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 |
|---|---|---|---|---|
| Borrelia miyamotoi amp prb CPT 87478 | $162.40 | $203.00 | $28.07 – $144.92 | 26 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $6,469.00 | $8,086.25 | $57.75 – $306.25 | 9 |
| (both sides) smear without diff wbc count CPT 85008 | $17.60 | $22.00 | $3.43 – $14.17 | 26 |
| Bowel imaging CPT 78290 | $1,713.60 | $2,142.00 | $56.25 – $2,259.58 | 24 |
| Brain flow imaging only CPT 78610 | $2,204.00 | $2,755.00 | $42.50 – $2,961.19 | 24 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $734.50 | $2,646.00 | $365.72 – $2,106.92 | 25 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $473.50 | $2,225.00 | $247.54 – $1,342.45 | 25 |
| Brain MRI (with and without contrast) CPT 70553 | $701.50 | $2,646.00 | $336.25 – $2,106.92 | 25 |
| Brain MRI (with contrast) CPT 70552 | $635.50 | $2,350.00 | $336.25 – $2,106.92 | 25 |
| Brain MRI (without contrast) CPT 70551 | $455.00 | $2,225.00 | $247.54 – $1,342.45 | 25 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $1,553.60 | $1,942.00 | $173.61 – $472.23 | 7 |
| Breast punct aspir cyst, bil CPT 19000 | $550.40 | $688.00 | $45.63 – $1,260.91 | 23 |
| Bronchial allergy tests CPT 95070 | $1,246.40 | $1,558.00 | $26.88 – $950.90 | 23 |
| Bronchial challenge CPT 94070 | $1,246.40 | $1,558.00 | $14.25 – $558.06 | 23 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | $1,023.20 | $1,279.00 | $197.26 – $536.55 | 7 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $46.40 | $58.00 | $0.73 – $3.99 | 24 |
| Bundled special stain group 1 microorganisms CPT 88312 | $210.40 | $263.00 | $54.72 – $442.41 | 26 |
| Bundled special stain group 2 CPT 88313 | $144.00 | $180.00 | $51.01 – $320.78 | 26 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $40.80 | $51.00 | $0.50 – $1.75 | 9 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $127.20 | $159.00 | $10.48 – $39.11 | 9 |
| Bx bone trocar/ndl deep CPT 20225 | $2,640.80 | $3,301.00 | $122.50 – $333.20 | 7 |
| Bx breast 1st lesion strtctc CPT 19081 | $1,493.60 | $1,867.00 | $185.38 – $504.22 | 7 |
| Bx breast add lesion strtctc CPT 19082 | $867.20 | $1,084.00 | $87.85 – $99.94 | 6 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $858.40 | $1,073.00 | $82.65 – $93.89 | 6 |
| Bx breast pq tomo guide CPT 19499 | $1,493.60 | $1,867.00 | $2,871.96 – $2,871.96 | 1 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | not published | not published | $970.00 – $1,101.92 | 6 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | not published | not published | $928.75 – $1,101.92 | 6 |
| Bx pancreas pq ndl CPT 48102 | $2,881.60 | $3,602.00 | $289.17 – $786.56 | 3 |
| Bx perianal mass CPT 46999 | not published | not published | $933.65 – $1,633.89 | 21 |
| Bx pleura pq ndl CPT 32400 | $2,664.00 | $3,330.00 | $101.30 – $275.54 | 7 |
| Bx soft tissue back/flank supf 21920 CPT 21920 | not published | not published | $970.00 – $1,101.92 | 6 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $633.60 | $792.00 | $81.88 – $1,260.91 | 23 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | $861.60 | $1,077.00 | $69.39 – $1,560.46 | 23 |
| C1 esterase inhibitor func - sendout CPT 86161 | $49.60 | $62.00 | $12.00 – $56.41 | 26 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $3,341.00 | $4,176.25 | $484.97 – $5,355.00 | 19 |
| Calcium 24 hour urine CPT 82340 | $24.80 | $31.00 | $6.03 – $27.20 | 26 |
| Calcium chloride 100 mg/ml (10 %) intravenous syringe HCPCS J0618 | $137.20 | $171.50 | $64.00 – $64.00 | 1 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $114.60 | $143.25 | $3.90 – $17.50 | 9 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $184.20 | $230.25 | $7.80 – $28.00 | 9 |
| Calcium ionized CPT 82330 | $55.20 | $69.00 | $8.85 – $56.50 | 26 |
| Calcium total CPT 82310 | $21.60 | $27.00 | $5.16 – $24.17 | 26 |
| Calprotectin fecal CPT 83993 | $80.00 | $100.00 | $19.63 – $81.07 | 26 |
| Canthotomy 67715 CPT 67715 | $3,981.60 | $4,977.00 | $107.66 – $292.84 | 3 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | not published | not published | $970.00 – $1,101.92 | 6 |
| Carbamazepine free CPT 80157 | $55.20 | $69.00 | $10.99 – $54.72 | 26 |
| Carbamazepine free -sendout CPT 80161 | $77.60 | $97.00 | $13.98 – $76.98 | 22 |
| Carbamazepine total therapeutic drug level CPT 80156 | $60.80 | $76.00 | $14.57 – $62.90 | 26 |
| Carbohydrate deficient transf - sendout CPT 82373 | $75.20 | $94.00 | $7.96 – $74.59 | 26 |
| Carbon dioxide CPT 82374 | $19.20 | $24.00 | $4.88 – $22.85 | 26 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $334.20 | $417.75 | $26.28 – $123.06 | 9 |
| Carboprost tromethamine 250 mcg/ml intramuscular solution HCPCS J0675 | $1,764.00 | $2,205.00 | $60.20 – $178.68 | 18 |
| Carboxyhemoglobin quantitative CPT 82375 | $52.00 | $65.00 | $5.60 – $50.88 | 26 |
| Carcinoembryonic ag (cea) CPT 82378 | $65.00 | $99.00 | $17.00 – $78.30 | 26 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $4,720.00 | $5,900.00 | $237.74 – $7,779.35 | 24 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $276.00 | $345.00 | $48.86 – $225.65 | 22 |
| Cardiolipin antibody iga CPT 86147 | $105.60 | $132.00 | $25.45 – $119.54 | 26 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $1,464.80 | $1,831.00 | $108.75 – $1,172.71 | 23 |
| Carotene CPT 82380 | $38.40 | $48.00 | $9.22 – $38.08 | 26 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $1,321.60 | $1,652.00 | $149.17 – $502.72 | 23 |
| Carpal Tunnel Release Surgery CPT 64721 | not published | not published | $830.00 – $1,101.92 | 6 |
| Car seat/bed test 60 minutes CPT 94780 | $219.20 | $274.00 | $29.44 – $70.33 | 18 |
| Car seat/bed test additional 30 minutes CPT 94781 | $55.20 | $69.00 | $5.70 – $5.70 | 1 |
| Cataract Surgery CPT 66984 | not published | not published | $970.00 – $2,067.50 | 6 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $36.00 | $45.00 | $6.82 – $26.49 | 19 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | $18,341.60 | $22,927.00 | $2,412.31 – $3,216.41 | 2 |
| Cath plc art/angio/rt hrt cath CPT 93456 | $21,007.20 | $26,259.00 | $2,412.31 – $3,216.41 | 2 |
| Cath plc art/grft/angio right hrt CPT 93457 | $24,028.00 | $30,035.00 | $2,412.31 – $3,216.41 | 2 |
| Cath ptca pcltxl agent 3x20mm HCPCS C9610 | $17,176.00 | $21,470.00 | $4,336.94 – $7,589.65 | 17 |
| Cath right heart w/o2 sat & card CPT 93451 | $5,681.60 | $7,102.00 | $2,412.31 – $3,216.41 | 2 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $380.00 | $475.00 | $65.00 – $73.84 | 6 |
| Cdna analysis for variants CPT 81403 | $756.00 | $945.00 | $92.60 – $764.88 | 22 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $54.60 | $68.25 | $1.60 – $5.81 | 9 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $66.80 | $83.50 | $2.44 – $8.40 | 9 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $1,675.20 | $2,094.00 | $4.99 – $837.90 | 27 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $64.00 | $80.00 | $3.14 – $11.20 | 9 |
| Ceftazidime and avibactam HCPCS J0714 | $2,742.40 | $3,428.00 | $123.50 – $1,407.00 | 27 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $27.40 | $34.25 | $0.86 – $3.43 | 9 |
| Cell count body fluid CPT 89050 | $19.20 | $24.00 | $4.50 – $19.49 | 26 |
| Cell count w differential body fluid CPT 89051 | $23.20 | $29.00 | $5.60 – $23.80 | 26 |
| Cell function assay w/stim CPT 86352 | $564.80 | $706.00 | $77.84 – $561.10 | 26 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | $23,323.00 | $29,153.75 | $4.61 – $5,747.20 | 27 |
| #cf-97variants CPT 81220 | $243.20 | $304.00 | $445.28 – $2,298.76 | 25 |
| Change cystostomy tube; complex 51710 CPT 51710 | $1,457.60 | $1,822.00 | $35.00 – $95.20 | 7 |
| Change cystostomy tube simple CPT 51705 | $512.00 | $640.00 | $35.00 – $435.86 | 23 |
| Change nephroureteral cath CPT 50387 | $3,511.20 | $4,389.00 | $102.36 – $278.43 | 7 |
| Change of ureter tube/stent CPT 50688 | $3,307.20 | $4,134.00 | $1,536.38 – $1,536.38 | 1 |
| Chemodenervation anal musc CPT 46505 | not published | not published | $970.00 – $1,101.92 | 6 |
| Chest 2 vws w oblique CPT 71048 | $501.60 | $627.00 | $24.28 – $602.31 | 25 |
| Chest apical lordotic proj CPT 71047 | $416.00 | $520.00 | $23.63 – $497.84 | 25 |
| Chest CT scan (with and without contrast) CPT 71270 | $562.00 | $2,645.00 | $129.38 – $1,006.60 | 25 |
| Chest CT scan (with contrast) CPT 71260 | $470.00 | $2,362.00 | $109.38 – $1,006.60 | 25 |
| Chest CT scan (without contrast) CPT 71250 | $285.00 | $1,462.00 | $103.88 – $602.31 | 25 |
| Chest X-ray CPT 71046 | $322.40 | $403.00 | $18.57 – $497.84 | 25 |
| Chest X-ray (single view) CPT 71045 | $292.80 | $366.00 | $10.14 – $497.84 | 25 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $236.80 | $296.00 | $70.01 – $1,006.60 | 24 |
| Chloride CPT 82435 | $18.40 | $23.00 | $4.60 – $21.56 | 26 |
| Chloride 24 hour urine CPT 82436 | $24.00 | $30.00 | $5.75 – $23.75 | 26 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $243.20 | $304.00 | $39.45 – $129.22 | 9 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $255.60 | $319.50 | $25.27 – $101.64 | 9 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $5,436.00 | $6,795.00 | $236.25 – $642.60 | 2 |
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.