WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
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 |
|---|---|---|---|---|
| Antibody id rbc panel CPT 86870 | $1,403.20 | $1,754.00 | $8.45 – $1,027.44 | 21 |
| Antibody screen rbc CPT 86850 | $208.80 | $261.00 | $8.45 – $80.11 | 23 |
| Antibody tetanus CPT 86774 | $61.60 | $77.00 | $7.40 – $67.19 | 19 |
| Anti mog serum - sendout CPT 86362 | $49.60 | $62.00 | $8.64 – $54.71 | 23 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $49.60 | $62.00 | $9.64 – $54.71 | 23 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $49.60 | $62.00 | $9.64 – $54.71 | 23 |
| Antinuclear antibodies CPT 86038 | $49.60 | $62.00 | $12.21 – $54.89 | 23 |
| Antinuclear antibodies titer CPT 86039 | $46.40 | $58.00 | $11.27 – $51.00 | 23 |
| Antistreptolysin o titer CPT 86060 | $30.40 | $38.00 | $7.00 – $33.14 | 23 |
| Antithrombin iii activity CPT 85300 | $145.60 | $182.00 | $9.40 – $53.80 | 23 |
| Appendectomy add-on 44955 CPT 44955 | not published | not published | $52.12 – $90.30 | 10 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $10,638.00 – $10,638.00 | 1 |
| Application finger splntstatic 29130 CPT 29130 | $415.20 | $519.00 | $96.68 – $217.86 | 15 |
| Application long leg splint 29505 CPT 29505 | $661.60 | $827.00 | $46.25 – $266.68 | 20 |
| Application lower leg splint 29515 CPT 29515 | $674.40 | $843.00 | $43.75 – $266.68 | 20 |
| Application multi layer compression below knee (both sides) CPT 29581 | $608.00 | $760.00 | $31.59 – $266.68 | 20 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $1,904.80 | $2,381.00 | $100.55 – $3,091.67 | 16 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $2,868.00 | $3,585.00 | $86.41 – $3,091.67 | 16 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $138.40 | $173.00 | $5.78 – $56.80 | 20 |
| Apply rigid leg cast 29445 CPT 29445 | $788.80 | $986.00 | $126.84 – $448.88 | 20 |
| Aquaporin-4 antibody cba each CPT 86052 | $52.80 | $66.00 | $9.64 – $54.71 | 23 |
| Aquatic exercise - group charge CPT 97150 | $439.20 | $549.00 | $16.71 – $56.80 | 18 |
| Argatroban nonesrd use 1mg HCPCS J0883 | $661.40 | $826.75 | $0.94 – $166.25 | 24 |
| Arterial blood draw/perc 36620 CPT 36620 | $1,788.00 | $2,235.00 | $59.48 – $161.77 | 7 |
| Artery xray each vessel 7577426 CPT 75774 | $2,344.00 | $2,930.00 | $28.13 – $127.50 | 7 |
| Artery xray of abdomen 75726-26 CPT 75726 | $10,811.20 | $13,514.00 | $28.13 – $30,106.54 | 8 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $6,960.00 | $8,700.00 | $28.13 – $17,462.81 | 8 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $6,960.00 | $8,700.00 | $28.13 – $17,462.81 | 8 |
| Artery xrays of pelvis 75736 26 CPT 75736 | $10,811.20 | $13,514.00 | $28.13 – $30,106.54 | 8 |
| Arthrd ant ntrbdy cervical CPT 22551 | not published | not published | $15,634.00 – $15,634.00 | 1 |
| Arthrd cmbn 1ntrspc lumbar CPT 22633 | not published | not published | $15,634.00 – $15,634.00 | 1 |
| Arthrd pst tq 1ntrspc lum CPT 22630 | not published | not published | $15,634.00 – $15,634.00 | 1 |
| Arthrd si jt perq/min nvas CPT 27279 | not published | not published | $14,381.00 – $14,381.00 | 1 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $1,484.00 | $1,855.00 | $26.88 – $498.91 | 20 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $1,037.60 | $1,297.00 | $52.94 – $1,170.47 | 20 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $1,244.80 | $1,556.00 | $62.27 – $498.91 | 20 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $1,966.40 | $2,458.00 | $29.38 – $498.91 | 20 |
| Arthrp ntrcrp/crp/mtcr ntrps CPT 25447 | not published | not published | $14,381.00 – $14,381.00 | 1 |
| Arthrp ntrcrpl/crp/mtcrp ssp CPT 25448 | not published | not published | $14,381.00 – $14,381.00 | 1 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | not published | not published | $10,638.00 – $10,638.00 | 1 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $3,519.20 | $4,399.00 | $192.92 – $524.76 | 7 |
| Aspirate pleura without imaging 32554 CPT 32554 | $911.20 | $1,139.00 | $88.61 – $1,044.96 | 20 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $1,301.60 | $1,627.00 | $74.73 – $1,189.18 | 20 |
| Assay alkaline phosphatase CPT 84078 | $34.40 | $43.00 | $6.20 – $37.50 | 18 |
| Assay dir meas fr estradiol CPT 82681 | $116.80 | $146.00 | $20.96 – $126.85 | 18 |
| Assay of breath ethanol CPT 82075 | $124.80 | $156.00 | $22.50 – $136.20 | 18 |
| Assay of interleukin-6 (il-6) CPT 83529 | $71.20 | $89.00 | $12.95 – $78.41 | 18 |
| Assay of urine sulfate CPT 84392 | $22.40 | $28.00 | $2.75 – $24.92 | 19 |
| Assess cyst contrast inject CPT 49424 | $120.00 | $150.00 | $39.00 – $106.08 | 7 |
| Ast/sgot CPT 84450 | $21.60 | $27.00 | $5.23 – $24.24 | 23 |
| Atn1 gene detc abnor alleles CPT 81177 | $569.60 | $712.00 | $68.50 – $621.98 | 19 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $120.00 | $150.00 | $7.00 – $38.50 | 10 |
| Atxn10 gene detc abnor allel CPT 81183 | $569.60 | $712.00 | $68.50 – $621.98 | 19 |
| Atxn1 gene detc abnor allele CPT 81178 | $569.60 | $712.00 | $68.50 – $621.98 | 19 |
| Atxn2 gene detc abnor allele CPT 81179 | $569.60 | $712.00 | $68.50 – $621.98 | 19 |
| Atxn3 gene detc abnor allele CPT 81180 | $569.60 | $712.00 | $68.50 – $621.98 | 19 |
| Atxn7 gene detc abnor allele CPT 81181 | $569.60 | $712.00 | $68.50 – $621.98 | 19 |
| Atxn8os gen detc abnor allel CPT 81182 | $569.60 | $712.00 | $68.50 – $621.98 | 19 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | not published | not published | $14,381.00 – $14,381.00 | 1 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | $5,220.83 – $10,638.00 | 2 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $698.40 | $873.00 | $32.19 – $2,638.40 | 20 |
| Azathioprine 50 mg tablet HCPCS J7500 | $10.60 | $13.25 | $0.06 – $6.85 | 10 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $22.20 | $27.75 | $2.04 – $8.35 | 10 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $515.80 | $644.75 | $25.33 – $86.80 | 10 |
| Bacterial meningitis antigen CPT 86403 | $48.00 | $60.00 | $11.66 – $52.39 | 23 |
| Bacterial vaginosis pcr CPT 87801 | $292.00 | $365.00 | $38.80 – $318.71 | 23 |
| #bac vag cand-c. albicans naa CPT 87481 | $140.00 | $175.00 | $35.44 – $159.31 | 23 |
| B cells total count CPT 86355 | $157.60 | $197.00 | $38.11 – $171.29 | 23 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $180.20 | $225.25 | $30.65 – $117.39 | 10 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $105.60 | $132.00 | $25.70 – $115.54 | 23 |
| Beta-2 microglobulin CPT 82232 | $67.20 | $84.00 | $16.34 – $73.46 | 23 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $340.80 | $426.00 | $6.96 – $23.98 | 10 |
| Bilateral n block inj occipital 64405 CPT 64405 | $2,314.40 | $2,893.00 | $43.75 – $498.91 | 20 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $1,064.80 | $1,331.00 | $16.25 – $498.91 | 20 |
| Bilicheck CPT 88720 | $24.80 | $31.00 | $5.07 – $22.79 | 23 |
| Bilirubin direct CPT 82248 | $24.80 | $31.00 | $5.07 – $23.56 | 23 |
| Bilirubin total CPT 82247 | $10.00 | $31.00 | $5.07 – $23.56 | 23 |
| Binder abdominal lg 12 x 62-74 HCPCS L0625 | $80.80 | $101.00 | $36.56 – $117.71 | 16 |
| Biopsy abdominal mass CPT 49180 | $2,391.20 | $2,989.00 | $101.21 – $275.30 | 7 |
| Biopsy bone trocar/needle superficial CPT 20220 | $1,476.00 | $1,845.00 | $78.75 – $6,190.00 | 9 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $2,064.80 | $2,581.00 | $79.15 – $215.29 | 7 |
| Biopsy muscle percutaneous needle CPT 20206 | $2,362.40 | $2,953.00 | $70.49 – $191.73 | 7 |
| Biopsy needle liver percutaneous CPT 47000 | $2,307.20 | $2,884.00 | $112.06 – $304.81 | 7 |
| Biopsy needle lymph node superficial CPT 38505 | $2,307.20 | $2,884.00 | $84.28 – $229.26 | 7 |
| Biopsy of lip 40490 CPT 40490 | not published | not published | $224.28 – $392.49 | 14 |
| Biopsy of prostate CPT 55700 | not published | not published | $8,754.00 – $8,754.00 | 1 |
| Biopsy of rectum wall anal approach 45100 CPT 45100 | not published | not published | $5,627.00 – $5,627.00 | 1 |
| Biopsy of salivary gland 42400 CPT 42400 | $1,200.00 | $1,500.00 | $43.75 – $1,189.18 | 20 |
| Biopsy of salivary glnd;incisional 42405 CPT 42405 | not published | not published | $1,430.62 – $8,754.00 | 2 |
| Biopsy of upper nose/throat CPT 42804 | not published | not published | $5,627.00 – $5,627.00 | 1 |
| Biopsy/removal lymph nodes CPT 38525 | not published | not published | $3,698.32 – $8,754.00 | 2 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $1,992.80 | $2,491.00 | $171.39 – $466.17 | 7 |
| Biopsy skin incisional single lesion CPT 11106 | $617.60 | $772.00 | $61.51 – $1,034.60 | 20 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | not published | not published | $5,627.00 – $5,627.00 | 1 |
| Biopsy tongue anterior two-thirds CPT 41100 | not published | not published | $491.83 – $5,627.00 | 15 |
| Biopsy vrt bdy open lmbr/crv CPT 20251 | not published | not published | $10,638.00 – $10,638.00 | 1 |
| Bivalirudin HCPCS J0583 | $1,219.20 | $1,524.00 | $42.25 – $141.28 | 10 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $732.80 | $916.00 | $35.88 – $411.06 | 20 |
| Bld prd mix CPT 86965 | $653.60 | $817.00 | $128.52 – $488.22 | 16 |
| Bld push tfuj 2 yr/< CPT 36440 | $694.40 | $868.00 | $43.75 – $738.90 | 20 |
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.