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 |
|---|---|---|---|---|
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $24.00 | $30.00 | $3.14 – $21.60 | 6 |
| Circum 28 days or older CPT 54161 | not published | not published | $970.00 – $9,421.28 | 17 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | $433.60 | $542.00 | $160.00 – $3,069.77 | 22 |
| Circumcision (newborn) CPT 54150 | $392.80 | $491.00 | $98.75 – $9,421.28 | 22 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $79.60 | $99.50 | $2.49 – $71.64 | 6 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $1,371.20 | $1,714.00 | $263.61 – $1,465.76 | 26 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $1,320.00 | $1,650.00 | $785.27 – $785.27 | 1 |
| Clearance of airways CPT 31720 | $248.00 | $310.00 | $41.25 – $935.39 | 23 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $38.40 | $48.00 | $1.39 – $6.48 | 10 |
| Clip ligating vesolock lg HCPCS C1760 | $673.20 | $841.50 | $91.11 – $91.11 | 1 |
| Cllr miami j sm HCPCS L0174 | $19.20 | $24.00 | $17.28 – $1,376.66 | 19 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | $986.40 | $1,233.00 | $248.01 – $1,103.22 | 23 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $1,480.00 | $1,850.00 | $231.25 – $7,360.42 | 22 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $952.80 | $1,191.00 | $145.63 – $1,103.22 | 23 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $1,518.40 | $1,898.00 | $203.75 – $7,360.42 | 22 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $685.60 | $857.00 | $68.13 – $1,103.22 | 23 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $522.40 | $653.00 | $138.75 – $1,103.22 | 23 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $610.40 | $763.00 | $39.38 – $1,067.99 | 23 |
| Clot factor xii hageman CPT 85280 | $112.80 | $141.00 | $13.00 – $101.52 | 26 |
| Clot factor xiii fibrin stab CPT 85290 | $106.40 | $133.00 | $8.00 – $95.76 | 26 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $926.40 | $1,158.00 | $123.75 – $1,103.22 | 23 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $929.60 | $1,162.00 | $60.63 – $1,103.22 | 23 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $1,686.40 | $2,108.00 | $78.75 – $1,517.76 | 23 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $450.40 | $563.00 | $88.13 – $1,103.22 | 23 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $822.40 | $1,028.00 | $60.00 – $1,103.22 | 23 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $1,023.20 | $1,279.00 | $198.75 – $1,103.22 | 23 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $2,828.80 | $3,536.00 | $493.75 – $7,360.42 | 22 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $260.00 | $325.00 | $68.75 – $1,103.22 | 23 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $777.60 | $972.00 | $83.13 – $1,103.22 | 23 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $710.40 | $888.00 | $143.13 – $1,103.22 | 23 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $2,334.40 | $2,918.00 | $207.50 – $7,360.42 | 22 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $926.40 | $1,158.00 | $250.63 – $7,360.42 | 22 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $1,024.00 | $1,280.00 | $196.25 – $1,103.22 | 23 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $3,321.60 | $4,152.00 | $248.01 – $2,989.44 | 23 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $624.00 | $780.00 | $154.38 – $1,103.22 | 23 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $614.40 | $768.00 | $140.00 – $1,103.22 | 23 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | $641.60 | $802.00 | $168.75 – $2,342.07 | 23 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $400.00 | $500.00 | $86.88 – $1,103.22 | 23 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $777.60 | $972.00 | $132.50 – $1,103.22 | 23 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $406.40 | $508.00 | $105.63 – $1,103.22 | 23 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | not published | not published | $970.00 – $14,915.19 | 17 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $869.60 | $1,087.00 | $127.50 – $1,103.22 | 23 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $1,038.40 | $1,298.00 | $163.75 – $1,103.22 | 23 |
| Clsd tx pelvic ring fx CPT 27197 | $448.00 | $560.00 | $116.42 – $1,103.22 | 23 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $811.20 | $1,014.00 | $70.00 – $1,103.22 | 23 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $1,056.80 | $1,321.00 | $148.13 – $7,360.42 | 22 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $688.00 | $860.00 | $36.23 – $1,103.22 | 23 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $610.40 | $763.00 | $60.63 – $1,103.22 | 23 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $470.40 | $588.00 | $196.25 – $1,103.22 | 23 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $2,334.40 | $2,918.00 | $298.75 – $7,360.42 | 22 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $584.00 | $730.00 | $128.75 – $1,103.22 | 23 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $1,369.60 | $1,712.00 | $152.50 – $1,232.64 | 23 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $1,216.00 | $1,520.00 | $182.50 – $1,103.22 | 23 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $463.20 | $579.00 | $125.00 – $1,103.22 | 23 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $812.00 | $1,015.00 | $138.75 – $1,103.22 | 23 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $2,542.40 | $3,178.00 | $216.88 – $7,360.42 | 22 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $970.00 – $22,703.23 | 17 |
| C motor evoked upr&lwr limbs CPT 95939 | $1,219.20 | $1,524.00 | $318.20 – $4,679.08 | 23 |
| Cmv pcr-sendout CPT 87496 | $175.20 | $219.00 | $35.09 – $157.68 | 26 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $37,844.00 | $47,305.00 | $2.88 – $59,051.18 | 26 |
| Coagulation time activated teg CPT 85347 | $28.80 | $36.00 | $4.28 – $25.92 | 26 |
| Cocaine 4 % nasal solution HCPCS C9046 | $414.80 | $518.50 | $373.32 – $963.20 | 2 |
| Cold agglutinin titer CPT 86157 | $33.60 | $42.00 | $8.06 – $35.85 | 26 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $216.00 | $270.00 | $3.05 – $140.12 | 19 |
| Collar cerv ascend 172 reg HCPCS L0172 | $19.20 | $24.00 | $17.28 – $700.74 | 19 |
| Collar cerv patriot adlt HCPCS L0150 | $19.20 | $24.00 | $17.28 – $600.88 | 19 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $100.00 | $479.00 | $96.68 – $592.82 | 16 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $100.00 | $195.00 | $96.68 – $592.82 | 16 |
| Collection of venous blood by venipuncture CPT 36415 | $5.00 | $19.00 | $3.00 – $26.49 | 18 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | $471.31 – $2,096.53 | 18 |
| Colonoscopy submucous njx CPT 45381 | not published | not published | $970.00 – $5,422.70 | 18 |
| Colonoscopy (with biopsy) CPT 45380 | not published | not published | $970.00 – $5,422.70 | 18 |
| Colonoscopy (with polyp removal) CPT 45385 | not published | not published | $970.00 – $5,422.70 | 18 |
| Colpopexy intraperitoneal CPT 57283 | not published | not published | $970.00 – $34,009.43 | 17 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | not published | not published | $970.00 – $26,832.77 | 17 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $653.60 | $817.00 | $21.00 – $788.11 | 24 |
| Compatibility test each unit electronic CPT 86923 | $653.60 | $817.00 | $21.00 – $788.11 | 24 |
| Compatibility test each unit immediate spin technique CPT 86920 | $653.60 | $817.00 | $21.00 – $788.11 | 24 |
| Complement antigen each component c3 CPT 86160 | $49.60 | $62.00 | $12.00 – $53.38 | 26 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | not published | not published | $970.00 – $29,992.84 | 17 |
| Complx repair fccmnaxghf 13132 CPT 13132 | not published | not published | $970.00 – $13,162.83 | 17 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $1,156.80 | $1,446.00 | $1,041.12 – $1,041.12 | 1 |
| Concentration infection agents any type CPT 87015 | $33.60 | $42.00 | $6.68 – $30.24 | 26 |
| Condylomata destruction 56420 CPT 56420 | $701.60 | $877.00 | $63.13 – $925.20 | 23 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | not published | not published | $970.00 – $14,622.99 | 17 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $1,000.40 | $1,250.50 | $297.75 – $1,744.00 | 26 |
| Connect omega .5mm HCPCS L8613 | $3,791.57 | $4,739.46 | $3,412.41 – $3,412.41 | 1 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $142.40 | $178.00 | $20.01 – $3,756.99 | 26 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $113.60 | $142.00 | $9.74 – $218.26 | 5 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $577.60 | $722.00 | $9.38 – $788.11 | 26 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $211.20 | $264.00 | $12.95 – $458.32 | 26 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $143.20 | $179.00 | $19.63 – $334.82 | 23 |
| Contrast baths charges CPT 97034 | $91.20 | $114.00 | $50.00 – $325.00 | 8 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $6,960.00 | $8,700.00 | $34.38 – $17,462.81 | 24 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $10,811.20 | $13,514.00 | $34.38 – $30,106.54 | 24 |
| Controller infinity pt dbs HCPCS C1787 | $2,757.42 | $3,446.78 | $508.94 – $508.94 | 1 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $1,337.60 | $1,672.00 | $33.75 – $1,203.84 | 23 |
| Control throat bleeding CPT 42962 | not published | not published | $970.00 – $14,915.19 | 17 |
| Convert nephrostomy catheter CPT 50434 | $3,669.60 | $4,587.00 | $212.15 – $9,421.28 | 22 |
| Coombs direct CPT 86880 | $238.40 | $298.00 | $7.43 – $273.17 | 26 |
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.