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 |
|---|---|---|---|---|
| Disability dlco CPT 94727 | $782.40 | $978.00 | $33.14 – $567.15 | 21 |
| Disaccharidases CPT 82657 | $92.00 | $115.00 | $16.63 – $119.17 | 18 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $118.40 | $148.00 | $10.75 – $57.05 | 4 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $43.20 | $54.00 | $6.30 – $25.32 | 4 |
| Doppler echo complete CPT 93320 | $622.40 | $778.00 | $63.86 – $2,409.40 | 7 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $40.00 | $50.00 | $8.40 – $42.00 | 4 |
| Drainage external ear simple 69000 CPT 69000 | $829.60 | $1,037.00 | $45.15 – $2,550.51 | 21 |
| Drainage of nose lesion int 30000 CPT 30000 | $346.40 | $433.00 | $53.55 – $841.81 | 21 |
| Drain blood from under nail 11740 CPT 11740 | $284.00 | $355.00 | $25.20 – $467.26 | 21 |
| Drain cath image guided visceral pq CPT 49405 | $3,033.60 | $3,792.00 | $70.00 – $5,873.40 | 21 |
| Drain finger abscess;simple 26010 CPT 26010 | $525.60 | $657.00 | $27.83 – $720.29 | 21 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $456.80 | $571.00 | $21.00 – $720.29 | 21 |
| Drng of finger abscess comp 26011 CPT 26011 | $2,483.20 | $3,104.00 | $84.00 – $5,873.40 | 21 |
| Drng of scrotum abscess 55100 CPT 55100 | $4,390.40 | $5,488.00 | $22.50 – $5,873.40 | 21 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $31.80 | $39.75 | $5.80 – $34.58 | 4 |
| Drug assay posaconazole CPT 80187 | $95.20 | $119.00 | $22.77 – $122.51 | 24 |
| Drug assay voriconazole CPT 80285 | $95.20 | $119.00 | $22.77 – $122.51 | 24 |
| Drug test def 1-7 classes HCPCS G0480 | $332.80 | $416.00 | $5.63 – $472.60 | 24 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $258.40 | $323.00 | $62.14 – $360.67 | 24 |
| Drvvt confirm - quest CPT 85597 | $122.40 | $153.00 | $17.98 – $118.63 | 24 |
| Duplex scan bilateral study 93985 CPT 93985 | $1,015.20 | $1,269.00 | $28.11 – $876.25 | 21 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $932.80 | $1,166.00 | $31.15 – $876.25 | 21 |
| Ear irrigation 69209 CPT 69209 | $225.60 | $282.00 | $10.08 – $215.32 | 21 |
| Ecg 12 lead tracing only CPT 93005 | $326.40 | $408.00 | $10.98 – $215.32 | 21 |
| Ecg external < 48 hours recording CPT 93225 | $753.60 | $942.00 | $19.16 – $467.26 | 21 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $1,004.80 | $1,256.00 | $41.75 – $215.32 | 21 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $3,146.40 | $3,933.00 | $142.50 – $2,409.40 | 22 |
| Echocardiography doppler color flow mapping CPT 93325 | $499.20 | $624.00 | $19.60 – $2,409.40 | 7 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $1,780.80 | $2,226.00 | $38.33 – $2,409.40 | 22 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $568.00 | $710.00 | $29.86 – $2,409.40 | 7 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $4,019.20 | $5,024.00 | $251.46 – $2,409.40 | 22 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $1,325.60 | $1,657.00 | $15.39 – $2,129.40 | 22 |
| Eeg recording awake and asleep CPT 95819 | $1,456.00 | $1,820.00 | $23.63 – $2,129.40 | 22 |
| Egd balloon dil esoph30 mm/> CPT 43233 | not published | not published | $814.80 – $18,437.00 | 23 |
| Egd control bleeding any CPT 43255 | not published | not published | $373.80 – $60,089.41 | 23 |
| Egd guide wire insertion CPT 43248 | not published | not published | $295.05 – $21,189.53 | 23 |
| Egd remove foreign body CPT 43247 | not published | not published | $295.05 – $20,868.89 | 23 |
| Egd remove lesion snare CPT 43251 | not published | not published | $814.80 – $11,576.48 | 23 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | not published | not published | $814.80 – $16,667.21 | 23 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $162.40 | $203.00 | $6.85 – $158.58 | 24 |
| EKG tracing for initial prev HCPCS G0404 | $24.80 | $31.00 | $18.37 – $43.08 | 15 |
| Electrical stimulation/unattended 97014 CPT 97014 | $142.40 | $178.00 | $42.20 – $56.80 | 4 |
| Electrolyte panel CPT 80051 | $36.80 | $46.00 | $7.01 – $46.28 | 24 |
| Electron microscopy diagnostic CPT 88348 | $1,398.40 | $1,748.00 | $12.13 – $2,961.26 | 24 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $12,410.40 | $15,513.00 | $422.01 – $41,109.71 | 21 |
| Emg cranial nerve bilateral CPT 95868 | $172.00 | $215.00 | $59.28 – $1,128.83 | 21 |
| Endome abla/them without hystero guide 58353 CPT 58353 | not published | not published | $814.80 – $17,894.68 | 22 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $318.20 | $397.75 | $1.34 – $5.47 | 4 |
| Enzyme histochemistry CPT 88319 | $707.20 | $884.00 | $6.50 – $2,961.26 | 24 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | $34.80 | $43.50 | $19.32 – $77.34 | 3 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $35.20 | $44.00 | $8.05 – $42.24 | 3 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $33.60 | $42.00 | $8.05 – $72.96 | 3 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $1,018.40 | $1,273.00 | $5.03 – $53.38 | 20 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $1,219.40 | $1,524.25 | $10.08 – $290.50 | 20 |
| Epstein barr early antigen antibody CPT 86663 | $65.60 | $82.00 | $13.12 – $86.59 | 24 |
| Epstein barr nuclear antigen antibody CPT 86664 | $63.20 | $79.00 | $15.29 – $100.96 | 24 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $76.00 | $95.00 | $10.00 – $119.67 | 24 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $77.00 | $96.25 | $14.98 – $64.26 | 4 |
| ER Visit (level 1, minor) CPT 99281 | $511.20 | $639.00 | $21.47 – $1,835.00 | 22 |
| ER Visit (level 2) CPT 99282 | $584.00 | $730.00 | $36.75 – $1,835.00 | 22 |
| ER Visit (level 3) CPT 99283 | $1,228.00 | $1,535.00 | $82.95 – $1,835.00 | 22 |
| ER Visit (level 4) CPT 99284 | $1,796.80 | $2,246.00 | $83.13 – $2,351.30 | 22 |
| ER Visit (level 5, high severity) CPT 99285 | $2,531.20 | $3,164.00 | $41.88 – $3,309.60 | 22 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $183.00 | $228.75 | $49.07 – $240.16 | 4 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $212.00 | $265.00 | $1.68 – $9.80 | 4 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $814.80 – $26,430.18 | 23 |
| Established Patient Office Visit (level 1) CPT 99211 | $258.40 | $323.00 | $42.00 – $467.16 | 18 |
| Established Patient Office Visit (level 2) CPT 99212 | $247.20 | $309.00 | $42.00 – $467.16 | 18 |
| Established Patient Office Visit (level 3) CPT 99213 | $421.60 | $527.00 | $42.00 – $467.16 | 18 |
| Established Patient Office Visit (level 4) CPT 99214 | $553.60 | $692.00 | $42.00 – $467.16 | 19 |
| Established Patient Office Visit (level 5) CPT 99215 | $696.80 | $871.00 | $42.00 – $467.16 | 18 |
| Estradiol total CPT 82670 | $140.00 | $175.00 | $22.58 – $184.38 | 24 |
| Estrogens total-sendout CPT 82672 | $108.00 | $135.00 | $14.62 – $143.07 | 24 |
| Ethylene glycol -sendout CPT 82693 | $62.40 | $78.00 | $3.75 – $80.76 | 18 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | $814.80 – $10,497.00 | 22 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | not published | not published | $711.90 – $5,873.40 | 22 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | not published | not published | $725.55 – $5,873.40 | 22 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | not published | not published | $888.30 – $10,374.96 | 22 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | not published | not published | $425.18 – $3,532.00 | 22 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | not published | not published | $615.30 – $3,566.00 | 22 |
| Exc/crtg b1 cst/b9 tum rds CPT 24120 | not published | not published | $723.45 – $19,117.84 | 23 |
| Exc im tumor/back/flank/ < 5 cm 21932 CPT 21932 | not published | not published | $814.80 – $10,374.96 | 22 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | not published | not published | $778.05 – $5,873.40 | 22 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | not published | not published | $716.10 – $3,532.00 | 22 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | not published | not published | $878.85 – $5,873.40 | 22 |
| Exc neck tum deep < 5 cm CPT 21556 | not published | not published | $844.20 – $10,374.96 | 22 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | not published | not published | $724.50 – $10,374.96 | 22 |
| Exc prtl bn phlnx toe CPT 28124 | not published | not published | $814.80 – $29,082.77 | 23 |
| Exc snhfg mal+mrg 1.1-2 11622 CPT 11622 | not published | not published | $748.76 – $3,566.00 | 22 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | not published | not published | $814.80 – $10,497.00 | 22 |
| Exc sq tum/neck or ant thorax <3cm 21555 CPT 21555 | not published | not published | $778.05 – $8,444.00 | 22 |
| Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337 | not published | not published | $814.80 – $33,498.91 | 23 |
| Exc subq tum/sft tis/pel/hip 3cm/> 27043 CPT 27043 | not published | not published | $814.80 – $143,910.59 | 23 |
| Exc thigh/knee les sc<3cm 27327 CPT 27327 | not published | not published | $814.80 – $21,306.13 | 23 |
| External chromosome analysis 20-25 cells CPT 88264 | $722.40 | $903.00 | $17.50 – $822.39 | 24 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $718.40 | $898.00 | $9.88 – $833.37 | 24 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $75.20 | $94.00 | $17.93 – $118.31 | 24 |
| Facial bones <3 CPT 70140 | $224.00 | $280.00 | $28.81 – $497.84 | 24 |
| Factor ix recombinant nos HCPCS J7195 | $2,557.20 | $3,196.50 | $2.18 – $3,237.50 | 20 |
| Factor viii CPT 85240 | $124.00 | $155.00 | $13.65 – $118.13 | 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.