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 |
|---|---|---|---|---|
| Troponin quantitative CPT 84484 | $61.60 | $77.00 | $9.87 – $51.50 | 26 |
| Tx closed tib shaft fx without manip CPT 27750 | $688.80 | $861.00 | $178.13 – $484.50 | 23 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $656.00 | $820.00 | $142.50 – $429.89 | 23 |
| Tympanic membrane repair CPT 69610 | not published | not published | $970.00 – $1,101.92 | 6 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $501.60 | $627.00 | $62.64 – $602.31 | 25 |
| Ultrasound breast complete CPT 76641 | $540.80 | $676.00 | $103.61 – $602.31 | 25 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $492.00 | $615.00 | $51.17 – $497.84 | 25 |
| Ultrasound chest CPT 76604 | $480.00 | $600.00 | $58.65 – $602.31 | 25 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $316.80 | $396.00 | $26.91 – $602.31 | 24 |
| Ultrasound dx ophth b-scan CPT 76512 | $430.40 | $538.00 | $45.65 – $602.31 | 24 |
| Ultrasound elastography parenchyma CPT 76981 | $249.60 | $312.00 | $53.17 – $602.31 | 21 |
| Ultrasound encephalogram CPT 76506 | $588.80 | $736.00 | $59.38 – $602.31 | 25 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $544.00 | $680.00 | $79.36 – $602.31 | 25 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $501.60 | $627.00 | $60.85 – $602.31 | 24 |
| Ultrasound guidance for vascular access CPT 76937 | $504.00 | $630.00 | $15.77 – $36.25 | 6 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $780.80 | $976.00 | $54.00 – $102.24 | 6 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $468.00 | $585.00 | $9.82 – $602.31 | 25 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $317.60 | $397.00 | $27.48 – $191.00 | 7 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $1,104.80 | $1,381.00 | $114.27 – $1,342.45 | 24 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $789.60 | $987.00 | $49.73 – $602.31 | 25 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $544.00 | $680.00 | $48.75 – $602.31 | 25 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $652.80 | $816.00 | $66.28 – $602.31 | 25 |
| Ultrasound retroperitoneal limited CPT 76775 | $612.80 | $766.00 | $61.25 – $602.31 | 25 |
| Ultrasound scrotum and contents CPT 76870 | $617.60 | $772.00 | $55.00 – $602.31 | 25 |
| Ultrasound spinal canal and contents CPT 76800 | $501.60 | $627.00 | $63.73 – $602.31 | 25 |
| Ultrasound transabd ea addl gest CPT 76812 | $315.20 | $394.00 | $56.52 – $154.06 | 6 |
| Ultrasound transvaginal non obstetric CPT 76830 | $592.00 | $740.00 | $58.13 – $602.31 | 24 |
| Unlistd noninvas vasc dx std CPT 93998 | $439.20 | $549.00 | $18.37 – $43.89 | 18 |
| Unlisted CT procedure CPT 76497 | $1,177.60 | $1,472.00 | $66.04 – $497.84 | 19 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $21.56 – $1,101.92 | 22 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | not published | $970.00 – $1,101.92 | 6 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | not published | not published | $970.00 – $1,101.92 | 5 |
| Unlisted mr procedure CPT 76498 | $400.00 | $500.00 | $66.04 – $497.84 | 19 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $245.65 – $1,101.92 | 21 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $245.65 – $1,101.92 | 21 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $245.65 – $1,101.92 | 21 |
| Unlisted px small intestine CPT 44799 | not published | not published | $960.12 – $1,680.21 | 21 |
| Unlisted transfusion med px CPT 86999 | $208.80 | $261.00 | $18.37 – $85.11 | 19 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $684.00 | $855.00 | $349.86 – $1,253.98 | 19 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $700.50 | $2,646.00 | $336.25 – $2,106.92 | 25 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $633.50 | $2,350.00 | $336.25 – $2,106.92 | 25 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $454.00 | $2,225.00 | $234.00 – $1,342.45 | 25 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $357.50 – $1,680.21 | 22 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $351.25 – $1,680.21 | 22 |
| Urea nitrogen CPT 84520 | $16.00 | $20.00 | $3.95 – $18.50 | 26 |
| Urea nitrogen 24 hour urine CPT 84540 | $23.20 | $29.00 | $4.17 – $22.96 | 21 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $672.00 | $840.00 | $28.13 – $1,342.45 | 24 |
| Urethrocystography void s&i CPT 74455 | $600.00 | $750.00 | $34.38 – $1,342.45 | 24 |
| Uric acid blood CPT 84550 | $15.00 | $24.00 | $4.52 – $21.22 | 26 |
| Uric acid urine CPT 84560 | $20.80 | $26.00 | $4.50 – $20.98 | 26 |
| Urinalysis microscopic only CPT 81015 | $12.00 | $15.00 | $2.71 – $12.60 | 26 |
| Urinalysis (with microscopy) CPT 81001 | $10.00 | $20.00 | $3.00 – $13.09 | 27 |
| Urinalysis (without microscopy) CPT 81003 | $10.00 | $11.00 | $2.25 – $10.54 | 26 |
| Urine Culture Test CPT 87086 | $25.00 | $41.00 | $8.00 – $33.33 | 27 |
| Urine pregnancy test CPT 81025 | $35.20 | $44.00 | $4.00 – $35.56 | 26 |
| Urography, antegrade CPT 74425 | $531.20 | $664.00 | $28.13 – $2,106.92 | 24 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $690.40 | $863.00 | $12.50 – $269.75 | 10 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $222.20 | $277.75 | $12.50 – $109.41 | 10 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $531.80 | $664.75 | $12.50 – $298.41 | 9 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $119.60 | $149.50 | $12.50 – $77.35 | 10 |
| Vaccine mmr live subcutaneous CPT 90707 | $199.00 | $248.75 | $12.50 – $373.17 | 8 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $1,742.00 | $2,177.50 | $12.50 – $1,076.43 | 10 |
| Vaccine rabies im CPT 90675 | $1,222.20 | $1,527.75 | $12.50 – $1,622.53 | 27 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $750.80 | $938.50 | $12.50 – $2,180.05 | 8 |
| Vaccine tdap >=7 years im CPT 90715 | $385.80 | $482.25 | $12.50 – $191.10 | 9 |
| Vaccine varicella live subcutaneous CPT 90716 | $1,154.40 | $1,443.00 | $12.50 – $717.36 | 8 |
| Vag hyst including t/o CPT 58262 | not published | not published | $970.00 – $1,101.92 | 6 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $970.00 – $1,101.92 | 6 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $970.00 – $1,101.92 | 6 |
| Valproic acid total therapeutic drug level CPT 80164 | $56.80 | $71.00 | $13.54 – $63.65 | 26 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $1,396.00 | $1,745.00 | $1.50 – $4.80 | 8 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $179.40 | $224.25 | $4.50 – $48.00 | 8 |
| Vancomycin peak therapeutic drug level CPT 80202 | $55.20 | $69.00 | $13.54 – $63.65 | 26 |
| Varicella zoster antibody igg CPT 86787 | $53.60 | $67.00 | $12.88 – $60.55 | 26 |
| Vasectomy CPT 55250 | not published | not published | $970.00 – $1,101.92 | 6 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $232.20 | $290.25 | $18.52 – $99.40 | 9 |
| Ven blood coll snf/hha HCPCS G0471 | $20.00 | $25.00 | $8.32 – $19.41 | 18 |
| Venogram ext bil s&i CPT 75822 | $4,980.00 | $6,225.00 | $28.13 – $8,774.10 | 8 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $3,320.00 | $4,150.00 | $28.13 – $8,774.10 | 8 |
| Ventilator each subsequent day CPT 94003 | $3,471.20 | $4,339.00 | $59.73 – $1,184.77 | 19 |
| Ventilator initial day CPT 94002 | $3,613.60 | $4,517.00 | $82.19 – $1,184.77 | 19 |
| Version cephalic external CPT 59412 | $848.00 | $1,060.00 | $1,589.77 – $2,384.65 | 2 |
| Very long chain fatty acids CPT 82726 | $82.40 | $103.00 | $19.75 – $81.57 | 26 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | $139.20 | $174.00 | $16.32 – $57.40 | 9 |
| Vital capacity test CPT 94150 | $226.40 | $283.00 | $3.00 – $280.39 | 23 |
| Vitamin b-12 CPT 82607 | $40.00 | $77.00 | $13.00 – $62.28 | 27 |
| Vitamin D Test CPT 82306 | $100.00 | $151.00 | $29.60 – $139.09 | 27 |
| Vulvectomy simple partial CPT 56620 | not published | not published | $970.00 – $1,101.92 | 6 |
| Warde 1003990 aldosterone CPT 82088 | $166.40 | $208.00 | $26.00 – $168.30 | 26 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $116.00 | $145.00 | $13.90 – $114.81 | 22 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $54.40 | $68.00 | $12.90 – $53.28 | 26 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $104.80 | $131.00 | $22.00 – $104.28 | 26 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $64.80 | $81.00 | $12.00 – $64.02 | 26 |
| Warde 1015200 kappa light chain free CPT 83521 | $71.20 | $89.00 | $13.82 – $71.33 | 26 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $32.80 | $41.00 | $8.02 – $38.08 | 26 |
| Warde 3008005 oligoclonal bands CPT 83916 | $112.00 | $140.00 | $15.00 – $113.12 | 26 |
| Warde 3016000 west nile virus antibody CPT 86788 | $69.60 | $87.00 | $16.85 – $69.59 | 26 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $60.00 | $75.00 | $14.39 – $59.43 | 26 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $50.40 | $63.00 | $9.19 – $50.59 | 21 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $37.60 | $47.00 | $7.50 – $36.76 | 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.