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 |
|---|---|---|---|---|
| Thyroid mets imag whole body CPT 78018 | $2,225.60 | $2,782.00 | $70.63 – $2,961.19 | 21 |
| Thyroid met uptake CPT 78020 | $747.20 | $934.00 | $22.59 – $102.41 | 7 |
| Thyroid (TSH) Test CPT 84443 | $40.00 | $119.00 | $16.97 – $78.91 | 24 |
| Thyroid Ultrasound CPT 76536 | $1,031.20 | $1,289.00 | $63.73 – $602.31 | 22 |
| Thyroid uptake measurement CPT 78012 | $1,713.60 | $2,142.00 | $76.50 – $2,259.58 | 21 |
| Thyroxine binding globulin (tbg) CPT 84442 | $61.60 | $77.00 | $10.00 – $67.10 | 23 |
| Tilt table study CPT 93660 | $2,605.60 | $3,257.00 | $133.90 – $896.79 | 17 |
| Tissue culture skin/biopsy CPT 88233 | $591.20 | $739.00 | $142.14 – $642.60 | 23 |
| Tissue exam koh skin/hair/nails CPT 87220 | $17.60 | $22.00 | $3.90 – $19.39 | 23 |
| Tissue transglutaminase iga CPT 86364 | $48.00 | $60.00 | $5.77 – $52.35 | 19 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $10,055.16 – $15,634.00 | 2 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $15,634.00 – $15,634.00 | 1 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $15,634.00 – $15,634.00 | 1 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $808.80 | $1,011.00 | $2.37 – $7.94 | 10 |
| Tomosynthesis breast screen bilateral CPT 77063 | $91.20 | $114.00 | $21.81 – $149.70 | 22 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $12,504.00 – $12,504.00 | 1 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $5,713.34 – $12,504.00 | 2 |
| Total Hip Replacement CPT 27130 | not published | not published | $15,634.00 – $15,634.00 | 1 |
| Total Knee Replacement CPT 27447 | not published | not published | $15,634.00 – $15,634.00 | 1 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | not published | not published | $15,634.00 – $15,634.00 | 1 |
| Toxoplasma antibody igg CPT 86777 | $60.00 | $75.00 | $14.53 – $67.42 | 23 |
| Toxoplasma antibody igm CPT 86778 | $60.00 | $75.00 | $14.55 – $67.66 | 23 |
| Tpmt gene com vrnts CPT 81335 | $360.80 | $451.00 | $87.41 – $793.64 | 16 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | $1,532.00 | $1,915.00 | $143.49 – $860.70 | 20 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $56.00 | $70.00 | $26.76 – $89.78 | 20 |
| Transferrin CPT 84466 | $50.00 | $67.00 | $12.89 – $57.93 | 24 |
| Transfusion blood/blood component(s) CPT 36430 | $1,714.40 | $2,143.00 | $34.80 – $738.90 | 20 |
| Treat ectopic pregnancy CPT 59151 | not published | not published | $12,504.00 – $12,504.00 | 1 |
| Treat finger fracture each CPT 26727 | not published | not published | $17,510.00 – $17,510.00 | 1 |
| Treat kneecap fracture CPT 27524 | not published | not published | $10,638.00 – $10,638.00 | 1 |
| Treat lower leg joint CPT 27829 | not published | not published | $8,754.00 – $8,754.00 | 1 |
| Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah) CPT 25608 | not published | not published | $14,381.00 – $14,381.00 | 1 |
| Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah) CPT 25609 | not published | not published | $14,381.00 – $14,381.00 | 1 |
| Treatment fx radial distal open w/internal fixation left (restricted method ii cah) CPT 25607 | not published | not published | $14,381.00 – $14,381.00 | 1 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | not published | not published | $14,381.00 – $14,381.00 | 1 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $549.60 | $687.00 | $32.13 – $217.86 | 20 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $255.20 | $319.00 | $12.25 – $33.32 | 7 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $246.40 | $308.00 | $101.70 – $343.75 | 16 |
| Treatment missed abortion completed surgically 1st trimester CPT 59820 | not published | not published | $14,381.00 – $14,381.00 | 1 |
| Treatment of ankle fracture CPT 27822 | not published | not published | $10,638.00 – $10,638.00 | 1 |
| Treatment of ankle fracture 27786 CPT 27786 | $1,197.60 | $1,497.00 | $148.13 – $405.44 | 20 |
| Treatment of fibula fracture 27780 CPT 27780 | $1,192.80 | $1,491.00 | $144.38 – $405.44 | 17 |
| Treat metacarpal fracture CPT 26615 | not published | not published | $12,504.00 – $12,504.00 | 1 |
| Treat ulnar fracture CPT 24685 | not published | not published | $10,638.00 – $10,638.00 | 1 |
| Treponema pallidum antibody CPT 86780 | $55.20 | $69.00 | $13.37 – $60.11 | 23 |
| Trg gene rearrangement anal CPT 81342 | $838.40 | $1,048.00 | $100.75 – $914.81 | 19 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $30.40 | $38.00 | $0.84 – $3.05 | 10 |
| Triglycerides CPT 84478 | $24.00 | $30.00 | $5.80 – $26.06 | 23 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $22,448.00 | $28,060.00 | $334.35 – $909.43 | 3 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $3,180.80 | $3,976.00 | $302.88 – $823.82 | 3 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | not published | not published | $10,638.00 – $10,638.00 | 1 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | not published | not published | $1,784.34 – $10,638.00 | 14 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | not published | not published | $1,784.34 – $10,638.00 | 14 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | not published | not published | $1,784.34 – $10,638.00 | 14 |
| Troponin quantitative CPT 84484 | $62.40 | $78.00 | $9.87 – $56.61 | 23 |
| Tx closed hip disl traumatic without anes CPT 27250 | $1,468.80 | $1,836.00 | $234.00 – $695.81 | 20 |
| Tympanic membrane repair CPT 69610 | not published | not published | $10,638.00 – $10,638.00 | 1 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $695.20 | $869.00 | $62.64 – $602.31 | 22 |
| Ultrasound breast complete CPT 76641 | $540.80 | $676.00 | $103.61 – $602.31 | 22 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $492.00 | $615.00 | $51.17 – $497.84 | 22 |
| Ultrasound chest CPT 76604 | $631.20 | $789.00 | $58.65 – $602.31 | 22 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $672.00 | $840.00 | $26.91 – $602.31 | 21 |
| Ultrasound elastography parenchyma CPT 76981 | $249.60 | $312.00 | $53.17 – $602.31 | 18 |
| Ultrasound encephalogram CPT 76506 | $588.80 | $736.00 | $59.38 – $602.31 | 22 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $544.00 | $680.00 | $79.36 – $602.31 | 22 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $748.00 | $935.00 | $60.85 – $602.31 | 21 |
| Ultrasound guidance for vascular access CPT 76937 | $504.00 | $630.00 | $15.77 – $86.80 | 7 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $1,047.20 | $1,309.00 | $54.00 – $244.80 | 7 |
| Ultrasound hips infant dynamic CPT 76885 | $636.80 | $796.00 | $85.89 – $497.84 | 22 |
| Ultrasound infant hips ltd without stress CPT 76886 | $196.80 | $246.00 | $66.04 – $497.84 | 17 |
| Ultrasound joint complete left CPT 76881 | $575.20 | $719.00 | $82.73 – $602.31 | 22 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $468.00 | $585.00 | $9.82 – $602.31 | 22 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $364.00 | $455.00 | $53.26 – $251.97 | 8 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $336.80 | $421.00 | $27.48 – $191.00 | 8 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $1,229.60 | $1,537.00 | $114.27 – $1,342.45 | 21 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $820.80 | $1,026.00 | $49.73 – $602.31 | 22 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $699.20 | $874.00 | $48.75 – $602.31 | 22 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $696.00 | $870.00 | $66.28 – $602.31 | 22 |
| Ultrasound retroperitoneal limited CPT 76775 | $900.80 | $1,126.00 | $61.25 – $602.31 | 22 |
| Ultrasound scrotum and contents CPT 76870 | $689.60 | $862.00 | $55.00 – $602.31 | 22 |
| Ultrasound spinal canal and contents CPT 76800 | $320.80 | $401.00 | $63.73 – $602.31 | 22 |
| Ultrasound transabd ea addl gest CPT 76812 | $404.00 | $505.00 | $56.52 – $368.87 | 7 |
| Ultrasound transvaginal non obstetric CPT 76830 | $708.80 | $886.00 | $58.13 – $602.31 | 21 |
| Umbilicoplasty 15847 CPT 15847 | not published | not published | $10,638.00 – $10,638.00 | 1 |
| Unlisted CT procedure CPT 76497 | $1,177.60 | $1,472.00 | $66.04 – $497.84 | 16 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | not published | $14,381.00 – $14,381.00 | 1 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | not published | not published | $14,381.00 – $14,381.00 | 1 |
| Unlisted laps px appendix CPT 44979 | not published | not published | $10,638.00 – $10,638.00 | 1 |
| Unlisted mr procedure CPT 76498 | $400.00 | $500.00 | $66.04 – $497.84 | 16 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $1,440.00 | $1,800.00 | $349.86 – $1,182.63 | 16 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $700.50 | $2,646.00 | $336.25 – $2,106.92 | 23 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $633.50 | $2,350.00 | $336.25 – $2,106.92 | 23 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $454.00 | $2,225.00 | $234.00 – $1,342.45 | 23 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $914.56 – $5,627.00 | 14 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $914.56 – $8,754.00 | 14 |
| Urea nitrogen CPT 84520 | $16.80 | $21.00 | $3.99 – $18.50 | 23 |
| Urea nitrogen 24 hour urine CPT 84540 | $23.20 | $29.00 | $4.17 – $25.24 | 18 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $672.00 | $840.00 | $28.13 – $1,342.45 | 21 |
| Urethrocystography void s&i CPT 74455 | $600.00 | $750.00 | $34.38 – $1,342.45 | 21 |
| Uric acid blood CPT 84550 | $15.00 | $24.00 | $4.57 – $21.22 | 23 |
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.