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 |
|---|---|---|---|---|
| Repair of ankle ligament CPT 27698 | not published | not published | $970.00 – $32,854.70 | 17 |
| Repair of foot tendon CPT 28200 | not published | not published | $970.00 – $14,922.27 | 17 |
| Repair of leg tendon each CPT 27659 | not published | not published | $970.00 – $32,854.70 | 17 |
| Repair of metatarsals CPT 28322 | not published | not published | $970.00 – $32,854.70 | 17 |
| Repair of nasal septum CPT 30520 | not published | not published | $970.00 – $31,837.11 | 17 |
| Repair of ruptured tendon CPT 24342 | not published | not published | $970.00 – $32,854.70 | 17 |
| Repair of thigh muscle CPT 27385 | not published | not published | $970.00 – $32,854.70 | 17 |
| Repair palate pharynx/uvula CPT 42145 | not published | not published | $970.00 – $27,206.69 | 17 |
| Repair pm/icd lead sgl CPT 33218 | $14,596.00 | $18,245.00 | $455.53 – $16,737.48 | 23 |
| Repair rectum & vagina CPT 57250 | not published | not published | $970.00 – $22,703.23 | 17 |
| Replace duod/jej tube perc CPT 49451 | $1,540.00 | $1,925.00 | $87.91 – $4,311.92 | 23 |
| Replace elbow joint CPT 24363 | not published | not published | $970.00 – $84,577.62 | 16 |
| Replace g/c tube perc CPT 49450 | $2,430.40 | $3,038.00 | $63.88 – $4,311.92 | 23 |
| Replace g-j tube perc CPT 49452 | $1,329.60 | $1,662.00 | $137.23 – $4,311.92 | 23 |
| Reposition pm/icd lead CPT 33215 | $5,636.00 | $7,045.00 | $360.00 – $14,475.66 | 19 |
| Respirator motion mgmt simul CPT 77293 | $985.60 | $1,232.00 | $302.59 – $887.04 | 3 |
| Resp virus 6-11 targets CPT 87632 | $907.20 | $1,134.00 | $218.06 – $970.00 | 26 |
| Resuscitation cardiopulmonary CPT 92950 | $845.60 | $1,057.00 | $233.55 – $1,432.17 | 18 |
| Reticulated platelet assay CPT 85055 | $185.60 | $232.00 | $29.93 – $167.04 | 26 |
| Reticulocyte direct measurement automated CPT 85046 | $54.40 | $68.00 | $5.57 – $48.96 | 26 |
| Revasc intravasc lithotripsy HCPCS C9764 | $19,484.80 | $24,356.00 | $8,505.43 – $52,156.41 | 18 |
| Revise breast reconst 19380 CPT 19380 | not published | not published | $970.00 – $29,992.84 | 17 |
| Revise/remove sling repair CPT 57287 | not published | not published | $970.00 – $14,622.99 | 17 |
| Revise/replace knee joint CPT 27486 | not published | not published | $970.00 – $4,511.66 | 14 |
| Revise spine eltrd perq aray CPT 63663 | not published | not published | $970.00 – $57,352.15 | 17 |
| Revise spine eltrd plate CPT 63664 | not published | not published | $970.00 – $57,352.15 | 17 |
| Revision of bladder neck CPT 52500 | not published | not published | $970.00 – $15,862.15 | 17 |
| Revision of calf tendon CPT 27687 | not published | not published | $970.00 – $14,922.27 | 17 |
| Revision of foot tendon CPT 28238 | not published | not published | $970.00 – $32,854.70 | 17 |
| Revision of penis CPT 54430 | not published | not published | $604.14 – $2,054.08 | 13 |
| Revision of scrotum CPT 55175 | not published | not published | $970.00 – $15,862.15 | 17 |
| Revision of scrotum CPT 55180 | not published | not published | $970.00 – $23,380.04 | 17 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $970.00 – $32,854.70 | 17 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $970.00 – $2,865.15 | 12 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $970.00 – $15,816.33 | 17 |
| Rf abltj nrv nrvtg si jt CPT 64625 | not published | not published | $970.00 – $8,980.98 | 15 |
| Rheumatoid factor quantitative CPT 86431 | $23.20 | $29.00 | $5.67 – $25.22 | 26 |
| Rho d immune globulin inj HCPCS J2790 | $278.40 | $348.00 | $85.53 – $270.06 | 5 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $2,530.60 | $3,163.25 | $11.91 – $2,441.67 | 26 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $2,991.60 | $3,739.50 | $81.61 – $3,346.01 | 26 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $1,389.80 | $1,737.25 | $29.65 – $1,238.63 | 26 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $970.00 – $7,360.42 | 17 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $970.00 – $13,162.83 | 17 |
| Rmvl icd by tv extr CPT 33244 | $9,683.20 | $12,104.00 | $827.09 – $16,737.48 | 20 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $75,367.20 | $94,209.00 | $381.23 – $103,232.23 | 19 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $113,008.00 | $141,260.00 | $395.83 – $147,454.34 | 19 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $73,888.00 | $92,360.00 | $366.64 – $103,232.23 | 19 |
| Rmvl icd pulse gen only CPT 33241 | $8,087.20 | $10,109.00 | $215.23 – $16,737.48 | 20 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $3,493.60 | $4,367.00 | $160.21 – $3,144.24 | 23 |
| Rmvl perm pm pulse gen CPT 33233 | $18,047.20 | $22,559.00 | $291.28 – $38,062.06 | 19 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $58,714.40 | $73,393.00 | $366.28 – $87,710.11 | 19 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $25,965.60 | $32,457.00 | $337.09 – $38,062.06 | 19 |
| Rmvl subq card rhythm mntr CPT 33286 | $2,741.60 | $3,427.00 | $90.36 – $13,939.00 | 20 |
| Rmvl tv pm lead dual CPT 33235 | $10,211.20 | $12,764.00 | $456.55 – $16,737.48 | 20 |
| Rmvl tv pm lead sgl CPT 33234 | $15,964.80 | $19,956.00 | $429.01 – $16,737.48 | 20 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $8,784.20 | $10,980.25 | $11.95 – $12,247.28 | 26 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $4,194.60 | $5,243.25 | $13.09 – $5,637.55 | 26 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $78.40 | $98.00 | $0.05 – $15.66 | 6 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $2,088.80 | $2,611.00 | $80.60 – $7,144.41 | 18 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $4,720.00 | $5,900.00 | $406.85 – $7,779.35 | 25 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $5,280.00 | $6,600.00 | $797.45 – $8,570.95 | 25 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $727.20 | $909.00 | $81.42 – $7,144.41 | 22 |
| Rpl tun-cvad w subq port CPT 36582 | $7,909.60 | $9,887.00 | $342.76 – $14,475.66 | 22 |
| Rpl tun cvc wo subq port CPT 36581 | $2,943.20 | $3,679.00 | $232.36 – $14,475.66 | 22 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | not published | not published | $970.00 – $20,509.28 | 12 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | not published | not published | $970.00 – $26,832.77 | 17 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | not published | not published | $970.00 – $28,697.23 | 17 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | not published | not published | $970.00 – $16,230.51 | 17 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | not published | not published | $970.00 – $26,832.77 | 17 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | not published | not published | $970.00 – $26,832.77 | 17 |
| Rubella antibody igg CPT 86762 | $60.00 | $75.00 | $14.39 – $64.01 | 26 |
| Rubeola antibody igg CPT 86765 | $53.60 | $67.00 | $11.80 – $57.29 | 26 |
| Russell viper venom diluted CPT 85613 | $67.20 | $84.00 | $9.58 – $60.48 | 26 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $1,119.20 | $1,399.00 | $149.17 – $1,111.67 | 23 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $698.40 | $873.00 | $98.25 – $628.56 | 23 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $1,069.60 | $1,337.00 | $113.28 – $1,111.67 | 23 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $303.20 | $379.00 | $98.25 – $489.05 | 23 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $555.20 | $694.00 | $109.94 – $499.68 | 23 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $823.20 | $1,029.00 | $98.25 – $740.88 | 23 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $1,088.00 | $1,360.00 | $149.17 – $1,111.67 | 23 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $671.20 | $839.00 | $98.25 – $604.08 | 23 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $671.20 | $839.00 | $98.25 – $604.08 | 23 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $2,408.00 | $3,010.00 | $1,215.18 – $7,451.66 | 17 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $970.00 – $14,922.27 | 17 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | $117.60 | $147.00 | $19.00 – $125.75 | 26 |
| Screening hepatitis c antibody high risk HCPCS G0472 | $92.80 | $116.00 | $19.00 – $206.18 | 25 |
| Screening Mammogram CPT 77067 | $225.00 | $492.00 | $83.06 – $521.53 | 25 |
| Screening prostate cancer PSA HCPCS G0103 | $45.00 | $122.00 | $19.31 – $87.84 | 26 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $12,738.00 | $15,922.50 | $7.99 – $7.99 | 1 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $128.80 | $161.00 | $115.92 – $115.92 | 1 |
| Sedimentation rate erythrocyte automated CPT 85652 | $20.00 | $99.00 | $2.70 – $20.00 | 26 |
| Semen analysis presence/motility CPT 89321 | $60.00 | $75.00 | $9.04 – $54.00 | 21 |
| Serpina1 gene CPT 81332 | $181.60 | $227.00 | $43.65 – $194.17 | 22 |
| Set radiation therapy field CPT 77280 | $1,263.20 | $1,579.00 | $45.63 – $1,136.88 | 24 |
| Set radiation therapy field CPT 77290 | $3,464.00 | $4,330.00 | $90.63 – $3,117.60 | 24 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $970.00 – $32,854.70 | 16 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $970.00 – $32,854.70 | 17 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | not published | not published | $970.00 – $14,922.27 | 17 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $970.00 – $32,854.70 | 16 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $970.00 – $32,854.70 | 17 |
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.