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 |
|---|---|---|---|---|
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $5.20 | $6.50 | $2.85 – $22.47 | 6 |
| Test stress cardiovascular tracing only CPT 93017 | $1,102.40 | $1,378.00 | $58.13 – $2,587.00 | 24 |
| Tetanus immune globulin inj HCPCS J1670 | $1,468.40 | $1,835.50 | $450.35 – $2,637.84 | 26 |
| Theophylline therapeutic drug level CPT 80198 | $59.20 | $74.00 | $11.00 – $62.90 | 26 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $31.80 | $39.75 | $1.97 – $28.62 | 6 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $2,428.00 | $3,035.00 | $110.88 – $2,843.44 | 23 |
| Thoracoscopy w/bx med space CPT 32606 | not published | not published | $970.00 – $26,832.77 | 17 |
| Thoracoscopy w/wedge resect CPT 32666 | not published | not published | $811.83 – $2,760.22 | 13 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $10,528.00 | $13,160.00 | $350.08 – $26,221.84 | 22 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $47,355.20 | $59,194.00 | $439.41 – $52,156.41 | 22 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $33,167.20 | $41,459.00 | $512.80 – $82,584.69 | 22 |
| Thromb/endar/neck inc/car/vert/subc35301 CPT 35301 | not published | not published | $970.00 – $3,545.28 | 13 |
| Thrombin time CPT 85670 | $40.80 | $51.00 | $5.77 – $36.72 | 26 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $30.40 | $38.00 | $6.47 – $28.78 | 26 |
| Thyroglobulin antibody CPT 86800 | $66.40 | $83.00 | $15.91 – $70.77 | 26 |
| Thyroid mets imag whole body CPT 78018 | $2,225.60 | $2,782.00 | $70.63 – $2,961.19 | 25 |
| Thyroid (TSH) Test CPT 84443 | $40.00 | $127.00 | $16.80 – $74.73 | 26 |
| Thyroid Ultrasound CPT 76536 | $635.20 | $794.00 | $63.73 – $602.31 | 25 |
| Thyroxine binding globulin (tbg) CPT 84442 | $61.60 | $77.00 | $10.00 – $65.75 | 26 |
| Tissue culture skin/biopsy CPT 88233 | $591.20 | $739.00 | $140.73 – $626.01 | 26 |
| Tissue exam koh skin/hair/nails CPT 87220 | $17.60 | $22.00 | $3.90 – $18.99 | 26 |
| Tissue transglutaminase iga CPT 86364 | $57.60 | $72.00 | $5.77 – $51.84 | 22 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $970.00 – $47,882.21 | 17 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $970.00 – $47,882.21 | 17 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $970.00 – $47,882.21 | 17 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $174.00 | $217.50 | $2.55 – $15.30 | 6 |
| Tobramycin peak therapeutic drug level CPT 80200 | $67.20 | $84.00 | $16.13 – $71.75 | 26 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $6,214.80 | $7,768.50 | $6.19 – $10,156.36 | 26 |
| Tomosynthesis breast screen bilateral CPT 77063 | $157.60 | $197.00 | $21.59 – $135.59 | 25 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $970.00 – $14,915.19 | 17 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $970.00 – $27,206.69 | 17 |
| Total Hip Replacement CPT 27130 | not published | not published | $970.00 – $59,175.78 | 17 |
| Total Knee Replacement CPT 27447 | not published | not published | $970.00 – $59,175.78 | 17 |
| Total tau CPT 84394 | $1,120.80 | $1,401.00 | $1,008.72 – $1,008.72 | 1 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | not published | not published | $970.00 – $84,577.62 | 15 |
| Toxoplasma antibody igg CPT 86777 | $60.00 | $75.00 | $14.39 – $64.01 | 26 |
| Toxoplasma antibody igm CPT 86778 | $60.00 | $75.00 | $14.41 – $64.10 | 26 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | $1,532.00 | $1,915.00 | $143.49 – $2,342.07 | 23 |
| Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution HCPCS J3290 | $133.20 | $166.50 | $0.07 – $119.88 | 2 |
| Transcath biopsy CPT 37200 | $9,697.60 | $12,122.00 | $142.50 – $24,861.33 | 22 |
| Transcatheter bx s&i CPT 75970 | $1,907.20 | $2,384.00 | $12.50 – $1,716.48 | 3 |
| Transferrin CPT 84466 | $50.00 | $97.00 | $12.76 – $56.76 | 26 |
| Transfusion blood/blood component(s) CPT 36430 | $1,714.40 | $2,143.00 | $34.80 – $2,010.63 | 23 |
| Treat big toe fracture CPT 28505 | not published | not published | $970.00 – $14,922.27 | 17 |
| Treat ectopic pregnancy CPT 59150 | not published | not published | $970.00 – $26,832.77 | 17 |
| Treat ectopic pregnancy CPT 59151 | not published | not published | $970.00 – $26,832.77 | 17 |
| Treat finger fracture each CPT 26742 | $2,829.60 | $3,537.00 | $91.88 – $7,360.42 | 22 |
| Treat foot bone lesion CPT 28005 | not published | not published | $970.00 – $14,922.27 | 17 |
| Treat fracture of radius CPT 25505 | $864.00 | $1,080.00 | $181.25 – $7,360.42 | 22 |
| Treat heel fracture CPT 28415 | not published | not published | $970.00 – $32,854.70 | 17 |
| Treat humerus fracture CPT 24565 | $580.00 | $725.00 | $216.88 – $7,360.42 | 22 |
| Treat kneecap fracture CPT 27524 | not published | not published | $970.00 – $32,854.70 | 17 |
| Treat knee fracture 27530 CPT 27530 | $1,445.60 | $1,807.00 | $160.63 – $1,301.04 | 23 |
| Treat lower leg fracture CPT 27827 | not published | not published | $970.00 – $59,175.78 | 17 |
| Treat lower leg fracture CPT 27828 | not published | not published | $970.00 – $59,175.78 | 17 |
| Treat lower leg joint CPT 27829 | not published | not published | $970.00 – $32,854.70 | 17 |
| Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah) CPT 25608 | not published | not published | $970.00 – $32,854.70 | 17 |
| Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah) CPT 25609 | not published | not published | $970.00 – $32,854.70 | 17 |
| Treatment fx radial distal open w/internal fixation left (restricted method ii cah) CPT 25607 | not published | not published | $970.00 – $32,854.70 | 17 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | not published | not published | $970.00 – $14,622.99 | 17 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $549.60 | $687.00 | $32.13 – $592.82 | 23 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $255.20 | $319.00 | $12.25 – $229.68 | 2 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $252.00 | $315.00 | $101.70 – $935.39 | 19 |
| Treatment missed abortion completed surgically 1st trimester CPT 59820 | not published | not published | $970.00 – $14,622.99 | 17 |
| Treatment of ankle fracture CPT 27792 | not published | not published | $970.00 – $32,854.70 | 17 |
| Treatment of ankle fracture CPT 27814 | not published | not published | $970.00 – $32,854.70 | 17 |
| Treatment of ankle fracture CPT 27822 | not published | not published | $970.00 – $32,854.70 | 17 |
| Treatment of fibula fracture CPT 27784 | not published | not published | $970.00 – $32,854.70 | 17 |
| Treatment of foot infection CPT 28002 | not published | not published | $970.00 – $13,162.83 | 17 |
| Treatment of heel fracture 28400 CPT 28400 | $513.60 | $642.00 | $175.00 – $1,103.22 | 23 |
| Treatment of miscarriage CPT 59821 | not published | not published | $970.00 – $14,622.99 | 17 |
| Treatment of thigh fracture CPT 27501 | $400.00 | $500.00 | $248.01 – $1,103.22 | 20 |
| Treatment of tibia fracture CPT 27759 | not published | not published | $970.00 – $59,175.78 | 17 |
| Treatment of toe fracture 28510 CPT 28510 | $752.00 | $940.00 | $61.25 – $1,103.22 | 20 |
| Treat metacarpal fracture CPT 26608 | not published | not published | $970.00 – $14,922.27 | 17 |
| Treat metacarpal fracture CPT 26615 | not published | not published | $970.00 – $14,922.27 | 17 |
| Treat metatarsal fracture CPT 28485 | not published | not published | $970.00 – $32,854.70 | 17 |
| Treat midfoot fracture each CPT 28465 | not published | not published | $970.00 – $32,854.70 | 17 |
| Treat thigh fracture CPT 27238 | $2,353.60 | $2,942.00 | $303.75 – $7,360.42 | 22 |
| Treat thigh fx growth plate CPT 27516 | $988.80 | $1,236.00 | $248.01 – $1,103.22 | 23 |
| Treat thumb fracture CPT 26665 | not published | not published | $970.00 – $14,922.27 | 17 |
| Treat toe fracture CPT 28525 | not published | not published | $970.00 – $14,922.27 | 16 |
| Treat ulnar fracture CPT 24685 | not published | not published | $970.00 – $32,854.70 | 17 |
| Treponema pallidum antibody CPT 86780 | $65.60 | $82.00 | $13.24 – $59.04 | 26 |
| Trg gene rearrangement anal CPT 81342 | $838.40 | $1,048.00 | $100.75 – $896.33 | 22 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $35.60 | $44.50 | $0.92 – $32.04 | 6 |
| Triglycerides CPT 84478 | $28.00 | $35.00 | $5.74 – $25.53 | 26 |
| Trim nondyst nails CPT 11719 | $100.00 | $125.00 | $44.55 – $273.17 | 18 |
| Trml dstrj ios bvn 1st 2 l/s CPT 64628 | not published | not published | $970.00 – $59,175.78 | 15 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $12,987.20 | $16,234.00 | $11,688.48 – $13,939.00 | 2 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $22,448.00 | $28,060.00 | $13,939.00 – $20,203.20 | 2 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $22,448.00 | $28,060.00 | $334.35 – $52,156.41 | 23 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $5,248.80 | $6,561.00 | $302.88 – $14,475.66 | 23 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | not published | not published | $970.00 – $23,380.04 | 17 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | not published | not published | $970.00 – $8,412.80 | 18 |
| Troponin quantitative CPT 84484 | $118.40 | $148.00 | $9.87 – $106.56 | 26 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $970.00 – $34,009.43 | 17 |
| Tx atrial fib pulm vein isol CPT 93656 | $57,468.00 | $71,835.00 | $1,093.13 – $112,826.41 | 19 |
| Tx closed hip disl traumatic without anes CPT 27250 | $596.80 | $746.00 | $248.01 – $1,103.22 | 23 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | not published | not published | $970.00 – $14,922.27 | 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.