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 |
|---|---|---|---|---|
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $970.00 – $1,101.92 | 6 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $505.20 | $631.50 | $201.65 – $995.19 | 27 |
| Procalcitonin CPT 84145 | $136.00 | $170.00 | $22.21 – $112.42 | 26 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $36.40 | $45.50 | $1.81 – $10.22 | 9 |
| Progesterone CPT 84144 | $84.80 | $106.00 | $17.00 – $86.15 | 26 |
| Prolactin CPT 84146 | $80.80 | $101.00 | $19.38 – $81.60 | 26 |
| Promethazine hcl injection HCPCS J2550 | $23.80 | $29.75 | $2.95 – $11.59 | 9 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $107.40 | $134.25 | $1.80 – $28.80 | 9 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $28.00 | $35.00 | $32.32 – $34.79 | 2 |
| Prostate biopsy, any mthd HCPCS G0416 | $229.60 | $287.00 | $42.50 – $1,433.15 | 22 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $970.00 – $1,101.92 | 6 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $211.60 | $264.50 | $8.50 – $131.20 | 9 |
| Protein c activity CPT 85303 | $92.80 | $116.00 | $13.84 – $64.97 | 26 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $40.00 | $56.00 | $10.74 – $49.81 | 26 |
| Protein s total CPT 85305 | $72.00 | $90.00 | $11.61 – $54.47 | 26 |
| Protein total 24 hour urine CPT 84156 | $15.20 | $19.00 | $3.67 – $15.16 | 26 |
| Protein total body fluid CPT 84157 | $16.00 | $20.00 | $4.00 – $16.52 | 26 |
| Protein total serum plasma whole blood CPT 84155 | $15.20 | $19.00 | $3.67 – $15.88 | 26 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $30.40 | $38.00 | $3.94 – $18.46 | 26 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $970.00 – $1,101.92 | 6 |
| Prq cardiac angio addl art CPT 92921 | $8,521.60 | $10,652.00 | $144.78 – $393.79 | 2 |
| Prq trluml c angiop 1art&/br CPT 92920 | $29,296.80 | $36,621.00 | $542.24 – $5,701.52 | 3 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $215.20 | $269.00 | $37.50 – $231.00 | 23 |
| Pr removal intrauterine device CPT 58301 | not published | not published | $970.00 – $1,101.92 | 6 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $876.80 | $1,096.00 | $41.25 – $716.00 | 23 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $535.20 | $669.00 | $39.38 – $356.09 | 23 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $723.20 | $904.00 | $59.38 – $356.09 | 23 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $535.20 | $669.00 | $30.63 – $356.09 | 23 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $723.20 | $904.00 | $44.38 – $356.09 | 23 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,849.60 | $2,312.00 | $166.20 – $452.06 | 7 |
| PSA (Prostate) Test CPT 84153 | $45.00 | $96.00 | $18.39 – $82.82 | 26 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $133.60 | $167.00 | $13.78 – $56.80 | 23 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $163.20 | $204.00 | $18.00 – $56.80 | 23 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $118.40 | $148.00 | $13.39 – $56.80 | 23 |
| Pt application of modality traction mechanical CPT 97012 | $140.00 | $175.00 | $13.78 – $56.80 | 23 |
| Pt evaluation high complexity patient/family CPT 97163 | $333.60 | $417.00 | $56.80 – $216.27 | 23 |
| Pt evaluation low complexity patient/family CPT 97161 | $292.80 | $366.00 | $56.80 – $216.27 | 23 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $312.80 | $391.00 | $56.80 – $216.27 | 23 |
| Pt re-evaluation patient/family CPT 97164 | $192.00 | $240.00 | $53.90 – $146.61 | 23 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $110.40 | $138.00 | $39.85 – $69.74 | 22 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $118.40 | $148.00 | $27.75 – $56.80 | 23 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $79.20 | $99.00 | $28.41 – $56.95 | 23 |
| Pt wheelchair management each 15 minutes CPT 97542 | $118.40 | $148.00 | $29.62 – $56.80 | 22 |
| Pulse ox continuous overnight monitoring CPT 94762 | $180.80 | $226.00 | $78.23 – $280.39 | 19 |
| Pulse ox multiple CPT 94761 | $109.60 | $137.00 | $4.83 – $5.48 | 6 |
| Pump on-q 100mlx2ml/hr 2 day delivery HCPCS C9804 | $2,239.20 | $2,799.00 | $424.76 – $743.33 | 17 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $73.60 | $92.00 | $16.25 – $231.00 | 23 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $634.40 | $793.00 | $30.00 – $716.00 | 23 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,053.60 | $1,317.00 | $52.50 – $1,241.07 | 23 |
| Pyruvate CPT 84210 | $58.40 | $73.00 | $8.00 – $59.80 | 26 |
| Quest t3 uptake CPT 84479 | $26.40 | $33.00 | $6.47 – $30.43 | 26 |
| Rabies ig ht&sol human im/sc CPT 90377 | $1,850.40 | $2,313.00 | $25.00 – $2,795.52 | 27 |
| Radiation physics consult CPT 77336 | $476.80 | $596.00 | $61.25 – $237.93 | 23 |
| Radiation therapy dose plan CPT 77300 | $789.60 | $987.00 | $26.88 – $237.93 | 23 |
| Radiation treatment aid(s) CPT 77332 | $929.60 | $1,162.00 | $40.63 – $237.93 | 23 |
| Radiation treatment aid(s) CPT 77334 | $1,132.80 | $1,416.00 | $68.75 – $656.04 | 23 |
| Radiation treatment delivery CPT 77412 | $1,056.00 | $1,320.00 | $55.00 – $471.29 | 23 |
| Radiology port images(s) CPT 77417 | $88.80 | $111.00 | $16.15 – $18.35 | 6 |
| Radiotherapy dose plan imrt CPT 77301 | $16,511.20 | $20,639.00 | $884.78 – $3,673.39 | 23 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $385.60 | $482.00 | $171.78 – $603.40 | 26 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $4,720.00 | $5,900.00 | $87.50 – $7,779.35 | 24 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $4,720.00 | $5,900.00 | $277.74 – $7,779.35 | 24 |
| Radphm lcl tumor plr sgl day CPT 78800 | $1,713.60 | $2,142.00 | $68.75 – $2,259.58 | 24 |
| Rapid Strep Test CPT 87880 | $66.40 | $83.00 | $6.30 – $68.27 | 26 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $4,464.20 | $5,580.25 | $445.19 – $3,889.83 | 27 |
| Rbc count only automated CPT 85041 | $12.80 | $16.00 | $3.02 – $13.67 | 26 |
| Realignment of tendons CPT 26437 | not published | not published | $970.00 – $1,101.92 | 6 |
| Reconstruct elbow lat ligmnt CPT 24344 | not published | not published | $970.00 – $1,173.75 | 6 |
| Reconstruct elbow med ligmnt CPT 24346 | not published | not published | $970.00 – $1,101.92 | 6 |
| Reconstruction knee CPT 27427 | not published | not published | $970.00 – $1,101.92 | 6 |
| Reconstruction knee CPT 27428 | not published | not published | $970.00 – $1,165.00 | 6 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | $970.00 – $1,101.92 | 6 |
| Reconstruct ulna/radioulnar CPT 25337 | not published | not published | $970.00 – $1,101.92 | 6 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $1,181.60 | $1,477.00 | $30.00 – $318.50 | 23 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $1,409.60 | $1,762.00 | $30.00 – $447.65 | 23 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $1,308.60 | $1,635.75 | $12.00 – $61.74 | 9 |
| Release muscles of hand CPT 26593 | not published | not published | $970.00 – $1,940.00 | 6 |
| Release palm contracture CPT 26123 | not published | not published | $970.00 – $1,101.92 | 6 |
| Release palm contracture 26045 CPT 26045 | not published | not published | $970.00 – $1,101.92 | 6 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $4,517.20 | $5,646.50 | $7.94 – $2,222.50 | 27 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $1,186.40 | $1,483.00 | $162.94 – $1,108.00 | 23 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | not published | not published | $970.00 – $1,101.92 | 6 |
| Removal cerclage without anes CPT 59899 | $192.80 | $241.00 | $150.88 – $360.52 | 18 |
| Removal foreign body foot subcutaneous right CPT 28190 | $931.20 | $1,164.00 | $38.13 – $1,260.91 | 23 |
| Removal implant superficial separate procedure CPT 20670 | not published | not published | $970.00 – $1,101.92 | 6 |
| Removal of adenoids CPT 42830 | not published | not published | $775.00 – $1,101.92 | 6 |
| Removal of adenoids CPT 42831 | not published | not published | $775.00 – $1,101.92 | 6 |
| Removal of anal fissure CPT 46200 | not published | not published | $970.00 – $1,101.92 | 6 |
| Removal of breast lesion CPT 19120 | not published | not published | $970.00 – $1,101.92 | 6 |
| Removal of calcium deposits CPT 23000 | not published | not published | $970.00 – $1,165.00 | 6 |
| Removal of finger lesion CPT 26210 | not published | not published | $970.00 – $1,101.92 | 6 |
| Removal of finger tendon CPT 26180 | not published | not published | $970.00 – $1,101.92 | 6 |
| Removal of foot lesion CPT 28090 | not published | not published | $970.00 – $1,107.50 | 6 |
| Removal of forearm lesion CPT 25120 | not published | not published | $932.50 – $1,101.92 | 6 |
| Removal of heel bone CPT 28118 | not published | not published | $970.00 – $1,101.92 | 6 |
| Removal of heel spur CPT 28119 | not published | not published | $970.00 – $1,101.92 | 6 |
| Removal of hydrocele CPT 55040 | not published | not published | $970.00 – $1,101.92 | 6 |
| Removal of hydrocele CPT 55500 | not published | not published | $970.00 – $1,101.92 | 6 |
| Removal of hydroceles CPT 55041 | not published | not published | $970.00 – $1,101.92 | 6 |
| Removal of implant deep CPT 20680 | not published | not published | $900.00 – $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.