WellSpan Waynesboro Hospital
501 E. Main St., Waynesboro, PA · Wellspan · · NPI 1821091059
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $121.60 | $152.00 | $18.38 – $122.78 | 24 |
| 17-hydroxypregnenolone CPT 84143 | $95.20 | $119.00 | $18.75 – $150.58 | 24 |
| 3d recon without postprocess indpndt CPT 76376 | $628.80 | $786.00 | $11.02 – $402.07 | 2 |
| 5% dextrose and 0.45% saline HCPCS S5010 | $20.00 | $25.00 | $3.66 – $28.21 | 2 |
| 5' nucleotidase - sendout CPT 83915 | $46.40 | $58.00 | $7.93 – $73.62 | 24 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $49.60 | $62.00 | $7.73 – $79.22 | 24 |
| Abd/low ext cath 3rd CPT 36247 | $2,102.40 | $2,628.00 | $312.28 – $420.32 | 5 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $560.00 | $2,645.00 | $26.43 – $1,977.89 | 24 |
| Abdominal CT scan (with contrast) CPT 74160 | $468.50 | $2,362.00 | $37.76 – $1,732.53 | 24 |
| Abdominal CT scan (without contrast) CPT 74150 | $273.50 | $1,610.00 | $40.54 – $1,130.42 | 24 |
| Abdominal MRI (with and without contrast) CPT 74183 | $706.00 | $4,259.00 | $209.21 – $3,130.50 | 24 |
| Abdominal MRI (with contrast) CPT 74182 | $639.50 | $2,350.00 | $181.44 – $2,477.71 | 24 |
| Abdominal MRI (without contrast) CPT 74181 | $457.00 | $2,225.00 | $166.99 – $2,019.47 | 24 |
| Abdominal paracentesis w/image guidance CPT 49083 | $2,604.80 | $3,256.00 | $59.38 – $3,398.67 | 21 |
| Abdominal Ultrasound (complete) CPT 76700 | $1,272.00 | $1,590.00 | $33.13 – $602.31 | 24 |
| Abdominal Ultrasound (limited) CPT 76705 | $946.40 | $1,183.00 | $33.13 – $602.31 | 24 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $940.80 | $1,176.00 | $57.26 – $3,398.67 | 21 |
| Ablation of upper extremity nerves rf CPT 64999 | not published | not published | $314.14 – $1,807.00 | 20 |
| Acetaminophen 120 mg rectal suppository HCPCS A9270 | $57.80 | $72.25 | $0.62 – $17.64 | 2 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $88.40 | $110.50 | $15.07 – $66.71 | 4 |
| Acetylcholine receptor modulating antibody CPT 86043 | $49.60 | $62.00 | $10.12 – $54.46 | 23 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $63.00 | $78.75 | $17.64 – $94.50 | 4 |
| Acute hepatitis panel CPT 80074 | $237.60 | $297.00 | $47.63 – $314.26 | 24 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $9.60 | $12.00 | $2.80 – $14.00 | 4 |
| #acylcarnitineprfl CPT 82017 | $84.00 | $105.00 | $12.65 – $111.31 | 18 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $11.60 | $14.50 | $2.52 – $10.12 | 4 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $754.60 | $943.25 | $58.80 – $358.40 | 3 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $283.20 | $354.00 | $29.69 – $257.99 | 21 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $795.20 | $994.00 | $131.04 – $1,202.38 | 21 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $283.20 | $354.00 | $33.35 – $257.99 | 21 |
| Administration immunization 1 vaccine CPT 90471 | $205.60 | $257.00 | $12.05 – $257.99 | 16 |
| Administration immunization each additional vaccine CPT 90472 | $80.00 | $100.00 | $12.50 – $12.50 | 1 |
| Administration vaccine influenza virus HCPCS G0008 | $205.60 | $257.00 | $10.50 – $167.25 | 21 |
| Administration vaccine pneumococcal HCPCS G0009 | $205.60 | $257.00 | $10.50 – $167.25 | 21 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $480.00 | $600.00 | $34.18 – $746.65 | 24 |
| Albumin body fluid quantitative each specimen CPT 82042 | $39.20 | $49.00 | $5.84 – $32.13 | 18 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $145.20 | $181.50 | $40.31 – $339.71 | 5 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $157.40 | $196.75 | $40.31 – $180.47 | 20 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $36.00 | $45.00 | $5.78 – $38.19 | 25 |
| Albumin serum plasma or whole blood CPT 82040 | $20.80 | $26.00 | $3.83 – $32.67 | 24 |
| Alkaline phosphatase CPT 84075 | $25.60 | $32.00 | $5.18 – $34.16 | 24 |
| Allergen alpha lactalbumin ige CPT 86008 | $89.60 | $112.00 | $17.93 – $100.05 | 24 |
| Allergen egg white ige CPT 86003 | $32.00 | $40.00 | $5.22 – $34.44 | 25 |
| Alpha-fetoprotein tumor marker CPT 82105 | $69.60 | $87.00 | $16.77 – $110.67 | 24 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $491.60 | $614.50 | $37.50 – $642.23 | 20 |
| Alt/sgpt CPT 84460 | $26.40 | $33.00 | $5.30 – $34.93 | 24 |
| Aluminum - quest CPT 82108 | $127.20 | $159.00 | $25.48 – $168.11 | 24 |
| Amino acid screen, urine CPT 82128 | $68.80 | $86.00 | $8.40 – $91.47 | 24 |
| Aminolevulinic acid delta CPT 82135 | $68.00 | $85.00 | $12.60 – $108.64 | 24 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $57.20 | $71.50 | $7.85 – $38.68 | 4 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $85.20 | $106.50 | $9.91 – $45.33 | 4 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $27.80 | $34.75 | $1.61 – $48.96 | 4 |
| Ammonia CPT 82140 | $60.80 | $76.00 | $5.25 – $96.17 | 24 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $115.20 | $144.00 | $32.97 – $175.25 | 4 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $26.40 | $33.00 | $0.41 – $2.10 | 4 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $25.40 | $31.75 | $1.06 – $5.50 | 4 |
| Amputation toe metatarsophalangeal joint CPT 28820 | not published | not published | $766.50 – $12,844.47 | 23 |
| Amylase CPT 82150 | $26.40 | $33.00 | $5.25 – $42.75 | 24 |
| Analysis gene f2 20210g>a variant CPT 81240 | $272.80 | $341.00 | $14.78 – $303.37 | 21 |
| Analysis gene f5 leiden variant CPT 81241 | $305.60 | $382.00 | $18.75 – $376.76 | 21 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $162.40 | $203.00 | $29.47 – $158.58 | 24 |
| Anca screen with reflex to titer -quest CPT 86021 | $75.20 | $94.00 | $5.25 – $62.16 | 24 |
| An fluoro guide for cvp CPT 77001 | $824.80 | $1,031.00 | $63.69 – $492.21 | 6 |
| Ankle X-ray CPT 73610 | $483.20 | $604.00 | $28.11 – $497.84 | 24 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $53.60 | $67.00 | $9.66 – $85.00 | 18 |
| Antibody elution rbc reference CPT 86860 | $670.40 | $838.00 | $8.87 – $621.18 | 22 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $116.00 | $145.00 | $5.25 – $75.87 | 24 |
| Antibody id rbc panel CPT 86870 | $1,403.20 | $1,754.00 | $8.87 – $1,304.00 | 22 |
| Antibody screen rbc CPT 86850 | $208.80 | $261.00 | $8.87 – $193.70 | 23 |
| Antibody tetanus CPT 86774 | $74.40 | $93.00 | $5.00 – $97.66 | 18 |
| Anti mog serum - sendout CPT 86362 | $49.60 | $62.00 | $9.07 – $54.46 | 24 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $49.60 | $62.00 | $10.12 – $49.77 | 23 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $49.60 | $62.00 | $10.12 – $54.46 | 24 |
| Antinuclear antibodies CPT 86038 | $49.60 | $62.00 | $12.09 – $79.76 | 24 |
| Antinuclear antibodies titer CPT 86039 | $46.40 | $58.00 | $10.00 – $73.66 | 24 |
| Antistreptolysin o titer CPT 86060 | $30.40 | $38.00 | $7.30 – $48.17 | 24 |
| Antithrombin iii activity CPT 85300 | $80.80 | $101.00 | $7.96 – $57.71 | 24 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $814.80 – $21,149.63 | 22 |
| Application finger splntstatic 29130 CPT 29130 | $415.20 | $519.00 | $45.00 – $171.79 | 15 |
| Application long leg splint 29505 CPT 29505 | $458.40 | $573.00 | $29.38 – $571.98 | 21 |
| Application lower leg splint 29515 CPT 29515 | $586.40 | $733.00 | $36.75 – $571.98 | 21 |
| Application multi layer compression below knee (both sides) CPT 29581 | $492.80 | $616.00 | $26.53 – $571.98 | 21 |
| Application of paste boot 29580 CPT 29580 | $463.20 | $579.00 | $27.11 – $210.29 | 15 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $1,904.80 | $2,381.00 | $66.25 – $6,630.99 | 16 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $80.80 | $101.00 | $42.20 – $56.80 | 5 |
| Aquaporin-4 antibody cba each CPT 86052 | $62.40 | $78.00 | $10.12 – $54.46 | 24 |
| Aquatic exercise - group charge CPT 97150 | $89.60 | $112.00 | $42.20 – $56.80 | 5 |
| Argatroban nonesrd use 1mg HCPCS J0883 | $624.80 | $781.00 | $0.94 – $831.25 | 20 |
| Arterial blood draw/perc 36620 CPT 36620 | $1,788.00 | $2,235.00 | $50.20 – $67.56 | 5 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $1,041.60 | $1,302.00 | $22.58 – $1,807.00 | 22 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $2,796.80 | $3,496.00 | $44.47 – $2,510.39 | 21 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $1,244.80 | $1,556.00 | $52.31 – $1,070.08 | 21 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $526.40 | $658.00 | $18.90 – $1,070.08 | 21 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $1,048.80 | $1,311.00 | $24.68 – $1,807.00 | 22 |
| Arthroplasty finger joint 26535 CPT 26535 | not published | not published | $814.80 – $18,482.80 | 23 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | $480.80 | $601.00 | $40.81 – $1,070.08 | 21 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $2,478.40 | $3,098.00 | $62.77 – $2,550.51 | 21 |
| Aspir/inj thyroid cyst 60300 CPT 60300 | $1,200.00 | $1,500.00 | $38.65 – $2,550.51 | 21 |
| Assay alkaline phosphatase CPT 84078 | $34.40 | $43.00 | $6.20 – $48.17 | 18 |
| Assay dir meas fr estradiol CPT 82681 | $140.00 | $175.00 | $20.96 – $126.26 | 18 |
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.