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 |
|---|---|---|---|---|
| Drainage of kidney lesion CPT 50390 | $1,200.00 | $1,500.00 | $114.44 – $3,235.87 | 23 |
| Drainage of mouth lesion CPT 41009 | $813.60 | $1,017.00 | $29.38 – $2,342.07 | 23 |
| Drainage of nose lesion int 30000 CPT 30000 | not published | not published | $240.09 – $1,101.92 | 18 |
| Drain blood from under nail 11740 CPT 11740 | $284.00 | $355.00 | $30.00 – $592.82 | 23 |
| Drain cath image guided visceral pq CPT 49405 | $3,033.60 | $3,792.00 | $216.71 – $7,451.66 | 22 |
| Drain finger abscess;simple 26010 CPT 26010 | $525.60 | $657.00 | $33.13 – $913.86 | 23 |
| Drain lower leg lesion 27603 CPT 27603 | $3,980.80 | $4,976.00 | $110.63 – $13,162.83 | 22 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $695.20 | $869.00 | $125.69 – $913.86 | 23 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $456.80 | $571.00 | $25.00 – $913.86 | 23 |
| Drng of finger abscess comp 26011 CPT 26011 | $2,483.20 | $3,104.00 | $100.00 – $7,451.66 | 22 |
| Drng of scrotum abscess 55100 CPT 55100 | $4,390.40 | $5,488.00 | $43.75 – $7,451.66 | 22 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $14.80 | $18.50 | $5.56 – $34.58 | 6 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $507.10 | $633.88 | $456.39 – $456.39 | 1 |
| Drug admin & hemodynmic meas CPT 93463 | $1,671.20 | $2,089.00 | $1,504.08 – $13,939.00 | 2 |
| Drug assay posaconazole CPT 80187 | $95.20 | $119.00 | $21.69 – $120.59 | 26 |
| Drug assay vedolizumab CPT 80280 | $144.80 | $181.00 | $28.93 – $171.57 | 21 |
| Drug assay voriconazole CPT 80285 | $95.20 | $119.00 | $21.69 – $120.59 | 26 |
| Drug test def 1-7 classes HCPCS G0480 | $332.80 | $416.00 | $63.95 – $509.02 | 26 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $258.40 | $323.00 | $62.14 – $276.42 | 26 |
| Drvvt confirm - quest CPT 85597 | $122.40 | $153.00 | $17.98 – $110.16 | 26 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | not published | not published | $970.00 – $8,980.98 | 15 |
| Duplex scan bilateral study 93985 CPT 93985 | $1,015.20 | $1,269.00 | $217.47 – $1,111.67 | 23 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $505.60 | $632.00 | $100.64 – $489.05 | 23 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $932.80 | $1,166.00 | $149.17 – $1,111.67 | 23 |
| Dxa bone density axl vrt fx CPT 77085 | $501.60 | $627.00 | $38.22 – $602.31 | 21 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $970.00 – $31,837.11 | 17 |
| Dx bronchoscope/lavage 31624 CPT 31624 | not published | not published | $970.00 – $31,837.11 | 17 |
| Dx bronchoscope/wash 31622 CPT 31622 | $1,691.20 | $2,114.00 | $167.33 – $7,931.01 | 22 |
| Ear irrigation 69209 CPT 69209 | $225.60 | $282.00 | $12.00 – $273.17 | 23 |
| Ecg 12 lead tracing only CPT 93005 | $326.40 | $408.00 | $13.08 – $293.76 | 23 |
| Ecg external < 48 hours recording CPT 93225 | $753.60 | $942.00 | $22.81 – $678.24 | 23 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $1,004.80 | $1,256.00 | $49.70 – $904.32 | 23 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $3,146.40 | $3,933.00 | $122.67 – $2,830.32 | 24 |
| Echocardiography doppler color flow mapping CPT 93325 | $499.20 | $624.00 | $20.15 – $2,587.00 | 3 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $1,780.80 | $2,226.00 | $26.88 – $2,587.00 | 24 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $568.00 | $710.00 | $25.69 – $2,587.00 | 3 |
| Echo stress CPT 93350 | $1,440.00 | $1,800.00 | $58.13 – $2,587.00 | 24 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $4,019.20 | $5,024.00 | $166.16 – $3,332.16 | 24 |
| Echo transthoracic CPT 93303 | $2,035.20 | $2,544.00 | $118.75 – $2,587.00 | 24 |
| Echo transthoracic CPT 93304 | $2,016.00 | $2,520.00 | $26.88 – $2,587.00 | 24 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $1,620.00 | $2,025.00 | $118.75 – $2,587.00 | 24 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $826.40 | $1,033.00 | $48.66 – $3,201.00 | 24 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $1,325.60 | $1,657.00 | $16.88 – $3,201.00 | 24 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $1,060.00 | $1,325.00 | $55.57 – $3,201.00 | 24 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $826.40 | $1,033.00 | $23.75 – $3,201.00 | 24 |
| Eeg recording awake and asleep CPT 95819 | $1,456.00 | $1,820.00 | $16.88 – $3,201.00 | 24 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | $2,904.00 | $3,630.00 | $100.00 – $3,201.00 | 24 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | $2,904.00 | $3,630.00 | $150.00 – $3,201.00 | 24 |
| Egd control bleeding any CPT 43255 | not published | not published | $970.00 – $8,724.45 | 17 |
| Egd dilate stricture CPT 43245 | not published | not published | $970.00 – $8,724.45 | 17 |
| Egd guide wire insertion CPT 43248 | not published | not published | $484.67 – $2,155.96 | 18 |
| Egd lesion ablation CPT 43270 | not published | not published | $970.00 – $8,724.45 | 17 |
| Egd remove foreign body CPT 43247 | not published | not published | $969.34 – $4,311.92 | 18 |
| Egd remove lesion snare CPT 43251 | not published | not published | $970.00 – $8,724.45 | 17 |
| Egd varices ligation CPT 43244 | not published | not published | $970.00 – $8,724.45 | 17 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $162.40 | $203.00 | $28.07 – $156.09 | 26 |
| Elbow arthroscopy/surgery CPT 29834 | not published | not published | $970.00 – $14,922.27 | 17 |
| Elbow arthroscopy/surgery CPT 29837 | not published | not published | $970.00 – $14,922.27 | 17 |
| Elbow arthroscopy/surgery CPT 29838 | not published | not published | $970.00 – $14,922.27 | 17 |
| Electrd sq emblem s-icd HCPCS C1896 | $5,280.00 | $6,600.00 | $4,752.00 – $4,752.00 | 1 |
| Electrical stimulation/unattended 97014 CPT 97014 | $142.40 | $178.00 | $11.82 – $325.00 | 7 |
| Electroconvulsive therapy 90870 CPT 90870 | $1,066.40 | $1,333.00 | $56.25 – $2,440.29 | 21 |
| Electrolyte panel CPT 80051 | $36.80 | $46.00 | $7.00 – $33.12 | 26 |
| Electron microscopy diagnostic CPT 88348 | $1,398.40 | $1,748.00 | $21.88 – $3,756.99 | 26 |
| Electrophysiology evaluation CPT 93619 | $15,524.80 | $19,406.00 | $849.89 – $34,898.43 | 19 |
| Electrophysiology evaluation CPT 93620 | $15,416.80 | $19,271.00 | $945.00 – $34,898.43 | 19 |
| Electrophysiology evaluation CPT 93621 | $10,619.20 | $13,274.00 | $9,557.28 – $13,939.00 | 2 |
| Electrophysiology evaluation CPT 93622 | $8,600.00 | $10,750.00 | $7,740.00 – $13,939.00 | 2 |
| Electrophysiology evaluation CPT 93641 | $671.20 | $839.00 | $604.08 – $13,939.00 | 2 |
| Electrophysiology evaluation CPT 93642 | $2,694.40 | $3,368.00 | $910.49 – $13,939.00 | 18 |
| Electrophysiology evaluation CPT 93644 | $204.00 | $255.00 | $183.60 – $13,939.00 | 2 |
| Electrophys map 3d add-on CPT 93613 | $9,664.00 | $12,080.00 | $8,697.60 – $13,939.00 | 2 |
| Embo or occlude vascular arterial s&i CPT 37242 | $29,632.80 | $37,041.00 | $511.17 – $82,584.69 | 22 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $12,410.40 | $15,513.00 | $710.98 – $52,156.41 | 22 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $6,191.20 | $7,739.00 | $609.50 – $52,156.41 | 22 |
| Embo or occlude vascular venous s&i CPT 37241 | $20,976.00 | $26,220.00 | $457.77 – $52,156.41 | 22 |
| Emb/throm/fempop/aor/ilia/leg inc 34201 CPT 34201 | not published | not published | $970.00 – $24,861.33 | 17 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | $11,799.20 | $14,749.00 | $362.23 – $14,475.66 | 19 |
| Endo cath bile duct s&i CPT 74328 | $610.40 | $763.00 | $131.70 – $549.36 | 2 |
| Endo cholangiopancreatograph CPT 43262 | not published | not published | $970.00 – $17,497.39 | 17 |
| Endoluminl ivus oct c 1st CPT 92978 | $4,337.60 | $5,422.00 | $3,903.84 – $13,939.00 | 2 |
| Endoluminl ivus oct c ea CPT 92979 | $2,161.60 | $2,702.00 | $1,945.44 – $13,939.00 | 2 |
| Endome abla/them without hystero guide 58353 CPT 58353 | not published | not published | $970.00 – $22,703.23 | 17 |
| Endoscopic injection/implant CPT 51715 | not published | not published | $970.00 – $15,862.15 | 17 |
| Endoscopy maxillary sinus CPT 31267 | not published | not published | $970.00 – $31,837.11 | 17 |
| Endo, single, pulmonary HCPCS C1601 | $789.36 | $986.70 | $301.44 – $391.87 | 13 |
| Endovenous rf abl vein addl CPT 36476 | $1,364.00 | $1,705.00 | $1,227.60 – $1,227.60 | 1 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | $18,984.80 | $23,731.00 | $4,054.28 – $24,861.33 | 17 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $318.20 | $397.75 | $0.64 – $15.30 | 6 |
| Enzyme histochemistry CPT 88319 | $707.20 | $884.00 | $9.26 – $3,756.99 | 26 |
| Ep & ablate supravent arrhyt CPT 93653 | $52,523.20 | $65,654.00 | $818.88 – $112,826.41 | 19 |
| Ep induct arrhy by elect pacing CPT 93618 | $6,519.20 | $8,149.00 | $234.38 – $13,939.00 | 22 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | $34.80 | $43.50 | $2.76 – $77.34 | 9 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $35.20 | $44.00 | $1.47 – $42.24 | 9 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $1,018.40 | $1,273.00 | $8.36 – $69.84 | 26 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $1,219.40 | $1,524.25 | $9.27 – $76.02 | 26 |
| Epstein barr early antigen antibody CPT 86663 | $65.60 | $82.00 | $13.12 – $59.04 | 26 |
| Epstein barr nuclear antigen antibody CPT 86664 | $63.20 | $79.00 | $15.29 – $68.01 | 26 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $76.00 | $95.00 | $18.14 – $80.69 | 26 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $267.60 | $334.50 | $3.53 – $291.97 | 4 |
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.