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 |
|---|---|---|---|---|
| Factor viii CPT 85240 | $100.80 | $126.00 | $13.00 – $73.93 | 26 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $28.60 | $35.75 | $0.72 – $2.80 | 9 |
| Fat/lipids feces qualitative CPT 82705 | $21.60 | $27.00 | $5.10 – $23.94 | 26 |
| Fatty acids nonesterified CPT 82725 | $78.40 | $98.00 | $13.18 – $77.52 | 26 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $305.40 | $381.75 | $1.00 – $3.34 | 9 |
| Ferritin CPT 82728 | $40.00 | $71.00 | $12.00 – $56.29 | 27 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $4,458.40 | $5,573.00 | $0.38 – $589.05 | 26 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $556.80 | $696.00 | $72.61 – $602.31 | 24 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $52.00 | $65.00 | $7.73 – $36.35 | 26 |
| Fetal hemoglobin rosette CPT 85461 | $52.00 | $65.00 | $9.17 – $38.66 | 26 |
| Fetal non stress test CPT 59025 | $490.40 | $613.00 | $21.88 – $360.52 | 22 |
| Fibrin degradation d dimer quantitative CPT 85379 | $50.40 | $63.00 | $10.18 – $42.04 | 26 |
| Fibrin degradation products CPT 85362 | $36.00 | $45.00 | $6.89 – $32.37 | 26 |
| Fibrinogen activity CPT 85384 | $44.00 | $55.00 | $9.72 – $40.14 | 26 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $970.00 – $1,101.92 | 6 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $968.00 | $1,210.00 | $50.89 – $57.81 | 6 |
| Finger tendon transfer CPT 26497 | not published | not published | $970.00 – $1,101.92 | 6 |
| Fixation of knee joint CPT 27570 | not published | not published | $868.75 – $1,101.92 | 6 |
| Flecainide (tambocor)-sendout CPT 80181 | $76.00 | $95.00 | $13.98 – $76.98 | 22 |
| Fl exam g/colon tube w contrast CPT 49465 | $435.20 | $544.00 | $29.67 – $433.20 | 23 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | $421.25 – $1,101.92 | 22 |
| Flow cytometry marker each additional CPT 88185 | $129.60 | $162.00 | $18.26 – $92.72 | 9 |
| Flow cytometry one marker technical component CPT 88184 | $134.40 | $168.00 | $37.14 – $1,027.44 | 26 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $80.20 | $100.25 | $2.26 – $12.53 | 9 |
| Fluorescent antibody titer dna CPT 86256 | $49.60 | $62.00 | $9.11 – $49.77 | 26 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $641.60 | $802.00 | $35.24 – $71.41 | 6 |
| Fluoroguide needle placement CPT 77002 | $641.60 | $802.00 | $44.59 – $78.65 | 6 |
| Fluoroscopy up to 1 hour CPT 76000 | $534.40 | $668.00 | $14.38 – $1,342.45 | 24 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $140.20 | $175.25 | $1.78 – $7.74 | 9 |
| Fna bx w/ct gdn 1st les CPT 10009 | $968.00 | $1,210.00 | $116.28 – $1,260.91 | 23 |
| Folic acid CPT 82746 | $45.00 | $77.00 | $12.00 – $60.71 | 26 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $185.80 | $232.25 | $30.00 – $105.00 | 9 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $4,584.20 | $5,730.25 | $7.40 – $4,511.50 | 21 |
| Fondaparinux sodium HCPCS J1652 | $144.80 | $181.00 | $3.62 – $15.05 | 9 |
| Foot X-ray CPT 73630 | $290.40 | $363.00 | $14.38 – $497.84 | 25 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $2,203.00 | $2,753.75 | $15.15 – $63.00 | 9 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $115.20 | $144.00 | $97.65 – $233.92 | 2 |
| Fracture assessment via dxa CPT 77086 | $208.80 | $261.00 | $66.04 – $497.84 | 20 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | $970.00 – $1,101.92 | 6 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $358.40 | $448.00 | $30.00 – $147.51 | 23 |
| Fructosamine glycated protein CPT 82985 | $69.60 | $87.00 | $16.44 – $69.22 | 26 |
| Ftl cgen abnor four anal CPT 81511 | $639.20 | $799.00 | $94.37 – $633.96 | 26 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $44.00 | $55.00 | $0.72 – $6.40 | 9 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $970.00 – $1,101.92 | 6 |
| Fusion of big toe joint CPT 28750 | not published | not published | $970.00 – $1,316.25 | 6 |
| Fusion of big toe joint CPT 28755 | not published | not published | $970.00 – $1,306.25 | 6 |
| Fusion of finger joint CPT 26860 | not published | not published | $970.00 – $1,101.92 | 6 |
| Fusion of foot bones CPT 28730 | not published | not published | $970.00 – $1,101.92 | 6 |
| Fusion of foot bones CPT 28740 | not published | not published | $970.00 – $1,101.92 | 6 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $970.00 – $1,101.92 | 6 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $970.00 – $1,233.75 | 6 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $1.60 | $2.00 | $0.27 – $0.91 | 7 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $50.40 | $63.00 | $14.73 – $51.49 | 7 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $970.00 – $1,101.92 | 6 |
| Gammaglobulin iga CPT 82784 | $35.00 | $49.00 | $9.30 – $43.69 | 26 |
| Gammaglobulin ige CPT 82785 | $68.00 | $85.00 | $16.46 – $67.98 | 26 |
| Gamma glutamyltransferase CPT 82977 | $29.60 | $37.00 | $7.20 – $31.82 | 26 |
| Gamunex-c/gammaked HCPCS J1561 | $4,667.80 | $5,834.75 | $57.74 – $1,692.25 | 27 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $305.00 | $381.25 | $39.54 – $126.78 | 9 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $65.80 | $82.25 | $3.07 – $10.43 | 9 |
| General health panel CPT 80050 | $70.00 | $239.00 | $43.89 – $149.23 | 8 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $59.60 | $74.50 | $2.21 – $8.65 | 9 |
| Gentamicin peak therapeutic drug level CPT 80170 | $67.20 | $84.00 | $12.00 – $67.65 | 26 |
| Ghs abscess perianal iandd CPT 46050 | $2,529.60 | $3,162.00 | $94.58 – $1,633.89 | 23 |
| Ghs bladder cath - complex-foley CPT 51703 | $443.20 | $554.00 | $93.26 – $280.39 | 23 |
| Ghs change cysto/gastrost CPT 43762 | $769.60 | $962.00 | $38.88 – $435.86 | 23 |
| Ghs chemo >8 hrs CPT 96416 | $330.40 | $413.00 | $168.95 – $594.42 | 23 |
| Ghs chemo IV push, ea addtl CPT 96411 | $173.60 | $217.00 | $66.11 – $179.83 | 23 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $143.20 | $179.00 | $35.09 – $144.92 | 26 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $420.80 | $526.00 | $45.63 – $429.89 | 23 |
| Ghs closed reduction ankle dislocation CPT 27840 | $924.80 | $1,156.00 | $111.88 – $429.89 | 23 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $989.60 | $1,237.00 | $246.88 – $671.50 | 7 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | not published | not published | $970.00 – $3,278.17 | 22 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $7,144.80 | $8,931.00 | $246.25 – $669.80 | 3 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $409.60 | $512.00 | $196.25 – $533.80 | 23 |
| Ghs community re-entry 15 minutes CPT 97537 | $126.40 | $158.00 | $30.52 – $56.80 | 22 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $317.60 | $397.00 | $25.00 – $715.12 | 20 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $480.00 | $600.00 | $34.38 – $231.00 | 20 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $375.20 | $469.00 | $33.13 – $715.12 | 23 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $540.00 | $675.00 | $32.50 – $231.00 | 23 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $63.20 | $79.00 | $15.21 – $71.47 | 26 |
| Ghs dislocation elbow closed treatment CPT 24600 | $316.00 | $395.00 | $128.13 – $429.89 | 23 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $1,209.60 | $1,512.00 | $115.21 – $1,241.07 | 23 |
| Ghs fb removal foot - deep - left CPT 28192 | not published | not published | $900.00 – $1,101.92 | 6 |
| Ghs fb removal - incisional CPT 10121 | not published | not published | $900.00 – $1,101.92 | 6 |
| Ghs flow volume loop CPT 94375 | $495.20 | $619.00 | $22.55 – $558.06 | 23 |
| Ghs histoplasma antigen CPT 87385 | $55.20 | $69.00 | $6.63 – $54.72 | 22 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $5,433.60 | $6,792.00 | $48.13 – $130.90 | 7 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $5,395.20 | $6,744.00 | $135.63 – $2,113.04 | 23 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $2,743.20 | $3,429.00 | $140.63 – $1,260.91 | 23 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $333.60 | $417.00 | $45.00 – $1,260.91 | 23 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $788.00 | $985.00 | $51.25 – $435.86 | 23 |
| Ghs inf midline insertion CPT 36140 | $554.40 | $693.00 | $119.59 – $119.59 | 1 |
| Ghs init tx 1st degree burn CPT 16000 | $386.40 | $483.00 | $22.50 – $356.09 | 23 |
| Ghs inj neurolytic other perph nerve CPT 64640 | not published | not published | $911.71 – $1,595.49 | 22 |
| Ghs inj transforaminal cerv single bil CPT 64479 | not published | not published | $134.72 – $1,595.49 | 22 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $1,440.80 | $1,801.00 | $115.00 – $716.00 | 23 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $804.00 | $1,005.00 | $248.77 – $594.42 | 18 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $496.80 | $621.00 | $39.38 – $715.12 | 23 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $560.80 | $701.00 | $30.63 – $716.00 | 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.