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 |
|---|---|---|---|---|
| Ultrasound pregnant uterus transvaginal CPT 76817 | $534.40 | $668.00 | $23.75 – $602.31 | 24 |
| Ultrasound retroperitoneal limited CPT 76775 | $626.40 | $783.00 | $34.38 – $602.31 | 24 |
| Ultrasound scrotum and contents CPT 76870 | $702.40 | $878.00 | $40.66 – $602.31 | 24 |
| Ultrasound transvaginal non obstetric CPT 76830 | $708.80 | $886.00 | $39.41 – $602.31 | 23 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $1,124.00 | $1,405.00 | $524.79 – $970.00 | 15 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $700.50 | $2,646.00 | $256.55 – $3,143.47 | 24 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $633.50 | $2,350.00 | $152.44 – $2,485.81 | 24 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $454.00 | $2,225.00 | $163.75 – $2,024.08 | 24 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $300.30 – $35,012.59 | 23 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $295.05 – $17,845.68 | 23 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $814.80 – $32,655.66 | 23 |
| Urea nitrogen CPT 84520 | $20.00 | $25.00 | $3.95 – $26.03 | 24 |
| Urea nitrogen 24 hour urine CPT 84540 | $23.20 | $29.00 | $4.17 – $31.32 | 18 |
| Urethrocystography void s&i CPT 74455 | $600.00 | $750.00 | $44.63 – $1,342.45 | 23 |
| Uric acid blood CPT 84550 | $15.00 | $24.00 | $4.52 – $29.78 | 24 |
| Uric acid urine CPT 84560 | $20.80 | $26.00 | $4.73 – $22.82 | 24 |
| Urinalysis microscopic only CPT 81015 | $15.20 | $19.00 | $2.85 – $20.02 | 24 |
| Urinalysis (with microscopy) CPT 81001 | $10.00 | $24.00 | $3.15 – $20.92 | 25 |
| Urinalysis (without microscopy) CPT 81003 | $10.00 | $11.00 | $2.25 – $14.82 | 24 |
| Urine Culture Test CPT 87086 | $25.00 | $60.00 | $8.07 – $53.28 | 25 |
| Urine pregnancy test CPT 81025 | $43.20 | $54.00 | $4.20 – $41.76 | 24 |
| Vaccine dtap < 7 years im CPT 90700 | $63.00 | $78.75 | $10.55 – $115.99 | 8 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $167.20 | $209.00 | $72.33 – $596.90 | 6 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $37.60 | $47.00 | $10.55 – $134.23 | 11 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $700.00 | $875.00 | $10.55 – $2,026.33 | 11 |
| Vaccine rabies im CPT 90675 | $1,368.40 | $1,710.50 | $10.50 – $1,622.53 | 25 |
| Vaccine tdap >=7 years im CPT 90715 | $121.40 | $151.75 | $10.55 – $191.10 | 8 |
| Valproic acid total therapeutic drug level CPT 80164 | $56.80 | $71.00 | $13.54 – $89.39 | 24 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $261.40 | $326.75 | $1.05 – $4.80 | 3 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $56.40 | $70.50 | $10.50 – $48.00 | 3 |
| Vancomycin peak therapeutic drug level CPT 80202 | $67.20 | $84.00 | $13.54 – $89.39 | 24 |
| Varicella zoster antibody igg CPT 86787 | $53.60 | $67.00 | $6.25 – $85.00 | 24 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $37.60 | $47.00 | $14.00 – $99.40 | 4 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $22,378.60 | $27,973.25 | $25.13 – $22,218.00 | 20 |
| Ven blood coll snf/hha HCPCS G0471 | $16.80 | $21.00 | $5.63 – $22.60 | 16 |
| Venous mech thrombectomy CPT 37187 | $10,528.00 | $13,160.00 | $257.50 – $41,109.71 | 16 |
| Ventilator each subsequent day CPT 94003 | $2,020.00 | $2,525.00 | $59.73 – $2,396.49 | 16 |
| Ventilator initial day CPT 94002 | $2,300.80 | $2,876.00 | $82.19 – $2,396.49 | 16 |
| Very long chain fatty acids CPT 82726 | $82.40 | $103.00 | $5.00 – $119.17 | 24 |
| Vital capacity test CPT 94150 | $210.40 | $263.00 | $4.20 – $567.15 | 21 |
| Vitamin b-12 CPT 82607 | $40.00 | $113.00 | $13.65 – $99.47 | 25 |
| Vitamin D Test CPT 82306 | $100.00 | $224.00 | $23.40 – $195.32 | 25 |
| Warde 1003990 aldosterone CPT 82088 | $204.00 | $255.00 | $27.30 – $268.89 | 24 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $116.00 | $145.00 | $20.85 – $183.48 | 18 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $54.40 | $68.00 | $8.75 – $84.10 | 24 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $104.80 | $131.00 | $20.01 – $166.62 | 24 |
| Warde 1015200 kappa light chain free CPT 83521 | $71.20 | $89.00 | $14.51 – $78.04 | 24 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $40.00 | $50.00 | $8.02 – $52.92 | 24 |
| Warde 3008005 oligoclonal bands CPT 83916 | $136.80 | $171.00 | $8.69 – $132.68 | 24 |
| Warde 3016000 west nile virus antibody CPT 86788 | $84.00 | $105.00 | $16.85 – $111.17 | 24 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $71.20 | $89.00 | $14.39 – $94.99 | 24 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $50.40 | $63.00 | $9.19 – $80.89 | 18 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $37.60 | $47.00 | $7.88 – $58.70 | 24 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $75.20 | $94.00 | $7.61 – $118.58 | 24 |
| Warde 3400683 amplification rna markers infectious disease bacterial vaginosis CPT 81513 | $472.80 | $591.00 | $106.97 – $644.56 | 16 |
| Warde 3400852 arsenic CPT 82175 | $79.20 | $99.00 | $14.23 – $125.18 | 18 |
| Warde 3708165 mercury urine CPT 83825 | $67.20 | $84.00 | $12.60 – $107.28 | 24 |
| Warde acetylcholine receptor blocking antibody CPT 86042 | $76.80 | $96.00 | $15.46 – $83.15 | 23 |
| Warde actin (smooth muscle) antibody each CPT 86015 | $49.60 | $62.00 | $9.68 – $52.11 | 24 |
| Warde adrenocorticotropic hormone (acth) CPT 82024 | $160.80 | $201.00 | $38.62 – $254.88 | 24 |
| Warde aldolase CPT 82085 | $40.80 | $51.00 | $9.45 – $64.04 | 24 |
| Warde amino acids 6 or more quantitative each specimen CPT 82139 | $84.00 | $105.00 | $16.87 – $111.31 | 24 |
| Warde amiodarone therapeutic drug level CPT 80151 | $77.60 | $97.00 | $16.07 – $84.24 | 20 |
| Warde analysis gene hfe common variants CPT 81256 | $326.40 | $408.00 | $23.75 – $222.22 | 20 |
| Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative CPT 81206 | $682.40 | $853.00 | $26.88 – $1,010.88 | 15 |
| Warde anti-mullerian hormone CPT 82166 | $160.80 | $201.00 | $28.97 – $174.53 | 17 |
| Warde apolipoprotein b CPT 82172 | $105.60 | $132.00 | $14.61 – $102.22 | 24 |
| Warde cadmium blood CPT 82300 | $98.40 | $123.00 | $13.75 – $134.40 | 24 |
| Warde calcitonin CPT 82308 | $111.20 | $139.00 | $18.44 – $176.70 | 24 |
| Warde calculus (stone) infrared CPT 82365 | $64.00 | $80.00 | $10.50 – $85.09 | 24 |
| Warde clozapine therapeutic drug level CPT 80159 | $84.00 | $105.00 | $20.15 – $114.02 | 24 |
| Warde cobalt heavy metal quantitative each nes CPT 83018 | $91.20 | $114.00 | $6.25 – $144.88 | 24 |
| Warde collagen cross links c-telopeptide CPT 82523 | $77.60 | $97.00 | $14.01 – $77.15 | 18 |
| Warde complement total hemolytic CPT 86162 | $101.60 | $127.00 | $20.32 – $134.08 | 24 |
| Warde copper CPT 82525 | $51.20 | $64.00 | $12.41 – $81.89 | 24 |
| Warde cryoglobulin CPT 82595 | $26.40 | $33.00 | $6.47 – $42.71 | 24 |
| Warde erythropoietin CPT 82668 | $78.40 | $98.00 | $15.75 – $114.79 | 24 |
| Warde fluorescent antibody screen endomysial iga CPT 86231 | $60.80 | $76.00 | $10.15 – $54.64 | 24 |
| Warde folic acid rbc CPT 82747 | $73.60 | $92.00 | $17.65 – $113.66 | 24 |
| Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative CPT 82955 | $40.80 | $51.00 | $8.40 – $63.99 | 24 |
| Warde gastrin CPT 82941 | $88.00 | $110.00 | $14.70 – $116.37 | 24 |
| Warde growth hormone (hgh) CPT 83003 | $68.80 | $86.00 | $8.40 – $109.99 | 24 |
| Warde helminth antibody strongyloides igg CPT 86682 | $54.40 | $68.00 | $5.63 – $85.82 | 18 |
| Warde hemoglobin fractionation/quantitation electrophoresis CPT 83020 | $53.60 | $67.00 | $6.25 – $84.10 | 24 |
| Warde hepatitis a antibody CPT 86708 | $51.20 | $64.00 | $12.39 – $81.75 | 24 |
| Warde hepatitis be antibody CPT 86707 | $48.00 | $60.00 | $11.57 – $76.33 | 24 |
| Warde immunofixation electrophoresis urine CPT 86335 | $122.40 | $153.00 | $9.00 – $193.64 | 24 |
| Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn CPT 87350 | $48.00 | $60.00 | $10.50 – $76.06 | 24 |
| Warde infectious agent nucleic acid genotype hepatitis c CPT 87902 | $1,070.40 | $1,338.00 | $23.54 – $1,698.64 | 18 |
| Warde islet cell antibody zinc transporter 8 CPT 86341 | $117.60 | $147.00 | $23.57 – $130.56 | 24 |
| Warde lipoprotein (a) CPT 83695 | $60.00 | $75.00 | $11.06 – $85.46 | 24 |
| Warde mitochondrial antibody each CPT 86381 | $105.60 | $132.00 | $19.09 – $115.01 | 18 |
| Warde neutralization rabies CPT 86382 | $70.40 | $88.00 | $7.80 – $111.58 | 18 |
| Warde oxcarbazepine therapeutic drug level CPT 80183 | $55.20 | $69.00 | $13.25 – $81.75 | 24 |
| Warde pancreatic elastase fecal quantitative CPT 82653 | $115.20 | $144.00 | $19.30 – $103.80 | 24 |
| Warde protein c antigen CPT 85302 | $122.40 | $153.00 | $12.01 – $79.31 | 24 |
| Warde sex hormone binding globulin CPT 84270 | $108.00 | $135.00 | $15.63 – $130.15 | 24 |
| Warde somatomedin CPT 84305 | $106.40 | $133.00 | $5.00 – $129.56 | 24 |
| Warde sugars single qualitative each specimen stool CPT 84376 | $23.20 | $29.00 | $5.50 – $36.33 | 24 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $65.60 | $82.00 | $10.56 – $103.98 | 24 |
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.