WellSpan Evangelical Community Hospital
1 Hospital Drive, Lewisburg, PA · Wellspan · · NPI 1124076039
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 |
|---|---|---|---|---|
| Warde infectious agent nucleic acid genotype hepatitis c CPT 87902 | $1,679.00 | $2,098.75 | $128.73 – $1,496.02 | 23 |
| Warde lipoprotein (a) CPT 83695 | $259.60 | $324.50 | $14.18 – $75.26 | 27 |
| Warde mitochondrial antibody each CPT 86381 | $105.60 | $132.00 | $12.73 – $196.86 | 23 |
| Warde neutralization rabies CPT 86382 | $261.60 | $327.00 | $8.46 – $255.97 | 23 |
| Warde oxcarbazepine therapeutic drug level CPT 80183 | $426.20 | $532.75 | $13.12 – $72.00 | 27 |
| Warde pancreatic elastase fecal quantitative CPT 82653 | $96.00 | $120.00 | $20.22 – $111.38 | 27 |
| Warde protein c antigen CPT 85302 | $259.80 | $324.75 | $11.89 – $69.85 | 27 |
| Warde sex hormone binding globulin CPT 84270 | $311.00 | $388.75 | $21.51 – $114.63 | 27 |
| Warde somatomedin CPT 84305 | $628.20 | $785.25 | $21.05 – $114.11 | 27 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $740.20 | $925.25 | $15.60 – $91.58 | 27 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $1,069.00 | $1,336.25 | $22.00 – $295.48 | 27 |
| Warde vitamin a CPT 84590 | $364.20 | $455.25 | $11.49 – $67.38 | 27 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $238.80 | $298.50 | $7.70 – $123.42 | 27 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $279.20 | $349.00 | $27.82 – $163.26 | 27 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $208.40 | $260.50 | $7.70 – $57.43 | 27 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $718.20 | $897.75 | $38.12 – $223.68 | 27 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $421.00 | $526.25 | $11.00 – $82.39 | 27 |
| Warde zinc CPT 84630 | $316.20 | $395.25 | $11.28 – $66.19 | 27 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $692.00 | $865.00 | $47.20 – $191.90 | 22 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $680.40 | $850.50 | $47.20 – $385.87 | 22 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | $853.60 – $11,091.00 | 8 |
| Wrist X-ray CPT 73110 | $649.60 | $812.00 | $20.90 – $497.84 | 27 |
| X-ray abdomen 1 view CPT 74018 | $354.60 | $443.25 | $23.25 – $497.84 | 27 |
| X-ray abdomen 2 views CPT 74019 | $442.00 | $552.50 | $28.40 – $602.31 | 27 |
| X-ray abdomen >=3 views CPT 74021 | $481.40 | $601.75 | $33.25 – $602.31 | 27 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $668.00 | $835.00 | $42.59 – $602.31 | 27 |
| X-ray ankle 2 views (both sides) CPT 73600 | $447.60 | $559.50 | $20.70 – $497.84 | 27 |
| X-ray bone age studies CPT 77072 | $1,004.40 | $1,255.50 | $18.23 – $602.31 | 27 |
| X-ray bone survey complete CPT 77075 | $2,263.60 | $2,829.50 | $72.04 – $602.31 | 27 |
| X-ray cervical spine 2-3 views CPT 72040 | $573.00 | $716.25 | $29.15 – $497.84 | 27 |
| X-ray cervical spine 4-5 views CPT 72050 | $710.40 | $888.00 | $44.68 – $602.31 | 27 |
| X-ray cervical spine >= 6 views CPT 72052 | $912.40 | $1,140.50 | $54.27 – $602.31 | 27 |
| X-ray clavicle complete (both sides) CPT 73000 | $388.00 | $485.00 | $20.70 – $497.84 | 27 |
| X-ray elbow 2 views (both sides) CPT 73070 | $474.40 | $593.00 | $20.28 – $497.84 | 27 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $624.00 | $780.00 | $20.90 – $497.84 | 27 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $869.80 | $1,087.25 | $41.25 – $1,006.60 | 27 |
| X-ray exam of arm infant CPT 73092 | $575.20 | $719.00 | $20.15 – $602.31 | 27 |
| X-ray exam of sinuses CPT 70210 | $429.40 | $536.75 | $26.74 – $497.84 | 27 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $390.40 | $488.00 | $25.31 – $497.84 | 27 |
| X-ray facial bones complete > 3 views CPT 70150 | $594.20 | $742.75 | $37.69 – $602.31 | 27 |
| X-ray femur >=2 views (both sides) CPT 73552 | $483.20 | $604.00 | $27.08 – $497.84 | 27 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $369.60 | $462.00 | $15.40 – $497.84 | 27 |
| X-ray foot 2 views (both sides) CPT 73620 | $481.00 | $601.25 | $19.05 – $497.84 | 27 |
| X-ray forearm 2 views (both sides) CPT 73090 | $414.40 | $518.00 | $20.70 – $497.84 | 27 |
| X-ray hand 2 views (both sides) CPT 73120 | $511.20 | $639.00 | $19.05 – $602.31 | 27 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $440.80 | $551.00 | $20.70 – $497.84 | 27 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $660.20 | $825.25 | $33.02 – $602.31 | 27 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $660.18 | $825.22 | $40.80 – $602.31 | 27 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $660.20 | $825.25 | $47.29 – $602.31 | 27 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $512.00 | $640.00 | $24.74 – $497.84 | 27 |
| X-ray humerus >= 2 views left CPT 73060 | $412.00 | $515.00 | $20.90 – $497.84 | 27 |
| X-ray joint survey 1 view CPT 77077 | $508.40 | $635.50 | $40.41 – $602.31 | 27 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $578.40 | $723.00 | $26.99 – $497.84 | 27 |
| X-ray knee 3 views (both sides) CPT 73562 | $655.20 | $819.00 | $27.41 – $497.84 | 27 |
| X-ray knee ap standing bilateral CPT 73565 | $344.00 | $430.00 | $27.94 – $497.84 | 27 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $961.00 | $1,201.25 | $40.28 – $602.31 | 27 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $1,107.00 | $1,383.75 | $38.50 – $602.31 | 27 |
| X-ray mandible complete > 4 views CPT 70110 | $552.40 | $690.50 | $30.25 – $602.31 | 27 |
| X-ray nasal bones complete > 3 views CPT 70160 | $385.20 | $481.50 | $20.90 – $497.84 | 27 |
| X-ray neck soft tissue CPT 70360 | $405.20 | $506.50 | $19.25 – $497.84 | 27 |
| X-ray nose to rectum for foreign body child CPT 76010 | $287.80 | $359.75 | $15.95 – $497.84 | 27 |
| X-ray pelvis 1-2 views CPT 72170 | $399.20 | $499.00 | $19.25 – $602.31 | 27 |
| X-ray pelvis complete > 3 views CPT 72190 | $528.40 | $660.50 | $33.72 – $602.31 | 27 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $1,258.60 | $1,573.25 | $41.25 – $2,106.92 | 27 |
| X-ray ribs 2 views left CPT 71100 | $410.40 | $513.00 | $29.15 – $497.84 | 27 |
| X-ray ribs 3 views bilateral CPT 71110 | $621.20 | $776.50 | $30.25 – $602.31 | 27 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $537.60 | $672.00 | $29.15 – $602.31 | 27 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $863.00 | $1,078.75 | $30.25 – $602.31 | 27 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $530.80 | $663.50 | $27.83 – $602.31 | 27 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $523.60 | $654.50 | $26.99 – $497.84 | 27 |
| X-ray scapula complete (both sides) CPT 73010 | $447.00 | $558.75 | $26.40 – $602.31 | 27 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $507.20 | $634.00 | $24.12 – $497.84 | 27 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $599.80 | $749.75 | $37.27 – $497.84 | 27 |
| X-ray skull < 4 views CPT 70250 | $485.60 | $607.00 | $34.97 – $602.31 | 27 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $855.20 | $1,069.00 | $41.25 – $1,006.60 | 27 |
| X-ray spine single view CPT 72020 | $588.40 | $735.50 | $23.54 – $497.84 | 27 |
| X-ray sternum > 2 views CPT 71120 | $442.80 | $553.50 | $20.90 – $497.84 | 27 |
| X-ray surgical specimen CPT 76098 | $707.40 | $884.25 | $20.58 – $3,022.37 | 27 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $1,097.80 | $1,372.25 | $50.60 – $1,006.60 | 27 |
| X-ray thoracic spine 2 views CPT 72070 | $588.40 | $735.50 | $34.03 – $602.31 | 27 |
| X-ray thoracic spine 3 views CPT 72072 | $648.80 | $811.00 | $34.68 – $602.31 | 27 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $648.60 | $810.75 | $29.15 – $497.84 | 27 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $529.80 | $662.25 | $32.54 – $497.84 | 27 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $648.60 | $810.75 | $51.96 – $602.31 | 27 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $550.40 | $688.00 | $26.99 – $497.84 | 27 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $365.20 | $456.50 | $15.40 – $497.84 | 27 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $1,178.40 | $1,473.00 | $73.15 – $1,006.60 | 27 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $1,178.40 | $1,473.00 | $71.50 – $1,006.60 | 27 |
| X-ray wrist 2 views (both sides) CPT 73100 | $617.20 | $771.50 | $20.70 – $497.84 | 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.