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 |
|---|---|---|---|---|
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $418.40 | $523.00 | $77.67 – $1,027.44 | 26 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $372.80 | $466.00 | $44.35 – $488.22 | 26 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $252.80 | $316.00 | $137.86 – $1,555.15 | 26 |
| MRA abdomen post contrast CPT 74185 | $735.50 | $2,646.00 | $365.72 – $1,485.51 | 25 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $734.50 | $2,646.00 | $365.72 – $1,466.71 | 25 |
| MRI breast c-+ w/cad uni CPT 77048 | $680.00 | $2,600.00 | $275.67 – $1,395.12 | 25 |
| MRI breast without cont bi CPT 77047 | $448.85 | $2,225.00 | $166.34 – $1,342.45 | 25 |
| MRI breast w IV cont bi CPT 77049 | $705.34 | $2,600.00 | $274.33 – $1,381.96 | 25 |
| MRI chest without contrast CPT 71550 | $457.00 | $2,225.00 | $247.54 – $1,342.45 | 25 |
| MRI chest without & w/contrast CPT 71552 | $706.00 | $2,646.00 | $365.72 – $2,106.92 | 25 |
| MRI loex nonjt w IV cont CPT 73719 | $645.50 | $2,350.00 | $365.72 – $2,106.92 | 25 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $463.00 | $2,225.00 | $247.54 – $1,342.45 | 25 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $712.50 | $2,646.00 | $336.25 – $2,106.92 | 25 |
| MRI orbit/face/neck without contrast CPT 70540 | $463.50 | $2,225.00 | $247.54 – $1,342.45 | 25 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $713.00 | $2,646.00 | $365.72 – $2,106.92 | 25 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $463.50 | $2,225.00 | $247.54 – $1,342.45 | 25 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $712.50 | $2,646.00 | $336.25 – $2,106.92 | 25 |
| Mthfr gene analy common variants CPT 81291 | $267.20 | $334.00 | $32.67 – $269.85 | 21 |
| Multiple sleep latency test CPT 95805 | $3,068.80 | $3,836.00 | $296.06 – $950.90 | 23 |
| Mumps antibody igg CPT 86735 | $54.40 | $68.00 | $6.53 – $53.90 | 22 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $1.40 | $1.75 | $0.16 – $0.53 | 9 |
| Mycophenolic acid HCPCS J7518 | $10.00 | $12.50 | $0.34 – $1.33 | 9 |
| Mycoplasma antibody igm CPT 86738 | $55.20 | $69.00 | $13.24 – $61.95 | 26 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $729.60 | $912.00 | $87.70 – $724.40 | 22 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $47.20 | $59.00 | $8.65 – $47.62 | 21 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $388.40 | $485.50 | $0.28 – $0.91 | 8 |
| Natriuretic peptide CPT 83880 | $80.00 | $240.00 | $37.94 – $162.14 | 26 |
| Natural killer cells total count CPT 86357 | $157.60 | $197.00 | $37.73 – $155.82 | 26 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $472.00 | $2,350.00 | $117.50 – $2,106.92 | 25 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $282.00 | $1,462.00 | $103.88 – $602.31 | 25 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $701.50 | $2,646.00 | $336.25 – $2,106.92 | 25 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $633.50 | $2,350.00 | $336.25 – $2,106.92 | 25 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $454.00 | $2,225.00 | $247.54 – $1,342.45 | 25 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $735.00 | $2,646.00 | $365.72 – $2,106.92 | 25 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $473.00 | $2,225.00 | $247.54 – $1,342.45 | 25 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $59.80 | $74.75 | $57.40 – $101.76 | 2 |
| Nerve conduction 7-8 studies CPT 95910 | $1,476.00 | $1,845.00 | $174.83 – $558.06 | 23 |
| Nerve conduction studies 11-12 CPT 95912 | $2,188.00 | $2,735.00 | $248.41 – $950.90 | 23 |
| Nerve conduction studies 13+ CPT 95913 | $2,754.40 | $3,443.00 | $288.19 – $950.90 | 23 |
| Nerve conduction studies 3-4 CPT 95908 | $771.20 | $964.00 | $110.75 – $558.06 | 23 |
| Nerve conduction studies 5-6 CPT 95909 | $1,035.20 | $1,294.00 | $132.75 – $558.06 | 23 |
| Nerve conduction studies 9-10 CPT 95911 | $1,789.60 | $2,237.00 | $211.92 – $950.90 | 23 |
| Neuroplasty nerve of hand or foot 64704 CPT 64704 | not published | not published | $970.00 – $1,101.92 | 6 |
| New Patient Office Visit (level 2) CPT 99202 | $109.60 | $137.00 | $50.00 – $230.95 | 23 |
| New Patient Office Visit (level 3) CPT 99203 | $128.80 | $161.00 | $50.00 – $230.95 | 23 |
| New Patient Office Visit (level 4) CPT 99204 | $267.20 | $334.00 | $50.00 – $230.95 | 23 |
| New Patient Office Visit (level 5) CPT 99205 | $318.40 | $398.00 | $50.00 – $230.95 | 22 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $274.80 | $343.50 | $14.60 – $63.00 | 9 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $236.60 | $295.75 | $1.47 – $4.69 | 9 |
| Njx aa&/strd nrv nrvtg si jt CPT 64451 | not published | not published | $709.18 – $1,241.07 | 21 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $1,713.60 | $2,142.00 | $148.75 – $2,259.58 | 24 |
| Nm imaging bone/joint whole body CPT 78306 | $1,713.60 | $2,142.00 | $76.88 – $2,259.58 | 24 |
| Nm imaging gastric emptying study CPT 78264 | $1,713.60 | $2,142.00 | $123.75 – $2,259.58 | 24 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,713.60 | $2,142.00 | $48.75 – $2,259.58 | 24 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $2,225.60 | $2,782.00 | $372.27 – $2,961.19 | 24 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $2,225.60 | $2,782.00 | $86.25 – $2,961.19 | 24 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,713.60 | $2,142.00 | $223.39 – $2,259.58 | 24 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $1,092.00 | $1,365.00 | $47.24 – $1,362.98 | 24 |
| Non-card vasc flow imaging CPT 78445 | $1,713.60 | $2,142.00 | $39.38 – $2,259.58 | 24 |
| Nps surg dilat eust tube bi CPT 69706 | not published | not published | $970.00 – $1,101.92 | 5 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $4,364.80 | $5,456.00 | $1,250.00 – $3,400.00 | 23 |
| Nrv rpr w/nrv algrft 1st CPT 64912 | not published | not published | $970.00 – $1,101.92 | 6 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $2,984.80 | $3,731.00 | $355.61 – $1,036.68 | 23 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $2,706.40 | $3,383.00 | $336.00 – $1,036.68 | 23 |
| Nuclear rx IV admin CPT 79101 | $1,092.00 | $1,365.00 | $46.53 – $1,362.98 | 24 |
| Nuclear Stress Test (Heart) CPT 78452 | $6,240.00 | $7,800.00 | $347.92 – $7,779.35 | 24 |
| Observation direct referral from physician office for admission HCPCS G0379 | $159.20 | $199.00 | $459.83 – $1,098.74 | 18 |
| Observation per hour HCPCS G0378 | $540.80 | $676.00 | $1,220.68 – $1,220.68 | 1 |
| Obstetric panel inc HIV tstg CPT 80081 | $230.00 | $299.00 | $74.86 – $309.17 | 26 |
| Obstetrics panel CPT 80055 | $190.00 | $249.00 | $12.00 – $197.46 | 26 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $34.20 | $42.75 | $2.44 – $8.26 | 9 |
| Off/op consltj new/est hi 55 CPT 99245 | $369.60 | $462.00 | $177.46 – $482.70 | 2 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $377.80 | $472.25 | $17.44 – $65.10 | 9 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $4,690.60 | $5,863.25 | $52.59 – $4,212.60 | 27 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $19.80 | $24.75 | $0.36 – $10.78 | 9 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $970.00 – $1,101.92 | 6 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $970.00 – $1,101.92 | 6 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $970.00 – $1,101.92 | 6 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $970.00 – $1,101.92 | 6 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $970.00 – $1,101.92 | 6 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $970.00 – $1,101.92 | 6 |
| Organic acids total quant ea spec CPT 83918 | $96.00 | $120.00 | $22.75 – $97.47 | 26 |
| Ortho dvc repair per 15 min HCPCS L4205 | $158.40 | $198.00 | $30.02 – $52.54 | 18 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $157.60 | $197.00 | $221.50 – $1,314.69 | 19 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $136.80 | $171.00 | $220.43 – $599.56 | 19 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $469.60 | $587.00 | $210.51 – $700.39 | 19 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | $1,281.60 | $1,602.00 | $908.24 – $2,470.41 | 19 |
| Oscillation chest wall mechanical per session CPT 94669 | $193.60 | $242.00 | $152.54 – $364.49 | 18 |
| Osmolality blood CPT 83930 | $27.20 | $34.00 | $3.00 – $27.30 | 26 |
| Osmolality urine CPT 83935 | $28.00 | $35.00 | $3.00 – $28.17 | 26 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $970.00 – $1,101.92 | 6 |
| Ot evaluation high complexity patient/family CPT 97167 | $312.80 | $391.00 | $56.80 – $209.88 | 23 |
| Ot evaluation low complexity patient/family CPT 97165 | $335.20 | $419.00 | $56.80 – $209.88 | 23 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $312.80 | $391.00 | $56.80 – $209.88 | 23 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $76.00 | $95.00 | $47.61 – $83.32 | 22 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $118.40 | $148.00 | $43.76 – $76.58 | 22 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $118.40 | $148.00 | $26.20 – $71.50 | 23 |
| Ot re-evaluation patient/family CPT 97168 | $206.40 | $258.00 | $50.86 – $138.35 | 23 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $118.40 | $148.00 | $33.12 – $57.96 | 23 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $118.40 | $148.00 | $20.32 – $136.00 | 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.