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 |
|---|---|---|---|---|
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $118.40 | $148.00 | $20.97 – $64.77 | 21 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $118.40 | $148.00 | $27.75 – $56.80 | 23 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $118.40 | $148.00 | $30.87 – $56.95 | 23 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $118.40 | $148.00 | $30.75 – $56.80 | 22 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $107.80 | $134.75 | $16.60 – $57.60 | 9 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $49.00 | $61.25 | $5.01 – $6.43 | 2 |
| Palonosetron hcl HCPCS J2469 | $118.80 | $148.50 | $3.56 – $16.80 | 9 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $122.00 | $152.50 | $9.64 – $48.58 | 9 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $25.80 | $32.25 | $16.24 – $30.53 | 2 |
| Papaverin hcl injection HCPCS J2440 | $160.40 | $200.50 | $133.88 – $147.01 | 2 |
| Parathormone (pth) intact CPT 83970 | $168.00 | $210.00 | $41.28 – $170.49 | 26 |
| Parathyrd planar w/spect&ct CPT 78072 | $2,225.60 | $2,782.00 | $322.69 – $2,961.19 | 24 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $970.00 – $1,101.92 | 6 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $855.00 – $1,101.92 | 6 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $970.00 – $1,101.92 | 6 |
| Partial removal finger bone CPT 26235 | not published | not published | $970.00 – $1,101.92 | 6 |
| Partial removal finger bone CPT 26236 | not published | not published | $970.00 – $1,101.92 | 6 |
| Partial removal of thyroid CPT 60220 | not published | not published | $970.00 – $1,101.92 | 6 |
| Part removal of metatarsal CPT 28110 | not published | not published | $970.00 – $1,130.00 | 6 |
| Part removal of metatarsal CPT 28113 | not published | not published | $970.00 – $1,281.25 | 6 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $970.00 – $1,281.25 | 6 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $7,049.60 | $8,812.00 | $116.90 – $4,741.80 | 27 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $572.00 | $2,645.00 | $128.13 – $1,006.60 | 25 |
| Pelvic CT scan (with contrast) CPT 72193 | $475.50 | $2,362.00 | $108.13 – $1,006.60 | 25 |
| Pelvic CT scan (without contrast) CPT 72192 | $281.00 | $1,462.00 | $84.38 – $602.31 | 25 |
| Pelvic MRI (with and without contrast) CPT 72197 | $706.00 | $2,646.00 | $365.72 – $2,106.92 | 25 |
| Pelvic MRI (without contrast) CPT 72195 | $455.50 | $2,225.00 | $247.54 – $1,342.45 | 25 |
| Pelvic Ultrasound (complete) CPT 76856 | $517.60 | $647.00 | $58.13 – $602.31 | 24 |
| Pelvic Ultrasound (limited) CPT 76857 | $468.00 | $585.00 | $23.75 – $602.31 | 25 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $540.80 | $676.00 | $5.14 – $132.39 | 27 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $2,437.60 | $3,047.00 | $35.39 – $1,133.16 | 27 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $158.40 | $198.00 | $3.97 – $14.08 | 9 |
| Penile injection CPT 54235 | $490.40 | $613.00 | $182.41 – $435.86 | 18 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $35,649.60 | $44,562.00 | $674.98 – $11,340.57 | 3 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $30,761.60 | $38,452.00 | $601.71 – $11,340.57 | 3 |
| Perc drug-el cor stent sing HCPCS C9600 | $30,761.60 | $38,452.00 | $602.38 – $11,340.57 | 3 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $995.20 | $1,244.00 | $69.11 – $293.16 | 7 |
| Pericardiocentesis wwo imaging CPT 33016 | $2,207.20 | $2,759.00 | $242.41 – $659.36 | 7 |
| Pet CT skull-mid thgh initial CPT 78815 | $6,880.00 | $8,600.00 | $1,493.68 – $8,570.95 | 24 |
| Pet CT whole body initial CPT 78816 | $6,880.00 | $8,600.00 | $1,493.68 – $8,570.95 | 24 |
| Pet fdg brain metoblic eval sb CPT 78608 | $5,280.00 | $6,600.00 | $766.59 – $8,570.95 | 24 |
| Pet image w/ct lmtd CPT 78814 | $6,880.00 | $8,600.00 | $1,493.68 – $8,570.95 | 24 |
| Ph body fluid CPT 83986 | $15.20 | $19.00 | $2.00 – $14.79 | 26 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $125.60 | $157.00 | $28.39 – $103.04 | 9 |
| Phenobarbital therapeutic drug level CPT 80184 | $64.00 | $80.00 | $15.30 – $63.19 | 26 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $39.00 | $48.75 | $1.00 – $17.50 | 9 |
| Phenylep ketorolac opth soln HCPCS J1097 | $3,240.20 | $4,050.25 | $114.28 – $1,685.04 | 21 |
| Phenytoin total therapeutic drug level CPT 80185 | $55.20 | $69.00 | $13.00 – $54.72 | 26 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | not published | not published | $970.00 – $1,101.92 | 6 |
| Phosphorus CPT 84100 | $15.00 | $24.00 | $4.74 – $22.27 | 26 |
| Phosphorus 24 hour urine CPT 84105 | $24.00 | $30.00 | $5.78 – $24.31 | 26 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $231.00 | $288.75 | $2.73 – $9.09 | 9 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | $1,686.40 | $2,108.00 | $249.33 – $2,195.76 | 21 |
| Pin hand dislocation CPT 26676 | not published | not published | $970.00 – $1,101.92 | 6 |
| Pinworm exam CPT 87172 | $17.60 | $22.00 | $2.14 – $17.64 | 22 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $139.20 | $174.00 | $3.21 – $11.76 | 9 |
| Place gastrostomy tube perc CPT 49440 | $3,048.80 | $3,811.00 | $220.67 – $600.24 | 7 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $1,616.80 | $2,021.00 | $103.24 – $280.81 | 7 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | not published | not published | $970.00 – $1,101.92 | 6 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $3,552.80 | $4,441.00 | $224.45 – $610.50 | 7 |
| Placement of seton CPT 46020 | not published | not published | $970.00 – $1,101.92 | 6 |
| Platelet aggregation each agent teg CPT 85576 | $143.20 | $179.00 | $24.91 – $102.88 | 26 |
| Platelet automated CPT 85049 | $62.40 | $78.00 | $3.00 – $18.50 | 26 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $604.00 | $755.00 | $30.00 – $220.10 | 23 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $1,183.20 | $1,479.00 | $30.00 – $359.43 | 23 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $3,188.00 | $3,985.00 | $30.00 – $1,182.41 | 23 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $1,201.60 | $1,502.00 | $87.83 – $1,260.91 | 23 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $483.20 | $604.00 | $38.05 – $558.06 | 23 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $106.40 | $133.00 | $26.07 – $107.67 | 26 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $4,164.80 | $5,206.00 | $647.09 – $2,201.70 | 23 |
| Potassium 24 hour urine CPT 84133 | $20.00 | $25.00 | $4.73 – $20.20 | 26 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $121.00 | $151.25 | $0.11 – $3.68 | 9 |
| Potassium serum/plasma/whole blood CPT 84132 | $25.60 | $32.00 | $4.76 – $21.56 | 26 |
| Pq dr cath chg w cont s&i CPT 75984 | $580.80 | $726.00 | $12.50 – $24.85 | 6 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $10,656.00 | $13,320.00 | $509.29 – $1,385.26 | 7 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | not published | not published | $970.00 – $1,101.92 | 6 |
| Pr application of long arm splint CPT 29105 | $375.20 | $469.00 | $41.88 – $282.78 | 23 |
| Pr application splint static short arm CPT 29125 | $375.20 | $469.00 | $32.50 – $231.00 | 23 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $970.00 – $1,183.75 | 6 |
| Pr correction hammertoe CPT 28285 | not published | not published | $970.00 – $1,101.92 | 6 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $56.80 | $71.00 | $22.34 – $53.39 | 18 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $970.00 – $1,101.92 | 6 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $193.60 | $242.00 | $39.42 – $356.09 | 23 |
| Prealbumin CPT 84134 | $59.20 | $74.00 | $14.59 – $68.54 | 26 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $170.00 | $212.50 | $0.69 – $123.55 | 9 |
| Prednisone 1 mg tablet HCPCS J7512 | $1.40 | $1.75 | $0.01 – $4.51 | 9 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | not published | not published | $970.00 – $1,101.92 | 6 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $888.80 | $1,111.00 | $58.13 – $602.31 | 25 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $840.00 | $1,050.00 | $47.99 – $602.31 | 25 |
| Pressure max expiratory/inspiratory CPT 94799 | $846.40 | $1,058.00 | $117.35 – $280.39 | 18 |
| Pretreat rbc absorption reference CPT 86978 | $141.60 | $177.00 | $44.55 – $174.84 | 19 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $221.60 | $277.00 | $44.55 – $174.84 | 19 |
| Pretreat rbc w enzyme reference CPT 86971 | $1,348.80 | $1,686.00 | $128.52 – $488.22 | 19 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | not published | not published | $715.00 – $1,101.92 | 6 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $796.00 | $995.00 | $125.00 – $1,101.92 | 23 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $333.60 | $417.00 | $65.63 – $716.00 | 23 |
| Pr incision & drainage abscess simple/single CPT 10060 | $333.60 | $417.00 | $29.38 – $356.09 | 23 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $819.20 | $1,024.00 | $117.26 – $545.14 | 23 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $333.60 | $417.00 | $38.13 – $716.00 | 23 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $375.20 | $469.00 | $12.38 – $14.06 | 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.