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 |
|---|---|---|---|---|
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $815.20 | $1,019.00 | $0.33 – $388.50 | 27 |
| Tbs techl calculation only CPT 77091 | $398.40 | $498.00 | $44.03 – $497.84 | 20 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $257.60 | $322.00 | $61.98 – $255.98 | 26 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $6,904.80 | $8,631.00 | $780.24 – $6,118.88 | 21 |
| Tc-99m labeled rbc HCPCS A9560 | $549.60 | $687.00 | $333.45 – $337.44 | 2 |
| Tc-99m maa HCPCS A9540 | $447.20 | $559.00 | $94.21 – $107.10 | 2 |
| Tc-99m mebrofenin HCPCS A9537 | $254.40 | $318.00 | $197.47 – $363.07 | 2 |
| Tc-99m medronate HCPCS A9503 | $114.40 | $143.00 | $46.41 – $189.41 | 2 |
| Tc-99m mertiatide HCPCS A9562 | $1,036.80 | $1,296.00 | $2,458.34 – $2,458.34 | 1 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $17.60 | $22.00 | $7.50 – $32.00 | 19 |
| Tc-99m oxidronate HCPCS A9561 | $115.20 | $144.00 | $157.08 – $161.47 | 2 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $68.80 | $86.00 | $6.06 – $34.14 | 2 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $294.40 | $368.00 | $130.43 – $228.66 | 2 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $238.40 | $298.00 | $347.45 – $1,441.86 | 2 |
| Tc-99m sulfur colloid HCPCS A9541 | $476.00 | $595.00 | $954.49 – $2,404.48 | 2 |
| Tc-99m tilmanocept diag HCPCS A9520 | $3,249.60 | $4,062.00 | $2,361.84 – $2,361.84 | 1 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $195.20 | $244.00 | $46.98 – $218.42 | 26 |
| T cells absolute cd 4 count CPT 86361 | $111.20 | $139.00 | $26.78 – $110.60 | 26 |
| T cells total count CPT 86359 | $157.60 | $197.00 | $37.73 – $170.00 | 26 |
| Telehealth original site facility fee HCPCS Q3014 | $40.00 | $50.00 | $21.20 – $21.20 | 1 |
| Telethx isodose plan cplx CPT 77307 | $4,604.80 | $5,756.00 | $124.95 – $741.03 | 23 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $17,579.80 | $21,974.75 | $203.09 – $28,430.50 | 27 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $627.50 – $1,101.92 | 6 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $19.40 | $24.25 | $2.85 – $22.47 | 9 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $238.40 | $298.00 | $44.55 – $174.84 | 19 |
| Test stress cardiovascular tracing only CPT 93017 | $705.60 | $882.00 | $58.13 – $558.06 | 23 |
| Tetanus immune globulin inj HCPCS J1670 | $3,654.20 | $4,567.75 | $593.00 – $2,015.16 | 27 |
| Theophylline therapeutic drug level CPT 80198 | $59.20 | $74.00 | $11.00 – $58.40 | 26 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $37.60 | $47.00 | $22.76 – $53.10 | 18 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $37.60 | $47.00 | $19.24 – $44.89 | 18 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $120.00 | $150.00 | $3.63 – $12.32 | 9 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,186.40 | $1,483.00 | $110.88 – $1,108.00 | 23 |
| Thrombin time CPT 85670 | $40.80 | $51.00 | $5.77 – $27.17 | 26 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $30.40 | $38.00 | $6.47 – $26.72 | 26 |
| Thyroglobulin antibody CPT 86800 | $66.40 | $83.00 | $15.91 – $65.71 | 26 |
| Thyroid mets imag whole body CPT 78018 | $2,225.60 | $2,782.00 | $70.63 – $2,961.19 | 24 |
| Thyroid (TSH) Test CPT 84443 | $40.00 | $112.00 | $16.80 – $78.91 | 27 |
| Thyroid Ultrasound CPT 76536 | $583.20 | $729.00 | $63.73 – $602.31 | 25 |
| Thyroxine binding globulin (tbg) CPT 84442 | $61.60 | $77.00 | $10.00 – $61.04 | 26 |
| Tissue culture skin/biopsy CPT 88233 | $591.20 | $739.00 | $140.73 – $642.60 | 26 |
| Tissue exam koh skin/hair/nails CPT 87220 | $17.60 | $22.00 | $3.90 – $17.64 | 26 |
| Tissue transglutaminase iga CPT 86364 | $48.00 | $60.00 | $5.77 – $47.62 | 22 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $970.00 – $1,101.92 | 6 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $970.00 – $1,101.92 | 6 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $970.00 – $1,101.92 | 6 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $516.60 | $645.75 | $2.37 – $7.87 | 9 |
| Tobramycin peak therapeutic drug level CPT 80200 | $67.20 | $84.00 | $16.13 – $66.62 | 26 |
| Tomosynthesis breast screen bilateral CPT 77063 | $88.80 | $111.00 | $21.59 – $149.70 | 25 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $875.00 – $1,101.92 | 6 |
| Total Hip Replacement CPT 27130 | not published | not published | $970.00 – $1,101.92 | 6 |
| Total Knee Replacement CPT 27447 | not published | not published | $970.00 – $1,101.92 | 6 |
| Toxoplasma antibody igg CPT 86777 | $60.00 | $75.00 | $14.39 – $67.42 | 26 |
| Toxoplasma antibody igm CPT 86778 | $60.00 | $75.00 | $14.41 – $67.66 | 26 |
| Tpmt gene com vrnts CPT 81335 | $376.00 | $470.00 | $87.41 – $721.97 | 21 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | $1,532.00 | $1,915.00 | $143.49 – $912.63 | 23 |
| Transferrin CPT 84466 | $50.00 | $65.00 | $12.76 – $57.80 | 27 |
| Transfusion blood/blood component(s) CPT 36430 | $1,714.40 | $2,143.00 | $34.80 – $783.48 | 23 |
| Transplant hand tendon CPT 26480 | not published | not published | $970.00 – $1,101.92 | 6 |
| Treat finger fracture each CPT 26727 | not published | not published | $970.00 – $1,125.00 | 6 |
| Treat finger fracture each CPT 26742 | $2,567.20 | $3,209.00 | $91.88 – $249.90 | 7 |
| Treat fracture of radius CPT 25505 | $864.00 | $1,080.00 | $181.25 – $493.00 | 7 |
| Treat humerus fracture CPT 24516 | not published | not published | $970.00 – $1,101.92 | 6 |
| Treat humerus fracture CPT 24565 | $557.60 | $697.00 | $216.88 – $589.90 | 7 |
| Treat humerus fracture CPT 24575 | not published | not published | $970.00 – $1,101.92 | 6 |
| Treat kneecap fracture CPT 27524 | not published | not published | $970.00 – $1,101.92 | 6 |
| Treat knee fracture CPT 27536 | not published | not published | $970.00 – $1,967.35 | 21 |
| Treat knee fracture 27530 CPT 27530 | $701.60 | $877.00 | $160.63 – $436.90 | 23 |
| Treat lower leg bone lesion CPT 27607 | not published | not published | $970.00 – $1,101.92 | 6 |
| Treat lower leg joint CPT 27829 | not published | not published | $970.00 – $1,101.92 | 6 |
| Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah) CPT 25608 | not published | not published | $970.00 – $1,101.92 | 6 |
| Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah) CPT 25609 | not published | not published | $970.00 – $1,101.92 | 6 |
| Treatment fx radial distal open w/internal fixation left (restricted method ii cah) CPT 25607 | not published | not published | $970.00 – $1,101.92 | 6 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | not published | not published | $970.00 – $1,101.92 | 6 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $692.80 | $866.00 | $32.13 – $231.00 | 23 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $692.80 | $866.00 | $12.25 – $13.92 | 6 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $239.20 | $299.00 | $101.70 – $364.49 | 19 |
| Treatment missed abortion completed surgically 1st trimester CPT 59820 | not published | not published | $731.25 – $1,101.92 | 6 |
| Treatment of ankle fracture CPT 27792 | not published | not published | $970.00 – $1,101.92 | 6 |
| Treatment of ankle fracture CPT 27814 | not published | not published | $970.00 – $1,101.92 | 6 |
| Treatment of ankle fracture CPT 27822 | not published | not published | $970.00 – $1,101.92 | 6 |
| Treatment of ankle fracture 27786 CPT 27786 | $621.60 | $777.00 | $148.13 – $429.89 | 23 |
| Treatment of heel fracture 28400 CPT 28400 | $739.20 | $924.00 | $175.00 – $476.00 | 23 |
| Treatment of thigh fracture CPT 27508 | $784.00 | $980.00 | $245.65 – $831.30 | 23 |
| Treatment of toe fracture 28510 CPT 28510 | $612.00 | $765.00 | $61.25 – $429.89 | 20 |
| Treatment of urethra lesion CPT 53260 | not published | not published | $921.25 – $1,101.92 | 6 |
| Treat metacarpal fracture CPT 26615 | not published | not published | $970.00 – $1,101.92 | 6 |
| Treat metatarsal fracture CPT 28485 | not published | not published | $970.00 – $1,101.92 | 6 |
| Treat thigh fracture CPT 27230 | $1,828.00 | $2,285.00 | $245.65 – $892.50 | 23 |
| Treat thigh fracture CPT 27246 | $451.20 | $564.00 | $140.00 – $429.89 | 23 |
| Treat toe dislocation CPT 28666 | not published | not published | $970.00 – $1,140.00 | 6 |
| Treat toe fracture CPT 28525 | not published | not published | $970.00 – $1,101.92 | 6 |
| Treat ulnar fracture CPT 24675 | $335.20 | $419.00 | $228.13 – $620.50 | 7 |
| Treponema pallidum antibody CPT 86780 | $55.20 | $69.00 | $13.24 – $54.68 | 26 |
| Treprostinil injection HCPCS J3285 | $25,833.40 | $32,291.75 | $64.51 – $39,781.00 | 27 |
| Trg gene rearrangement anal CPT 81342 | $838.40 | $1,048.00 | $100.75 – $832.20 | 22 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $134.00 | $167.50 | $0.84 – $3.05 | 9 |
| Triglycerides CPT 84478 | $24.00 | $30.00 | $5.74 – $24.45 | 26 |
| Trimethobenzamide hcl inj HCPCS J3250 | $538.20 | $672.75 | $55.42 – $175.14 | 9 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | $804.00 | $1,005.00 | $245.65 – $793.90 | 23 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | 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.