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 |
|---|---|---|---|---|
| Uric acid urine CPT 84560 | $20.80 | $26.00 | $4.50 – $23.06 | 23 |
| Urinalysis microscopic only CPT 81015 | $12.80 | $16.00 | $2.71 – $13.85 | 23 |
| Urinalysis (with microscopy) CPT 81001 | $10.00 | $21.00 | $3.00 – $14.39 | 24 |
| Urinalysis (without microscopy) CPT 81003 | $10.00 | $11.00 | $2.27 – $10.54 | 23 |
| Urine Culture Test CPT 87086 | $25.00 | $42.00 | $8.00 – $36.64 | 24 |
| Urine pregnancy test CPT 81025 | $36.00 | $45.00 | $4.00 – $39.09 | 23 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $734.00 | $917.50 | $12.50 – $318.78 | 10 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $657.40 | $821.75 | $12.50 – $269.75 | 10 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $211.60 | $264.50 | $12.50 – $109.41 | 10 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $506.20 | $632.75 | $12.50 – $328.25 | 9 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $114.00 | $142.50 | $12.50 – $77.63 | 10 |
| Vaccine mmr live subcutaneous CPT 90707 | $347.60 | $434.50 | $12.50 – $373.17 | 9 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $1,554.00 | $1,942.50 | $12.50 – $1,076.43 | 10 |
| Vaccine rabies im CPT 90675 | $1,222.20 | $1,527.75 | $12.50 – $1,622.53 | 24 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $750.80 | $938.50 | $12.50 – $2,180.05 | 9 |
| Vaccine tdap >=7 years im CPT 90715 | $367.40 | $459.25 | $12.50 – $191.10 | 10 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $14,381.00 – $14,381.00 | 1 |
| Valproic acid total therapeutic drug level CPT 80164 | $56.80 | $71.00 | $13.68 – $63.65 | 23 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $1,245.40 | $1,556.75 | $0.03 – $0.10 | 9 |
| Vancomycin peak therapeutic drug level CPT 80202 | $56.80 | $71.00 | $13.68 – $63.65 | 23 |
| Varicella zoster antibody igg CPT 86787 | $53.60 | $67.00 | $13.01 – $60.55 | 23 |
| Vasectomy CPT 55250 | not published | not published | $8,754.00 – $8,754.00 | 1 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $221.00 | $276.25 | $18.52 – $99.40 | 10 |
| Veeg unmon 12-26 hrs CPT 95714 | $2,904.00 | $3,630.00 | $200.00 – $896.79 | 20 |
| Ven blood coll snf/hha HCPCS G0471 | $27.20 | $34.00 | $8.32 – $19.41 | 15 |
| Venogram ext bil s&i CPT 75822 | $4,980.00 | $6,225.00 | $28.13 – $8,774.10 | 8 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $3,320.00 | $4,150.00 | $28.13 – $8,774.10 | 8 |
| Venous mech thrombectomy CPT 37187 | $10,528.00 | $13,160.00 | $427.58 – $11,340.57 | 3 |
| Ventilator each subsequent day CPT 94003 | $1,669.60 | $2,087.00 | $59.73 – $1,117.36 | 16 |
| Ventilator initial day CPT 94002 | $1,745.60 | $2,182.00 | $82.19 – $1,117.36 | 16 |
| Version cephalic external CPT 59412 | $935.20 | $1,169.00 | $1,589.77 – $2,384.65 | 2 |
| Very long chain fatty acids CPT 82726 | $82.40 | $103.00 | $19.95 – $89.67 | 23 |
| Vital capacity test CPT 94150 | $360.00 | $450.00 | $3.00 – $264.44 | 20 |
| Vitamin b-12 CPT 82607 | $40.00 | $78.00 | $13.00 – $68.46 | 24 |
| Vitamin D Test CPT 82306 | $100.00 | $154.00 | $29.90 – $139.09 | 24 |
| Voiding pressure study/intra-abd 51797 CPT 51797 | $3,038.40 | $3,798.00 | $43.75 – $119.00 | 7 |
| Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr HCPCS J3465 | $157.60 | $197.00 | $15.48 – $74.20 | 10 |
| Vulvectomy simple partial CPT 56620 | not published | not published | $14,381.00 – $14,381.00 | 1 |
| Warde 1003990 aldosterone CPT 82088 | $169.60 | $212.00 | $26.00 – $185.01 | 23 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $116.00 | $145.00 | $13.90 – $126.21 | 19 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $54.40 | $68.00 | $13.03 – $58.57 | 23 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $104.80 | $131.00 | $22.00 – $114.64 | 23 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $64.80 | $81.00 | $12.00 – $70.37 | 23 |
| Warde 1015200 kappa light chain free CPT 83521 | $71.20 | $89.00 | $13.82 – $78.41 | 23 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $33.60 | $42.00 | $8.10 – $38.08 | 23 |
| Warde 3008005 oligoclonal bands CPT 83916 | $113.60 | $142.00 | $15.00 – $124.35 | 23 |
| Warde 3016000 west nile virus antibody CPT 86788 | $69.60 | $87.00 | $17.02 – $76.50 | 23 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $60.00 | $75.00 | $14.53 – $65.33 | 23 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $50.40 | $63.00 | $9.19 – $55.62 | 18 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $37.60 | $47.00 | $7.50 – $40.41 | 23 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $75.20 | $94.00 | $18.16 – $81.63 | 23 |
| Warde 3400683 amplification rna markers infectious disease bacterial vaginosis CPT 81513 | $398.40 | $498.00 | $71.32 – $647.54 | 17 |
| Warde 3400852 arsenic CPT 82175 | $79.20 | $99.00 | $9.49 – $86.12 | 19 |
| Warde 3708165 mercury urine CPT 83825 | $67.20 | $84.00 | $12.00 – $73.82 | 23 |
| Warde acetylcholine receptor blocking antibody CPT 86042 | $76.80 | $96.00 | $14.72 – $55.20 | 21 |
| Warde actin (smooth muscle) antibody each CPT 86015 | $49.60 | $62.00 | $9.22 – $54.71 | 23 |
| Warde adenosine deaminase pleural fluid CPT 84311 | $34.40 | $43.00 | $4.05 – $36.77 | 19 |
| Warde adrenocorticotropic hormone (acth) CPT 82024 | $160.80 | $201.00 | $39.01 – $175.33 | 23 |
| Warde aldolase CPT 82085 | $40.80 | $51.00 | $9.00 – $44.08 | 23 |
| Warde amino acids 6 or more quantitative each specimen CPT 82139 | $69.60 | $87.00 | $17.04 – $79.22 | 23 |
| Warde analysis gene hfe common variants CPT 81256 | $272.00 | $340.00 | $66.01 – $296.73 | 20 |
| Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative CPT 81206 | $682.40 | $853.00 | $81.98 – $744.38 | 16 |
| Warde anti-mullerian hormone CPT 82166 | $160.80 | $201.00 | $19.31 – $115.86 | 17 |
| Warde apolipoprotein b CPT 82172 | $87.20 | $109.00 | $19.00 – $95.75 | 23 |
| Warde cadmium blood CPT 82300 | $98.40 | $123.00 | $19.00 – $107.33 | 23 |
| Warde calcitonin CPT 82308 | $111.20 | $139.00 | $20.93 – $121.63 | 23 |
| Warde calculus (stone) infrared CPT 82365 | $54.40 | $68.00 | $10.00 – $58.57 | 23 |
| Warde clozapine therapeutic drug level CPT 80159 | $84.00 | $105.00 | $20.18 – $91.48 | 23 |
| Warde cobalt heavy metal quantitative each nes CPT 83018 | $91.20 | $114.00 | $22.18 – $103.19 | 23 |
| Warde collagen cross links c-telopeptide CPT 82523 | $77.60 | $97.00 | $9.34 – $84.81 | 19 |
| Warde complement total hemolytic CPT 86162 | $84.80 | $106.00 | $20.00 – $92.25 | 23 |
| Warde copper CPT 82525 | $51.20 | $64.00 | $12.00 – $56.34 | 23 |
| Warde cryoglobulin CPT 82595 | $26.40 | $33.00 | $6.53 – $29.37 | 23 |
| Warde erythropoietin CPT 82668 | $78.40 | $98.00 | $15.00 – $85.31 | 23 |
| Warde fluorescent antibody screen endomysial iga CPT 86231 | $49.60 | $62.00 | $9.67 – $54.89 | 23 |
| Warde folic acid rbc CPT 82747 | $73.60 | $92.00 | $17.83 – $80.13 | 23 |
| Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative CPT 82955 | $40.80 | $51.00 | $8.00 – $44.04 | 23 |
| Warde gastrin CPT 82941 | $73.60 | $92.00 | $14.00 – $80.04 | 23 |
| Warde growth hormone (hgh) CPT 83003 | $68.80 | $86.00 | $8.00 – $75.68 | 23 |
| Warde haloperidol therapeutic drug level CPT 80173 | $65.60 | $82.00 | $15.94 – $71.64 | 23 |
| Warde helminth antibody strongyloides igg CPT 86682 | $54.40 | $68.00 | $9.76 – $59.07 | 18 |
| Warde hemoglobin fractionation/quantitation electrophoresis CPT 83020 | $53.60 | $67.00 | $11.00 – $58.43 | 23 |
| Warde hepatitis a antibody CPT 86708 | $51.20 | $64.00 | $12.51 – $56.25 | 23 |
| Warde hepatitis be antibody CPT 86707 | $48.00 | $60.00 | $11.69 – $52.53 | 23 |
| Warde hepatitis delta agent antibody CPT 86692 | $68.80 | $86.00 | $17.33 – $80.65 | 23 |
| Warde immunofixation electrophoresis urine CPT 86335 | $122.40 | $153.00 | $29.64 – $133.25 | 23 |
| Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn CPT 87350 | $48.00 | $60.00 | $10.00 – $52.35 | 23 |
| Warde infectious agent nucleic acid genotype hepatitis c CPT 87902 | $1,070.40 | $1,338.00 | $128.73 – $1,168.82 | 20 |
| Warde islet cell antibody zinc transporter 8 CPT 86341 | $98.40 | $123.00 | $23.81 – $107.01 | 23 |
| Warde lipoprotein (a) CPT 83695 | $60.00 | $75.00 | $14.46 – $65.01 | 23 |
| Warde mitochondrial antibody each CPT 86381 | $105.60 | $132.00 | $12.73 – $115.54 | 19 |
| Warde neutralization rabies CPT 86382 | $70.40 | $88.00 | $8.46 – $76.77 | 19 |
| Warde oxcarbazepine therapeutic drug level CPT 80183 | $55.20 | $69.00 | $13.38 – $60.16 | 23 |
| Warde pancreatic elastase fecal quantitative CPT 82653 | $96.00 | $120.00 | $18.38 – $104.28 | 23 |
| Warde protein c antigen CPT 85302 | $232.80 | $291.00 | $12.13 – $56.47 | 23 |
| Warde sex hormone binding globulin CPT 84270 | $90.40 | $113.00 | $21.95 – $98.65 | 23 |
| Warde somatomedin CPT 84305 | $88.00 | $110.00 | $21.47 – $96.52 | 23 |
| Warde sugars single qualitative each specimen stool CPT 84376 | $23.20 | $29.00 | $5.56 – $24.97 | 23 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $65.60 | $82.00 | $15.92 – $74.05 | 23 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $211.20 | $264.00 | $20.00 – $230.90 | 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.