 | $1,502.00 | $87.83 – $3,235.87 | 23 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $600.80 | $751.00 | $44.26 – $540.72 | 2 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $1,119.20 | $1,399.00 | $38.05 – $1,432.17 | 23 |
| Plmt biliary drainage cath CPT 47534 | $6,028.00 | $7,535.00 | $414.19 – $16,230.51 | 22 |
| Plmt nephroureteral catheter CPT 50433 | $3,511.20 | $4,389.00 | $276.89 – $15,862.15 | 22 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $129.60 | $162.00 | $26.07 – $116.64 | 26 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | $5,560.00 | $6,950.00 | $1,029.28 – $5,004.00 | 23 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $4,164.80 | $5,206.00 | $647.09 – $4,679.08 | 23 |
| Potassium 24 hour urine CPT 84133 | $20.00 | $25.00 | $4.73 – $21.04 | 26 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $27.00 | $33.75 | $0.12 – $3.60 | 6 |
| Potassium serum/plasma/whole blood CPT 84132 | $25.60 | $32.00 | $4.76 – $23.04 | 26 |
| Pq dr cath chg w cont s&i CPT 75984 | $836.80 | $1,046.00 | $12.50 – $753.12 | 3 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $27,863.20 | $34,829.00 | $509.29 – $32,854.70 | 22 |
| Pq thr inj ext pse CPT 36002 | $724.80 | $906.00 | $129.16 – $2,843.44 | 23 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | not published | not published | $970.00 – $14,922.27 | 17 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $12,763.20 | $15,954.00 | $430.54 – $14,922.27 | 22 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | not published | not published | $970.00 – $14,922.27 | 17 |
| Pr application of long arm splint CPT 29105 | $568.80 | $711.00 | $41.88 – $725.70 | 23 |
| Pr application splint static short arm CPT 29125 | $604.80 | $756.00 | $32.50 – $592.82 | 23 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | $11.20 | $14.00 | $5.00 – $180.51 | 23 |
| Pr biopsy skin punch single lesion CPT 11104 | $756.00 | $945.00 | $50.53 – $1,837.46 | 23 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $970.00 – $59,175.78 | 17 |
| Pr correction hammertoe CPT 28285 | not published | not published | $970.00 – $59,175.78 | 17 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $970.00 – $15,862.15 | 17 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $712.00 | $890.00 | $39.42 – $406.89 | 23 |
| Prealbumin CPT 84134 | $73.60 | $92.00 | $14.59 – $66.24 | 26 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $164.00 | $205.00 | $0.25 – $240.24 | 6 |
| Prednisone 1 mg tablet HCPCS J7512 | $1.60 | $2.00 | $0.01 – $13.54 | 6 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | not published | not published | $970.00 – $8,724.45 | 17 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $888.80 | $1,111.00 | $58.13 – $602.31 | 25 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $845.60 | $1,057.00 | $47.99 – $602.31 | 25 |
| Prep skin to 100cm2 trk/ext CPT 15002 | not published | not published | $970.00 – $8,412.80 | 18 |
| Pressure max expiratory/inspiratory CPT 94799 | $666.40 | $833.00 | $117.35 – $719.56 | 18 |
| Pressure treatment esophagus CPT 43460 | $3,380.80 | $4,226.00 | $91.88 – $3,042.72 | 14 |
| Pressure velocity wire add ves CPT 93572 | $2,131.20 | $2,664.00 | $1,918.08 – $13,939.00 | 2 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $2,220.00 | $2,775.00 | $50.00 – $7,451.66 | 22 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | $970.00 – $7,451.66 | 17 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $796.00 | $995.00 | $125.00 – $1,837.46 | 23 |
| Prgr stim/pace a/iv drug CPT 93623 | $1,708.80 | $2,136.00 | $1,537.92 – $13,939.00 | 2 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $9,149.60 | $11,437.00 | $459.85 – $82,584.69 | 19 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $6,670.40 | $8,338.00 | $6,003.36 – $13,939.00 | 2 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $866.40 | $1,083.00 | $65.63 – $1,837.46 | 23 |
| Pr incision & drainage abscess simple/single CPT 10060 | $629.60 | $787.00 | $29.38 – $913.86 | 23 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | not published | not published | $314.50 – $1,398.99 | 18 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $1,246.40 | $1,558.00 | $38.13 – $1,837.46 | 23 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $128.80 | $161.00 | $12.38 – $115.92 | 2 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $2,356.37 | $2,945.46 | $556.22 – $556.22 | 1 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $970.00 – $31,837.11 | 17 |
| Procalcitonin CPT 84145 | $136.00 | $170.00 | $22.21 – $122.40 | 26 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $9.80 | $12.25 | $1.96 – $10.22 | 6 |
| Progesterone CPT 84144 | $104.00 | $130.00 | $17.00 – $93.60 | 26 |
| Prolactin CPT 84146 | $80.80 | $101.00 | $19.38 – $86.21 | 26 |
| Promethazine hcl injection HCPCS J2550 | $6.40 | $8.00 | $2.98 – $11.59 | 6 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $33.20 | $41.50 | $0.10 – $29.88 | 6 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $7.40 | $9.25 | $6.66 – $34.79 | 4 |
| Prostate biopsy, any mthd HCPCS G0416 | $264.00 | $330.00 | $42.50 – $1,654.37 | 21 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $970.00 – $23,380.04 | 17 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $66.60 | $83.25 | $1.89 – $131.20 | 6 |
| Protein c activity CPT 85303 | $127.20 | $159.00 | $13.84 – $114.48 | 26 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $40.00 | $56.00 | $10.74 – $47.77 | 26 |
| Protein s total CPT 85305 | $104.80 | $131.00 | $11.61 – $94.32 | 26 |
| Protein total 24 hour urine CPT 84156 | $15.20 | $19.00 | $3.67 – $16.33 | 26 |
| Protein total body fluid CPT 84157 | $20.00 | $25.00 | $4.00 – $18.00 | 26 |
| Protein total serum plasma whole blood CPT 84155 | $15.20 | $19.00 | $3.67 – $16.33 | 26 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $30.40 | $38.00 | $3.94 – $27.36 | 26 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $970.00 – $16,230.51 | 17 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $234.40 | $293.00 | $50.00 – $425.44 | 22 |
| Prq av fstl crt uxtr sep acs CPT 36837 | $18,931.20 | $23,664.00 | $13,467.54 – $82,584.69 | 17 |
| Prq cardiac angio addl art CPT 92921 | $4,859.20 | $6,074.00 | $4,373.28 – $13,939.00 | 2 |
| Prq card revasc mi 1 vsl CPT 92941 | $23,046.40 | $28,808.00 | $608.80 – $20,741.76 | 15 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $23,046.40 | $28,808.00 | $13,939.00 – $20,741.76 | 2 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $970.00 – $32,854.70 | 17 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $17,702.40 | $22,128.00 | $602.38 – $52,156.41 | 19 |
| Prq trluml c angiop 1art&/br CPT 92920 | $11,252.80 | $14,066.00 | $542.24 – $26,221.84 | 19 |
| Prq trluml revsc ch occ ant CPT 92943 | $35,649.60 | $44,562.00 | $674.98 – $52,156.41 | 19 |
| Pr removal drug delivery implant CPT 11982 | not published | not published | $970.00 – $26,832.77 | 17 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $165.60 | $207.00 | $37.50 – $592.82 | 23 |
| Pr removal intrauterine device CPT 58301 | not published | not published | $314.50 – $1,398.99 | 18 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $1,160.00 | $1,450.00 | $41.25 – $1,837.46 | 23 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $535.20 | $669.00 | $39.38 – $913.86 | 23 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $723.20 | $904.00 | $59.38 – $913.86 | 23 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $535.20 | $669.00 | $30.63 – $913.86 | 23 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $723.20 | $904.00 | $44.38 – $913.86 | 23 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $970.00 – $14,922.27 | 17 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $2,180.80 | $2,726.00 | $166.20 – $7,144.41 | 22 |
| PSA (Prostate) Test CPT 84153 | $45.00 | $96.00 | $18.39 – $81.80 | 26 |
| Psychotherapy group therapy CPT 90853 | $90.40 | $113.00 | $69.38 – $425.44 | 18 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $363.20 | $454.00 | $32.50 – $738.95 | 18 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $364.00 | $455.00 | $48.75 – $738.95 | 18 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $503.20 | $629.00 | $65.00 – $738.95 | 18 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $149.60 | $187.00 | $50.00 – $325.00 | 8 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $163.20 | $204.00 | $50.00 – $325.00 | 8 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $133.60 | $167.00 | $50.00 – $325.00 | 8 |
| Pt application of modality traction mechanical CPT 97012 | $157.60 | $197.00 | $50.00 – $141.84 | 7 |
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.