healthcosts.net

WellSpan Evangelical Community Hospital

1 Hospital Drive, Lewisburg, PA · Wellspan · · NPI 1124076039

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 17, 2026

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
Creatine kinase mb CPT 82553 $181.20 $226.50 $11.09 – $56.01 27
Creatinine CPT 82565 $15.00 $66.00 $5.07 – $29.77 27
Creatinine 24 hour urine CPT 82570 $20.00 $133.75 $5.13 – $30.09 27
#creutz-prot.,western blot CPT 84182 $1,093.40 $1,366.75 $27.01 – $141.64 27
Critical care 30-74 minutes CPT 99291 $2,184.40 $2,730.50 $166.79 – $2,943.89 25
Critical care each additional 30 minutes CPT 99292 $951.60 $1,189.50 $81.84 – $96.72 7
Crystal identification light microscopy CPT 89060 $326.80 $408.50 $7.26 – $41.55 27
CT 3d report other modality w/workstation CPT 76377 $664.80 $831.00 $18.82 – $1,068.52 3
Cta abdomen without & /or w/contrast CPT 74175 $532.50 $5,814.00 $171.26 – $1,828.89 27
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 $397.50 $7,558.00 $171.26 – $1,827.94 27
Cta lower extremity without & w/contrast (both sides) CPT 73706 $528.50 $3,442.25 $171.26 – $1,827.05 27
Cta neck without &/or w/contrast CPT 70498 $538.00 $3,713.25 $171.26 – $1,830.45 27
CT Angiogram of Abdomen and Pelvis CPT 74174 $517.50 $6,372.25 $343.57 – $2,330.00 27
CT Angiogram of the Chest (for blood clot) CPT 71275 $531.50 $5,686.00 $171.26 – $1,829.22 27
CT Angiogram of the Head CPT 70496 $538.00 $5,812.75 $171.26 – $1,830.45 27
CT angio hrt w/3d image CPT 75574 $407.00 $5,205.75 $329.27 – $389.14 25
CT angio pelvis CPT 72191 $534.00 $3,918.50 $171.26 – $1,829.50 27
CT heart w/evaluation of calcium without contrast CPT 75571 $85.50 $135.00 $62.52 – $497.84 27
CT lower extremity w/contrast (both sides) CPT 73701 $475.50 $4,012.50 $149.70 – $1,386.93 27
CT lower extremity without contrast (both sides) CPT 73700 $285.50 $3,763.50 $102.30 – $1,011.67 27
CT lwr extremity w/o&w/dye CPT 73702 $572.00 $4,091.25 $163.96 – $1,774.87 27
CT neck soft tissue w/contrast CPT 70491 $461.50 $3,545.25 $151.25 – $1,369.84 27
CT neck soft tissue without contrast CPT 70490 $268.00 $2,896.75 $102.30 – $1,011.67 27
CT neck soft tissue without & w/contrast CPT 70492 $557.50 $4,499.50 $169.40 – $1,724.21 27
CT orbit/sella/fossa w/wo contrast CPT 70482 $557.50 $3,569.00 $171.26 – $1,771.75 27
CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 $461.50 $3,020.00 $171.26 – $1,598.75 27
CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 $268.00 $2,315.75 $102.30 – $1,010.10 27
CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 $525.00 $10,098.50 $343.57 – $2,106.92 27
CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 $437.50 $7,856.50 $289.48 – $2,106.92 27
CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 $242.50 $5,857.50 $185.12 – $1,342.45 27
CT thoracic spine w/contrast CPT 72129 $472.00 $3,734.50 $158.46 – $1,454.02 27
CT thoracic spine without contrast CPT 72128 $286.50 $3,246.75 $102.30 – $1,012.95 27
CT thorax low dose for lung screening without contrast CPT 71271 $266.00 $3,417.25 $102.30 – $602.31 27
CT upper extremity w/contrast (both sides) CPT 73201 $475.50 $3,703.75 $149.70 – $2,106.92 27
CT upper extremity without contrast (both sides) CPT 73200 $285.50 $3,064.75 $102.30 – $1,011.67 27
Culture aerobic additional method definitive id each CPT 87077 $379.00 $473.75 $7.81 – $39.18 27
Culture afb any source CPT 87116 $392.20 $490.25 $8.25 – $62.81 27
Culture anaerobic additional method definitive id each CPT 87076 $161.20 $201.50 $8.00 – $39.18 27
Culture anaerobic except blood CPT 87075 $315.60 $394.50 $9.38 – $54.96 27
Culture bact stool aero addl path ea CPT 87046 $171.60 $214.50 $2.87 – $54.81 27
Culture body fluid CPT 87070 $378.80 $473.50 $7.59 – $50.03 27
Culture fungi definitive id yeast CPT 87106 $166.60 $208.25 $10.22 – $59.98 27
Culture fungi other (except blood) CPT 87102 $35.20 $44.00 $8.33 – $48.80 27
Culture fungi skin/hair/nail CPT 87101 $100.00 $125.00 $7.63 – $44.82 27
Culture mycoplasma any source CPT 87109 $588.00 $735.00 $15.24 – $89.43 27
Culture quantitative aerobic other source CPT 87071 $379.00 $473.75 $5.74 – $54.81 27
Culture typing immunologic CPT 87147 $153.40 $191.75 $3.30 – $30.09 27
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 $872.00 $1,090.00 $215.88 – $1,057.37 21
Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 $178.20 $222.75 $34.74 – $200.08 27
Culture urine each isolate CPT 87088 $400.40 $500.50 $8.01 – $47.04 27
Cyclic citrullinated peptide antibody CPT 86200 $270.40 $338.00 $12.82 – $75.26 27
Cyclosporine modified 25 mg capsule HCPCS J7515 $2.00 $2.50 $0.61 – $2.46 7
Cystatin c CPT 82610 $451.40 $564.25 $16.72 – $89.80 27
Cystoscopy and treatment CPT 52235 not published not published $853.60 – $11,091.00 8
Cystoscopy (Bladder Scope) CPT 52000 not published not published $853.60 – $5,032.00 8
Cystoscopy chemodenervation CPT 52287 not published not published $853.60 – $6,676.00 8
Cysto/uretero w/lithotripsy CPT 52356 not published not published $853.60 – $18,724.00 8
Cytomegalovirus (cmv) antibody igg CPT 86644 $384.20 $480.25 $14.25 – $83.66 27
Cytomegalovirus (cmv) antibody igm CPT 86645 $148.60 $185.75 $16.68 – $97.91 27
Cytopathology cellular enhancement technique non-gyn CPT 88112 $146.40 $183.00 $51.40 – $165.09 27
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 $367.80 $459.75 $26.23 – $153.63 27
Cytopathology cervical/vaginal thin layer manual screening CPT 88142 $367.80 $459.75 $17.60 – $117.73 27
Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 $50.60 $63.25 $24.57 – $35.23 3
Cytopathology fna adequacy evaluation first episode each site CPT 88172 $232.40 $290.50 $82.79 – $488.22 23
Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 $382.20 $477.75 $26.72 – $234.15 23
Debridement (>20 cm) charge pt CPT 97598 $1,387.00 $1,733.75 $12.72 – $15.03 7
Debridement bone <= 20 sq cm CPT 11044 $7,413.80 $9,267.25 $36.30 – $42.90 7
Debridement/bone/20 sq cm or less 11046 CPT 11046 $1,640.00 $2,050.00 $38.04 – $810.92 2
Debridement subcutaneous tissue <= 20 sq cm CPT 11042 $2,409.00 $3,011.25 $36.30 – $1,956.00 26
Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 $1,607.20 $2,009.00 $18.06 – $910.58 2
Debr musc/fascia 20sq cm/< 11043 CPT 11043 $1,847.00 $2,308.75 $36.30 – $591.20 25
Decalcification CPT 88311 $398.20 $497.75 $18.39 – $25.53 9
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 $111.00 $138.75 $13.00 – $196.43 25
Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 $761.40 $951.75 $25.85 – $124.49 25
Destroy cervthor facet jnt 64633 CPT 64633 $5,453.60 $6,817.00 $201.32 – $237.93 7
Destroy cth facet jnt addl 64634 CPT 64634 $1,545.20 $1,931.50 $60.74 – $71.79 7
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 $1,412.80 $1,766.00 $52.82 – $62.43 7
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 $5,453.60 $6,817.00 $197.27 – $233.14 7
Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 $469.60 $587.00 $30.23 – $497.84 27
Dexamethasone 4 mg tablet HCPCS J8540 $4.20 $5.25 $0.03 – $1.02 7
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 $8.00 $10.00 $0.07 – $0.38 7
Dhea-s (dehydroepiand sulfate) CPT 82627 $229.80 $287.25 $22.01 – $129.19 27
Diabetes (HbA1c) Test CPT 83036 $25.00 $258.25 $7.70 – $56.40 27
Diagnostic anoscopy spx 46600 CPT 46600 $1,174.80 $1,468.50 $22.00 – $124.49 25
Diagnostic digital breast tomosynthesis bil CPT 77062 $103.20 $129.00 $13.95 – $109.19 24
Diagnostic digital breast tomosynthesis unil CPT 77061 $103.00 $128.75 $13.95 – $109.19 24
Diagnostic Mammogram (both breasts) CPT 77066 $208.00 $1,066.25 $99.45 – $634.23 27
Diagnostic Mammogram (one breast) CPT 77065 $222.00 $1,059.50 $78.07 – $495.81 27
Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 $0.80 $1.00 $0.08 – $0.22 5
Diffusing capacity CPT 94729 $471.40 $589.25 $43.49 – $51.40 7
Digoxin total therapeutic drug level CPT 80162 $280.20 $350.25 $12.10 – $77.17 27
Dilate esophagus 1/mult pass CPT 43450 not published not published $853.60 – $3,462.59 25
Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 $3.40 $4.25 $0.57 – $2.88 7
Dna antibody native/double stranded CPT 86225 $252.60 $315.75 $13.60 – $79.84 27
Dna gardnerella CPT 87510 $83.20 $104.00 $17.64 – $116.50 27
Doppler echo complete CPT 93320 $1,071.40 $1,339.25 $66.58 – $78.69 7
Doppler upper/lower extremity arteries limited bilateral CPT 93922 $869.20 $1,086.50 $53.67 – $124.49 25
Drain finger abscess;simple 26010 CPT 26010 $581.60 $727.00 $29.15 – $191.90 25
Drng of finger abscess comp 26011 CPT 26011 $5,927.60 $7,409.50 $88.00 – $104.00 7
Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 $344.65 $430.81 $61.52 – $317.65 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.