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 |
|---|---|---|---|---|
| Eeg 41-60 minutes 95812-26 CPT 95812 | $826.40 | $1,033.00 | $48.66 – $558.06 | 23 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $749.60 | $937.00 | $16.88 – $558.06 | 23 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $871.20 | $1,089.00 | $55.57 – $558.06 | 23 |
| Eeg recording awake and asleep CPT 95819 | $838.40 | $1,048.00 | $16.88 – $558.06 | 23 |
| Egd control bleeding any CPT 43255 | not published | not published | $445.00 – $1,101.92 | 6 |
| Egd dilate stricture CPT 43245 | not published | not published | $970.00 – $1,101.92 | 6 |
| Egd guide wire insertion CPT 43248 | not published | not published | $960.12 – $1,680.21 | 22 |
| Egd remove lesion snare CPT 43251 | not published | not published | $970.00 – $1,101.92 | 6 |
| Egd varices ligation CPT 43244 | not published | not published | $970.00 – $1,101.92 | 6 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $162.40 | $203.00 | $28.07 – $144.92 | 26 |
| Electrical stimulation/unattended 97014 CPT 97014 | $142.40 | $178.00 | $11.82 – $56.95 | 23 |
| Electrolyte panel CPT 80051 | $34.40 | $43.00 | $7.00 – $28.95 | 26 |
| Electron microscopy diagnostic CPT 88348 | $652.80 | $816.00 | $21.88 – $2,457.87 | 26 |
| Endome abla/them without hystero guide 58353 CPT 58353 | not published | not published | $970.00 – $1,101.92 | 6 |
| Endoscopic injection/implant CPT 51715 | not published | not published | $970.00 – $1,101.92 | 6 |
| Endoscopy bowel pouch/biop CPT 44386 | not published | not published | $137.83 – $1,633.89 | 22 |
| Endoscopy maxillary sinus CPT 31267 | not published | not published | $970.00 – $1,101.92 | 6 |
| Endo, single, pulmonary HCPCS C1601 | $2,626.42 | $3,283.02 | $663.17 – $1,160.55 | 17 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $1,011.40 | $1,264.25 | $1.76 – $5.47 | 9 |
| Enzyme histochemistry CPT 88319 | $252.80 | $316.00 | $9.26 – $2,457.87 | 26 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | $110.80 | $138.50 | $22.60 – $77.34 | 8 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $1,179.80 | $1,474.75 | $144.00 – $1,267.20 | 8 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $106.80 | $133.50 | $10.58 – $72.96 | 8 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $2,534.20 | $3,167.75 | $9.26 – $49.49 | 27 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $967.20 | $1,209.00 | $10.08 – $51.95 | 27 |
| Epstein barr early antigen antibody CPT 86663 | $55.20 | $69.00 | $13.12 – $61.64 | 26 |
| Epstein barr nuclear antigen antibody CPT 86664 | $63.20 | $79.00 | $15.29 – $71.88 | 26 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $76.00 | $95.00 | $18.14 – $85.24 | 26 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $636.00 | $795.00 | $151.76 – $291.97 | 2 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $244.60 | $305.75 | $18.72 – $64.26 | 9 |
| ER Visit (level 1, minor) CPT 99281 | $511.20 | $639.00 | $26.25 – $157.80 | 21 |
| ER Visit (level 2) CPT 99282 | $781.60 | $977.00 | $43.75 – $283.80 | 21 |
| ER Visit (level 3) CPT 99283 | $1,740.80 | $2,176.00 | $98.75 – $496.21 | 21 |
| ER Visit (level 4) CPT 99284 | $2,678.40 | $3,348.00 | $153.75 – $763.12 | 21 |
| ER Visit (level 5, high severity) CPT 99285 | $2,981.60 | $3,727.00 | $241.25 – $1,098.74 | 21 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $581.60 | $727.00 | $64.62 – $240.16 | 9 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $674.20 | $842.75 | $2.18 – $9.80 | 9 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $970.00 – $1,101.92 | 6 |
| Established Patient Office Visit (level 1) CPT 99211 | $480.80 | $601.00 | $50.00 – $230.95 | 23 |
| Established Patient Office Visit (level 2) CPT 99212 | $576.80 | $721.00 | $50.00 – $230.95 | 23 |
| Established Patient Office Visit (level 3) CPT 99213 | $672.80 | $841.00 | $50.00 – $230.95 | 23 |
| Established Patient Office Visit (level 4) CPT 99214 | $769.60 | $962.00 | $50.00 – $230.95 | 23 |
| Established Patient Office Visit (level 5) CPT 99215 | $865.60 | $1,082.00 | $50.00 – $230.95 | 23 |
| Estradiol total CPT 82670 | $114.40 | $143.00 | $21.50 – $115.39 | 26 |
| Estrogens total-sendout CPT 82672 | $90.40 | $113.00 | $13.92 – $89.62 | 26 |
| Ethylene glycol -sendout CPT 82693 | $62.40 | $78.00 | $7.45 – $61.54 | 22 |
| Etonogestrel implant system HCPCS J7307 | $4,917.00 | $6,146.25 | $796.20 – $4,664.19 | 8 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $254.80 | $318.50 | $9.41 – $208.00 | 9 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $373.60 | $467.00 | $50.00 – $203.89 | 22 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $281.60 | $352.00 | $27.69 – $75.31 | 6 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $125.00 – $1,101.92 | 6 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $970.00 – $1,101.92 | 6 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | $970.00 – $1,940.00 | 6 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | $970.00 – $1,101.92 | 6 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | not published | not published | $970.00 – $1,101.92 | 6 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | not published | not published | $720.52 – $1,260.91 | 22 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | not published | not published | $863.75 – $1,101.92 | 6 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | not published | not published | $956.25 – $1,101.92 | 6 |
| Exc forearm les sc 3 cm/> CPT 25071 | not published | not published | $970.00 – $1,101.92 | 6 |
| Exc hand les sc < 1.5 cm CPT 26115 | not published | not published | $926.25 – $1,101.92 | 6 |
| Exc hand tum deep 1.5 cm/> CPT 26113 | not published | not published | $970.00 – $1,101.92 | 6 |
| Exc hand tum deep < 1.5 cm 26116 CPT 26116 | not published | not published | $970.00 – $1,101.92 | 6 |
| Exchange biliary drg cath CPT 47536 | $6,028.00 | $7,535.00 | $150.23 – $408.61 | 7 |
| Exchange lens prosthesis CPT 66986 | not published | not published | $970.00 – $1,101.92 | 6 |
| Exchange nephrostomy cath CPT 50435 | $3,552.80 | $4,441.00 | $102.75 – $279.48 | 7 |
| Exc im tumor/foot/toe < 1.5 cm 28045 CPT 28045 | not published | not published | $970.00 – $1,101.92 | 6 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | not published | not published | $970.00 – $1,101.92 | 6 |
| Excise wrist tendon sheath CPT 25118 | not published | not published | $970.00 – $1,101.92 | 6 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | not published | not published | $926.25 – $1,101.92 | 6 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | not published | not published | $720.52 – $1,260.91 | 22 |
| Excision breast lesion CPT 19125 | not published | not published | $970.00 – $1,101.92 | 6 |
| Excision of anal lesion(s) CPT 46922 | not published | not published | $970.00 – $1,101.92 | 6 |
| Excision of tongue lesion CPT 41112 | not published | not published | $970.00 – $1,101.92 | 6 |
| Excision of tongue lesion w/closure 41113 CPT 41113 | not published | not published | $970.00 – $1,101.92 | 6 |
| Excision olecranon bursa CPT 24105 | not published | not published | $956.25 – $1,101.92 | 6 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | not published | not published | $970.00 – $1,101.92 | 6 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | not published | not published | $720.52 – $1,260.91 | 22 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | not published | not published | $862.50 – $1,101.92 | 6 |
| Exc prtl bn phlnx toe CPT 28124 | not published | not published | $970.00 – $1,101.92 | 6 |
| Exc rect tum transanal part CPT 45171 | not published | not published | $970.00 – $1,101.92 | 6 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | not published | not published | $970.00 – $1,101.92 | 6 |
| Exc sq tumor/foot or toe < 1.5 cm 28039 CPT 28039 | not published | not published | $970.00 – $1,101.92 | 6 |
| Exc sq tumor/forearm/wrist/<3cm 25075 CPT 25075 | not published | not published | $970.00 – $1,101.92 | 6 |
| Exc sq tumor/leg/ankle 3cm/> 27632 CPT 27632 | not published | not published | $970.00 – $1,101.92 | 6 |
| Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337 | not published | not published | $970.00 – $1,940.00 | 6 |
| Exc sq tum/vasc malform/hand/fngr 26111 CPT 26111 | not published | not published | $970.00 – $1,101.92 | 6 |
| Exc subq tum/sft tis/pel/hip 3cm/> 27043 CPT 27043 | not published | not published | $970.00 – $1,101.92 | 6 |
| Exc tendon sheath or cap lesion 26160 CPT 26160 | not published | not published | $968.75 – $1,101.92 | 6 |
| Exc thigh/knee les sc<3cm 27327 CPT 27327 | not published | not published | $970.00 – $1,165.00 | 6 |
| Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 | not published | not published | $970.00 – $1,101.92 | 6 |
| Exploration of knee joint CPT 27310 | not published | not published | $970.00 – $1,118.75 | 6 |
| Explore parathyroid glands CPT 60500 | not published | not published | $970.00 – $1,101.92 | 6 |
| Explore/treat knee joint CPT 27331 | not published | not published | $970.00 – $1,165.00 | 6 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | not published | not published | $970.00 – $1,101.92 | 6 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $604.00 | $755.00 | $143.75 – $593.69 | 26 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $75.20 | $94.00 | $17.93 – $74.05 | 26 |
| F-18 fdg pet diag HCPCS A9552 | $835.20 | $1,044.00 | $1,336.29 – $1,336.29 | 1 |
| Facial bones <3 CPT 70140 | $224.00 | $280.00 | $22.64 – $497.84 | 25 |
| Factor ix CPT 85250 | $111.20 | $139.00 | $5.00 – $78.64 | 26 |
| Factor ix recombinant nos HCPCS J7195 | $3,950.80 | $4,938.50 | $2.18 – $3,237.50 | 27 |
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.