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 |
|---|---|---|---|---|
| Anoscopy and biopsy CPT 46606 | not published | not published | $970.00 – $5,422.70 | 18 |
| Anoscopy remove fb 46608 CPT 46608 | $1,249.60 | $1,562.00 | $87.96 – $4,193.06 | 23 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | not published | not published | $970.00 – $22,703.23 | 17 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $53.60 | $67.00 | $9.66 – $57.29 | 21 |
| Antibody elution rbc reference CPT 86860 | $670.40 | $838.00 | $8.45 – $788.11 | 24 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $116.00 | $145.00 | $5.00 – $104.40 | 26 |
| Antibody id rbc panel CPT 86870 | $1,403.20 | $1,754.00 | $8.45 – $1,654.37 | 24 |
| Antibody screen rbc CPT 86850 | $208.80 | $261.00 | $8.45 – $245.72 | 25 |
| Antibody tetanus CPT 86774 | $74.40 | $93.00 | $7.40 – $66.96 | 22 |
| Anti mog serum - sendout CPT 86362 | $49.60 | $62.00 | $8.64 – $53.60 | 26 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $49.60 | $62.00 | $9.64 – $53.60 | 26 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $49.60 | $62.00 | $9.64 – $53.60 | 26 |
| Antinuclear antibodies CPT 86038 | $49.60 | $62.00 | $12.09 – $53.78 | 26 |
| Antinuclear antibodies titer CPT 86039 | $46.40 | $58.00 | $11.16 – $49.64 | 26 |
| Antistreptolysin o titer CPT 86060 | $30.40 | $38.00 | $7.00 – $32.47 | 26 |
| Antithrombin iii activity CPT 85300 | $80.80 | $101.00 | $9.40 – $72.72 | 26 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $970.00 – $26,832.77 | 17 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $845.60 | $1,057.00 | $205.93 – $18,133.12 | 24 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $213.60 | $267.00 | $192.24 – $192.24 | 1 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $213.60 | $267.00 | $192.24 – $192.24 | 1 |
| Application finger splntstatic 29130 CPT 29130 | $415.20 | $519.00 | $96.68 – $592.82 | 18 |
| Application long leg splint 29505 CPT 29505 | $458.40 | $573.00 | $46.25 – $725.70 | 23 |
| Application lower leg splint 29515 CPT 29515 | $586.40 | $733.00 | $43.75 – $725.70 | 23 |
| Application multi layer compression below knee (both sides) CPT 29581 | $492.80 | $616.00 | $31.59 – $725.70 | 23 |
| Application of long arm cast 29065 CPT 29065 | $480.80 | $601.00 | $53.13 – $1,221.41 | 23 |
| Application of paste boot 29580 CPT 29580 | $463.20 | $579.00 | $78.90 – $725.70 | 19 |
| Application short leg cast 29405 CPT 29405 | $740.80 | $926.00 | $63.13 – $1,221.41 | 23 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $1,904.80 | $2,381.00 | $100.55 – $8,412.80 | 23 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $1,904.80 | $2,381.00 | $86.41 – $8,412.80 | 23 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $38.28 | $47.85 | $29.35 – $29.35 | 1 |
| Appl mltpln uni ext fixj sys CPT 20692 | not published | not published | $970.00 – $59,175.78 | 17 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $80.80 | $101.00 | $50.00 – $325.00 | 8 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $189.60 | $237.00 | $50.00 – $325.00 | 8 |
| Apply rigid leg cast 29445 CPT 29445 | $560.00 | $700.00 | $126.84 – $1,221.41 | 23 |
| Aquaporin-4 antibody cba each CPT 86052 | $62.40 | $78.00 | $9.64 – $56.16 | 26 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $133.60 | $167.00 | $50.00 – $120.24 | 7 |
| Aquatic exercise - group charge CPT 97150 | $149.60 | $187.00 | $16.88 – $325.00 | 8 |
| Art byp grft fem-popliteal 35556 CPT 35556 | not published | not published | $970.00 – $4,375.94 | 13 |
| Arterial blood draw/perc 36620 CPT 36620 | $1,788.00 | $2,235.00 | $59.48 – $1,609.20 | 2 |
| Artery xray each vessel 7577426 CPT 75774 | $2,536.00 | $3,170.00 | $28.13 – $2,282.40 | 3 |
| Artery xray of abdomen 75726-26 CPT 75726 | $10,811.20 | $13,514.00 | $28.13 – $30,106.54 | 24 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $6,960.00 | $8,700.00 | $28.13 – $17,462.81 | 24 |
| Artery xrays of pelvis 75736 26 CPT 75736 | $10,811.20 | $13,514.00 | $28.13 – $30,106.54 | 24 |
| Arthrd ant ntrbd min dsc crv CPT 22554 | not published | not published | $970.00 – $59,175.78 | 17 |
| Arthrd ant ntrbdy cervical CPT 22551 | not published | not published | $970.00 – $59,175.78 | 17 |
| Arthrd cmbn 1ntrspc lumbar CPT 22633 | not published | not published | $970.00 – $84,577.62 | 15 |
| Arthrd si jt perq/min nvas CPT 27279 | not published | not published | $970.00 – $84,577.62 | 15 |
| Arthrd wrist complete wo grf CPT 25800 | not published | not published | $970.00 – $32,854.70 | 17 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $1,041.60 | $1,302.00 | $26.88 – $1,357.62 | 23 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $2,796.80 | $3,496.00 | $52.94 – $3,184.98 | 23 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $1,244.80 | $1,556.00 | $62.27 – $1,357.62 | 23 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $1,048.80 | $1,311.00 | $29.38 – $1,357.62 | 23 |
| Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604 | $889.60 | $1,112.00 | $46.31 – $1,357.62 | 23 |
| Arthrodesis/sg level/cerv/below c2 22600 CPT 22600 | not published | not published | $970.00 – $7,902.91 | 12 |
| Arthrodesis subtalar CPT 28725 | not published | not published | $970.00 – $59,175.78 | 17 |
| Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 | not published | not published | $970.00 – $32,854.70 | 16 |
| Arthrp ntrcrpl/crp/mtcrp ssp CPT 25448 | not published | not published | $970.00 – $14,922.27 | 15 |
| Arthr si jt opn b1grf instrm CPT 27280 | not published | not published | $970.00 – $2,260.70 | 12 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | not published | not published | $970.00 – $7,755.20 | 8 |
| Ascenda two piece catheter HCPCS C1772 | $16,008.96 | $20,011.20 | $14,405.69 – $14,405.69 | 1 |
| Asp core fat pad CPT 17999 | $1,068.00 | $1,335.00 | $149.03 – $1,101.92 | 22 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $4,563.20 | $5,704.00 | $192.92 – $9,421.28 | 22 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | $245.60 | $307.00 | $48.59 – $1,357.62 | 23 |
| Aspirate pleura without imaging 32554 CPT 32554 | $911.20 | $1,139.00 | $88.61 – $2,843.44 | 23 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $2,478.40 | $3,098.00 | $74.73 – $3,235.87 | 23 |
| Assay alkaline phosphatase CPT 84078 | $34.40 | $43.00 | $6.20 – $36.74 | 21 |
| Assay dir meas fr estradiol CPT 82681 | $140.00 | $175.00 | $20.96 – $126.00 | 21 |
| Assay of interleukin-6 (il-6) CPT 83529 | $86.40 | $108.00 | $12.95 – $77.76 | 21 |
| Assay of urine sulfate CPT 84392 | $22.40 | $28.00 | $2.75 – $24.42 | 22 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $383.20 | $479.00 | $56.80 – $405.20 | 21 |
| Assess cyst contrast inject CPT 49424 | $252.80 | $316.00 | $39.00 – $227.52 | 2 |
| Ast/sgot CPT 84450 | $21.60 | $27.00 | $5.18 – $23.04 | 26 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $33.60 | $42.00 | $0.11 – $38.50 | 6 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $18,463.20 | $23,079.00 | $16,616.88 – $16,616.88 | 1 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $27,054.40 | $33,818.00 | $546.80 – $32,854.70 | 22 |
| Av fusion direct any site CPT 36821 | not published | not published | $970.00 – $14,475.66 | 17 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $690.40 | $863.00 | $32.19 – $1,101.92 | 23 |
| Azathioprine 50 mg tablet HCPCS J7500 | $1.40 | $1.75 | $0.07 – $6.85 | 6 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $6.20 | $7.75 | $2.21 – $8.35 | 6 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $140.80 | $176.00 | $2.75 – $86.80 | 10 |
| Baclofen eval charges CPT 97750 | $156.00 | $195.00 | $50.00 – $325.00 | 8 |
| Bacterial meningitis antigen CPT 86403 | $48.00 | $60.00 | $11.54 – $51.33 | 26 |
| Bacterial vaginosis pcr CPT 87801 | $292.00 | $365.00 | $38.80 – $312.27 | 26 |
| #bac vag cand-c. albicans naa CPT 87481 | $140.00 | $175.00 | $35.09 – $156.09 | 26 |
| Balloon dilate urtrl strix CPT 50706 | $931.20 | $1,164.00 | $191.02 – $838.08 | 2 |
| B cells total count CPT 86355 | $188.00 | $235.00 | $37.73 – $169.20 | 26 |
| Benign lesion paring 2-4 CPT 11056 | $224.80 | $281.00 | $37.10 – $913.86 | 23 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $75.40 | $94.25 | $16.63 – $117.39 | 6 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $105.60 | $132.00 | $25.45 – $113.21 | 26 |
| Beta-2 microglobulin CPT 82232 | $67.20 | $84.00 | $16.18 – $71.97 | 26 |
| Beta-amyloid 1-40 CPT 82233 | $833.60 | $1,042.00 | $750.24 – $750.24 | 1 |
| Beta-amyloid 1-42 CPT 82234 | $833.60 | $1,042.00 | $750.24 – $750.24 | 1 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $111.20 | $139.00 | $7.55 – $239.75 | 6 |
| B-hexosaminidase ea assay CPT 83080 | $84.00 | $105.00 | $12.65 – $75.60 | 21 |
| Bilateral n block inj occipital 64405 CPT 64405 | $1,098.40 | $1,373.00 | $43.75 – $1,357.62 | 23 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $1,064.80 | $1,331.00 | $16.25 – $1,357.62 | 23 |
| Bilicheck CPT 88720 | $24.80 | $31.00 | $5.02 – $22.33 | 26 |
| Bilirubin direct CPT 82248 | $24.80 | $31.00 | $5.02 – $22.33 | 26 |
| Bilirubin total CPT 82247 | $10.00 | $31.00 | $5.02 – $22.33 | 26 |
| Binder abdominal lg 12 x 62-74 HCPCS L0625 | $80.80 | $101.00 | $36.56 – $162.63 | 19 |
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.