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 |
|---|---|---|---|---|
| Application of paste boot 29580 CPT 29580 | $175.20 | $219.00 | $78.90 – $282.78 | 19 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $103.20 | $129.00 | $5.84 – $56.80 | 23 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $189.60 | $237.00 | $11.22 – $56.80 | 23 |
| Appl unipln uni ext fixj sys CPT 20690 | not published | not published | $970.00 – $1,101.92 | 6 |
| Aquaporin-4 antibody cba each CPT 86052 | $52.80 | $66.00 | $9.64 – $49.77 | 26 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $118.40 | $148.00 | $32.64 – $61.29 | 23 |
| Argatroban nonesrd use 1mg HCPCS J0883 | $694.60 | $868.25 | $0.94 – $166.25 | 27 |
| Arterial blood draw/perc 36620 CPT 36620 | $1,788.00 | $2,235.00 | $59.48 – $67.56 | 6 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $6,960.00 | $8,700.00 | $28.13 – $17,462.81 | 8 |
| Arthrd ant ntrbdy cervical CPT 22551 | not published | not published | $970.00 – $1,101.92 | 6 |
| Arthrd cmbn 1ntrspc lumbar CPT 22633 | not published | not published | $970.00 – $1,101.92 | 6 |
| Arthrd pst tq 1ntrspc lum CPT 22630 | not published | not published | $970.00 – $1,101.92 | 5 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $560.80 | $701.00 | $26.88 – $529.01 | 23 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $959.20 | $1,199.00 | $52.94 – $1,241.07 | 23 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $1,244.80 | $1,556.00 | $62.27 – $529.01 | 23 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $526.40 | $658.00 | $22.50 – $529.01 | 23 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $660.00 | $825.00 | $29.38 – $529.01 | 23 |
| Arthrodesis subtalar CPT 28725 | not published | not published | $970.00 – $1,101.92 | 6 |
| Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 | not published | not published | $970.00 – $1,101.92 | 6 |
| Arthrp ntrcrp/crp/mtcr ntrps CPT 25447 | not published | not published | $970.00 – $1,101.92 | 6 |
| Arthrp ntrcrpl/crp/mtcrp ssp CPT 25448 | not published | not published | $970.00 – $1,101.92 | 6 |
| Arthrs kne srg drlg ost diss CPT 29885 | not published | not published | $970.00 – $1,101.92 | 6 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | not published | not published | $970.00 – $1,101.92 | 6 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $968.00 | $1,210.00 | $74.73 – $1,260.91 | 23 |
| Aspir/inj thyroid cyst 60300 CPT 60300 | $1,200.00 | $1,500.00 | $46.01 – $1,260.91 | 23 |
| Assay alkaline phosphatase CPT 84078 | $34.40 | $43.00 | $6.20 – $34.11 | 21 |
| Assay dir meas fr estradiol CPT 82681 | $114.40 | $143.00 | $20.96 – $115.39 | 21 |
| Assay of interleukin-6 (il-6) CPT 83529 | $70.40 | $88.00 | $12.95 – $71.33 | 21 |
| Assay of leflunomide CPT 80193 | $86.40 | $108.00 | $19.13 – $159.29 | 22 |
| Assay of procainamide w/metab CPT 80192 | $69.60 | $87.00 | $16.75 – $69.18 | 26 |
| Assay of urine sulfate CPT 84392 | $22.40 | $28.00 | $2.75 – $22.67 | 22 |
| Ast/sgot CPT 84450 | $21.60 | $27.00 | $5.18 – $24.24 | 26 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $126.60 | $158.25 | $7.00 – $38.50 | 9 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | not published | not published | $970.00 – $1,101.92 | 6 |
| Av fusion direct any site CPT 36821 | not published | not published | $970.00 – $1,101.92 | 6 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $201.60 | $252.00 | $32.19 – $2,638.40 | 23 |
| Azathioprine 50 mg tablet HCPCS J7500 | $1.00 | $1.25 | $0.06 – $6.85 | 9 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $23.40 | $29.25 | $2.04 – $8.35 | 9 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $541.80 | $677.25 | $25.33 – $86.80 | 9 |
| Baclofen eval charges CPT 97750 | $138.40 | $173.00 | $31.95 – $56.95 | 23 |
| Bacterial meningitis antigen CPT 86403 | $48.00 | $60.00 | $11.54 – $47.87 | 26 |
| Bacterial vaginosis pcr CPT 87801 | $292.00 | $365.00 | $38.80 – $289.93 | 26 |
| #bac vag cand-c. albicans naa CPT 87481 | $140.00 | $175.00 | $35.09 – $144.92 | 26 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | not published | not published | $935.00 – $1,101.92 | 6 |
| B cells total count CPT 86355 | $157.60 | $197.00 | $37.73 – $155.82 | 26 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $239.40 | $299.25 | $30.65 – $117.39 | 9 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $105.60 | $132.00 | $25.45 – $105.11 | 26 |
| Beta-2 microglobulin CPT 82232 | $67.20 | $84.00 | $16.18 – $66.82 | 26 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $358.00 | $447.50 | $69.56 – $239.75 | 9 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | $5,796.40 | $7,245.50 | $30.38 – $942.90 | 27 |
| B-hexosaminidase ea assay CPT 83080 | $69.60 | $87.00 | $12.65 – $69.67 | 21 |
| Bilateral n block inj occipital 64405 CPT 64405 | $1,019.20 | $1,274.00 | $43.75 – $529.01 | 23 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $1,014.40 | $1,268.00 | $16.25 – $529.01 | 23 |
| Bilicheck CPT 88720 | $24.80 | $31.00 | $5.02 – $20.73 | 26 |
| Bilirubin direct CPT 82248 | $24.80 | $31.00 | $5.02 – $23.56 | 26 |
| Bilirubin total CPT 82247 | $10.00 | $31.00 | $5.02 – $23.56 | 26 |
| Binder abdominal lg 12 x 62-74 HCPCS L0625 | $80.80 | $101.00 | $36.56 – $117.71 | 19 |
| Biopsy abdominal mass CPT 49180 | $1,651.20 | $2,064.00 | $101.21 – $275.30 | 7 |
| Biopsy bone trocar/needle superficial CPT 20220 | $1,493.60 | $1,867.00 | $78.75 – $214.20 | 7 |
| Biopsy forearm soft tissues CPT 25066 | not published | not published | $970.00 – $1,101.92 | 6 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $1,452.80 | $1,816.00 | $79.15 – $215.29 | 7 |
| Biopsy muscle percutaneous needle CPT 20206 | $1,651.20 | $2,064.00 | $70.49 – $191.73 | 7 |
| Biopsy needle liver percutaneous CPT 47000 | $2,092.80 | $2,616.00 | $112.06 – $304.81 | 7 |
| Biopsy needle lymph node superficial CPT 38505 | $2,092.80 | $2,616.00 | $84.28 – $229.26 | 7 |
| Biopsy of prostate CPT 55700 | not published | not published | $970.00 – $1,101.92 | 6 |
| Biopsy of rectum wall anal approach 45100 CPT 45100 | not published | not published | $723.75 – $1,101.92 | 6 |
| Biopsy of salivary gland 42400 CPT 42400 | $1,200.00 | $1,500.00 | $43.75 – $1,260.91 | 23 |
| Biopsy of wrist joint CPT 25100 | not published | not published | $970.00 – $1,101.92 | 6 |
| Biopsy/removal lymph nodes CPT 38525 | not published | not published | $970.00 – $1,101.92 | 6 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $1,321.60 | $1,652.00 | $171.39 – $466.17 | 7 |
| Bivalirudin HCPCS J0583 | $1,366.60 | $1,708.25 | $42.25 – $136.00 | 9 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $475.20 | $594.00 | $35.88 – $435.86 | 23 |
| Bld prd mix CPT 86965 | $653.60 | $817.00 | $128.52 – $488.22 | 19 |
| Blood Clotting (PT/INR) Test CPT 85610 | $15.00 | $34.00 | $4.00 – $17.72 | 27 |
| Blood Clotting (PTT) Test CPT 85730 | $30.00 | $40.00 | $6.01 – $25.50 | 26 |
| Blood Count (CBC) Test CPT 85025 | $15.00 | $55.00 | $6.00 – $32.09 | 27 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $15.00 | $45.00 | $6.47 – $26.72 | 27 |
| Blood Culture Test CPT 87040 | $42.40 | $53.00 | $10.32 – $47.60 | 26 |
| Blood draw capillary 36416 CPT 36416 | $19.20 | $24.00 | $26.52 – $26.52 | 1 |
| Blood gases o2 saturation direct measurement CPT 82805 | $331.20 | $414.00 | $38.86 – $325.32 | 26 |
| Blood gases ph venous CPT 82800 | $44.80 | $56.00 | $11.00 – $45.43 | 26 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $36.00 | $65.00 | $18.05 – $65.75 | 26 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $16.80 | $21.00 | $3.63 – $17.47 | 26 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $15.00 | $22.00 | $3.47 – $18.09 | 26 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $21.60 | $27.00 | $3.63 – $21.97 | 26 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $17.60 | $22.00 | $3.80 – $15.69 | 26 |
| Blood split unit HCPCS P9011 | $1,639.20 | $2,049.00 | $106.35 – $248.15 | 18 |
| Blood typing abo CPT 86900 | $146.00 | $242.00 | $4.12 – $231.00 | 26 |
| Blood typing ag donor ea ag CPT 86902 | $202.40 | $253.00 | $2.82 – $644.65 | 26 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $257.60 | $322.00 | $3.28 – $644.65 | 26 |
| Blood typing rh (d) CPT 86901 | $43.00 | $88.00 | $4.17 – $70.33 | 26 |
| Blood typing rh phenotype complete reference CPT 86906 | $141.60 | $177.00 | $10.50 – $70.33 | 26 |
| Bone biopsy open superficial CPT 20240 | not published | not published | $970.00 – $1,306.25 | 6 |
| Bone Density Scan (DEXA) CPT 77080 | $237.00 | $627.00 | $64.92 – $602.31 | 25 |
| Bone imaging multiple areas CPT 78305 | $1,713.60 | $2,142.00 | $62.50 – $2,259.58 | 24 |
| Bone/joint imaging ltd area CPT 78300 | $1,713.60 | $2,142.00 | $51.88 – $2,259.58 | 24 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $1,321.60 | $1,652.00 | $87.27 – $237.39 | 7 |
| Bone marrow imaging ltd CPT 78102 | $1,713.60 | $2,142.00 | $48.75 – $2,259.58 | 24 |
| Bone marrow interpretation CPT 85097 | $3,230.40 | $4,038.00 | $19.20 – $2,457.87 | 26 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $70.40 | $88.00 | $17.03 – $80.04 | 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.