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 |
|---|---|---|---|---|
| Homocysteine CPT 83090 | $73.60 | $92.00 | $17.92 – $74.01 | 26 |
| Homogenization tissue CPT 87176 | $24.00 | $30.00 | $5.88 – $24.65 | 26 |
| Hpv combo assay ca screen HCPCS G0476 | $150.40 | $188.00 | $35.09 – $144.92 | 27 |
| H pylori (c-13) breath CPT 83013 | $280.00 | $350.00 | $60.10 – $278.20 | 26 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $495.40 | $619.25 | $54.30 – $189.00 | 9 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $136.40 | $170.50 | $5.38 – $17.03 | 9 |
| Hydration IV infusion each additional hour CPT 96361 | $320.00 | $400.00 | $11.25 – $82.69 | 23 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $448.00 | $560.00 | $39.53 – $377.58 | 23 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $218.80 | $273.50 | $21.31 – $72.03 | 9 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $59.20 | $74.00 | $0.90 – $4.90 | 9 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $178.20 | $222.75 | $17.22 – $62.02 | 8 |
| Hydroxyurea 500 mg HCPCS S0176 | $2.40 | $3.00 | $1.44 – $1.44 | 1 |
| Hysterosalpingography s&i CPT 74740 | $784.00 | $980.00 | $181.29 – $1,342.45 | 19 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $970.00 – $1,101.92 | 6 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $970.00 – $1,101.92 | 6 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $970.00 – $1,101.92 | 6 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $970.00 – $1,101.92 | 6 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $970.00 – $1,101.92 | 6 |
| I-123 ioflupane diag HCPCS A9584 | $9,328.80 | $11,661.00 | $1,041.02 – $8,810.76 | 21 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $130.40 | $163.00 | $374.69 – $379.26 | 2 |
| I131 iodide cap, rx HCPCS A9517 | $187.20 | $234.00 | $17.35 – $284.87 | 21 |
| I131 iodide sol, rx HCPCS A9530 | $101.60 | $127.00 | $15.66 – $66.82 | 21 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $145.60 | $182.00 | $26.32 – $144.92 | 21 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $970.00 – $1,101.92 | 6 |
| Igh@ var region somatic mutation analy CPT 81263 | $1,225.60 | $1,532.00 | $294.52 – $1,216.37 | 26 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $198.40 | $248.00 | $42.53 – $340.81 | 9 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $761.60 | $952.00 | $71.44 – $1,027.44 | 26 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $253.60 | $317.00 | $50.17 – $488.22 | 26 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $78.40 | $98.00 | $68.11 – $237.46 | 19 |
| Immune complex assay CPT 86332 | $101.60 | $127.00 | $24.37 – $102.00 | 26 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $3,482.60 | $4,353.25 | $56.04 – $1,682.10 | 27 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $85.00 | $108.00 | $20.81 – $85.95 | 26 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $85.00 | $108.00 | $20.81 – $85.95 | 26 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $49.60 | $62.00 | $8.00 – $49.48 | 26 |
| Immunofixation electrophoresis serum CPT 86334 | $92.80 | $116.00 | $22.34 – $95.20 | 26 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $55.20 | $69.00 | $19.13 – $598.40 | 26 |
| Immunoglobulin assay CPT 86023 | $51.20 | $64.00 | $12.46 – $51.68 | 26 |
| Implant ureth bulk agent HCPCS L8606 | $4,710.00 | $5,887.50 | $261.63 – $457.85 | 16 |
| Impl neurostim electr perc CPT 63650 | not published | not published | $970.00 – $1,101.92 | 6 |
| In-111 autol wbc diag per dose HCPCS A9570 | $6,836.00 | $8,545.00 | $773.54 – $15,029.56 | 21 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $2,916.00 | $3,645.00 | $29.38 – $79.90 | 7 |
| Incision of breast lesion CPT 19020 | not published | not published | $970.00 – $1,101.92 | 6 |
| Incision of metatarsal CPT 28308 | not published | not published | $970.00 – $1,295.00 | 6 |
| Incision of spinal nerve 64772 CPT 64772 | not published | not published | $970.00 – $1,101.92 | 6 |
| Incision of tendon sheath CPT 25000 | not published | not published | $970.00 – $1,101.92 | 6 |
| Incision of thigh tendons CPT 27391 | not published | not published | $970.00 – $1,101.92 | 6 |
| Incision of tongue fold CPT 41010 | not published | not published | $970.00 – $1,101.92 | 6 |
| Incision tendon sheath CPT 26055 | not published | not published | $803.75 – $1,101.92 | 6 |
| Indigotindisulfonate 8 mg/ml soln 5 ml ampule HCPCS J9220 | $2,246.00 | $2,807.50 | $11.74 – $1,274.88 | 19 |
| Infect ag drug suscept pheno predict CPT 87900 | $532.00 | $665.00 | $130.35 – $538.35 | 26 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $525.60 | $657.00 | $128.73 – $531.65 | 26 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $1,050.40 | $1,313.00 | $257.45 – $1,063.27 | 26 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $52.00 | $226.00 | $39.77 – $153.93 | 24 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | $172.00 | $215.00 | $11.51 – $170.90 | 27 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $49.60 | $62.00 | $5.99 – $49.48 | 22 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $56.00 | $70.00 | $6.91 – $57.08 | 22 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $48.80 | $61.00 | $11.98 – $49.48 | 26 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $60.00 | $75.00 | $12.18 – $59.39 | 26 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $42.40 | $53.00 | $10.33 – $48.18 | 26 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $43.20 | $54.00 | $10.33 – $42.66 | 26 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $97.60 | $122.00 | $24.08 – $99.45 | 26 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $48.80 | $61.00 | $5.99 – $49.48 | 22 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $48.80 | $61.00 | $5.99 – $49.48 | 22 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $48.80 | $61.00 | $11.98 – $49.48 | 26 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $143.20 | $179.00 | $23.19 – $144.92 | 26 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $147.20 | $184.00 | $23.19 – $144.92 | 27 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $152.00 | $190.00 | $37.27 – $153.93 | 26 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $1,275.20 | $1,594.00 | $312.59 – $1,721.30 | 21 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $145.60 | $182.00 | $17.55 – $144.92 | 22 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $140.00 | $179.00 | $35.09 – $144.92 | 26 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $147.20 | $184.00 | $23.19 – $144.92 | 27 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $100.00 | $192.00 | $35.49 – $211.91 | 27 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $100.00 | $430.00 | $82.21 – $589.06 | 27 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $122.40 | $153.00 | $23.19 – $144.92 | 26 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $140.00 | $175.00 | $35.09 – $144.92 | 27 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $515.20 | $644.00 | $208.39 – $1,721.30 | 22 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $178.40 | $223.00 | $32.13 – $176.93 | 21 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $178.40 | $223.00 | $39.65 – $176.93 | 26 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $178.40 | $223.00 | $39.65 – $176.93 | 26 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $354.40 | $443.00 | $85.10 – $394.71 | 26 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $3,409.60 | $4,262.00 | $24.06 – $691.25 | 27 |
| Initiation & management bipap/cpap initial day CPT 94660 | $1,171.20 | $1,464.00 | $42.83 – $364.49 | 20 |
| Inj, bupivacaine liposome HCPCS J0666 | $1,586.20 | $1,982.75 | $1.73 – $661.01 | 27 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $71.20 | $89.00 | $5.56 – $20.37 | 24 |
| Inj ceftolozane tazobactam HCPCS J0695 | $1,151.80 | $1,439.75 | $10.69 – $584.32 | 27 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $839.20 | $1,049.00 | $41.56 – $47.22 | 6 |
| Inj dx for sinogram CPT 20501 | $124.00 | $155.00 | $43.75 – $49.70 | 6 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $260.00 | $325.00 | $519.39 – $1,241.07 | 21 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $872.80 | $1,091.00 | $60.00 – $68.16 | 6 |
| Injection, cangrelor HCPCS C9460 | $6,600.40 | $8,250.50 | $23.56 – $3,575.25 | 21 |
| Injection, doxercalciferol HCPCS J1270 | $38.40 | $48.00 | $1.40 – $5.32 | 9 |
| Injection epidural blood patch or clot CPT 62273 | $500.80 | $626.00 | $60.00 – $1,241.07 | 23 |
| Injection for arthrography wrist (both sides) CPT 25246 | $839.20 | $1,049.00 | $43.75 – $49.70 | 6 |
| Injection for bladder x-ray CPT 51600 | $653.60 | $817.00 | $40.00 – $45.44 | 6 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $933.60 | $1,167.00 | $41.25 – $46.86 | 6 |
| Injection for ureter x-ray CPT 50690 | $963.20 | $1,204.00 | $53.75 – $61.06 | 6 |
| Injection,onabotulinumtoxina HCPCS J0585 | $4,536.20 | $5,670.25 | $7.66 – $2,180.50 | 27 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $381.60 | $477.00 | $200.92 – $720.13 | 19 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $350.40 | $438.00 | $76.25 – $1,241.07 | 23 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $966.40 | $1,208.00 | $26.25 – $620.53 | 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.