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 |
|---|---|---|---|---|
| Warde thyroid stimulating immunoglobulins CPT 84445 | $211.20 | $264.00 | $16.25 – $335.50 | 24 |
| Warde topiramate therapeutic drug level CPT 80201 | $49.60 | $62.00 | $11.92 – $78.63 | 24 |
| Warde viscosity CPT 85810 | $102.40 | $128.00 | $4.20 – $77.05 | 24 |
| Warde vitamin a CPT 84590 | $48.00 | $60.00 | $11.61 – $76.51 | 24 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $88.00 | $110.00 | $7.35 – $140.14 | 24 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $117.60 | $147.00 | $28.10 – $185.37 | 24 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $40.80 | $51.00 | $7.35 – $65.21 | 24 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $160.80 | $201.00 | $38.50 – $253.97 | 24 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $59.20 | $74.00 | $10.50 – $93.55 | 24 |
| Warde zinc CPT 84630 | $47.20 | $59.00 | $9.06 – $75.15 | 24 |
| Wbc automated CPT 85048 | $18.40 | $23.00 | $2.54 – $16.77 | 24 |
| Western blot test CPT 84181 | $70.40 | $88.00 | $17.03 – $112.39 | 24 |
| Whfo w/joint(s) custom fab HCPCS L3806 | $587.20 | $734.00 | $28.13 – $1,652.98 | 16 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $777.60 | $972.00 | $42.00 – $1,448.30 | 17 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $224.80 | $281.00 | $42.00 – $720.29 | 17 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $224.80 | $281.00 | $42.00 – $1,448.30 | 17 |
| Wrist X-ray CPT 73110 | $444.00 | $555.00 | $19.95 – $497.84 | 24 |
| X-ray abdomen 1 view CPT 74018 | $403.20 | $504.00 | $22.20 – $497.84 | 24 |
| X-ray abdomen 2 views CPT 74019 | $470.40 | $588.00 | $27.11 – $602.31 | 24 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $777.60 | $972.00 | $33.13 – $602.31 | 24 |
| X-ray ankle 2 views (both sides) CPT 73600 | $398.40 | $498.00 | $19.76 – $497.84 | 24 |
| X-ray bone age studies CPT 77072 | $246.40 | $308.00 | $17.40 – $602.31 | 23 |
| X-ray bone survey complete CPT 77075 | $693.60 | $867.00 | $68.76 – $602.31 | 23 |
| X-ray cervical spine 2-3 views CPT 72040 | $484.00 | $605.00 | $27.83 – $497.84 | 24 |
| X-ray cervical spine 4-5 views CPT 72050 | $768.80 | $961.00 | $42.65 – $602.31 | 24 |
| X-ray cervical spine >= 6 views CPT 72052 | $1,028.00 | $1,285.00 | $21.56 – $602.31 | 24 |
| X-ray clavicle complete (both sides) CPT 73000 | $292.00 | $365.00 | $19.76 – $497.84 | 24 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $954.40 | $1,193.00 | $39.38 – $1,006.60 | 23 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $1,141.60 | $1,427.00 | $68.25 – $1,006.60 | 23 |
| X-ray elbow 2 views (both sides) CPT 73070 | $347.20 | $434.00 | $12.00 – $497.84 | 24 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $452.80 | $566.00 | $19.95 – $497.84 | 24 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $479.20 | $599.00 | $39.38 – $1,006.60 | 23 |
| X-ray exam of eye sockets CPT 70200 | $272.00 | $340.00 | $35.55 – $602.31 | 24 |
| X-ray exam of femur 1 CPT 73551 | $372.80 | $466.00 | $22.17 – $497.84 | 24 |
| X-ray exam si joints CPT 72200 | $312.00 | $390.00 | $25.77 – $602.31 | 24 |
| X-ray exam thorac spine4/>vw CPT 72074 | $501.60 | $627.00 | $16.25 – $602.31 | 24 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $278.40 | $348.00 | $24.16 – $497.84 | 24 |
| X-ray facial bones complete > 3 views CPT 70150 | $501.60 | $627.00 | $35.97 – $602.31 | 24 |
| X-ray femur >=2 views (both sides) CPT 73552 | $464.80 | $581.00 | $25.85 – $497.84 | 24 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $269.60 | $337.00 | $14.70 – $497.84 | 24 |
| X-ray foot 2 views (both sides) CPT 73620 | $369.60 | $462.00 | $18.19 – $497.84 | 24 |
| X-ray forearm 2 views (both sides) CPT 73090 | $392.00 | $490.00 | $19.76 – $497.84 | 24 |
| X-ray hand 2 views (both sides) CPT 73120 | $280.00 | $350.00 | $18.19 – $602.31 | 24 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $372.80 | $466.00 | $19.76 – $497.84 | 24 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $501.60 | $627.00 | $38.94 – $602.31 | 24 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $697.60 | $872.00 | $45.14 – $602.31 | 24 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $369.60 | $462.00 | $23.61 – $497.84 | 24 |
| X-ray humerus >= 2 views left CPT 73060 | $420.80 | $526.00 | $19.95 – $497.84 | 24 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $380.00 | $475.00 | $25.77 – $497.84 | 24 |
| X-ray knee 3 views (both sides) CPT 73562 | $499.20 | $624.00 | $26.17 – $497.84 | 24 |
| X-ray knee ap standing bilateral CPT 73565 | $261.60 | $327.00 | $26.67 – $497.84 | 24 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $422.40 | $528.00 | $25.01 – $497.84 | 24 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $280.00 | $350.00 | $25.00 – $602.31 | 24 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $724.00 | $905.00 | $32.50 – $602.31 | 24 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $793.60 | $992.00 | $36.75 – $602.31 | 24 |
| X-ray mandible complete > 4 views CPT 70110 | $312.00 | $390.00 | $20.64 – $602.31 | 24 |
| X-ray nasal bones complete > 3 views CPT 70160 | $583.20 | $729.00 | $19.95 – $497.84 | 24 |
| X-ray neck soft tissue CPT 70360 | $280.00 | $350.00 | $18.38 – $497.84 | 24 |
| X-ray nose to rectum for foreign body child CPT 76010 | $261.60 | $327.00 | $15.23 – $497.84 | 23 |
| X-ray pelvis 1-2 views CPT 72170 | $479.20 | $599.00 | $18.38 – $602.31 | 24 |
| X-ray pelvis complete > 3 views CPT 72190 | $673.60 | $842.00 | $32.18 – $602.31 | 24 |
| X-ray ribs 2 views left CPT 71100 | $400.00 | $500.00 | $27.83 – $497.84 | 24 |
| X-ray ribs 3 views bilateral CPT 71110 | $501.60 | $627.00 | $28.88 – $602.31 | 24 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $552.00 | $690.00 | $27.83 – $602.31 | 24 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $501.60 | $627.00 | $17.59 – $602.31 | 24 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $546.40 | $683.00 | $26.57 – $602.31 | 24 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $480.00 | $600.00 | $25.77 – $497.84 | 24 |
| X-ray scapula complete (both sides) CPT 73010 | $336.00 | $420.00 | $25.20 – $602.31 | 24 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $410.40 | $513.00 | $23.03 – $497.84 | 24 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $501.60 | $627.00 | $35.57 – $497.84 | 24 |
| X-ray skull < 4 views CPT 70250 | $543.20 | $679.00 | $33.38 – $602.31 | 24 |
| X-ray skull > 4 views complete CPT 70260 | $753.60 | $942.00 | $45.64 – $602.31 | 24 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $694.40 | $868.00 | $39.38 – $1,006.60 | 23 |
| X-ray small intestine follow-through study CPT 74248 | $1,380.80 | $1,726.00 | $67.58 – $280.39 | 6 |
| X-ray spine single view CPT 72020 | $269.60 | $337.00 | $22.47 – $497.84 | 24 |
| X-ray sternum > 2 views CPT 71120 | $443.20 | $554.00 | $19.95 – $497.84 | 24 |
| X-ray surgical specimen CPT 76098 | $987.20 | $1,234.00 | $19.65 – $3,022.37 | 23 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $590.40 | $738.00 | $48.30 – $1,006.60 | 23 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $580.80 | $726.00 | $28.88 – $497.84 | 24 |
| X-ray thoracic spine 2 views CPT 72070 | $504.00 | $630.00 | $32.49 – $602.31 | 24 |
| X-ray thoracic spine 3 views CPT 72072 | $605.60 | $757.00 | $33.11 – $602.31 | 24 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $519.20 | $649.00 | $26.25 – $497.84 | 24 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $372.80 | $466.00 | $31.06 – $497.84 | 24 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $460.00 | $575.00 | $25.77 – $497.84 | 24 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $280.00 | $350.00 | $14.70 – $497.84 | 24 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $811.20 | $1,014.00 | $69.83 – $1,006.60 | 23 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $811.20 | $1,014.00 | $68.25 – $1,006.60 | 23 |
| X-ray wrist 2 views (both sides) CPT 73100 | $351.20 | $439.00 | $19.76 – $497.84 | 24 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $36.00 | $45.00 | $10.37 – $41.50 | 4 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $58.60 | $73.25 | $15.37 – $133.28 | 4 |
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.