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 |
|---|---|---|---|---|
| Ercp biliary & pancreas CPT 74330 | $832.00 | $1,040.00 | $132.08 – $748.80 | 2 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $970.00 – $27,377.55 | 17 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $970.00 – $17,497.39 | 17 |
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $970.00 – $27,377.55 | 17 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $970.00 – $17,497.39 | 17 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $970.00 – $17,497.39 | 17 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $970.00 – $27,377.55 | 17 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $77.00 | $96.25 | $10.70 – $69.30 | 6 |
| ER Visit (level 1, minor) CPT 99281 | $511.20 | $639.00 | $26.25 – $460.08 | 23 |
| ER Visit (level 2) CPT 99282 | $584.00 | $730.00 | $43.75 – $613.20 | 23 |
| ER Visit (level 3) CPT 99283 | $1,228.00 | $1,535.00 | $98.75 – $1,105.20 | 23 |
| ER Visit (level 4) CPT 99284 | $1,796.80 | $2,246.00 | $153.75 – $2,639.00 | 23 |
| ER Visit (level 5, high severity) CPT 99285 | $2,531.20 | $3,164.00 | $241.25 – $3,715.00 | 23 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $183.00 | $228.75 | $49.07 – $240.16 | 10 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $212.00 | $265.00 | $0.24 – $9.80 | 10 |
| Esophageal dilat s&i CPT 74360 | $551.20 | $689.00 | $102.97 – $496.08 | 3 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $970.00 – $16,956.65 | 17 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $970.00 – $8,724.45 | 17 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $970.00 – $3,332.27 | 13 |
| Established Patient Office Visit (level 1) CPT 99211 | $312.00 | $390.00 | $8.22 – $232.56 | 21 |
| Established Patient Office Visit (level 2) CPT 99212 | $312.00 | $390.00 | $33.13 – $222.48 | 21 |
| Established Patient Office Visit (level 3) CPT 99213 | $421.60 | $527.00 | $50.00 – $280.80 | 21 |
| Established Patient Office Visit (level 4) CPT 99214 | $553.60 | $692.00 | $50.00 – $406.93 | 21 |
| Established Patient Office Visit (level 5) CPT 99215 | $696.80 | $871.00 | $50.00 – $592.69 | 21 |
| Estradiol total CPT 82670 | $140.00 | $175.00 | $21.50 – $126.00 | 26 |
| Estrogens total-sendout CPT 82672 | $108.00 | $135.00 | $13.92 – $97.20 | 26 |
| Ethylene glycol -sendout CPT 82693 | $62.40 | $78.00 | $7.45 – $66.28 | 22 |
| Etonogestrel implant system HCPCS J7307 | $2,915.20 | $3,644.00 | $796.20 – $4,664.19 | 10 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $333.80 | $417.25 | $1.02 – $300.42 | 6 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $970.00 – $14,622.99 | 17 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $373.60 | $467.00 | $50.00 – $336.24 | 8 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $510.40 | $638.00 | $49.06 – $459.36 | 19 |
| Evaluation of speech fluency 92521 CPT 92521 | $340.00 | $425.00 | $50.00 – $325.00 | 8 |
| Evaluation psychiatric diagnostic CPT 90791 | $664.80 | $831.00 | $32.81 – $738.95 | 18 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $108.00 | $135.00 | $27.69 – $97.20 | 7 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $970.00 – $14,622.99 | 17 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $970.00 – $47,882.21 | 17 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | $970.00 – $13,162.83 | 17 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | not published | not published | $970.00 – $13,162.83 | 17 |
| Exc back les sbq <3 cm 21930 CPT 21930 | not published | not published | $970.00 – $7,451.66 | 17 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | $970.00 – $13,162.83 | 17 |
| Exc bartholins gland/cyst CPT 56740 | not published | not published | $970.00 – $14,622.99 | 17 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | not published | not published | $970.00 – $7,451.66 | 17 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | not published | not published | $727.44 – $3,235.87 | 18 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | not published | not published | $727.44 – $3,235.87 | 18 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | not published | not published | $970.00 – $7,451.66 | 17 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | not published | not published | $970.00 – $4,853.81 | 18 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | not published | not published | $970.00 – $7,451.66 | 17 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | not published | not published | $970.00 – $13,162.83 | 17 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | not published | not published | $413.07 – $1,837.46 | 18 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | not published | not published | $727.44 – $3,235.87 | 18 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | not published | not published | $727.44 – $3,235.87 | 18 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | not published | not published | $970.00 – $7,451.66 | 17 |
| Exc foot/toe tum subq < 1.5 cm 28043 CPT 28043 | not published | not published | $970.00 – $7,451.66 | 17 |
| Exchange biliary drg cath CPT 47536 | $6,028.00 | $7,535.00 | $150.23 – $16,230.51 | 22 |
| Exchange drainage catheter CPT 49423 | $2,845.60 | $3,557.00 | $73.50 – $8,724.45 | 22 |
| Exchange nephrostomy cath CPT 50435 | $3,552.80 | $4,441.00 | $102.75 – $9,421.28 | 22 |
| Exc hip/pelv tum deep < 5 cm CPT 27048 | not published | not published | $970.00 – $13,162.83 | 17 |
| Exc im tumor/back/flank/ < 5 cm 21932 CPT 21932 | not published | not published | $970.00 – $13,162.83 | 17 |
| Exc im tumor/foot/toe < 1.5 cm 28045 CPT 28045 | not published | not published | $970.00 – $13,162.83 | 17 |
| Excise intrspinl lesion lmbr CPT 63267 | not published | not published | $970.00 – $32,854.70 | 17 |
| Excise lip or cheek fold CPT 40819 | not published | not published | $970.00 – $6,812.57 | 17 |
| Excise parotid gland/lesion CPT 42415 | not published | not published | $970.00 – $27,206.69 | 17 |
| Excise parotid gland/lesion CPT 42420 | not published | not published | $970.00 – $27,206.69 | 17 |
| Excise submaxillary gland CPT 42440 | not published | not published | $970.00 – $27,206.69 | 17 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | not published | not published | $970.00 – $14,915.19 | 17 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | not published | not published | $970.00 – $7,451.66 | 17 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $542.40 | $678.00 | $67.50 – $3,235.87 | 23 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | not published | not published | $970.00 – $7,451.66 | 17 |
| Excision breast lesion CPT 19125 | not published | not published | $970.00 – $17,611.22 | 17 |
| Excision floor mouth lesion 41116 CPT 41116 | not published | not published | $970.00 – $14,915.19 | 17 |
| Excision of neck cyst CPT 42815 | not published | not published | $970.00 – $27,206.69 | 17 |
| Excision of salivary cyst CPT 42408 | not published | not published | $970.00 – $14,915.19 | 17 |
| Excision of tongue lesion CPT 41112 | not published | not published | $970.00 – $14,915.19 | 17 |
| Excision of uvula CPT 42140 | not published | not published | $970.00 – $14,915.19 | 17 |
| Excision olecranon bursa CPT 24105 | not published | not published | $970.00 – $14,922.27 | 17 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | not published | not published | $970.00 – $7,451.66 | 17 |
| Exc les/mucos/sub/ves mouth/no rpr 40810 CPT 40810 | not published | not published | $970.00 – $14,915.19 | 17 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | not published | not published | $363.72 – $1,617.94 | 18 |
| Exc malig feenl 3.1-4.0 11644 CPT 11644 | not published | not published | $970.00 – $7,451.66 | 17 |
| Exc malig feenl >4cm 11646 CPT 11646 | not published | not published | $970.00 – $13,162.83 | 17 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | not published | not published | $970.00 – $7,451.66 | 17 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | not published | not published | $206.54 – $1,101.92 | 18 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | not published | not published | $727.44 – $3,235.87 | 18 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | not published | not published | $970.00 – $17,611.22 | 17 |
| Exc neck tum deep < 5 cm CPT 21556 | not published | not published | $970.00 – $13,162.83 | 17 |
| Exc prtl bn phlnx toe CPT 28124 | not published | not published | $970.00 – $14,922.27 | 17 |
| Exc snhfg mal+mrg 1.1-2 11622 CPT 11622 | $1,872.00 | $2,340.00 | $140.00 – $3,235.87 | 23 |
| Exc snhfg mal+mrg 3.1-4 11624 CPT 11624 | not published | not published | $970.00 – $29,992.84 | 17 |
| Exc sq tum/leg or ankle area <3 cm 27618 CPT 27618 | not published | not published | $970.00 – $7,451.66 | 17 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | not published | not published | $970.00 – $13,162.83 | 17 |
| Exc sq tumor/shoulder area 3cm/> 23071 CPT 23071 | not published | not published | $970.00 – $7,451.66 | 17 |
| Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337 | not published | not published | $970.00 – $13,162.83 | 17 |
| Exc subq tum/sft tis/pel/hip 3cm/> 27043 CPT 27043 | not published | not published | $970.00 – $13,162.83 | 17 |
| Exc tendon sheath or cap lesion 26160 CPT 26160 | not published | not published | $970.00 – $7,360.42 | 17 |
| Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 | not published | not published | $970.00 – $29,992.84 | 17 |
| Exc vagina lesion 57135 CPT 57135 | not published | not published | $970.00 – $14,622.99 | 17 |
| Exercise tst brncspsm wo ecg CPT 94619 | $188.80 | $236.00 | $47.48 – $273.17 | 23 |
| Expander breast 300cc mod hght extra proj smth natrelle HCPCS L8600 | $1,049.40 | $1,311.75 | $243.54 – $243.54 | 1 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $2,527.80 | $3,159.75 | $243.54 – $243.54 | 1 |
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.