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 |
|---|---|---|---|---|
| Blepharoplasty upper eyelid 15823 CPT 15823 | not published | not published | $1,784.34 – $14,381.00 | 14 |
| Blink reflex test CPT 95933 | $189.60 | $237.00 | $15.63 – $100.40 | 20 |
| Block tap inj(s) w/wo img bi CPT 64488 | $2,362.40 | $2,953.00 | $79.71 – $216.82 | 2 |
| Blood Clotting (PT/INR) Test CPT 85610 | $15.00 | $46.00 | $4.00 – $19.48 | 24 |
| Blood Clotting (PTT) Test CPT 85730 | $30.00 | $80.00 | $6.07 – $27.29 | 23 |
| Blood Count (CBC) Test CPT 85025 | $15.00 | $118.00 | $6.00 – $35.28 | 24 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $15.00 | $92.00 | $6.53 – $29.37 | 24 |
| Blood count spun microhematocrit CPT 85013 | $28.80 | $36.00 | $3.27 – $31.78 | 23 |
| Blood Culture Test CPT 87040 | $43.20 | $54.00 | $10.42 – $47.60 | 23 |
| Blood draw capillary 36416 CPT 36416 | $30.40 | $38.00 | $26.52 – $26.52 | 1 |
| Blood gases o2 saturation direct measurement CPT 82805 | $328.00 | $410.00 | $38.86 – $357.62 | 23 |
| Blood gases ph venous CPT 82800 | $45.60 | $57.00 | $11.11 – $49.94 | 23 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $36.00 | $65.00 | $18.22 – $72.28 | 23 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $16.80 | $21.00 | $3.63 – $19.20 | 23 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $15.00 | $22.00 | $3.47 – $19.89 | 23 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $21.60 | $27.00 | $3.63 – $24.15 | 23 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $18.40 | $23.00 | $3.84 – $17.25 | 23 |
| Blood split unit HCPCS P9011 | $861.60 | $1,077.00 | $106.35 – $220.14 | 15 |
| Blood typing abo CPT 86900 | $146.00 | $242.00 | $4.12 – $193.27 | 23 |
| Blood typing ag donor ea ag CPT 86902 | $166.40 | $208.00 | $2.82 – $539.37 | 23 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $257.60 | $322.00 | $3.28 – $539.37 | 23 |
| Blood typing rh (d) CPT 86901 | $43.00 | $88.00 | $4.17 – $58.86 | 23 |
| Bone Density Scan (DEXA) CPT 77080 | $237.00 | $627.00 | $64.92 – $602.31 | 22 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $1,877.60 | $2,347.00 | $87.27 – $237.39 | 7 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $70.40 | $88.00 | $17.20 – $80.04 | 23 |
| Borrelia miyamotoi amp prb CPT 87478 | $162.40 | $203.00 | $28.07 – $159.31 | 23 |
| (both sides) smear without diff wbc count CPT 85008 | $20.00 | $25.00 | $3.46 – $15.57 | 23 |
| Bowel imaging CPT 78290 | $1,713.60 | $2,142.00 | $56.25 – $2,259.58 | 21 |
| Brace ank air stirrup univ HCPCS L4350 | $188.80 | $236.00 | $75.35 – $204.95 | 16 |
| Brace m arm board HCPCS L3809 | $152.80 | $191.00 | $209.46 – $569.74 | 16 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $383.20 | $479.00 | $178.81 – $486.37 | 16 |
| Brace wrist classic lft sm HCPCS L3908 | $136.80 | $171.00 | $61.95 – $168.50 | 16 |
| Brach/thor cath 3rd CPT 36217 | $1,803.20 | $2,254.00 | $377.59 – $1,027.04 | 7 |
| Braf gene CPT 81210 | $729.60 | $912.00 | $143.18 – $796.32 | 23 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $734.50 | $2,646.00 | $348.37 – $2,106.92 | 23 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $473.50 | $2,225.00 | $235.78 – $1,342.45 | 23 |
| Brain MRI (with and without contrast) CPT 70553 | $701.50 | $2,544.00 | $336.25 – $2,106.92 | 23 |
| Brain MRI (with contrast) CPT 70552 | $635.50 | $2,350.00 | $336.25 – $2,106.92 | 23 |
| Brain MRI (without contrast) CPT 70551 | $455.00 | $2,225.00 | $235.78 – $1,342.45 | 23 |
| Breast augmentation 19325 CPT 19325 | not published | not published | $35,016.00 – $35,016.00 | 1 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $7,095.20 | $8,869.00 | $173.61 – $9,629.00 | 9 |
| Breast punct aspir cyst, bil CPT 19000 | $1,361.60 | $1,702.00 | $45.63 – $1,189.18 | 20 |
| Breast reduction CPT 19318 | not published | not published | $12,504.00 – $12,504.00 | 1 |
| Bronch ebus samplng 1/2 node CPT 31652 | not published | not published | $8,754.00 – $8,754.00 | 1 |
| Bronch ebus samplng 3/> node CPT 31653 | not published | not published | $8,754.00 – $8,754.00 | 1 |
| Bronchial allergy tests CPT 95070 | $2,779.20 | $3,474.00 | $26.88 – $896.79 | 20 |
| Bronchial challenge CPT 94070 | $2,779.20 | $3,474.00 | $14.25 – $526.31 | 20 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | not published | not published | $8,754.00 – $8,754.00 | 1 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | not published | not published | $8,754.00 – $8,754.00 | 1 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | not published | not published | $8,754.00 – $8,754.00 | 1 |
| Br punct aspir ea add, l CPT 19001 | $750.40 | $938.00 | $25.49 – $69.33 | 7 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $43.80 | $54.75 | $0.73 – $3.99 | 23 |
| Bundled special stain group 1 microorganisms CPT 88312 | $203.20 | $254.00 | $51.60 – $486.32 | 23 |
| Bundled special stain group 2 CPT 88313 | $141.60 | $177.00 | $51.01 – $352.62 | 23 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $24.00 | $30.00 | $0.50 – $1.75 | 10 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $121.20 | $151.50 | $10.48 – $43.02 | 10 |
| Bx bone trocar/ndl deep CPT 20225 | $2,640.80 | $3,301.00 | $122.50 – $333.20 | 7 |
| Bx breast 1st lesion mr imag CPT 19085 | $7,095.20 | $8,869.00 | $202.63 – $551.14 | 7 |
| Bx breast 1st lesion strtctc CPT 19081 | $7,095.20 | $8,869.00 | $185.38 – $504.22 | 7 |
| Bx breast add lesion mr imag CPT 19086 | $892.80 | $1,116.00 | $89.58 – $243.64 | 7 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $892.80 | $1,116.00 | $82.65 – $224.81 | 7 |
| Bx breast pq tomo guide CPT 19499 | $2,424.80 | $3,031.00 | $2,871.96 – $2,871.96 | 1 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | not published | not published | $3,698.32 – $8,754.00 | 2 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | not published | not published | $8,754.00 – $8,754.00 | 1 |
| Bx of cervix w/scope leep 57460 CPT 57460 | not published | not published | $8,754.00 – $8,754.00 | 1 |
| Bx perianal mass CPT 46999 | not published | not published | $880.53 – $5,627.00 | 15 |
| C1 esterase inhibitor func - sendout CPT 86161 | $49.60 | $62.00 | $12.12 – $56.41 | 23 |
| Cacna1a gen detc abnor allel CPT 81184 | $569.60 | $712.00 | $68.50 – $621.98 | 19 |
| Cacna1a gene full gene seq CPT 81185 | $3,384.80 | $4,231.00 | $423.14 – $3,842.07 | 19 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $54.40 | $68.00 | $60.90 – $77.95 | 2 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $2,839.20 | $3,549.00 | $484.97 – $5,355.00 | 16 |
| Calcium 24 hour urine CPT 82340 | $24.80 | $31.00 | $6.09 – $27.38 | 23 |
| Calcium chloride 100 mg/ml (10 %) intravenous syringe HCPCS J0618 | $103.00 | $128.75 | $64.00 – $64.00 | 1 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $108.60 | $135.75 | $3.90 – $17.50 | 10 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $175.40 | $219.25 | $7.80 – $28.00 | 10 |
| Calcium ionized CPT 82330 | $56.80 | $71.00 | $8.85 – $62.11 | 23 |
| Calcium total CPT 82310 | $21.60 | $27.00 | $5.21 – $24.17 | 23 |
| Calprotectin fecal CPT 83993 | $81.60 | $102.00 | $19.83 – $89.12 | 23 |
| Carbamazepine free CPT 80157 | $55.20 | $69.00 | $10.99 – $60.16 | 23 |
| Carbamazepine total therapeutic drug level CPT 80156 | $60.80 | $76.00 | $14.72 – $66.15 | 23 |
| Carbon dioxide CPT 82374 | $20.00 | $25.00 | $4.93 – $22.85 | 23 |
| Carboprost tromethamine 250 mcg/ml intramuscular solution HCPCS J0675 | $1,573.60 | $1,967.00 | $60.20 – $178.68 | 14 |
| Carboxyhemoglobin quantitative CPT 82375 | $51.20 | $64.00 | $5.60 – $55.93 | 23 |
| Carcinoembryonic ag (cea) CPT 82378 | $65.00 | $99.00 | $17.00 – $86.08 | 23 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $4,720.00 | $5,900.00 | $237.74 – $7,779.35 | 21 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $282.40 | $353.00 | $48.86 – $212.80 | 19 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $304.00 | $380.00 | $62.96 – $212.80 | 16 |
| Cardiolipin antibody iga CPT 86147 | $105.60 | $132.00 | $25.70 – $119.54 | 23 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $3,007.20 | $3,759.00 | $108.75 – $1,106.00 | 17 |
| Carotene CPT 82380 | $38.40 | $48.00 | $9.31 – $41.86 | 23 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $3,028.80 | $3,786.00 | $149.17 – $502.72 | 20 |
| Carpal Tunnel Release Surgery CPT 64721 | not published | not published | $8,754.00 – $8,754.00 | 1 |
| Car seat/bed test 60 minutes CPT 94780 | $147.20 | $184.00 | $29.44 – $66.34 | 15 |
| Car seat/bed test additional 30 minutes CPT 94781 | $147.20 | $184.00 | $5.70 – $5.70 | 1 |
| Catheter stripping venous CPT 36595 | $5,124.00 | $6,405.00 | $220.42 – $599.56 | 7 |
| Cath place 1st order venous 36011 CPT 36011 | $896.00 | $1,120.00 | $143.13 – $389.30 | 7 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | $25,355.20 | $31,694.00 | $2,412.31 – $3,216.41 | 2 |
| Cath plc art/angio/rt hrt cath CPT 93456 | $21,965.60 | $27,457.00 | $2,412.31 – $3,216.41 | 2 |
| Cath plc art/grft/angio right hrt CPT 93457 | $11,061.60 | $13,827.00 | $2,412.31 – $3,216.41 | 2 |
| Cath right heart w/o2 sat & card CPT 93451 | $21,966.40 | $27,458.00 | $2,412.31 – $3,216.41 | 2 |
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.