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 |
|---|---|---|---|---|
| C-peptide CPT 84681 | $86.40 | $108.00 | $20.81 – $97.75 | 26 |
| Cptr-asst dir ms px CPT 20985 | not published | not published | $970.00 – $1,101.92 | 6 |
| C-reactive protein CPT 86140 | $20.00 | $27.00 | $3.00 – $21.39 | 27 |
| C-reactive protein high sensitivity CPT 86141 | $54.40 | $68.00 | $10.53 – $53.48 | 26 |
| C-reactive protein, quantitative CPT 86406 | $44.00 | $55.00 | $10.64 – $49.57 | 26 |
| Create eardrum opening CPT 69436 | not published | not published | $642.50 – $1,101.92 | 6 |
| Creatine kinase CPT 82550 | $27.20 | $34.00 | $6.51 – $26.89 | 26 |
| Creatine kinase mb CPT 82553 | $47.20 | $59.00 | $10.08 – $47.70 | 26 |
| Creatinine CPT 82565 | $15.00 | $27.00 | $5.12 – $21.79 | 26 |
| Creatinine 24 hour urine CPT 82570 | $20.00 | $27.00 | $5.18 – $24.31 | 27 |
| Creatinine clearance urine CPT 82575 | $39.20 | $49.00 | $9.46 – $39.07 | 26 |
| #creutz-prot.,western blot CPT 84182 | $121.60 | $152.00 | $24.55 – $120.64 | 26 |
| Critical care 30-74 minutes CPT 99291 | $6,340.80 | $7,926.00 | $189.53 – $1,510.04 | 22 |
| Critical care each additional 30 minutes CPT 99292 | $567.20 | $709.00 | $93.00 – $105.65 | 5 |
| Crotalidae poly immune fab HCPCS J0840 | $11,945.00 | $14,931.25 | $1,828.72 – $6,145.34 | 27 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $59.20 | $74.00 | $5.00 – $58.40 | 26 |
| Cryoprecipitate each unit HCPCS P9012 | $328.80 | $411.00 | $47.68 – $111.25 | 18 |
| Crystal identification light microscopy CPT 89060 | $30.40 | $38.00 | $7.33 – $30.27 | 26 |
| CT 3d report other modality w/workstation CPT 76377 | $691.20 | $864.00 | $18.82 – $28.34 | 2 |
| Cta abdomen without & /or w/contrast CPT 74175 | $532.50 | $2,763.00 | $182.30 – $1,012.89 | 25 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $397.50 | $2,763.00 | $182.30 – $1,156.85 | 25 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $528.50 | $2,763.00 | $182.30 – $1,006.60 | 25 |
| Cta neck without &/or w/contrast CPT 70498 | $538.00 | $2,763.00 | $182.30 – $1,006.60 | 25 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $517.50 | $3,682.00 | $365.72 – $2,106.92 | 25 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $531.50 | $2,649.00 | $182.30 – $1,040.30 | 25 |
| CT Angiogram of the Head CPT 70496 | $538.00 | $2,763.00 | $182.30 – $1,006.60 | 25 |
| CT angio hrt w/3d image CPT 75574 | $407.00 | $2,107.00 | $258.84 – $1,017.76 | 24 |
| CT angio pelvis CPT 72191 | $534.00 | $2,763.00 | $182.30 – $1,006.60 | 25 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $535.50 | $2,763.00 | $182.30 – $1,006.60 | 25 |
| CT guidance for needle placement CPT 77012 | $1,810.40 | $2,263.00 | $127.82 – $225.47 | 6 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $85.50 | $135.00 | $43.48 – $497.84 | 24 |
| CT hrt w/3d image CPT 75572 | $445.50 | $2,107.00 | $211.28 – $803.62 | 24 |
| CT limited or localized follow-up study CPT 76380 | $288.00 | $1,406.00 | $66.04 – $497.84 | 20 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $475.50 | $2,362.00 | $103.13 – $1,006.60 | 25 |
| CT lower extremity without contrast (both sides) CPT 73700 | $285.50 | $1,462.00 | $98.80 – $602.31 | 25 |
| CT lwr extremity w/o&w/dye CPT 73702 | $572.00 | $2,645.00 | $115.63 – $1,006.60 | 25 |
| CT neck soft tissue w/contrast CPT 70491 | $461.50 | $2,362.00 | $103.13 – $1,006.60 | 25 |
| CT neck soft tissue without contrast CPT 70490 | $268.00 | $1,462.00 | $98.75 – $602.31 | 25 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $557.50 | $2,645.00 | $182.30 – $1,006.60 | 25 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $461.50 | $2,362.00 | $161.25 – $1,006.60 | 25 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $268.00 | $1,462.00 | $108.90 – $602.31 | 25 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $525.00 | $3,065.00 | $318.38 – $2,106.92 | 25 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $437.50 | $2,896.00 | $240.91 – $2,106.92 | 25 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $242.50 | $2,322.00 | $126.34 – $1,342.45 | 25 |
| CT thoracic spine w/contrast CPT 72129 | $472.00 | $2,362.00 | $109.38 – $1,006.60 | 25 |
| CT thoracic spine without contrast CPT 72128 | $286.50 | $1,462.00 | $108.90 – $602.31 | 25 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $266.00 | $1,206.00 | $91.73 – $602.31 | 25 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $475.50 | $2,350.00 | $103.13 – $2,106.92 | 25 |
| CT upper extremity without contrast (both sides) CPT 73200 | $285.50 | $1,462.00 | $98.80 – $602.31 | 25 |
| Culture aerobic additional method definitive id each CPT 87077 | $33.60 | $42.00 | $7.10 – $33.37 | 26 |
| Culture afb any source CPT 87116 | $44.00 | $55.00 | $7.50 – $44.60 | 26 |
| Culture anaerobic additional method definitive id each CPT 87076 | $32.80 | $41.00 | $8.08 – $33.37 | 26 |
| Culture anaerobic except blood CPT 87075 | $38.40 | $48.00 | $9.47 – $39.11 | 26 |
| Culture bact stool aero addl path ea CPT 87046 | $38.40 | $48.00 | $2.61 – $38.99 | 26 |
| Culture body fluid CPT 87070 | $35.20 | $44.00 | $6.90 – $35.60 | 26 |
| Culture fungi definitive id mold CPT 87107 | $44.00 | $55.00 | $10.32 – $42.62 | 26 |
| Culture fungi definitive id yeast CPT 87106 | $42.40 | $53.00 | $9.70 – $42.62 | 26 |
| Culture fungi other (except blood) CPT 87102 | $34.40 | $43.00 | $8.41 – $34.73 | 26 |
| Culture fungi skin/hair/nail CPT 87101 | $32.80 | $41.00 | $7.71 – $32.98 | 26 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $60.80 | $76.00 | $14.61 – $60.34 | 26 |
| Culture mycoplasma any source CPT 87109 | $64.00 | $80.00 | $15.39 – $63.56 | 26 |
| Culture quantitative aerobic other source CPT 87071 | $40.00 | $50.00 | $5.22 – $40.85 | 26 |
| Culture typing immunologic CPT 87147 | $21.60 | $27.00 | $3.00 – $21.39 | 26 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $143.20 | $179.00 | $35.09 – $144.92 | 26 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $20.00 | $25.00 | $0.69 – $3.06 | 9 |
| Cyclic citrullinated peptide antibody CPT 86200 | $54.40 | $68.00 | $12.95 – $53.48 | 26 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $1,045.00 | $1,306.25 | $0.57 – $280.00 | 27 |
| Cyclosporine 2 hour CPT 80158 | $75.20 | $94.00 | $17.09 – $74.55 | 26 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $4.00 | $5.00 | $0.80 – $2.59 | 9 |
| Cystatin c CPT 82610 | $77.60 | $97.00 | $15.20 – $76.49 | 26 |
| Cystine urine quantitative CPT 82131 | $96.00 | $120.00 | $22.98 – $94.91 | 26 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $531.20 | $664.00 | $26.88 – $2,106.92 | 24 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $681.25 – $1,101.92 | 6 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $876.25 – $1,101.92 | 6 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $970.00 – $1,101.92 | 6 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $970.00 – $1,101.92 | 6 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $707.50 – $1,101.92 | 6 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $970.00 – $1,101.92 | 6 |
| Cystoscopy and treatment CPT 52310 | not published | not published | $811.25 – $1,101.92 | 6 |
| Cystoscopy (Bladder Scope) CPT 52000 | $1,134.40 | $1,418.00 | $93.75 – $255.00 | 7 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $970.00 – $1,101.92 | 6 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $872.50 – $1,101.92 | 6 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $970.00 – $1,101.92 | 6 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $970.00 – $1,101.92 | 6 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $970.00 – $1,101.92 | 6 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $970.00 – $1,101.92 | 6 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $970.00 – $1,101.92 | 6 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $970.00 – $1,101.92 | 6 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | not published | not published | $662.50 – $1,101.92 | 6 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $872.50 – $1,101.92 | 6 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $116.80 | $146.00 | $16.60 – $56.70 | 9 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $60.00 | $75.00 | $14.39 – $67.42 | 26 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $69.60 | $87.00 | $16.85 – $79.15 | 26 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $204.80 | $256.00 | $51.58 – $313.07 | 26 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $112.00 | $140.00 | $26.49 – $109.90 | 26 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $82.40 | $103.00 | $16.00 – $83.67 | 26 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $144.00 | $180.00 | $5.00 – $261.31 | 26 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $144.00 | $180.00 | $8.13 – $274.11 | 26 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $212.80 | $266.00 | $26.72 – $640.89 | 22 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $283.20 | $354.00 | $175.48 – $1,644.07 | 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.