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 |
|---|---|---|---|---|
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | not published | not published | $118.80 – $1,595.49 | 22 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | not published | not published | $106.95 – $1,595.49 | 22 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | not published | not published | $90.01 – $1,595.49 | 22 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | not published | not published | $709.18 – $1,241.07 | 22 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | not published | not published | $709.18 – $1,241.07 | 22 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $548.80 | $686.00 | $38.83 – $529.01 | 23 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $548.80 | $686.00 | $43.09 – $264.51 | 23 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $147.20 | $184.00 | $16.26 – $82.69 | 23 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $147.20 | $184.00 | $38.77 – $377.58 | 23 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $113.60 | $142.00 | $15.88 – $127.54 | 23 |
| Inject sacroiliac joint CPT 27096 | not published | not published | $76.49 – $1,101.92 | 22 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | not published | not published | $88.94 – $1,595.49 | 22 |
| Inj for ext venography CPT 36005 | $443.20 | $554.00 | $54.56 – $61.98 | 6 |
| Inj ivig privigen 500 mg HCPCS J1459 | $4,981.20 | $6,226.50 | $59.83 – $1,721.30 | 27 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $79.40 | $99.25 | $7.00 – $25.60 | 2 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | $88.80 | $111.00 | $41.95 – $41.95 | 1 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $87.00 | $108.75 | $11.86 – $38.12 | 9 |
| Inj multihance HCPCS A9577 | $12.00 | $15.00 | $1.74 – $6.37 | 8 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $1,308.80 | $1,636.00 | $66.88 – $181.90 | 7 |
| Inj proc elbow arthro CPT 24220 | $872.80 | $1,091.00 | $43.75 – $49.70 | 6 |
| Inj proc myelogram lumbar CPT 62284 | $4,736.80 | $5,921.00 | $99.42 – $112.95 | 6 |
| Inj retro urethrocysto CPT 51610 | $285.60 | $357.00 | $43.13 – $48.99 | 6 |
| Inj w/fluor eval cv device CPT 36598 | $567.20 | $709.00 | $72.50 – $377.58 | 19 |
| Ins cerv dilator (sep proc) CPT 59200 | $476.80 | $596.00 | $152.10 – $545.14 | 19 |
| Insert cath pleura with image CPT 32557 | $1,232.00 | $1,540.00 | $165.75 – $450.84 | 7 |
| Insert cath pleura without image CPT 32556 | $1,116.80 | $1,396.00 | $121.63 – $330.82 | 7 |
| Insert drug delivery implant CPT 11981 | $192.80 | $241.00 | $94.66 – $257.48 | 23 |
| Insert intrauterine device iud CPT 58300 | not published | not published | $970.00 – $1,101.92 | 6 |
| Insertion catheter bladder non indwelling CPT 51701 | $150.40 | $188.00 | $31.81 – $231.00 | 23 |
| Insertion catheter bladder temporary simple CPT 51702 | $310.40 | $388.00 | $34.39 – $231.00 | 23 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | $8,252.80 | $10,316.00 | $238.90 – $649.81 | 2 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $1,904.00 | $2,380.00 | $141.51 – $384.91 | 7 |
| Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 | $6,147.20 | $7,684.00 | $578.84 – $1,574.44 | 7 |
| Insertion of new/replacement ppm w/transvenous electrode(s) ventricular CPT 33207 | $5,941.60 | $7,427.00 | $576.48 – $1,568.01 | 7 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $549.60 | $687.00 | $109.24 – $297.13 | 7 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $1,868.80 | $2,336.00 | $87.20 – $237.18 | 7 |
| Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber CPT 33249 | $15,651.20 | $19,564.00 | $1,049.63 – $32,061.58 | 3 |
| Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 | $4,131.20 | $5,164.00 | $206.13 – $560.66 | 7 |
| Insertion single tranvenous electrode/ppm/implantable defibrillator CPT 33216 | $12,016.00 | $15,020.00 | $445.85 – $1,212.71 | 7 |
| Insertion subcutaneous cardiac rhythm monitor CPT 33285 | $5,018.40 | $6,273.00 | $92.15 – $8,275.98 | 3 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | not published | not published | $970.00 – $1,101.92 | 6 |
| Insert lens prosthesis CPT 66985 | not published | not published | $970.00 – $1,716.25 | 6 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $491.20 | $614.00 | $65.11 – $537.93 | 9 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $511.20 | $639.00 | $14.42 – $710.65 | 26 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | $5,640.80 | $7,051.00 | $14,303.37 – $19,071.16 | 2 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $608.00 | $760.00 | $83.67 – $227.60 | 7 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $2,836.00 | $3,545.00 | $331.88 – $902.70 | 7 |
| Insulin total CPT 83525 | $47.20 | $59.00 | $11.00 – $47.21 | 26 |
| Interdiscal perq aspir dx CPT 62267 | $1,187.20 | $1,484.00 | $122.26 – $1,260.91 | 20 |
| Intrinsic factor antibody CPT 86340 | $62.40 | $78.00 | $15.08 – $70.82 | 26 |
| Intubation endotracheal emergency procedure CPT 31500 | $1,075.20 | $1,344.00 | $90.00 – $416.17 | 23 |
| Iodine i-123 sod iodide mil HCPCS A9509 | $1,230.40 | $1,538.00 | $502.39 – $539.30 | 2 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $5.60 | $7.00 | $0.45 – $1.44 | 6 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $5.60 | $7.00 | $0.15 – $0.49 | 6 |
| Iron CPT 83540 | $20.00 | $33.00 | $6.47 – $28.73 | 27 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $994.60 | $1,243.25 | $22.90 – $84.00 | 9 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $100.00 | $170.00 | $24.35 – $106.45 | 23 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $71.20 | $89.00 | $24.05 – $127.54 | 23 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $71.20 | $89.00 | $14.28 – $16.23 | 6 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $154.40 | $193.00 | $15.36 – $82.69 | 23 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $448.00 | $560.00 | $49.13 – $377.58 | 23 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $33.60 | $42.00 | $5.00 – $33.74 | 26 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $33.60 | $42.00 | $0.30 – $1.75 | 27 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $772.80 | $966.00 | $61.25 – $602.31 | 25 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $970.00 – $1,165.00 | 6 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $970.00 – $1,165.00 | 6 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $970.00 – $1,101.92 | 6 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $970.00 – $1,165.00 | 6 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $970.00 – $1,165.00 | 6 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $970.00 – $1,165.00 | 6 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $970.00 – $1,165.00 | 6 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $970.00 – $1,101.92 | 6 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $970.00 – $1,165.00 | 6 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $970.00 – $1,165.00 | 6 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $970.00 – $1,165.00 | 6 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $970.00 – $1,165.00 | 6 |
| Knee MRI (with and without contrast) CPT 73723 | $712.50 | $2,646.00 | $365.72 – $2,106.92 | 25 |
| Knee MRI (with contrast) CPT 73722 | $645.00 | $2,900.00 | $384.69 – $4,386.56 | 25 |
| Knee MRI (without contrast) CPT 73721 | $462.00 | $2,225.00 | $247.54 – $1,342.45 | 25 |
| Knee X-ray CPT 73564 | $442.40 | $553.00 | $28.02 – $602.31 | 25 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $83.20 | $104.00 | $0.34 – $1.47 | 9 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $868.80 | $1,086.00 | $140.00 – $140.00 | 1 |
| Lactate dehydrogenase (ldh) CPT 83615 | $25.00 | $31.00 | $6.04 – $24.95 | 26 |
| Lactated ringers intravenous solution HCPCS J7120 | $30.40 | $38.00 | $2.41 – $8.05 | 8 |
| Lactic acid CPT 83605 | $75.20 | $94.00 | $8.00 – $47.78 | 26 |
| Lactoferrin fecal qualitative CPT 83630 | $82.40 | $103.00 | $12.31 – $81.36 | 26 |
| Lam facetec & foramot lumbar CPT 63047 | not published | not published | $970.00 – $1,101.92 | 6 |
| Laparo cholecystectomy/graph CPT 47563 | not published | not published | $970.00 – $1,101.92 | 6 |
| Laparo-myomectomy complex CPT 58546 | not published | not published | $970.00 – $1,101.92 | 6 |
| Laparoscopic myomectomy CPT 58545 | not published | not published | $970.00 – $1,101.92 | 6 |
| Laparoscopy biopsy CPT 49321 | not published | not published | $970.00 – $1,101.92 | 6 |
| Laparoscopy excise lesions CPT 58662 | not published | not published | $970.00 – $1,101.92 | 6 |
| Laparoscopy fundoplasty CPT 43280 | not published | not published | $970.00 – $1,101.92 | 6 |
| Laparoscopy lymphadenectomy CPT 38571 | not published | not published | $970.00 – $1,101.92 | 6 |
| Laparoscopy lymph node biop CPT 38570 | not published | not published | $970.00 – $1,101.92 | 6 |
| Laparoscopy remove adnexa CPT 58661 | not published | not published | $970.00 – $1,101.92 | 6 |
| Laparoscopy splenectomy CPT 38120 | not published | not published | $970.00 – $1,101.92 | 6 |
| Laparoscopy surg colpopexy CPT 57425 | not published | not published | $970.00 – $1,101.92 | 6 |
| Lap enterolysis CPT 44180 | not published | not published | $970.00 – $1,101.92 | 6 |
| Lap ing hernia repair init CPT 49650 | not published | not published | $970.00 – $1,101.92 | 6 |
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.