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 |
|---|---|---|---|---|
| Biopsy abdominal mass CPT 49180 | $1,593.60 | $1,992.00 | $101.21 – $7,451.66 | 22 |
| Biopsy bone trocar/needle superficial CPT 20220 | $3,068.00 | $3,835.00 | $78.75 – $7,451.66 | 22 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | not published | not published | $970.00 – $14,622.99 | 17 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $3,038.40 | $3,798.00 | $79.15 – $13,162.83 | 22 |
| Biopsy muscle percutaneous needle CPT 20206 | $4,412.80 | $5,516.00 | $70.49 – $7,451.66 | 22 |
| Biopsy needle liver percutaneous CPT 47000 | $3,048.80 | $3,811.00 | $112.06 – $7,451.66 | 22 |
| Biopsy needle lymph node superficial CPT 38505 | $3,426.40 | $4,283.00 | $84.28 – $7,451.66 | 22 |
| Biopsy of prostate CPT 55700 | $2,464.80 | $3,081.00 | $111.88 – $9,421.28 | 22 |
| Biopsy of salivary gland 42400 CPT 42400 | $1,200.00 | $1,500.00 | $43.75 – $3,235.87 | 23 |
| Biopsy of salivary glnd;incisional 42405 CPT 42405 | not published | not published | $970.00 – $6,812.57 | 17 |
| Biopsy/removal lymph nodes CPT 38525 | not published | not published | $970.00 – $29,992.84 | 17 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $1,992.80 | $2,491.00 | $171.39 – $7,451.66 | 22 |
| Bivalirudin HCPCS J0583 | $549.20 | $686.50 | $0.18 – $494.28 | 6 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $945.60 | $1,182.00 | $35.88 – $1,118.53 | 23 |
| Bld prd mix CPT 86965 | $653.60 | $817.00 | $128.52 – $788.11 | 19 |
| Bld push tfuj 2 yr/< CPT 36440 | $694.40 | $868.00 | $43.75 – $2,010.63 | 23 |
| Blink reflex test CPT 95933 | $192.80 | $241.00 | $15.63 – $273.17 | 23 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $7,458.00 | $9,322.50 | $9.93 – $9.93 | 1 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $2,258.69 | $2,823.36 | $15.12 – $15.12 | 1 |
| Bln dil 900ml preperitnl HCPCS C1727 | $508.93 | $636.16 | $458.04 – $458.04 | 1 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $2,172.72 | $2,715.90 | $1,955.45 – $1,955.45 | 1 |
| Blood Clotting (PT/INR) Test CPT 85610 | $15.00 | $71.00 | $4.00 – $19.08 | 26 |
| Blood Clotting (PTT) Test CPT 85730 | $30.00 | $99.00 | $6.01 – $71.28 | 26 |
| Blood Count (CBC) Test CPT 85025 | $15.00 | $95.00 | $6.00 – $34.56 | 26 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $15.00 | $93.00 | $6.47 – $28.78 | 26 |
| Blood count spun microhematocrit CPT 85013 | $28.80 | $36.00 | $3.27 – $31.14 | 26 |
| Blood Culture Test CPT 87040 | $51.20 | $64.00 | $10.32 – $46.08 | 26 |
| Blood draw capillary 36416 CPT 36416 | $16.00 | $20.00 | $14.40 – $26.52 | 2 |
| Blood gases o2 saturation direct measurement CPT 82805 | $393.60 | $492.00 | $38.86 – $354.24 | 26 |
| Blood gases ph venous CPT 82800 | $55.20 | $69.00 | $11.00 – $49.68 | 26 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $36.00 | $65.00 | $15.92 – $70.82 | 26 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $16.80 | $21.00 | $3.63 – $18.82 | 26 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $15.00 | $22.00 | $3.47 – $19.48 | 26 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $21.60 | $27.00 | $3.63 – $23.66 | 26 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $18.40 | $23.00 | $3.80 – $16.90 | 26 |
| Blood split unit HCPCS P9011 | $1,639.20 | $2,049.00 | $106.35 – $630.77 | 18 |
| Blood typing abo CPT 86900 | $146.00 | $242.00 | $4.12 – $592.82 | 26 |
| Blood typing ag donor ea ag CPT 86902 | $166.40 | $208.00 | $2.82 – $1,654.37 | 26 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $257.60 | $322.00 | $3.28 – $1,654.37 | 26 |
| Blood typing rh (d) CPT 86901 | $43.00 | $88.00 | $4.17 – $180.51 | 26 |
| Bone biopsy open superficial CPT 20240 | $4,673.60 | $5,842.00 | $118.75 – $13,162.83 | 22 |
| Bone Density Scan (DEXA) CPT 77080 | $237.00 | $627.00 | $58.00 – $602.31 | 25 |
| Bone/joint imaging ltd area CPT 78300 | $1,713.60 | $2,142.00 | $51.88 – $2,259.58 | 25 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $1,457.60 | $1,822.00 | $87.27 – $7,451.66 | 22 |
| Bone marrow imaging ltd CPT 78102 | $1,713.60 | $2,142.00 | $48.75 – $2,259.58 | 25 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $84.80 | $106.00 | $17.03 – $76.32 | 26 |
| Borrelia miyamotoi amp prb CPT 87478 | $162.40 | $203.00 | $28.07 – $156.09 | 26 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $78.20 | $97.75 | $3.03 – $306.25 | 10 |
| (both sides) smear without diff wbc count CPT 85008 | $18.40 | $23.00 | $3.43 – $16.56 | 26 |
| Brace ank air stirrup univ HCPCS L4350 | $124.80 | $156.00 | $75.35 – $501.59 | 19 |
| Brace m arm board HCPCS L3809 | $53.60 | $67.00 | $48.24 – $1,190.45 | 19 |
| Brace wrist classic lft sm HCPCS L3908 | $89.60 | $112.00 | $61.95 – $329.89 | 19 |
| Brach/thor cath 1st CPT 36215 | $924.80 | $1,156.00 | $832.32 – $13,939.00 | 2 |
| Brach/thor cath 2nd CPT 36216 | $1,733.60 | $2,167.00 | $143.13 – $1,560.24 | 2 |
| Brach/thor cath 3rd CPT 36217 | $1,803.20 | $2,254.00 | $377.59 – $1,622.88 | 2 |
| Brach/thor cath addl CPT 36218 | $231.20 | $289.00 | $208.08 – $13,939.00 | 2 |
| Brachy source yttrium-90 HCPCS C2616 | $39,247.20 | $49,059.00 | $17,485.10 – $77,778.97 | 15 |
| Braf gene CPT 81210 | $739.20 | $924.00 | $143.18 – $780.23 | 25 |
| Brain image w/flow 4 + views CPT 78606 | $2,225.60 | $2,782.00 | $73.75 – $2,961.19 | 25 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $734.50 | $2,646.00 | $369.24 – $2,106.92 | 25 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $473.50 | $2,225.00 | $249.91 – $1,342.45 | 25 |
| Brain MRI (with and without contrast) CPT 70553 | $701.50 | $4,256.00 | $336.25 – $2,106.92 | 25 |
| Brain MRI (with contrast) CPT 70552 | $635.50 | $2,350.00 | $336.25 – $2,106.92 | 25 |
| Brain MRI (without contrast) CPT 70551 | $455.00 | $2,225.00 | $249.91 – $1,342.45 | 25 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $4,100.00 | $5,125.00 | $173.61 – $7,451.66 | 22 |
| Breast punct aspir cyst, bil CPT 19000 | $2,112.80 | $2,641.00 | $45.63 – $3,235.87 | 23 |
| Breast reconstruction 19357 CPT 19357 | not published | not published | $970.00 – $80,016.69 | 17 |
| Breast reduction CPT 19318 | not published | not published | $970.00 – $44,008.99 | 17 |
| Bronch ebus samplng 1/2 node CPT 31652 | not published | not published | $970.00 – $31,837.11 | 17 |
| Bronch ebus samplng 3/> node CPT 31653 | not published | not published | $970.00 – $16,956.65 | 17 |
| Bronchial allergy tests CPT 95070 | $2,336.00 | $2,920.00 | $26.88 – $2,440.29 | 23 |
| Bronchial challenge CPT 94070 | $1,318.40 | $1,648.00 | $14.25 – $1,432.17 | 23 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | not published | not published | $970.00 – $31,837.11 | 17 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | not published | not published | $970.00 – $31,837.11 | 17 |
| Bronchoscopy treat blockage CPT 31641 | not published | not published | $970.00 – $16,956.65 | 17 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | not published | not published | $970.00 – $31,837.11 | 17 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $11.20 | $14.00 | $0.40 – $10.08 | 26 |
| Bundled special stain group 1 microorganisms CPT 88312 | $211.20 | $264.00 | $55.24 – $442.30 | 26 |
| Bundled special stain group 2 CPT 88313 | $171.20 | $214.00 | $51.01 – $592.82 | 26 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $36.80 | $46.00 | $0.01 – $5.58 | 10 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $40.00 | $50.00 | $6.98 – $39.11 | 6 |
| Bx bone trocar/ndl deep CPT 20225 | $2,640.80 | $3,301.00 | $122.50 – $7,451.66 | 22 |
| Bx breast 1st lesion strtctc CPT 19081 | $3,912.00 | $4,890.00 | $185.38 – $7,451.66 | 22 |
| Bx breast add lesion strtctc CPT 19082 | $867.20 | $1,084.00 | $87.85 – $780.48 | 2 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $2,744.00 | $3,430.00 | $82.65 – $2,469.60 | 2 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | not published | not published | $970.00 – $26,832.77 | 17 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | not published | not published | $970.00 – $17,611.22 | 17 |
| Bx perianal mass CPT 46999 | not published | not published | $471.31 – $2,096.53 | 18 |
| Bx skin punch ea sep/ addl les CPT 11105 | $99.20 | $124.00 | $27.57 – $89.28 | 2 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $699.20 | $874.00 | $81.88 – $3,235.87 | 23 |
| Bx vag mucos smpl (sep proc) CPT 57100 | not published | not published | $970.00 – $14,622.99 | 17 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | not published | not published | $900.26 – $4,004.63 | 18 |
| Bypass temp external fem-fem CPT 37799 | $5,223.20 | $6,529.00 | $463.70 – $4,700.88 | 22 |
| C1 esterase inhibitor func - sendout CPT 86161 | $60.00 | $75.00 | $12.00 – $54.00 | 26 |
| Cable cath 22-pin diag HCPCS C1730 | $629.64 | $787.05 | $117.61 – $117.61 | 1 |
| Cad breast MRI w/r&i HCPCS C8937 | $140.80 | $176.00 | $126.72 – $126.72 | 1 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $18.00 | $22.50 | $1.65 – $77.95 | 4 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $1,672.40 | $2,090.50 | $484.97 – $5,355.00 | 20 |
| Calcium 24 hour urine CPT 82340 | $24.80 | $31.00 | $6.03 – $26.82 | 26 |
| Calcium chloride 100 mg/ml (10 %) intravenous syringe HCPCS J0618 | $34.20 | $42.75 | $0.02 – $64.00 | 3 |
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.