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 |
|---|---|---|---|---|
| Mayo ffspg allergen clam igg CPT 86001 | $32.80 | $41.00 | $5.78 – $32.30 | 26 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $81.60 | $102.00 | $14.47 – $89.50 | 26 |
| Mayo hemosiderin qualitative urine CPT 83070 | $20.00 | $25.00 | $3.00 – $19.62 | 26 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $143.20 | $179.00 | $17.55 – $144.92 | 22 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $57.60 | $72.00 | $13.79 – $58.75 | 26 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $107.20 | $134.00 | $12.00 – $106.60 | 26 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $36.80 | $46.00 | $8.89 – $41.21 | 26 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $56.80 | $71.00 | $13.52 – $55.84 | 26 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $111.20 | $139.00 | $20.50 – $112.21 | 26 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $71.20 | $89.00 | $8.64 – $71.33 | 22 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $62.40 | $78.00 | $14.99 – $69.67 | 26 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $85.00 | $108.00 | $20.81 – $85.95 | 26 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $86.40 | $108.00 | $20.81 – $97.78 | 26 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $65.60 | $82.00 | $12.05 – $66.37 | 21 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $48.80 | $61.00 | $11.98 – $49.48 | 26 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $145.60 | $182.00 | $35.09 – $144.92 | 26 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $147.20 | $184.00 | $28.07 – $144.92 | 26 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $143.20 | $179.00 | $17.55 – $144.92 | 22 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $178.40 | $223.00 | $42.84 – $176.93 | 26 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $300.00 | $375.00 | $57.75 – $298.14 | 26 |
| Mayo infliximab therapeutic drug level CPT 80230 | $157.60 | $197.00 | $19.29 – $159.29 | 22 |
| Mayo inhab inhibin a CPT 86336 | $64.80 | $81.00 | $7.80 – $64.39 | 22 |
| Mayo insulin antibodies CPT 86337 | $88.80 | $111.00 | $11.00 – $88.42 | 26 |
| Mayo iodine CPT 83789 | $100.80 | $126.00 | $12.06 – $99.57 | 22 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $111.20 | $139.00 | $13.56 – $111.96 | 22 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $55.20 | $69.00 | $13.25 – $54.72 | 26 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $53.60 | $67.00 | $11.00 – $52.82 | 26 |
| Mayo legionella antibody CPT 86713 | $64.00 | $80.00 | $15.30 – $70.89 | 26 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $64.00 | $80.00 | $15.49 – $72.76 | 26 |
| Mayo metanephrines plasma CPT 83835 | $70.40 | $88.00 | $13.00 – $69.96 | 26 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $76.80 | $96.00 | $12.05 – $50.05 | 26 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $76.80 | $96.00 | $14.72 – $55.20 | 24 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $60.80 | $76.00 | $7.91 – $60.09 | 26 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $76.00 | $95.00 | $15.30 – $76.98 | 26 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | $756.00 | $945.00 | $92.60 – $764.88 | 21 |
| Mayo muramidase CPT 85549 | $90.40 | $113.00 | $16.44 – $77.44 | 26 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $76.80 | $96.00 | $13.80 – $55.20 | 19 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $73.60 | $92.00 | $18.05 – $74.55 | 26 |
| Mayo myoglobin CPT 83874 | $52.80 | $66.00 | $12.92 – $53.36 | 26 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $88.00 | $110.00 | $18.20 – $87.60 | 26 |
| Mayo oxalate 24 hour urine CPT 83945 | $60.00 | $75.00 | $13.00 – $59.68 | 26 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $62.40 | $78.00 | $15.03 – $70.62 | 26 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $49.60 | $62.00 | $12.05 – $55.90 | 26 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $116.00 | $145.00 | $17.98 – $74.26 | 26 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $57.60 | $72.00 | $13.00 – $56.83 | 26 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $35.20 | $44.00 | $2.00 – $34.86 | 26 |
| Mayo pregnenolone CPT 84140 | $85.60 | $107.00 | $20.67 – $97.17 | 26 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $68.80 | $86.00 | $16.59 – $68.52 | 26 |
| Mayo proinsulin CPT 84206 | $108.80 | $136.00 | $8.00 – $110.23 | 26 |
| Mayo psaft prostate specific antigen free CPT 84154 | $45.00 | $96.00 | $18.39 – $75.95 | 26 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $76.80 | $96.00 | $9.20 – $75.99 | 22 |
| Mayo receptor assay transferrin soluble CPT 84238 | $152.00 | $190.00 | $22.00 – $151.03 | 26 |
| Mayo renin CPT 84244 | $89.60 | $112.00 | $12.00 – $90.82 | 26 |
| Mayo repu protein electrophoresis urine CPT 84166 | $45.00 | $93.00 | $17.83 – $73.64 | 26 |
| Mayo selenium CPT 84255 | $104.80 | $131.00 | $19.15 – $105.44 | 21 |
| Mayo serotonin CPT 84260 | $128.80 | $161.00 | $30.98 – $127.95 | 26 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $80.80 | $101.00 | $19.35 – $79.92 | 26 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $57.60 | $72.00 | $13.73 – $56.70 | 26 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $17.60 | $22.00 | $4.00 – $17.64 | 26 |
| Mayo tgrp testosterone free CPT 84402 | $105.60 | $132.00 | $25.47 – $105.19 | 26 |
| Mayo tgrp testosterone total CPT 84403 | $105.60 | $132.00 | $25.81 – $106.60 | 26 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $385.60 | $482.00 | $17.74 – $91.56 | 26 |
| Mayo thyroglobulin CPT 84432 | $66.40 | $83.00 | $16.06 – $73.98 | 26 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $42.40 | $53.00 | $10.18 – $42.04 | 26 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $51.20 | $64.00 | $9.29 – $51.17 | 21 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $56.80 | $71.00 | $13.54 – $55.92 | 26 |
| Mayo vasoactive intestinal peptide CPT 84586 | $144.80 | $181.00 | $35.33 – $166.02 | 26 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $84.00 | $105.00 | $8.00 – $83.59 | 26 |
| Mayo vitamin b3 (niacin) CPT 84591 | $70.40 | $88.00 | $12.80 – $70.46 | 21 |
| Mayo vitamin k CPT 84597 | $57.60 | $72.00 | $6.86 – $56.66 | 22 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $55.20 | $69.00 | $13.25 – $54.72 | 26 |
| Med genetics&genetic counseling svcs each 30 min CPT 96041 | $243.20 | $304.00 | $46.46 – $230.95 | 23 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $526.00 | $657.50 | $88.50 – $299.25 | 3 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $148.80 | $186.00 | $2.11 – $7.53 | 9 |
| Metabolic Blood Panel (Basic) CPT 80048 | $20.00 | $69.00 | $8.46 – $34.94 | 27 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $25.00 | $88.00 | $10.56 – $43.61 | 27 |
| Metabolic panel ionized ca CPT 80047 | $89.60 | $112.00 | $11.91 – $56.70 | 26 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | $3.20 | $4.00 | $1.76 – $5.71 | 9 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $67.40 | $84.25 | $4.79 – $22.26 | 9 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $4.60 | $5.75 | $0.19 – $0.70 | 9 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $4,519.80 | $5,649.75 | $10.29 – $628.80 | 21 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $158.80 | $198.50 | $20.72 – $74.52 | 9 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $1,122.60 | $1,403.25 | $609.00 – $609.00 | 1 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $1.60 | $2.00 | $0.11 – $0.84 | 8 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $133.60 | $167.00 | $9.52 – $30.80 | 24 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $128.60 | $160.75 | $1.68 – $7.00 | 24 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $58.20 | $72.75 | $1.03 – $3.96 | 9 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $44.40 | $55.50 | $0.62 – $2.08 | 8 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $54.40 | $68.00 | $1.35 – $5.25 | 9 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $433.00 | $541.25 | $25.60 – $99.20 | 9 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $34.00 | $42.50 | $0.31 – $1.02 | 9 |
| Middle cerebral artery echo CPT 76821 | $304.00 | $380.00 | $59.57 – $602.31 | 24 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $81.60 | $102.00 | $2.91 – $10.99 | 9 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $1,951.80 | $2,439.75 | $24.00 – $723.71 | 27 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $708.75 – $1,101.92 | 6 |
| Mopath procedure level 1 CPT 81400 | $484.00 | $605.00 | $31.98 – $264.15 | 22 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $143.20 | $179.00 | $2.18 – $16.21 | 9 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $35.00 | $43.75 | $8.44 – $26.59 | 9 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $192.40 | $240.50 | $11.20 – $36.65 | 9 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $686.40 | $858.00 | $148.16 – $1,189.07 | 26 |
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.