WellSpan Gettysburg Hospital
147 Gettys Street, Gettysburg, PA · Wellspan · · NPI 1265466957
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 |
|---|---|---|---|---|
| 17-hydroxypregnenolone CPT 84143 | $95.20 | $119.00 | $22.81 – $107.24 | 26 |
| 3-d radiotherapy plan CPT 77295 | $8,770.40 | $10,963.00 | $401.83 – $2,452.07 | 23 |
| 3d recon without postprocess indpndt CPT 76376 | $332.80 | $416.00 | $11.02 – $11.02 | 1 |
| 5% dextrose and 0.45% saline HCPCS S5010 | $75.60 | $94.50 | $28.21 – $28.21 | 1 |
| 5' nucleotidase - sendout CPT 83915 | $46.40 | $58.00 | $11.15 – $52.39 | 26 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $145.60 | $182.00 | $12.23 – $224.88 | 9 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $49.60 | $62.00 | $12.01 – $56.44 | 26 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $560.00 | $2,645.00 | $139.38 – $1,006.60 | 25 |
| Abdominal CT scan (with contrast) CPT 74160 | $468.50 | $2,362.00 | $112.50 – $1,006.60 | 25 |
| Abdominal CT scan (without contrast) CPT 74150 | $273.50 | $1,462.00 | $96.88 – $602.31 | 25 |
| Abdominal MRI (with and without contrast) CPT 74183 | $706.00 | $2,646.00 | $365.72 – $2,106.92 | 25 |
| Abdominal MRI (without contrast) CPT 74181 | $457.00 | $2,225.00 | $247.54 – $1,342.45 | 25 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,440.80 | $1,801.00 | $105.41 – $1,680.21 | 23 |
| Abdominal Ultrasound (complete) CPT 76700 | $1,272.00 | $1,590.00 | $71.88 – $602.31 | 25 |
| Abdominal Ultrasound (limited) CPT 76705 | $910.40 | $1,138.00 | $46.88 – $602.31 | 25 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $852.80 | $1,066.00 | $68.16 – $1,680.21 | 23 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $14,256.80 | $17,821.00 | $117.35 – $280.39 | 18 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $245.65 – $1,101.92 | 21 |
| Ablation of upper extremity nerves rf CPT 64999 | not published | not published | $302.29 – $1,101.92 | 21 |
| Abscess drain retroperitoneal surg code CPT 49406 | $2,611.20 | $3,264.00 | $217.03 – $590.34 | 7 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $62.00 | $77.50 | $5.70 – $17.50 | 9 |
| Acetaminophen 120 mg rectal suppository HCPCS A9270 | $183.60 | $229.50 | $1.72 – $1.72 | 1 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $280.60 | $350.75 | $17.88 – $66.71 | 9 |
| Acetylcholine receptor modulating antibody CPT 86043 | $49.60 | $62.00 | $9.64 – $36.15 | 24 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $200.00 | $250.00 | $22.80 – $94.50 | 9 |
| Actinotherapy uv light CPT 96900 | $390.40 | $488.00 | $19.63 – $70.33 | 19 |
| Acute hepatitis panel CPT 80074 | $198.40 | $248.00 | $47.63 – $196.71 | 26 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $36.00 | $45.00 | $3.00 – $14.00 | 9 |
| #acylcarnitineprfl CPT 82017 | $68.80 | $86.00 | $8.44 – $69.67 | 22 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $61.00 | $76.25 | $2.82 – $10.12 | 9 |
| Adenovirus antibody,serum - quest CPT 86603 | $53.60 | $67.00 | $12.87 – $60.49 | 26 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $1,877.60 | $2,347.00 | $161.00 – $161.00 | 1 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $268.80 | $336.00 | $35.35 – $127.54 | 23 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $268.80 | $336.00 | $72.88 – $209.71 | 23 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $292.00 | $365.00 | $156.00 – $594.42 | 23 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $173.60 | $217.00 | $115.25 – $594.42 | 23 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $120.80 | $151.00 | $39.70 – $127.54 | 23 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $120.80 | $151.00 | $62.78 – $170.78 | 23 |
| Administration immunization 1 vaccine CPT 90471 | $25.60 | $32.00 | $12.50 – $127.54 | 19 |
| Administration immunization each additional vaccine CPT 90472 | $25.60 | $32.00 | $12.50 – $12.50 | 1 |
| Administration vaccine hepatitis b HCPCS G0010 | $23.20 | $29.00 | $34.61 – $82.69 | 18 |
| Administration vaccine influenza virus HCPCS G0008 | $17.60 | $22.00 | $12.50 – $82.69 | 23 |
| Administration vaccine pneumococcal HCPCS G0009 | $17.60 | $22.00 | $12.50 – $82.69 | 23 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | $113.60 | $142.00 | $15.88 – $43.18 | 23 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $480.00 | $600.00 | $115.36 – $476.44 | 26 |
| Albumin body fluid quantitative each specimen CPT 82042 | $32.80 | $41.00 | $3.89 – $32.13 | 22 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $217.40 | $271.75 | $53.08 – $339.71 | 10 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $163.20 | $204.00 | $53.08 – $169.86 | 27 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $24.00 | $30.00 | $5.78 – $27.20 | 27 |
| Albumin serum plasma or whole blood CPT 82040 | $20.80 | $26.00 | $3.65 – $20.44 | 26 |
| Alkaline phosphatase CPT 84075 | $21.60 | $27.00 | $5.18 – $21.66 | 26 |
| Allergen alpha lactalbumin ige CPT 86008 | $75.20 | $94.00 | $17.71 – $74.05 | 26 |
| Allergen egg white ige CPT 86003 | $21.60 | $27.00 | $5.22 – $24.51 | 27 |
| Alpha-fetoprotein tumor marker CPT 82105 | $69.60 | $87.00 | $16.77 – $69.26 | 26 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $1,077.00 | $1,346.25 | $111.38 – $640.22 | 27 |
| Alt/sgpt CPT 84460 | $22.40 | $28.00 | $5.30 – $24.48 | 26 |
| Aluminum - quest CPT 82108 | $104.00 | $130.00 | $25.48 – $119.75 | 26 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $59.00 | $73.75 | $3.17 – $10.50 | 9 |
| Amino acid screen, urine CPT 82128 | $56.00 | $70.00 | $8.00 – $57.28 | 26 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $147.00 | $183.75 | $7.75 – $26.05 | 9 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $114.80 | $143.50 | $17.22 – $77.35 | 9 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $270.80 | $338.50 | $13.03 – $45.33 | 9 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $55.00 | $68.75 | $2.14 – $8.16 | 9 |
| Ammonia CPT 82140 | $60.80 | $76.00 | $5.00 – $60.17 | 26 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $892.00 | $1,115.00 | $62.50 – $1,560.46 | 23 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | not published | not published | $970.00 – $1,101.92 | 6 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $66.60 | $83.25 | $0.51 – $2.10 | 9 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $135.40 | $169.25 | $1.39 – $5.50 | 9 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | $970.00 – $1,101.92 | 6 |
| Amputation toe interphalangeal joint CPT 28825 | not published | not published | $970.00 – $1,101.92 | 6 |
| Amputation toe metatarsophalangeal joint CPT 28820 | not published | not published | $912.50 – $1,101.92 | 6 |
| Amylase CPT 82150 | $26.40 | $33.00 | $5.00 – $26.76 | 26 |
| Analysis gene f2 20210g>a variant CPT 81240 | $268.00 | $335.00 | $53.70 – $271.30 | 25 |
| Analysis gene f5 leiden variant CPT 81241 | $299.20 | $374.00 | $66.70 – $303.02 | 25 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | $75.20 | $94.00 | $38.19 – $109.82 | 23 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $162.40 | $203.00 | $28.07 – $144.92 | 26 |
| Anca screen with reflex to titer -quest CPT 86021 | $62.40 | $78.00 | $5.00 – $62.16 | 26 |
| An cholangiogram percutaneous compl CPT 47531 | $1,526.40 | $1,908.00 | $97.40 – $264.93 | 7 |
| An fluoro guide for cvp CPT 77001 | $824.80 | $1,031.00 | $57.83 – $85.73 | 6 |
| Ankle X-ray CPT 73610 | $291.20 | $364.00 | $23.41 – $497.84 | 25 |
| Anodyne therapy charges pt CPT 97026 | $164.80 | $206.00 | $6.44 – $56.80 | 23 |
| Anoscopy and biopsy CPT 46606 | not published | not published | $970.00 – $2,113.04 | 22 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $53.60 | $67.00 | $9.66 – $53.19 | 21 |
| Antibody elution rbc reference CPT 86860 | $141.60 | $177.00 | $8.45 – $488.22 | 24 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $120.00 | $150.00 | $5.00 – $75.87 | 26 |
| Antibody id rbc panel CPT 86870 | $1,403.20 | $1,754.00 | $8.45 – $1,027.44 | 24 |
| Antibody screen rbc CPT 86850 | $208.80 | $261.00 | $8.45 – $95.76 | 26 |
| Antibody tetanus CPT 86774 | $61.60 | $77.00 | $7.40 – $61.12 | 22 |
| Anti mog serum - sendout CPT 86362 | $49.60 | $62.00 | $8.64 – $49.77 | 26 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $49.60 | $62.00 | $9.64 – $49.77 | 26 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $49.60 | $62.00 | $9.64 – $49.77 | 26 |
| Antinuclear antibodies CPT 86038 | $49.60 | $62.00 | $12.09 – $51.00 | 26 |
| Antinuclear antibodies titer CPT 86039 | $46.40 | $58.00 | $11.16 – $51.00 | 26 |
| Antistreptolysin o titer CPT 86060 | $30.40 | $38.00 | $7.00 – $30.15 | 26 |
| Antithrombin iii activity CPT 85300 | $54.40 | $68.00 | $9.40 – $48.94 | 26 |
| Apl(pml-rara) quant - sendout CPT 81315 | $862.40 | $1,078.00 | $207.31 – $856.19 | 26 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $970.00 – $1,101.92 | 6 |
| Application finger splntstatic 29130 CPT 29130 | $415.20 | $519.00 | $96.68 – $231.00 | 18 |
| Application long leg splint 29505 CPT 29505 | $375.20 | $469.00 | $46.25 – $282.78 | 23 |
| Application lower leg splint 29515 CPT 29515 | $375.20 | $469.00 | $43.75 – $282.78 | 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.