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 |
|---|---|---|---|---|
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $560.80 | $701.00 | $30.63 – $716.00 | 23 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $448.00 | $560.00 | $39.38 – $716.00 | 23 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $537.60 | $672.00 | $59.38 – $716.00 | 23 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $876.80 | $1,096.00 | $44.38 – $716.00 | 23 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $644.80 | $806.00 | $59.38 – $716.00 | 23 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $1,315.20 | $1,644.00 | $58.13 – $716.00 | 23 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $1,315.20 | $1,644.00 | $60.63 – $1,097.01 | 23 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $928.80 | $1,161.00 | $115.00 – $716.00 | 23 |
| Ghs mbp CPT 83873 | $70.40 | $88.00 | $15.00 – $71.04 | 26 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $367.20 | $459.00 | $23.77 – $27.01 | 6 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $279.20 | $349.00 | $93.10 – $105.76 | 6 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $188.80 | $236.00 | $76.38 – $86.76 | 6 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $179.20 | $224.00 | $10.41 – $11.83 | 6 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $36.00 | $45.00 | $57.89 – $65.76 | 6 |
| Ghs musc test done w/n test comp CPT 95886 | $309.60 | $387.00 | $36.74 – $94.13 | 6 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $309.60 | $387.00 | $34.86 – $59.23 | 6 |
| Ghs myocardial strain img spckl track CPT 93356 | $888.00 | $1,110.00 | $8.30 – $8.30 | 1 |
| Ghs nailbed repair/nail removal CPT 11760 | $487.20 | $609.00 | $28.75 – $1,097.01 | 23 |
| Ghs nerve block brachial plexus CPT 64415 | $350.40 | $438.00 | $43.75 – $1,595.49 | 23 |
| Ghs nerve block sciatic nerve CPT 64445 | $350.40 | $438.00 | $29.38 – $1,241.07 | 23 |
| Ghs ng placement w fluoro guidance CPT 43752 | $333.60 | $417.00 | $299.28 – $715.12 | 18 |
| Ghs o2 saturation CPT 82810 | $40.80 | $51.00 | $9.77 – $41.00 | 26 |
| Ghs ot prosthetic training/15 min CPT 97761 | $118.40 | $148.00 | $38.66 – $67.66 | 22 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $120.80 | $151.00 | $50.00 – $100.12 | 22 |
| Ghs ot work hardening-additional hours CPT 97546 | $251.20 | $314.00 | $50.00 – $56.80 | 6 |
| Ghs peritonsillar abscess i andd CPT 42700 | $658.40 | $823.00 | $77.50 – $416.17 | 23 |
| Ghs plngl fx pm cl CPT 26725 | $452.00 | $565.00 | $96.25 – $429.89 | 23 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $40.00 | $50.00 | $9.66 – $39.90 | 26 |
| Ghs protoporphyrins fract CPT 84202 | $60.00 | $75.00 | $14.35 – $67.46 | 26 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $503.20 | $629.00 | $50.00 – $56.80 | 6 |
| Ghs removal intranasal foreign body CPT 30300 | $165.60 | $207.00 | $28.13 – $231.00 | 23 |
| Ghs removal pharyngeal foreign body CPT 42809 | $135.20 | $169.00 | $81.25 – $715.12 | 23 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $970.00 – $1,101.92 | 6 |
| Ghs semen analysis fert CPT 89320 | $50.40 | $63.00 | $9.23 – $50.84 | 21 |
| Ghs sensitivity (per antimicro) CPT 87184 | $30.40 | $38.00 | $7.48 – $30.89 | 26 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $1,248.00 | $1,560.00 | $115.00 – $716.00 | 23 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $1,376.00 | $1,720.00 | $115.00 – $716.00 | 23 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $1,472.00 | $1,840.00 | $115.00 – $716.00 | 23 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $881.60 | $1,102.00 | $59.38 – $356.09 | 23 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $1,122.40 | $1,403.00 | $60.63 – $356.09 | 23 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $1,588.00 | $1,985.00 | $115.00 – $356.09 | 23 |
| Ghs sleep study unattended CPT 95800 | $847.20 | $1,059.00 | $115.03 – $423.67 | 23 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $2,179.20 | $2,724.00 | $230.49 – $950.90 | 23 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $263.20 | $329.00 | $50.00 – $169.91 | 22 |
| Ghs strapping shoulder - 29240 CPT 29240 | $504.80 | $631.00 | $24.38 – $231.00 | 23 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $993.60 | $1,242.00 | $117.50 – $1,097.01 | 23 |
| Ghs urine, porphyrins quant CPT 84120 | $61.60 | $77.00 | $7.50 – $60.75 | 26 |
| Gi inhouse confirmation CPT 87045 | $38.40 | $48.00 | $6.90 – $38.99 | 26 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $1,624.60 | $2,030.75 | $148.99 – $526.54 | 27 |
| Glucose 1 hr post dose CPT 82950 | $20.00 | $25.00 | $4.75 – $22.20 | 26 |
| Glucose blood quantitative CPT 82947 | $16.00 | $20.00 | $3.93 – $16.23 | 26 |
| Glucose body fluid CPT 82945 | $16.00 | $20.00 | $3.93 – $16.23 | 26 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $52.00 | $65.00 | $12.50 – $53.15 | 26 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $16.00 | $20.00 | $3.27 – $16.19 | 26 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $15.80 | $19.75 | $1.80 – $7.14 | 24 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $77.60 | $97.00 | $17.50 – $76.74 | 26 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $77.60 | $97.00 | $17.00 – $76.49 | 26 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $4,627.90 | $5,784.87 | $50.69 – $181.27 | 7 |
| Gu dilat ureter/urethra s&i CPT 74485 | $5,041.60 | $6,302.00 | $97.22 – $11,158.80 | 8 |
| Guided cath fluid drainage 10030 CPT 10030 | $1,156.00 | $1,445.00 | $156.60 – $1,260.91 | 23 |
| Guid loc target vol rad tx CPT 77387 | $875.20 | $1,094.00 | $79.76 – $112.95 | 6 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $25.80 | $32.25 | $0.80 – $2.73 | 9 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | $28.00 | $35.00 | $15.72 – $15.72 | 1 |
| Hand X-ray CPT 73130 | $296.80 | $371.00 | $14.38 – $497.84 | 25 |
| Haptoglobin quantitative CPT 83010 | $45.00 | $66.00 | $12.00 – $51.96 | 26 |
| Hba1/hba2 full gene sequence CPT 81259 | $1,289.60 | $1,612.00 | $300.00 – $2,478.00 | 22 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $434.40 | $543.00 | $101.20 – $835.91 | 22 |
| Hbb full gene sequence CPT 81364 | $697.60 | $872.00 | $162.29 – $1,340.52 | 22 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $867.20 | $1,084.00 | $49.24 – $1,006.60 | 24 |
| Hcg qualitative CPT 84703 | $31.20 | $39.00 | $7.52 – $34.88 | 26 |
| Hcg quantitative CPT 84702 | $55.00 | $77.00 | $15.05 – $62.16 | 27 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $308.80 | $386.00 | $281.02 – $302.24 | 2 |
| Head CT scan (with and without contrast) CPT 70470 | $569.00 | $2,645.00 | $125.00 – $1,006.60 | 25 |
| Head CT scan (with contrast) CPT 70460 | $478.00 | $2,362.00 | $100.00 – $1,006.60 | 25 |
| Head CT scan (without contrast) CPT 70450 | $296.00 | $1,462.00 | $96.88 – $602.31 | 25 |
| Hematocrit CPT 85014 | $13.60 | $17.00 | $2.37 – $10.98 | 26 |
| Hemodialysis one evaluation CPT 90935 | $516.00 | $645.00 | $524.79 – $1,253.98 | 18 |
| Hemoglobin CPT 85018 | $13.60 | $17.00 | $2.37 – $10.98 | 26 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $34.40 | $43.00 | $3.00 – $33.87 | 26 |
| Hemoglobin plasma CPT 83051 | $30.40 | $38.00 | $3.50 – $30.19 | 26 |
| Hemophilus influenza antibdy CPT 86684 | $65.60 | $82.00 | $15.84 – $72.93 | 26 |
| Heparin assay CPT 85520 | $94.40 | $118.00 | $6.53 – $54.06 | 26 |
| Heparin bolus from bag HCPCS J1644 | $142.60 | $178.25 | $0.21 – $0.77 | 9 |
| Hepatitis a antibody igm CPT 86709 | $46.40 | $58.00 | $11.26 – $51.68 | 26 |
| Hepatitis b core antibody igm CPT 86705 | $48.80 | $61.00 | $11.77 – $55.25 | 26 |
| Hepatitis b core antibody total CPT 86704 | $49.60 | $62.00 | $12.05 – $51.00 | 26 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $3,999.40 | $4,999.25 | $62.50 – $2,950.85 | 27 |
| Hepatitis b surface antibody CPT 86706 | $44.80 | $56.00 | $10.74 – $44.81 | 26 |
| Hepatitis c antibody CPT 86803 | $55.00 | $74.00 | $14.27 – $64.60 | 27 |
| Hepatobiliary system imaging CPT 78226 | $1,713.60 | $2,142.00 | $268.09 – $2,259.58 | 24 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | $970.00 – $1,101.92 | 6 |
| Herpes simplex type 1 antibody igg CPT 86695 | $55.20 | $69.00 | $13.19 – $61.95 | 26 |
| Herpes simplex type 2 antibody igg CPT 86696 | $80.80 | $101.00 | $19.35 – $79.92 | 26 |
| Heterophile antibodies screening CPT 86308 | $21.60 | $27.00 | $5.18 – $24.31 | 26 |
| Hip X-ray CPT 73502 | $344.80 | $431.00 | $27.95 – $497.84 | 25 |
| Histamine CPT 83088 | $123.20 | $154.00 | $13.00 – $121.96 | 26 |
| Histochemical stains add-on CPT 88314 | $173.60 | $217.00 | $10.74 – $356.71 | 9 |
| Hla ii typing 1 loc hr CPT 81382 | $514.40 | $643.00 | $123.68 – $510.80 | 25 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $575.20 | $719.00 | $103.22 – $701.69 | 25 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $5.60 | $7.00 | $0.22 – $0.77 | 6 |
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.