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 |
|---|---|---|---|---|
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $57.60 | $72.00 | $13.65 – $90.83 | 24 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $35.20 | $44.00 | $2.10 – $55.77 | 24 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $68.80 | $86.00 | $16.59 – $109.50 | 24 |
| Mayo proinsulin CPT 84206 | $132.80 | $166.00 | $8.40 – $117.54 | 24 |
| Mayo psaft prostate specific antigen free CPT 84154 | $45.00 | $96.00 | $16.48 – $121.34 | 24 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $76.80 | $96.00 | $8.66 – $89.16 | 18 |
| Mayo receptor assay transferrin soluble CPT 84238 | $152.00 | $190.00 | $15.08 – $241.27 | 24 |
| Mayo renin CPT 84244 | $109.60 | $137.00 | $12.60 – $145.15 | 24 |
| Mayo repu protein electrophoresis urine CPT 84166 | $45.00 | $93.00 | $16.06 – $117.68 | 24 |
| Mayo selenium CPT 84255 | $127.20 | $159.00 | $5.00 – $168.43 | 18 |
| Mayo serotonin CPT 84260 | $128.80 | $161.00 | $8.16 – $204.40 | 24 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $57.60 | $72.00 | $13.73 – $90.56 | 24 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $21.60 | $27.00 | $4.20 – $28.15 | 24 |
| Mayo tgrp testosterone free CPT 84402 | $105.60 | $132.00 | $21.25 – $168.02 | 24 |
| Mayo tgrp testosterone total CPT 84403 | $156.80 | $196.00 | $10.00 – $170.37 | 24 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $385.60 | $482.00 | $18.63 – $100.19 | 24 |
| Mayo thyroglobulin CPT 84432 | $66.40 | $83.00 | $16.06 – $105.97 | 24 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $42.40 | $53.00 | $10.18 – $67.11 | 24 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $61.60 | $77.00 | $3.75 – $81.75 | 18 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $56.80 | $71.00 | $13.54 – $83.33 | 24 |
| Mayo vasoactive intestinal peptide CPT 84586 | $176.00 | $220.00 | $18.09 – $233.14 | 24 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $84.00 | $105.00 | $5.43 – $133.54 | 24 |
| Mayo vitamin b3 (niacin) CPT 84591 | $70.40 | $88.00 | $8.75 – $76.51 | 18 |
| Mayo vitamin k CPT 84597 | $57.60 | $72.00 | $10.29 – $90.43 | 18 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $55.20 | $69.00 | $13.25 – $81.75 | 24 |
| Measurement post void urine by ultrasound CPT 51798 | $162.40 | $203.00 | $14.77 – $215.32 | 21 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $68.40 | $85.50 | $48.30 – $299.25 | 3 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $7.80 | $9.75 | $11.92 – $50.21 | 4 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $40.00 | $50.00 | $1.61 – $7.53 | 4 |
| Metabolic Blood Panel (Basic) CPT 80048 | $20.00 | $74.00 | $8.46 – $55.86 | 25 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $25.00 | $93.00 | $10.56 – $69.77 | 25 |
| Metabolic panel ionized ca CPT 80047 | $70.40 | $88.00 | $12.51 – $56.70 | 24 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $3.20 | $4.00 | $0.14 – $0.70 | 4 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $433.80 | $542.25 | $10.29 – $628.80 | 19 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $50.00 | $62.50 | $15.73 – $74.52 | 4 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $451.20 | $564.00 | $118.44 – $609.00 | 2 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $1.40 | $1.75 | $0.08 – $0.84 | 3 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $31.40 | $39.25 | $3.64 – $16.18 | 19 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $57.20 | $71.50 | $1.29 – $7.00 | 19 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $4.20 | $5.25 | $0.83 – $3.96 | 4 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $14.80 | $18.50 | $0.46 – $2.08 | 3 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $14.40 | $18.00 | $1.05 – $5.25 | 4 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $136.20 | $170.25 | $19.60 – $99.20 | 4 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $22.40 | $28.00 | $0.24 – $1.02 | 4 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $21.20 | $26.50 | $4.42 – $21.98 | 4 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $181.40 | $226.75 | $1.66 – $16.21 | 4 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $9.40 | $11.75 | $6.64 – $26.59 | 4 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $660.00 | $825.00 | $20.00 – $1,189.07 | 24 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $264.00 | $330.00 | $12.13 – $1,304.00 | 24 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $554.40 | $693.00 | $15.58 – $621.18 | 24 |
| MRA abdomen post contrast CPT 74185 | $735.50 | $2,646.00 | $166.99 – $2,481.95 | 23 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $734.50 | $2,646.00 | $183.33 – $2,481.57 | 23 |
| MRI chest without contrast CPT 71550 | $457.00 | $2,225.00 | $176.95 – $2,017.04 | 24 |
| MRI chest without & w/contrast CPT 71552 | $706.00 | $2,646.00 | $116.80 – $3,120.34 | 24 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $463.00 | $2,225.00 | $164.38 – $2,016.66 | 24 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $712.50 | $2,646.00 | $171.88 – $3,128.38 | 24 |
| MRI orbit/face/neck without contrast CPT 70540 | $463.50 | $2,225.00 | $141.15 – $2,016.66 | 24 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $713.00 | $2,646.00 | $380.06 – $3,128.76 | 24 |
| MRI tmj CPT 70336 | $658.00 | $2,225.00 | $29.74 – $2,023.33 | 24 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $463.50 | $2,225.00 | $241.09 – $2,016.35 | 24 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $712.50 | $2,646.00 | $273.54 – $3,128.38 | 24 |
| Mthfr gene analy common variants CPT 81291 | $277.60 | $347.00 | $39.34 – $196.02 | 14 |
| Mumps antibody igg CPT 86735 | $54.40 | $68.00 | $5.00 – $86.13 | 18 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $1.40 | $1.75 | $0.12 – $0.53 | 4 |
| Mycoplasma antibody igm CPT 86738 | $55.20 | $69.00 | $13.24 – $87.40 | 24 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $57.60 | $72.00 | $8.65 – $72.67 | 18 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $122.20 | $152.75 | $0.22 – $0.91 | 3 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | $19,702.60 | $24,628.25 | $28.30 – $25,588.50 | 20 |
| Natriuretic peptide CPT 83880 | $80.00 | $244.00 | $39.26 – $223.97 | 24 |
| Natural killer cells total count CPT 86357 | $188.00 | $235.00 | $37.73 – $248.91 | 24 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $569.00 | $2,645.00 | $81.25 – $1,983.13 | 24 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $472.00 | $2,350.00 | $57.50 – $2,106.92 | 24 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $282.00 | $2,312.00 | $46.88 – $1,130.42 | 24 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $701.50 | $2,646.00 | $90.50 – $3,141.41 | 24 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $633.50 | $2,350.00 | $228.06 – $2,483.69 | 24 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $454.00 | $2,225.00 | $124.75 – $2,023.33 | 24 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $473.00 | $2,225.00 | $184.83 – $2,020.53 | 24 |
| Nerve conduction 7-8 studies CPT 95910 | $1,476.00 | $1,845.00 | $35.09 – $1,128.83 | 21 |
| Nerve conduction studies 11-12 CPT 95912 | $2,152.80 | $2,691.00 | $52.70 – $1,923.45 | 21 |
| Nerve conduction studies 13+ CPT 95913 | $2,283.20 | $2,854.00 | $52.70 – $1,923.45 | 21 |
| Nerve conduction studies 5-6 CPT 95909 | $1,118.40 | $1,398.00 | $27.11 – $1,128.83 | 21 |
| Nerve conduction studies 9-10 CPT 95911 | $1,934.40 | $2,418.00 | $23.75 – $1,923.45 | 21 |
| Neuromuscular junction testing ea nerve any 1 method CPT 95937 | $82.40 | $103.00 | $20.72 – $567.15 | 21 |
| New Patient Office Visit (level 3) CPT 99203 | $467.20 | $584.00 | $42.00 – $467.16 | 18 |
| New Patient Office Visit (level 4) CPT 99204 | $608.00 | $760.00 | $42.00 – $467.16 | 18 |
| New Patient Office Visit (level 5) CPT 99205 | $754.40 | $943.00 | $42.00 – $467.16 | 17 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $86.40 | $108.00 | $11.20 – $63.00 | 4 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $74.40 | $93.00 | $11.27 – $46.90 | 4 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $1,713.60 | $2,142.00 | $80.00 – $2,259.58 | 23 |
| Nm imaging bone/joint whole body CPT 78306 | $1,713.60 | $2,142.00 | $96.88 – $2,259.58 | 23 |
| Nm imaging gastric emptying study CPT 78264 | $1,713.60 | $2,142.00 | $113.91 – $2,259.58 | 23 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $2,225.60 | $2,782.00 | $95.15 – $2,961.19 | 23 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $2,225.60 | $2,782.00 | $111.43 – $2,961.19 | 23 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $2,225.60 | $2,782.00 | $40.00 – $2,961.19 | 23 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,713.60 | $2,142.00 | $119.09 – $2,259.58 | 23 |
| Nuclear Stress Test (Heart) CPT 78452 | $6,240.00 | $7,800.00 | $106.90 – $7,779.35 | 23 |
| Observation direct referral from physician office for admission HCPCS G0379 | $173.60 | $217.00 | $652.46 – $1,500.00 | 17 |
| Observation per hour HCPCS G0378 | $173.60 | $217.00 | $1,500.00 – $2,600.00 | 6 |
| Obstetric panel inc HIV tstg CPT 80081 | $230.00 | $389.00 | $74.86 – $460.81 | 24 |
| Obstetrics panel CPT 80055 | $190.00 | $249.00 | $12.60 – $197.46 | 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.