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 |
|---|---|---|---|---|
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $17.40 | $21.75 | $0.66 – $3.43 | 4 |
| Cell count body fluid CPT 89050 | $23.20 | $29.00 | $4.72 – $31.18 | 24 |
| Cell count w differential body fluid CPT 89051 | $28.00 | $35.00 | $3.75 – $36.33 | 24 |
| #cf-97variants CPT 81220 | $1,275.20 | $1,594.00 | $467.54 – $2,515.33 | 21 |
| Change cystostomy tube simple CPT 51705 | $564.80 | $706.00 | $29.40 – $881.65 | 21 |
| Chest 2 vws w oblique CPT 71048 | $501.60 | $627.00 | $34.05 – $602.31 | 24 |
| Chest apical lordotic proj CPT 71047 | $416.00 | $520.00 | $23.75 – $497.84 | 24 |
| Chest CT scan (with and without contrast) CPT 71270 | $562.00 | $2,645.00 | $17.50 – $1,983.13 | 24 |
| Chest CT scan (with contrast) CPT 71260 | $470.00 | $2,362.00 | $23.53 – $1,620.57 | 24 |
| Chest CT scan (without contrast) CPT 71250 | $285.00 | $1,610.00 | $23.75 – $1,130.42 | 24 |
| Chest X-ray CPT 71046 | $322.40 | $403.00 | $24.82 – $497.84 | 24 |
| Chest X-ray (single view) CPT 71045 | $292.80 | $366.00 | $16.25 – $497.84 | 24 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $886.40 | $1,108.00 | $39.74 – $1,006.60 | 23 |
| Chloride CPT 82435 | $23.20 | $29.00 | $4.60 – $30.28 | 24 |
| Chloride 24 hour urine CPT 82436 | $28.80 | $36.00 | $5.75 – $33.17 | 24 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $80.40 | $100.50 | $19.19 – $101.64 | 4 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $1,033.60 | $1,292.00 | $190.38 – $190.38 | 1 |
| Cholesterol CPT 82465 | $18.40 | $23.00 | $4.35 – $28.74 | 24 |
| Cholesterol (Lipid) Test CPT 80061 | $40.00 | $102.00 | $13.39 – $88.44 | 25 |
| Chromo high res and frag x - sendout CPT 81243 | $236.80 | $296.00 | $23.75 – $257.77 | 21 |
| Chromosome analysis 15-20 cell count CPT 88262 | $626.40 | $783.00 | $9.38 – $822.39 | 24 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $207.40 | $259.25 | $4.40 – $17.62 | 4 |
| Clearance of airways CPT 31720 | $248.00 | $310.00 | $34.65 – $737.29 | 21 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $38.40 | $48.00 | $1.39 – $5.64 | 4 |
| Cllr miami j sm HCPCS L0174 | $19.20 | $24.00 | $31.59 – $1,052.23 | 16 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $42.40 | $53.00 | $13.80 – $56.70 | 4 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $610.40 | $763.00 | $33.08 – $841.81 | 21 |
| Clot factor xiii fibrin stab CPT 85290 | $106.40 | $133.00 | $8.40 – $67.48 | 24 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $926.40 | $1,158.00 | $103.95 – $869.58 | 21 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $450.40 | $563.00 | $74.03 – $869.58 | 21 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $822.40 | $1,028.00 | $50.40 – $869.58 | 21 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $1,023.20 | $1,279.00 | $166.95 – $869.58 | 21 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $900.00 | $1,125.00 | $147.00 – $869.58 | 21 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $900.00 | $1,125.00 | $55.65 – $869.58 | 21 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $260.00 | $325.00 | $12.50 – $869.58 | 21 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $777.60 | $972.00 | $69.83 – $869.58 | 21 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $710.40 | $888.00 | $120.23 – $869.58 | 21 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $2,334.40 | $2,918.00 | $174.30 – $25,347.49 | 23 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $815.20 | $1,019.00 | $120.23 – $869.58 | 21 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $926.40 | $1,158.00 | $210.53 – $114,305.21 | 23 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $400.00 | $500.00 | $72.98 – $869.58 | 21 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $406.40 | $508.00 | $88.73 – $869.58 | 21 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $869.60 | $1,087.00 | $107.10 – $869.58 | 21 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $1,038.40 | $1,298.00 | $137.55 – $869.58 | 21 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $811.20 | $1,014.00 | $26.25 – $869.58 | 21 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $484.00 | $605.00 | $108.15 – $869.58 | 21 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $524.80 | $656.00 | $76.65 – $869.58 | 21 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $688.00 | $860.00 | $30.43 – $869.58 | 21 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $2,334.40 | $2,918.00 | $250.95 – $5,801.52 | 21 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $1,369.60 | $1,712.00 | $128.10 – $869.58 | 21 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $1,350.40 | $1,688.00 | $45.63 – $5,801.52 | 21 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $812.00 | $1,015.00 | $116.55 – $869.58 | 21 |
| Cmv pcr-sendout CPT 87496 | $175.20 | $219.00 | $14.06 – $231.60 | 24 |
| Cocaine 4 % nasal solution HCPCS C9046 | $414.80 | $518.50 | $963.20 – $963.20 | 1 |
| Cold agglutinin titer CPT 86157 | $33.60 | $42.00 | $8.06 – $53.19 | 24 |
| Collar cerv ascend 172 reg HCPCS L0172 | $19.20 | $24.00 | $108.06 – $535.60 | 16 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $100.00 | $479.00 | $10.00 – $171.79 | 13 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $100.00 | $195.00 | $6.56 – $171.79 | 13 |
| Collection of venous blood by venipuncture CPT 36415 | $5.00 | $19.00 | $5.00 – $26.49 | 18 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | $465.15 – $3,566.00 | 22 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | not published | not published | $814.80 – $4,274.17 | 22 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | not published | not published | $814.80 – $71,382.72 | 23 |
| Colonoscopy submucous njx CPT 45381 | not published | not published | $399.00 – $3,566.00 | 22 |
| Colonoscopy w/ablation CPT 45388 | not published | not published | $336.00 – $5,785.00 | 22 |
| Colonoscopy (with biopsy) CPT 45380 | not published | not published | $336.00 – $4,274.17 | 22 |
| Colonoscopy (with polyp removal) CPT 45385 | not published | not published | $399.00 – $4,274.17 | 22 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $653.60 | $817.00 | $15.00 – $621.18 | 22 |
| Compatibility test each unit electronic CPT 86923 | $653.60 | $817.00 | $20.00 – $621.18 | 22 |
| Compatibility test each unit immediate spin technique CPT 86920 | $653.60 | $817.00 | $22.05 – $621.18 | 22 |
| Complement antigen each component c3 CPT 86160 | $49.60 | $62.00 | $8.13 – $79.22 | 24 |
| Concentration infection agents any type CPT 87015 | $33.60 | $42.00 | $6.68 – $44.06 | 24 |
| Condylomata destruction 56420 CPT 56420 | $701.60 | $877.00 | $32.28 – $729.23 | 21 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | not published | not published | $814.80 – $11,525.83 | 22 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $113.60 | $142.00 | $37.95 – $218.31 | 8 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $577.60 | $722.00 | $3.75 – $621.18 | 24 |
| Control nosebleed pack+caut 30905 CPT 30905 | $613.60 | $767.00 | $41.25 – $467.26 | 21 |
| Control of nosebleed ant comp 30903 CPT 30903 | $598.40 | $748.00 | $41.25 – $467.26 | 21 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $1,337.60 | $1,672.00 | $28.35 – $467.26 | 21 |
| Coombs direct CPT 86880 | $238.40 | $298.00 | $7.80 – $215.32 | 24 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $653.60 | $817.00 | $8.30 – $621.18 | 24 |
| Cortisol acth stimulation test - sendout CPT 80400 | $136.00 | $170.00 | $32.62 – $215.20 | 24 |
| Cortisol total am CPT 82533 | $68.00 | $85.00 | $12.60 – $107.60 | 24 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $83.60 | $104.50 | $19.26 – $116.90 | 4 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose HCPCS M0249 | $500.80 | $626.00 | $12.05 – $600.39 | 15 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $64.80 | $81.00 | $9.77 – $86.00 | 18 |
| C-peptide CPT 84681 | $86.40 | $108.00 | $15.00 – $137.29 | 24 |
| C-reactive protein CPT 86140 | $20.00 | $32.00 | $3.15 – $34.16 | 25 |
| C-reactive protein high sensitivity CPT 86141 | $54.40 | $68.00 | $10.00 – $85.46 | 24 |
| Creatine kinase CPT 82550 | $32.80 | $41.00 | $6.51 – $42.98 | 24 |
| Creatine kinase mb CPT 82553 | $57.60 | $72.00 | $10.58 – $50.79 | 24 |
| Creatinine CPT 82565 | $15.00 | $32.00 | $5.12 – $33.80 | 24 |
| Creatinine 24 hour urine CPT 82570 | $20.00 | $40.00 | $5.18 – $34.16 | 25 |
| Creatinine clearance urine CPT 82575 | $39.20 | $49.00 | $9.46 – $62.32 | 24 |
| #creutz-prot.,western blot CPT 84182 | $121.60 | $152.00 | $14.00 – $120.64 | 24 |
| Critical care 30-74 minutes CPT 99291 | $3,573.60 | $4,467.00 | $32.50 – $5,504.80 | 22 |
| Critical care each additional 30 minutes CPT 99292 | $567.20 | $709.00 | $78.49 – $105.65 | 5 |
| Crotalidae poly immune fab HCPCS J0840 | $7,082.00 | $8,852.50 | $37.50 – $6,217.65 | 20 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $59.20 | $74.00 | $5.25 – $58.40 | 24 |
| Crystal identification light microscopy CPT 89060 | $30.40 | $38.00 | $7.33 – $47.18 | 24 |
| CT 3d report other modality w/workstation CPT 76377 | $691.20 | $864.00 | $28.34 – $426.82 | 2 |
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.