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 |
|---|---|---|---|---|
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $231.20 | $289.00 | $11.25 – $497.84 | 25 |
| X-ray foot 2 views (both sides) CPT 73620 | $224.00 | $280.00 | $12.50 – $497.84 | 25 |
| X-ray forearm 2 views (both sides) CPT 73090 | $259.20 | $324.00 | $14.38 – $497.84 | 25 |
| X-ray hand 2 views (both sides) CPT 73120 | $280.00 | $350.00 | $12.50 – $602.31 | 25 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $236.00 | $295.00 | $14.38 – $497.84 | 25 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $434.40 | $543.00 | $34.60 – $602.31 | 25 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $501.60 | $627.00 | $25.97 – $602.31 | 25 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $501.60 | $627.00 | $31.28 – $602.31 | 25 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $474.40 | $593.00 | $37.61 – $602.31 | 25 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $274.40 | $343.00 | $18.65 – $497.84 | 25 |
| X-ray humerus >= 2 views left CPT 73060 | $266.40 | $333.00 | $14.38 – $497.84 | 25 |
| X-ray joint survey 1 view CPT 77077 | $232.00 | $290.00 | $29.15 – $602.31 | 24 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $262.40 | $328.00 | $20.63 – $497.84 | 25 |
| X-ray knee 3 views (both sides) CPT 73562 | $333.60 | $417.00 | $20.63 – $497.84 | 25 |
| X-ray knee ap standing bilateral CPT 73565 | $261.60 | $327.00 | $21.70 – $497.84 | 25 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $313.60 | $392.00 | $20.63 – $497.84 | 25 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $280.00 | $350.00 | $26.25 – $602.31 | 25 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $526.40 | $658.00 | $28.13 – $602.31 | 25 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $659.20 | $824.00 | $26.25 – $602.31 | 25 |
| X-ray mandible complete > 4 views CPT 70110 | $312.00 | $390.00 | $20.63 – $602.31 | 25 |
| X-ray nasal bones complete > 3 views CPT 70160 | $289.60 | $362.00 | $14.38 – $497.84 | 25 |
| X-ray neck soft tissue CPT 70360 | $280.00 | $350.00 | $12.50 – $497.84 | 25 |
| X-ray nose to rectum for foreign body child CPT 76010 | $261.60 | $327.00 | $10.88 – $497.84 | 24 |
| X-ray pelvis 1-2 views CPT 72170 | $294.40 | $368.00 | $12.50 – $602.31 | 25 |
| X-ray pelvis complete > 3 views CPT 72190 | $334.40 | $418.00 | $26.25 – $602.31 | 25 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $599.20 | $749.00 | $28.13 – $2,106.92 | 24 |
| X-ray ribs 2 views left CPT 71100 | $352.80 | $441.00 | $20.63 – $497.84 | 25 |
| X-ray ribs 3 views bilateral CPT 71110 | $501.60 | $627.00 | $20.63 – $602.31 | 25 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $417.60 | $522.00 | $20.63 – $602.31 | 25 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $501.60 | $627.00 | $20.63 – $602.31 | 25 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $312.00 | $390.00 | $20.63 – $602.31 | 25 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $308.00 | $385.00 | $20.63 – $497.84 | 25 |
| X-ray scapula complete (both sides) CPT 73010 | $336.00 | $420.00 | $20.63 – $602.31 | 25 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $177.60 | $222.00 | $18.14 – $497.84 | 25 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $501.60 | $627.00 | $28.13 – $497.84 | 25 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $1,128.00 | $1,410.00 | $20.63 – $3,022.37 | 24 |
| X-ray skull < 4 views CPT 70250 | $375.20 | $469.00 | $26.25 – $602.31 | 25 |
| X-ray skull > 4 views complete CPT 70260 | $375.20 | $469.00 | $34.36 – $602.31 | 25 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $694.40 | $868.00 | $28.13 – $1,006.60 | 24 |
| X-ray small intestine follow-through study CPT 74248 | $1,380.80 | $1,726.00 | $44.99 – $90.97 | 6 |
| X-ray spine single view CPT 72020 | $134.40 | $168.00 | $18.08 – $497.84 | 25 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $224.00 | $280.00 | $14.38 – $497.84 | 25 |
| X-ray sternum > 2 views CPT 71120 | $224.00 | $280.00 | $14.38 – $497.84 | 25 |
| X-ray surgical specimen CPT 76098 | $446.40 | $558.00 | $13.27 – $3,022.37 | 24 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $590.40 | $738.00 | $35.00 – $1,006.60 | 24 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $232.00 | $290.00 | $20.63 – $497.84 | 25 |
| X-ray thoracic spine 2 views CPT 72070 | $200.00 | $250.00 | $25.24 – $602.31 | 25 |
| X-ray thoracic spine 3 views CPT 72072 | $212.00 | $265.00 | $26.88 – $602.31 | 25 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $261.60 | $327.00 | $20.63 – $497.84 | 25 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $372.80 | $466.00 | $23.64 – $497.84 | 25 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $501.60 | $627.00 | $42.92 – $602.31 | 25 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $305.60 | $382.00 | $20.63 – $497.84 | 25 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $280.00 | $350.00 | $11.25 – $497.84 | 25 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $811.20 | $1,014.00 | $50.00 – $1,006.60 | 24 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $811.20 | $1,014.00 | $48.75 – $1,006.60 | 24 |
| X-ray wrist 2 views (both sides) CPT 73100 | $256.00 | $320.00 | $14.38 – $497.84 | 25 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $135.60 | $169.50 | $6.52 – $41.50 | 9 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $122.40 | $153.00 | $20.22 – $133.28 | 9 |
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.