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 |
|---|---|---|---|---|
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $30.40 | $38.00 | $0.04 – $27.36 | 10 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $58.00 | $72.50 | $0.09 – $30.78 | 10 |
| Calcium ionized CPT 82330 | $68.00 | $85.00 | $8.85 – $61.20 | 26 |
| Calcium total CPT 82310 | $25.60 | $32.00 | $5.16 – $23.04 | 26 |
| Calprotectin fecal CPT 83993 | $98.40 | $123.00 | $19.63 – $88.56 | 26 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $5,544.00 | $6,930.00 | $62.30 – $62.30 | 1 |
| Canthotomy 67715 CPT 67715 | $4,180.80 | $5,226.00 | $107.66 – $10,729.52 | 19 |
| Capecitabine, oral, 50 mg HCPCS J8522 | $45.80 | $57.25 | $0.04 – $2.45 | 26 |
| Cap nerve 2x15mm HCPCS C1763 | $1,445.40 | $1,806.75 | $370.03 – $370.03 | 1 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | not published | not published | $970.00 – $32,854.70 | 17 |
| Cap trach decann 15mm HCPCS C1750 | $1,046.60 | $1,308.25 | $217.55 – $217.55 | 1 |
| Carbamazepine free CPT 80157 | $55.20 | $69.00 | $10.99 – $58.94 | 26 |
| Carbamazepine free -sendout CPT 80161 | $77.60 | $97.00 | $13.98 – $82.92 | 22 |
| Carbamazepine total therapeutic drug level CPT 80156 | $60.80 | $76.00 | $14.57 – $64.81 | 26 |
| Carbon dioxide CPT 82374 | $24.00 | $30.00 | $4.88 – $21.71 | 26 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $148.80 | $186.00 | $2.68 – $133.92 | 6 |
| Carboprost tromethamine 250 mcg/ml intramuscular solution HCPCS J0675 | $708.80 | $886.00 | $52.59 – $454.17 | 18 |
| Carboxyhemoglobin quantitative CPT 82375 | $61.60 | $77.00 | $5.60 – $55.44 | 26 |
| Carcinoembryonic ag (cea) CPT 82378 | $65.00 | $99.00 | $17.00 – $84.34 | 26 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $4,720.00 | $5,900.00 | $143.92 – $7,779.35 | 25 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $276.00 | $345.00 | $48.86 – $579.08 | 22 |
| Cardiolipin antibody iga CPT 86147 | $127.20 | $159.00 | $25.45 – $114.48 | 26 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $1,271.20 | $1,589.00 | $108.75 – $13,939.00 | 23 |
| Card MRI veloc flow mapping CPT 75565 | $200.00 | $760.00 | $73.15 – $547.20 | 2 |
| Carotene CPT 82380 | $38.40 | $48.00 | $9.22 – $41.01 | 26 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $1,266.40 | $1,583.00 | $149.17 – $1,139.76 | 23 |
| Carpal Tunnel Release Surgery CPT 64721 | not published | not published | $970.00 – $8,980.98 | 17 |
| Car seat/bed test 60 minutes CPT 94780 | $137.60 | $172.00 | $29.44 – $180.51 | 18 |
| Car seat/bed test additional 30 minutes CPT 94781 | $55.20 | $69.00 | $49.68 – $49.68 | 1 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $242.40 | $303.00 | $218.16 – $218.16 | 1 |
| Cath ablat bi-d d-d 8fr 115cm HCPCS C2630 | $4,092.00 | $5,115.00 | $3,682.80 – $3,682.80 | 1 |
| Cath ablt rx lasr 2.0mm turbo HCPCS C1885 | $216.90 | $271.13 | $195.21 – $195.21 | 1 |
| Cath access del ds spyscop 2.0 HCPCS C1748 | $3,867.60 | $4,834.50 | $3,480.84 – $3,480.84 | 1 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $1,004.85 | $1,256.06 | $9.93 – $9.93 | 1 |
| Cath acunav ge 10frx90cm HCPCS C1759 | $2,772.00 | $3,465.00 | $2,494.80 – $2,494.80 | 1 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $1,188.00 | $1,485.00 | $39.20 – $39.20 | 1 |
| Cath baloon occl urnry 34f 7x2x65 HCPCS C2628 | $1,202.26 | $1,502.82 | $200.88 – $200.88 | 1 |
| Cath bi-dir df smarttouch HCPCS C1732 | $4,020.72 | $5,025.90 | $3,618.65 – $3,618.65 | 1 |
| Cath blazer dx/20 2-10-2 space HCPCS C1731 | $1,197.24 | $1,496.55 | $1,077.52 – $1,077.52 | 1 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $35,640.00 | $44,550.00 | $63.68 – $63.68 | 1 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | $204.60 | $255.75 | $139.00 – $139.00 | 1 |
| Cath epdrl brevi-stf 12in .043 HCPCS C1755 | $70.40 | $88.00 | $9.37 – $9.37 | 1 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $36.00 | $45.00 | $3.00 – $40.44 | 20 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $651.76 | $814.70 | $490.64 – $490.64 | 1 |
| Cath hawkone s directional HCPCS C1714 | $2,316.60 | $2,895.75 | $2,084.94 – $2,084.94 | 1 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $1,313.40 | $1,641.75 | $861.30 – $861.30 | 1 |
| Cath lt/rt pulm art CPT 36014 | $660.80 | $826.00 | $594.72 – $13,939.00 | 2 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $1,518.00 | $1,897.50 | $0.36 – $0.36 | 1 |
| Cath place 1st order venous 36011 CPT 36011 | $896.00 | $1,120.00 | $143.13 – $806.40 | 2 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | $13,276.80 | $16,596.00 | $2,412.31 – $14,792.60 | 18 |
| Cath plc art/angio/rt hrt cath CPT 93456 | $6,210.40 | $7,763.00 | $2,412.31 – $14,792.60 | 18 |
| Cath plc art/grft/angio right hrt CPT 93457 | $11,252.80 | $14,066.00 | $2,412.31 – $14,792.60 | 18 |
| Cath ptca pcltxl agent 3x20mm HCPCS C9610 | $7,458.00 | $9,322.50 | $5,696.05 – $25,337.74 | 15 |
| Cath right heart w/o2 sat & card CPT 93451 | $5,858.40 | $7,323.00 | $2,412.31 – $14,792.60 | 18 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $275.20 | $344.00 | $65.00 – $247.68 | 2 |
| Cath segmntl pulm art CPT 36015 | $497.60 | $622.00 | $143.13 – $447.84 | 2 |
| Cath steerable flex adv 12f HCPCS C1766 | $1,180.08 | $1,475.10 | $1,062.07 – $1,062.07 | 1 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $114.51 | $143.14 | $15.12 – $15.12 | 1 |
| Cauterization chemical granulation tissue CPT 17250 | $712.00 | $890.00 | $32.27 – $913.86 | 23 |
| Cdna analysis for variants CPT 81403 | $770.40 | $963.00 | $92.60 – $823.83 | 22 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $18.20 | $22.75 | $0.87 – $11.70 | 10 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $23.40 | $29.25 | $1.33 – $16.02 | 6 |
| Cefotaxime sodium injection HCPCS J0698 | $840.00 | $1,050.00 | $5.01 – $756.00 | 4 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $19.20 | $24.00 | $5.19 – $17.54 | 6 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $673.20 | $841.50 | $4.59 – $1,128.44 | 26 |
| Ceftazidime and avibactam HCPCS J0714 | $1,102.00 | $1,377.50 | $113.62 – $1,863.48 | 26 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $18.60 | $23.25 | $0.47 – $6.86 | 6 |
| Cell count body fluid CPT 89050 | $23.20 | $29.00 | $4.50 – $21.00 | 26 |
| Cell count w differential body fluid CPT 89051 | $28.00 | $35.00 | $5.60 – $25.20 | 26 |
| Cerebrospinal fld flw imag CPT 78645 | $2,225.60 | $2,782.00 | $137.50 – $2,961.19 | 25 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | $6,830.20 | $8,537.75 | $4.25 – $3,481.24 | 26 |
| #cf-97variants CPT 81220 | $1,275.20 | $1,594.00 | $445.28 – $2,475.92 | 23 |
| Change cystostomy tube; complex 51710 CPT 51710 | $1,457.60 | $1,822.00 | $35.00 – $3,069.77 | 22 |
| Change cystostomy tube simple CPT 51705 | $564.80 | $706.00 | $35.00 – $1,118.53 | 23 |
| Change g-tube to g-j perc CPT 49446 | $2,888.00 | $3,610.00 | $157.30 – $8,724.45 | 22 |
| Change nephroureteral cath CPT 50387 | $3,511.20 | $4,389.00 | $102.36 – $9,421.28 | 22 |
| Change of ureter tube/stent CPT 50688 | $1,236.80 | $1,546.00 | $1,113.12 – $9,421.28 | 17 |
| Change of windpipe airway 31502 CPT 31502 | $484.80 | $606.00 | $116.11 – $1,067.99 | 19 |
| Chest 2 vws w oblique CPT 71048 | $501.60 | $627.00 | $24.28 – $602.31 | 25 |
| Chest apical lordotic proj CPT 71047 | $416.00 | $520.00 | $23.62 – $497.84 | 25 |
| Chest CT scan (with and without contrast) CPT 71270 | $562.00 | $2,645.00 | $129.38 – $1,006.60 | 25 |
| Chest CT scan (with contrast) CPT 71260 | $470.00 | $2,362.00 | $109.38 – $1,006.60 | 25 |
| Chest CT scan (without contrast) CPT 71250 | $285.00 | $1,610.00 | $103.88 – $602.31 | 25 |
| Chest X-ray CPT 71046 | $322.40 | $403.00 | $18.57 – $497.84 | 25 |
| Chest X-ray (single view) CPT 71045 | $292.80 | $366.00 | $10.14 – $497.84 | 25 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $886.40 | $1,108.00 | $70.01 – $1,006.60 | 25 |
| Chloride CPT 82435 | $23.20 | $29.00 | $4.60 – $20.88 | 26 |
| Chloride 24 hour urine CPT 82436 | $28.80 | $36.00 | $5.75 – $25.92 | 26 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $76.60 | $95.75 | $41.91 – $129.22 | 6 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $65.20 | $81.50 | $27.41 – $101.64 | 6 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $1,033.60 | $1,292.00 | $30.54 – $930.24 | 2 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $3,703.20 | $4,629.00 | $236.25 – $16,230.51 | 18 |
| Cholesterol CPT 82465 | $18.40 | $23.00 | $4.35 – $19.35 | 26 |
| Cholesterol body fluid CPT 84999 | $49.60 | $62.00 | $44.64 – $44.64 | 1 |
| Cholesterol (Lipid) Test CPT 80061 | $40.00 | $102.00 | $13.39 – $59.56 | 26 |
| Chromatography CPT 83021 | $75.20 | $94.00 | $18.06 – $80.34 | 26 |
| Chromo high res and frag x - sendout CPT 81243 | $236.80 | $296.00 | $45.63 – $253.73 | 23 |
| Chromosome analysis 15-20 cell count CPT 88262 | $626.40 | $783.00 | $125.49 – $563.76 | 26 |
| Chromosome karyotype study CPT 88280 | $140.00 | $175.00 | $33.47 – $148.88 | 26 |
| Cilastatin sodium injection HCPCS J0743 | $96.00 | $120.00 | $11.12 – $86.40 | 6 |
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.