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 |
|---|---|---|---|---|
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $1,312.40 | $1,640.50 | $14.00 – $52.50 | 9 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $23,557.00 | $29,446.25 | $65.53 – $33,383.70 | 27 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $7,104.40 | $8,880.50 | $3.45 – $397.60 | 27 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $831.25 – $1,101.92 | 6 |
| Dch validity tests CPT 81002 | $13.60 | $17.00 | $3.48 – $14.37 | 26 |
| Deamidated gliadin antibody iga CPT 86258 | $49.60 | $62.00 | $6.03 – $49.77 | 22 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | not published | not published | $970.00 – $1,101.92 | 6 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $342.40 | $428.00 | $41.25 – $1,097.01 | 23 |
| Decalcification CPT 88311 | $103.20 | $129.00 | $16.72 – $81.82 | 9 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $387.20 | $484.00 | $31.33 – $594.42 | 23 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $970.00 – $1,101.92 | 6 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $966.25 – $1,101.92 | 6 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $970.00 – $1,165.00 | 6 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $3,183.20 | $3,979.00 | $5.25 – $1,220.80 | 27 |
| Delivery of placenta 59414 CPT 59414 | $3,380.00 | $4,225.00 | $106.78 – $290.43 | 6 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $279.20 | $349.00 | $14.77 – $364.49 | 23 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $616.00 | $770.00 | $29.38 – $231.00 | 23 |
| Design mlc device for imrt CPT 77338 | $7,554.40 | $9,443.00 | $183.04 – $656.04 | 19 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $468.60 | $585.75 | $14.10 – $62.86 | 24 |
| Destroy cervthor facet jnt 64633 CPT 64633 | not published | not published | $970.00 – $1,101.92 | 6 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $966.25 – $3,278.17 | 22 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | not published | not published | $224.17 – $1,101.92 | 6 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $961.25 – $3,278.17 | 22 |
| Devel tst phys/qhp 1st hr CPT 96112 | $276.00 | $345.00 | $128.17 – $348.64 | 23 |
| Device intraute mirena HCPCS J7298 | $6,609.80 | $8,262.25 | $885.80 – $4,664.19 | 8 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $323.20 | $404.00 | $22.10 – $497.84 | 25 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $3.40 | $4.25 | $0.03 – $1.02 | 9 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $34.00 | $42.50 | $0.38 – $1.54 | 9 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $28.80 | $36.00 | $1.41 – $8.75 | 8 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $30.40 | $38.00 | $28.49 – $28.49 | 1 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $33.40 | $41.75 | $1.81 – $6.37 | 8 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $92.00 | $115.00 | $21.00 – $91.81 | 26 |
| Diabetes (HbA1c) Test CPT 83036 | $25.00 | $75.00 | $7.00 – $40.10 | 27 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $211.20 | $264.00 | $25.00 – $231.00 | 23 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $88.80 | $111.00 | $14.09 – $163.85 | 25 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $59.20 | $74.00 | $14.09 – $163.85 | 25 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $560.00 | $700.00 | $86.25 – $347.92 | 23 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $208.00 | $449.00 | $100.45 – $632.62 | 25 |
| Diagnostic Mammogram (one breast) CPT 77065 | $222.00 | $449.00 | $78.86 – $493.29 | 25 |
| Dialysis one evaluation CPT 90945 | $464.80 | $581.00 | $43.75 – $763.12 | 19 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $5.60 | $7.00 | $0.08 – $0.28 | 6 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $143.60 | $179.50 | $12.80 – $44.68 | 9 |
| Dicyclomine injection HCPCS J0500 | $158.80 | $198.50 | $11.36 – $45.01 | 9 |
| Diffusing capacity CPT 94729 | $548.80 | $686.00 | $41.40 – $56.15 | 6 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $35.80 | $44.75 | $4.15 – $27.52 | 9 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $19,087.80 | $23,859.75 | $5,156.07 – $17,390.03 | 27 |
| Digoxin total therapeutic drug level CPT 80162 | $55.20 | $69.00 | $11.00 – $54.85 | 26 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $460.00 | $575.00 | $60.00 – $310.62 | 9 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $480.06 – $1,101.92 | 22 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $46.60 | $58.25 | $1.65 – $12.80 | 8 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $33.80 | $42.25 | $0.76 – $2.88 | 9 |
| Disability dlco CPT 94727 | $262.40 | $328.00 | $27.42 – $280.39 | 23 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $970.00 – $1,101.92 | 6 |
| Dna antibody native/double stranded CPT 86225 | $57.60 | $72.00 | $13.74 – $56.75 | 26 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $366.40 | $458.00 | $14.16 – $57.05 | 9 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $121.00 | $151.25 | $6.80 – $25.32 | 9 |
| Doppler echo complete CPT 93320 | $602.40 | $753.00 | $51.74 – $85.95 | 6 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $836.00 | $1,045.00 | $87.57 – $311.27 | 23 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $443.20 | $554.00 | $46.39 – $231.00 | 23 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $150.60 | $188.25 | $11.10 – $42.00 | 9 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $496.80 | $621.00 | $33.13 – $1,260.91 | 23 |
| Drainage external ear simple 69000 CPT 69000 | $683.20 | $854.00 | $53.75 – $1,260.91 | 23 |
| Drainage mouth roof lesion CPT 42000 | $373.60 | $467.00 | $25.00 – $416.17 | 23 |
| Drainage of arm bursa 23931 CPT 23931 | $3,966.40 | $4,958.00 | $49.38 – $134.30 | 7 |
| Drainage of kidney lesion CPT 50390 | $1,200.00 | $1,500.00 | $114.44 – $1,260.91 | 23 |
| Drain blood from under nail 11740 CPT 11740 | $144.80 | $181.00 | $30.00 – $231.00 | 23 |
| Drain cath image guided visceral pq CPT 49405 | $1,651.20 | $2,064.00 | $216.71 – $589.46 | 7 |
| Drain finger abscess;simple 26010 CPT 26010 | $525.60 | $657.00 | $33.13 – $356.09 | 23 |
| Drain thigh/knee lesion 27301 CPT 27301 | $4,005.60 | $5,007.00 | $110.63 – $300.90 | 7 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $304.80 | $381.00 | $25.00 – $356.09 | 23 |
| Drng of finger abscess comp 26011 CPT 26011 | $2,483.20 | $3,104.00 | $100.00 – $272.00 | 7 |
| Drng of scrotum abscess 55100 CPT 55100 | $4,305.60 | $5,382.00 | $43.75 – $119.00 | 7 |
| Drug assay posaconazole CPT 80187 | $111.20 | $139.00 | $21.69 – $111.96 | 26 |
| Drug assay vedolizumab CPT 80280 | $144.80 | $181.00 | $28.93 – $159.29 | 21 |
| Drug test def 1-7 classes HCPCS G0480 | $443.20 | $554.00 | $63.95 – $472.60 | 26 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $253.60 | $317.00 | $62.14 – $256.64 | 26 |
| Drvvt confirm - quest CPT 85597 | $116.00 | $145.00 | $17.98 – $84.46 | 26 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | not published | not published | $970.00 – $1,101.92 | 5 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $828.80 | $1,036.00 | $95.74 – $343.30 | 23 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $934.40 | $1,168.00 | $149.17 – $481.30 | 23 |
| Dxa bone density axl vrt fx CPT 77085 | $501.60 | $627.00 | $64.92 – $602.31 | 21 |
| Dx bronchoscope/brush 31623 CPT 31623 | $1,023.20 | $1,279.00 | $168.94 – $459.51 | 7 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $1,023.20 | $1,279.00 | $168.94 – $459.51 | 7 |
| Dx bronchoscope/wash 31622 CPT 31622 | $1,023.20 | $1,279.00 | $167.33 – $455.12 | 7 |
| Ear irrigation 69209 CPT 69209 | $114.40 | $143.00 | $12.00 – $106.45 | 23 |
| Ecg 12 lead tracing only CPT 93005 | $314.40 | $393.00 | $13.08 – $106.45 | 23 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $525.60 | $657.00 | $11.38 – $70.33 | 23 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $525.60 | $657.00 | $10.92 – $70.33 | 23 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $3,666.40 | $4,583.00 | $122.67 – $982.61 | 23 |
| Echocardiography doppler color flow mapping CPT 93325 | $199.20 | $249.00 | $20.15 – $26.38 | 6 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $1,844.00 | $2,305.00 | $26.88 – $433.20 | 23 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $602.40 | $753.00 | $25.69 – $40.19 | 6 |
| Echo exam of fetal heart CPT 76825 | $1,072.80 | $1,341.00 | $23.75 – $3,022.37 | 24 |
| Echo exam of fetal heart CPT 76826 | $1,026.40 | $1,283.00 | $32.25 – $1,342.45 | 24 |
| Echo exam of fetal heart CPT 76827 | $501.60 | $627.00 | $45.69 – $602.31 | 24 |
| Echo guide for amniocentesis CPT 76946 | $559.20 | $699.00 | $23.25 – $52.67 | 6 |
| Echo stress CPT 93350 | $2,720.00 | $3,400.00 | $58.13 – $982.61 | 23 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $3,645.60 | $4,557.00 | $166.16 – $982.61 | 23 |
| Echo transthoracic CPT 93303 | $2,035.20 | $2,544.00 | $118.75 – $982.61 | 23 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $2,225.60 | $2,782.00 | $118.75 – $477.29 | 23 |
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.