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 |
|---|---|---|---|---|
| Cholesterol CPT 82465 | $18.40 | $23.00 | $4.35 – $20.43 | 26 |
| Cholesterol (Lipid) Test CPT 80061 | $40.00 | $100.00 | $13.39 – $55.30 | 27 |
| Cholinesterase CPT 82480 | $32.80 | $41.00 | $6.00 – $32.50 | 26 |
| Chromatography CPT 83021 | $75.20 | $94.00 | $18.06 – $74.59 | 26 |
| Chromo high res and frag x - sendout CPT 81243 | $232.80 | $291.00 | $45.63 – $235.58 | 25 |
| Chromosome analysis 15-20 cell count CPT 88262 | $512.00 | $640.00 | $125.49 – $585.65 | 26 |
| Cilastatin sodium injection HCPCS J0743 | $144.80 | $181.00 | $14.48 – $62.30 | 9 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $90.80 | $113.50 | $4.82 – $17.62 | 9 |
| Circum 28 days or older CPT 54161 | not published | not published | $768.75 – $1,101.92 | 6 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | $433.60 | $542.00 | $160.00 – $435.20 | 7 |
| Circumcision (newborn) CPT 54150 | $392.80 | $491.00 | $98.75 – $268.60 | 7 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $263.20 | $329.00 | $20.20 – $100.10 | 9 |
| Claviculectomy partial CPT 23120 | not published | not published | $970.00 – $1,101.92 | 6 |
| Clearance of airways CPT 31720 | $295.20 | $369.00 | $41.25 – $364.49 | 23 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $145.00 | $181.25 | $1.73 – $5.64 | 9 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $1,480.00 | $1,850.00 | $231.25 – $629.00 | 7 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $880.80 | $1,101.00 | $145.63 – $429.89 | 23 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $610.40 | $763.00 | $39.38 – $416.17 | 23 |
| Clot factor xiii fibrin stab CPT 85290 | $106.40 | $133.00 | $8.00 – $67.48 | 26 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $540.00 | $675.00 | $123.75 – $429.89 | 23 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $553.60 | $692.00 | $150.63 – $429.89 | 23 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $409.60 | $512.00 | $88.13 – $429.89 | 23 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $747.20 | $934.00 | $60.00 – $429.89 | 23 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $1,023.20 | $1,279.00 | $198.75 – $540.60 | 23 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $368.00 | $460.00 | $66.25 – $429.89 | 23 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $494.40 | $618.00 | $83.13 – $429.89 | 23 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $689.60 | $862.00 | $143.13 – $429.89 | 23 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $1,160.00 | $1,450.00 | $207.50 – $564.40 | 7 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $606.40 | $758.00 | $143.13 – $429.89 | 23 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $884.00 | $1,105.00 | $250.63 – $681.70 | 7 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $928.80 | $1,161.00 | $196.25 – $533.80 | 23 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $3,321.60 | $4,152.00 | $245.65 – $805.80 | 23 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $568.00 | $710.00 | $140.00 – $429.89 | 23 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $777.60 | $972.00 | $86.88 – $429.89 | 23 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $452.80 | $566.00 | $132.50 – $429.89 | 23 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $608.00 | $760.00 | $105.63 – $429.89 | 23 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | not published | not published | $716.25 – $1,101.92 | 6 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $409.60 | $512.00 | $127.50 – $429.89 | 23 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $803.20 | $1,004.00 | $163.75 – $445.40 | 23 |
| Clsd tx pelvic ring fx CPT 27197 | $448.00 | $560.00 | $116.42 – $429.89 | 23 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $703.20 | $879.00 | $70.00 – $429.89 | 23 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $399.20 | $499.00 | $128.75 – $429.89 | 23 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $958.40 | $1,198.00 | $148.13 – $402.90 | 7 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $1,196.80 | $1,496.00 | $91.25 – $429.89 | 23 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | not published | not published | $970.00 – $1,101.92 | 6 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $553.60 | $692.00 | $60.63 – $429.89 | 23 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $924.00 | $1,155.00 | $298.75 – $812.60 | 7 |
| Cmv pcr-sendout CPT 87496 | $143.20 | $179.00 | $35.09 – $144.92 | 26 |
| Coagulation time activated teg CPT 85347 | $28.00 | $35.00 | $4.28 – $17.92 | 26 |
| Cold agglutinin titer CPT 86157 | $33.60 | $42.00 | $8.06 – $37.88 | 26 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $100.00 | $130.00 | $96.68 – $231.00 | 18 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $100.00 | $130.00 | $96.68 – $231.00 | 18 |
| Collection of venous blood by venipuncture CPT 36415 | $5.00 | $15.00 | $5.00 – $26.49 | 21 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | $553.75 – $1,633.89 | 22 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | not published | not published | $970.00 – $2,113.04 | 22 |
| Colonoscopy submucous njx CPT 45381 | not published | not published | $970.00 – $2,113.04 | 22 |
| Colonoscopy thru stoma spx CPT 44388 | not published | not published | $466.82 – $1,101.92 | 22 |
| Colonoscopy w/ablation CPT 45388 | not published | not published | $603.72 – $1,101.92 | 22 |
| Colonoscopy w/band ligation CPT 45398 | not published | not published | $970.00 – $2,113.04 | 22 |
| Colonoscopy w/dilation CPT 44405 | not published | not published | $970.00 – $2,113.04 | 22 |
| Colonoscopy (with biopsy) CPT 45380 | not published | not published | $475.00 – $2,113.04 | 22 |
| Colonoscopy with biopsy CPT 44389 | not published | not published | $430.00 – $1,101.92 | 22 |
| Colonoscopy (with polyp removal) CPT 45385 | not published | not published | $475.00 – $2,113.04 | 22 |
| Colonoscopy w/resection CPT 45390 | not published | not published | $970.00 – $1,101.92 | 6 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $653.60 | $817.00 | $21.00 – $488.22 | 24 |
| Compatibility test each unit electronic CPT 86923 | $653.60 | $817.00 | $21.00 – $488.22 | 24 |
| Compatibility test each unit immediate spin technique CPT 86920 | $653.60 | $817.00 | $21.00 – $488.22 | 24 |
| Complement antigen each component c3 CPT 86160 | $49.60 | $62.00 | $12.00 – $56.41 | 26 |
| Concentration infection agents any type CPT 87015 | $27.20 | $34.00 | $6.68 – $27.59 | 26 |
| Condylomata destruction 56420 CPT 56420 | $492.80 | $616.00 | $63.13 – $360.52 | 23 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | not published | not published | $970.00 – $1,101.92 | 6 |
| Conization of cervix CPT 57520 | not published | not published | $970.00 – $1,101.92 | 6 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $110.40 | $138.00 | $20.01 – $2,457.87 | 26 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $252.80 | $316.00 | $9.74 – $218.31 | 9 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $463.20 | $579.00 | $9.38 – $488.22 | 26 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $211.20 | $264.00 | $12.95 – $458.43 | 26 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $143.20 | $179.00 | $19.63 – $334.90 | 23 |
| Control nosebleed pack+caut 30905 CPT 30905 | $502.40 | $628.00 | $99.38 – $270.30 | 23 |
| Control of nosebleed ant comp 30903 CPT 30903 | $384.00 | $480.00 | $50.63 – $231.00 | 23 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $384.00 | $480.00 | $33.75 – $231.00 | 23 |
| Coombs direct CPT 86880 | $238.40 | $298.00 | $7.43 – $106.45 | 26 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $653.60 | $817.00 | $7.90 – $307.09 | 26 |
| Coombs indirect titer reference CPT 86886 | $653.60 | $817.00 | $7.15 – $307.09 | 26 |
| Copper cu 64 dotatate diag HCPCS A9592 | $3,172.80 | $3,966.00 | $446.33 – $3,436.13 | 21 |
| Core ndl bx lng/med perq CPT 32408 | $1,321.60 | $1,652.00 | $151.50 – $412.08 | 7 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | not published | not published | $970.00 – $1,356.25 | 6 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | not published | not published | $970.00 – $1,715.00 | 6 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $17,189.60 | $21,487.00 | $2,412.31 – $3,216.41 | 2 |
| Coronary angio/lv gram/lt heart CPT 93458 | $12,967.20 | $16,209.00 | $2,412.31 – $3,216.41 | 2 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $14,119.20 | $17,649.00 | $2,412.31 – $3,216.41 | 2 |
| Coronary art/grft angio s&i CPT 93455 | $21,613.60 | $27,017.00 | $2,412.31 – $3,216.41 | 2 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $17,392.00 | $21,740.00 | $2,412.31 – $3,216.41 | 2 |
| Correction hallux valgus sesamoidectomy;prox meta osteotomy CPT 28295 | not published | not published | $970.00 – $1,101.92 | 6 |
| Corrj halux rigdus w/implt CPT 28291 | not published | not published | $970.00 – $1,101.92 | 6 |
| Corrj halux rigdus without implt CPT 28289 | not published | not published | $970.00 – $1,101.92 | 6 |
| Cortisol acth stimulation test - sendout CPT 80400 | $136.00 | $170.00 | $32.62 – $153.20 | 26 |
| Cortisol total am CPT 82533 | $68.00 | $85.00 | $12.00 – $67.32 | 26 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $187.60 | $234.50 | $25.37 – $116.90 | 9 |
| Counseling smoke cess interm >10mins CPT 99407 | $60.00 | $75.00 | $24.16 – $65.72 | 23 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $54.40 | $68.00 | $9.77 – $53.81 | 21 |
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.