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 |
|---|---|---|---|---|
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $653.60 | $817.00 | $7.90 – $788.11 | 26 |
| Copper intrauterine device HCPCS J7300 | $2,673.60 | $3,342.00 | $762.65 – $4,371.20 | 10 |
| Core ndl bx lng/med perq CPT 32408 | $3,215.20 | $4,019.00 | $151.50 – $7,451.66 | 22 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $12,666.40 | $15,833.00 | $2,412.31 – $14,792.60 | 18 |
| Coronary angio/lv gram/lt heart CPT 93458 | $11,786.40 | $14,733.00 | $2,412.31 – $14,792.60 | 18 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $12,182.40 | $15,228.00 | $2,412.31 – $14,792.60 | 18 |
| Coronary art/grft angio s&i CPT 93455 | $8,673.60 | $10,842.00 | $2,412.31 – $14,792.60 | 18 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $7,976.80 | $9,971.00 | $2,412.31 – $14,792.60 | 18 |
| Corrj halux rigdus without implt CPT 28289 | not published | not published | $970.00 – $14,922.27 | 17 |
| Cortisol acth stimulation test - sendout CPT 80400 | $136.00 | $170.00 | $32.62 – $145.10 | 26 |
| Cortisol total am CPT 82533 | $68.00 | $85.00 | $12.00 – $72.51 | 26 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $83.60 | $104.50 | $27.52 – $116.90 | 6 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $1,452.00 | $1,815.00 | $121.18 – $121.18 | 1 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $58.40 | $73.00 | $31.14 – $190.97 | 18 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose HCPCS M0249 | $500.80 | $626.00 | $337.88 – $2,071.88 | 19 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $64.80 | $81.00 | $9.77 – $58.32 | 21 |
| C-peptide CPT 84681 | $86.40 | $108.00 | $20.81 – $92.57 | 26 |
| Cptr-asst dir ms px CPT 20985 | not published | not published | $970.00 – $13,968.16 | 8 |
| C-reactive protein CPT 86140 | $20.00 | $32.00 | $3.00 – $23.04 | 26 |
| C-reactive protein high sensitivity CPT 86141 | $54.40 | $68.00 | $10.53 – $57.61 | 26 |
| C-reactive protein, quantitative CPT 86406 | $53.60 | $67.00 | $10.64 – $48.24 | 26 |
| Create eardrum opening CPT 69436 | not published | not published | $970.00 – $14,915.19 | 17 |
| Creatine kinase CPT 82550 | $32.80 | $41.00 | $6.51 – $29.52 | 26 |
| Creatine kinase mb CPT 82553 | $57.60 | $72.00 | $10.08 – $51.84 | 26 |
| Creatinine CPT 82565 | $15.00 | $32.00 | $5.12 – $23.04 | 26 |
| Creatinine 24 hour urine CPT 82570 | $20.00 | $40.00 | $5.18 – $23.04 | 26 |
| Creatinine clearance urine CPT 82575 | $39.20 | $49.00 | $9.46 – $42.08 | 26 |
| #creutz-prot.,western blot CPT 84182 | $121.60 | $152.00 | $24.55 – $129.93 | 26 |
| Critical care 30-74 minutes CPT 99291 | $3,573.60 | $4,467.00 | $189.53 – $6,178.00 | 24 |
| Critical care each additional 30 minutes CPT 99292 | $567.20 | $709.00 | $93.00 – $49,725.00 | 3 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $59.20 | $74.00 | $5.00 – $62.90 | 26 |
| Cryoprecipitate each unit HCPCS P9012 | $328.80 | $411.00 | $47.68 – $295.92 | 18 |
| Crystal identification light microscopy CPT 89060 | $30.40 | $38.00 | $7.33 – $32.61 | 26 |
| CT 3d report other modality w/workstation CPT 76377 | $691.20 | $864.00 | $68.47 – $622.08 | 2 |
| Cta abdomen without & /or w/contrast CPT 74175 | $532.50 | $2,763.00 | $184.05 – $1,006.60 | 25 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $397.50 | $2,763.00 | $184.05 – $1,006.60 | 25 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $528.50 | $2,763.00 | $184.05 – $1,006.60 | 25 |
| Cta neck without &/or w/contrast CPT 70498 | $538.00 | $2,763.00 | $184.05 – $1,006.60 | 25 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $517.50 | $3,682.00 | $369.24 – $2,106.92 | 25 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $531.50 | $2,649.00 | $184.05 – $1,006.60 | 25 |
| CT Angiogram of the Head CPT 70496 | $538.00 | $2,763.00 | $184.05 – $1,006.60 | 25 |
| CT angio hrt w/3d image CPT 75574 | $407.00 | $2,107.00 | $258.84 – $2,587.00 | 24 |
| CT angio pelvis CPT 72191 | $534.00 | $2,763.00 | $184.05 – $1,006.60 | 25 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $535.50 | $2,763.00 | $184.05 – $1,006.60 | 25 |
| CT guidance for needle placement CPT 77012 | $1,810.40 | $2,263.00 | $127.82 – $1,629.36 | 3 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $1,862.40 | $2,328.00 | $12.50 – $1,676.16 | 3 |
| CT guid parench tis ablat CPT 77013 | $1,668.80 | $2,086.00 | $1,501.92 – $1,501.92 | 1 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $85.50 | $135.00 | $41.78 – $497.84 | 25 |
| CT hrt w/3d image CPT 75572 | $445.50 | $2,107.00 | $211.28 – $2,587.00 | 24 |
| CT limited or localized follow-up study CPT 76380 | $288.00 | $1,277.00 | $66.04 – $919.44 | 21 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $475.50 | $2,362.00 | $103.13 – $1,006.60 | 25 |
| CT lower extremity without contrast (both sides) CPT 73700 | $285.50 | $2,185.00 | $98.80 – $602.31 | 25 |
| CT lwr extremity w/o&w/dye CPT 73702 | $572.00 | $2,645.00 | $115.63 – $1,006.60 | 25 |
| CT neck soft tissue w/contrast CPT 70491 | $461.50 | $2,362.00 | $103.13 – $1,006.60 | 25 |
| CT neck soft tissue without contrast CPT 70490 | $268.00 | $2,020.00 | $98.75 – $602.31 | 25 |
| CT neck soft tissue without & w/contrast CPT 70492 | $557.50 | $2,645.00 | $115.63 – $1,006.60 | 25 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $557.50 | $2,645.00 | $184.05 – $1,006.60 | 25 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $461.50 | $2,362.00 | $161.25 – $1,006.60 | 25 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $268.00 | $2,309.00 | $109.94 – $602.31 | 25 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $408.80 | $511.00 | $99.38 – $1,067.99 | 23 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $525.00 | $4,967.00 | $318.38 – $2,106.92 | 25 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $437.50 | $4,340.00 | $240.91 – $2,106.92 | 25 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $242.50 | $2,322.00 | $126.34 – $1,342.45 | 25 |
| CT thoracic spine w/contrast CPT 72129 | $472.00 | $2,362.00 | $109.38 – $1,006.60 | 25 |
| CT thoracic spine without contrast CPT 72128 | $286.50 | $2,559.00 | $109.94 – $602.31 | 25 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $266.00 | $1,206.00 | $91.73 – $602.31 | 25 |
| CT t-spine w /wo contrast CPT 72130 | $568.50 | $2,645.00 | $170.00 – $1,006.60 | 25 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $475.50 | $2,350.00 | $103.13 – $2,106.92 | 25 |
| CT upper extremity without contrast (both sides) CPT 73200 | $285.50 | $2,252.00 | $98.80 – $602.31 | 25 |
| CT uppr extremity w/o&w/dye CPT 73202 | $572.00 | $2,645.00 | $115.63 – $1,006.60 | 25 |
| Culture aerobic additional method definitive id each CPT 87077 | $33.60 | $42.00 | $7.10 – $35.94 | 26 |
| Culture afb any source CPT 87116 | $54.40 | $68.00 | $7.50 – $48.96 | 26 |
| Culture anaerobic additional method definitive id each CPT 87076 | $40.00 | $50.00 | $8.08 – $36.00 | 26 |
| Culture anaerobic except blood CPT 87075 | $47.20 | $59.00 | $9.47 – $42.48 | 26 |
| Culture bact stool aero addl path ea CPT 87046 | $47.20 | $59.00 | $2.61 – $42.48 | 26 |
| Culture body fluid CPT 87070 | $43.20 | $54.00 | $6.90 – $38.88 | 26 |
| Culture fungi definitive id mold CPT 87107 | $51.20 | $64.00 | $10.32 – $46.08 | 26 |
| Culture fungi definitive id yeast CPT 87106 | $51.20 | $64.00 | $9.70 – $46.08 | 26 |
| Culture fungi other (except blood) CPT 87102 | $41.60 | $52.00 | $8.41 – $37.44 | 26 |
| Culture fungi skin/hair/nail CPT 87101 | $32.80 | $41.00 | $7.71 – $34.30 | 26 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $60.80 | $76.00 | $14.61 – $64.99 | 26 |
| Culture mycoplasma any source CPT 87109 | $64.00 | $80.00 | $15.39 – $68.46 | 26 |
| Culture quantitative aerobic other source CPT 87071 | $48.80 | $61.00 | $5.22 – $43.99 | 26 |
| Culture screening strep group a CPT 87081 | $33.60 | $42.00 | $5.20 – $30.24 | 26 |
| Culture typing immunologic CPT 87147 | $25.60 | $32.00 | $3.00 – $23.04 | 26 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $175.20 | $219.00 | $35.09 – $157.68 | 26 |
| Cutter lead HCPCS C1773 | $890.98 | $1,113.73 | $316.01 – $316.01 | 1 |
| Cv line/pic reposition CPT 36597 | $1,317.60 | $1,647.00 | $72.67 – $7,144.41 | 22 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $5.40 | $6.75 | $0.69 – $4.86 | 6 |
| Cyclic citrullinated peptide antibody CPT 86200 | $54.40 | $68.00 | $12.95 – $57.61 | 26 |
| Cyclosporine 2 hour CPT 80158 | $75.20 | $94.00 | $17.09 – $80.29 | 26 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $6.20 | $7.75 | $0.80 – $2.59 | 6 |
| Cyclosporine oral 100 mg HCPCS J7502 | $22.80 | $28.50 | $2.15 – $7.07 | 6 |
| Cystatin c CPT 82610 | $77.60 | $97.00 | $15.20 – $82.38 | 26 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $531.20 | $664.00 | $26.88 – $2,106.92 | 25 |
| Cysto rx balo cath urtl strx CPT 52284 | not published | not published | $970.00 – $23,380.04 | 15 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $970.00 – $15,862.15 | 17 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $970.00 – $15,862.15 | 17 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $970.00 – $15,862.15 | 17 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $970.00 – $15,862.15 | 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.