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 |
|---|---|---|---|---|
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $16.80 | $21.00 | $0.56 – $2.80 | 4 |
| Fat/lipids feces qualitative CPT 82705 | $21.60 | $27.00 | $3.88 – $33.58 | 24 |
| Fatty acids nonesterified CPT 82725 | $78.40 | $98.00 | $3.39 – $77.52 | 24 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $96.00 | $120.00 | $0.83 – $3.34 | 4 |
| Ferritin CPT 82728 | $40.00 | $103.00 | $12.60 – $89.88 | 25 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $819.80 | $1,024.75 | $0.38 – $589.05 | 19 |
| Fibrin degradation d dimer quantitative CPT 85379 | $163.20 | $204.00 | $7.93 – $53.42 | 24 |
| Fibrin degradation products CPT 85362 | $36.80 | $46.00 | $6.89 – $45.46 | 24 |
| Fibrinogen activity CPT 85384 | $106.40 | $133.00 | $7.43 – $56.04 | 24 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $2,478.40 | $3,098.00 | $42.95 – $57.81 | 5 |
| Flecainide (tambocor)-sendout CPT 80181 | $92.80 | $116.00 | $16.07 – $84.24 | 20 |
| Fl exam g/colon tube w contrast CPT 49465 | $488.00 | $610.00 | $24.93 – $876.25 | 21 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | $353.85 – $3,532.00 | 22 |
| Flow cytometry marker each additional CPT 88185 | $156.00 | $195.00 | $19.26 – $195.00 | 8 |
| Flow cytometry one marker technical component CPT 88184 | $948.00 | $1,185.00 | $10.56 – $1,304.00 | 24 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $21.20 | $26.50 | $1.72 – $50.00 | 5 |
| Fluorescent antibody titer dna CPT 86256 | $49.60 | $62.00 | $9.57 – $57.71 | 24 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $700.00 | $875.00 | $53.06 – $181.28 | 6 |
| Fluoroguide needle placement CPT 77002 | $423.20 | $529.00 | $58.44 – $256.21 | 6 |
| Fluoroscopy up to 1 hour CPT 76000 | $659.20 | $824.00 | $19.95 – $1,342.45 | 23 |
| Folic acid CPT 82746 | $45.00 | $77.00 | $12.60 – $97.03 | 24 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $58.40 | $73.00 | $24.50 – $105.00 | 4 |
| Foot X-ray CPT 73630 | $460.00 | $575.00 | $19.95 – $497.84 | 24 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $724.80 | $906.00 | $59.38 – $324.14 | 15 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $36.20 | $45.25 | $1.73 – $46.78 | 4 |
| _fragile x methylation-sendout CPT 81244 | $186.40 | $233.00 | $44.89 – $202.86 | 24 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $369.60 | $462.00 | $31.50 – $286.59 | 21 |
| Fructosamine glycated protein CPT 82985 | $69.60 | $87.00 | $16.76 – $95.76 | 24 |
| Ftl cgen abnor four anal CPT 81511 | $639.20 | $799.00 | $99.09 – $693.68 | 24 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $11.20 | $14.00 | $0.28 – $6.40 | 4 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $13.60 | $17.00 | $0.67 – $0.91 | 2 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $49.60 | $62.00 | $12.40 – $51.49 | 2 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $814.80 – $21,149.63 | 22 |
| Gammaglobulin iga CPT 82784 | $35.00 | $49.00 | $9.30 – $61.37 | 24 |
| Gammaglobulin ige CPT 82785 | $68.00 | $85.00 | $16.46 – $108.68 | 24 |
| Gamma glutamyltransferase CPT 82977 | $29.60 | $37.00 | $7.20 – $47.50 | 24 |
| Gamunex-c/gammaked HCPCS J1561 | $2,336.40 | $2,920.50 | $37.50 – $3,073.92 | 20 |
| General health panel CPT 80050 | $70.00 | $254.00 | $41.25 – $118.86 | 8 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $4.40 | $5.50 | $1.68 – $8.65 | 4 |
| Gentamicin peak therapeutic drug level CPT 80170 | $81.60 | $102.00 | $12.60 – $108.14 | 24 |
| Ghs abscess perianal iandd CPT 46050 | $2,531.20 | $3,164.00 | $39.38 – $3,304.97 | 21 |
| Ghs bladder cath - complex-foley CPT 51703 | $614.40 | $768.00 | $78.34 – $567.15 | 21 |
| Ghs change cysto/gastrost CPT 43762 | $1,094.40 | $1,368.00 | $32.66 – $881.65 | 21 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $211.20 | $264.00 | $22.66 – $231.60 | 24 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $774.40 | $968.00 | $38.33 – $869.58 | 21 |
| Ghs closed reduction ankle dislocation CPT 27840 | $900.00 | $1,125.00 | $93.98 – $869.58 | 21 |
| Ghs community re-entry 15 minutes CPT 97537 | $126.40 | $158.00 | $42.20 – $56.80 | 5 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $504.00 | $630.00 | $34.38 – $467.26 | 16 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $532.80 | $666.00 | $27.83 – $1,446.53 | 21 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $606.40 | $758.00 | $27.30 – $467.26 | 21 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $63.20 | $79.00 | $15.21 – $100.37 | 24 |
| Ghs dislocation elbow closed treatment CPT 24600 | $900.00 | $1,125.00 | $107.63 – $869.58 | 21 |
| Ghs flow volume loop CPT 94375 | $1,039.20 | $1,299.00 | $33.04 – $1,128.83 | 21 |
| Ghs gastric intub aspiration lavage CPT 43753 | $456.00 | $570.00 | $17.34 – $1,128.83 | 21 |
| Ghs histoplasma antigen CPT 87385 | $55.20 | $69.00 | $9.94 – $72.67 | 18 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $6,372.80 | $7,966.00 | $113.93 – $4,274.17 | 21 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $535.20 | $669.00 | $118.13 – $2,550.51 | 21 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $829.60 | $1,037.00 | $37.80 – $2,550.51 | 21 |
| Ghs init tx 1st degree burn CPT 16000 | $556.00 | $695.00 | $18.90 – $720.29 | 21 |
| Ghs inj transforaminal cerv single bil CPT 64479 | not published | not published | $113.16 – $3,566.00 | 22 |
| Ghs insertion of needle - bone CPT 36680 | $680.00 | $850.00 | $51.98 – $1,446.53 | 21 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $1,440.80 | $1,801.00 | $96.60 – $1,448.30 | 21 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $100.80 | $126.00 | $8.52 – $11.47 | 5 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $804.00 | $1,005.00 | $128.13 – $442.05 | 15 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $1,125.60 | $1,407.00 | $25.73 – $1,448.30 | 21 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $1,034.40 | $1,293.00 | $25.73 – $1,448.30 | 21 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $1,016.80 | $1,271.00 | $33.08 – $1,448.30 | 21 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $1,160.00 | $1,450.00 | $49.88 – $1,448.30 | 21 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $1,160.00 | $1,450.00 | $37.28 – $1,448.30 | 21 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $1,252.80 | $1,566.00 | $49.88 – $1,448.30 | 21 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $1,315.20 | $1,644.00 | $48.83 – $1,448.30 | 21 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $1,315.20 | $1,644.00 | $50.93 – $2,218.98 | 21 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $1,440.80 | $1,801.00 | $96.60 – $2,218.98 | 21 |
| Ghs mbp CPT 83873 | $85.60 | $107.00 | $15.75 – $113.52 | 24 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $128.80 | $161.00 | $20.07 – $27.01 | 5 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $149.60 | $187.00 | $64.46 – $86.76 | 5 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $128.80 | $161.00 | $8.79 – $11.83 | 5 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $128.80 | $161.00 | $48.86 – $65.76 | 5 |
| Ghs musc test done w/n test comp CPT 95886 | $548.00 | $685.00 | $69.94 – $94.13 | 5 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $315.20 | $394.00 | $44.00 – $59.23 | 5 |
| Ghs myocardial strain img spckl track CPT 93356 | $235.20 | $294.00 | $8.30 – $2,409.40 | 2 |
| Ghs nailbed repair/nail removal CPT 11760 | $1,034.40 | $1,293.00 | $24.15 – $2,218.98 | 21 |
| Ghs nerve block axillary nerve CPT 64417 | not published | not published | $22.05 – $3,532.00 | 22 |
| Ghs nerve block brachial plexus CPT 64415 | $2,051.20 | $2,564.00 | $36.75 – $3,227.31 | 21 |
| Ghs nerve block interscaline CPT 64510 | not published | not published | $227.85 – $3,566.00 | 22 |
| Ghs nerve block suprascapular CPT 64418 | not published | not published | $22.05 – $3,532.00 | 22 |
| Ghs ng placement w fluoro guidance CPT 43752 | $368.00 | $460.00 | $115.00 – $531.81 | 15 |
| Ghs o2 saturation CPT 82810 | $40.80 | $51.00 | $9.77 – $57.57 | 24 |
| Ghs ot prosthetic training/15 min CPT 97761 | $110.40 | $138.00 | $42.20 – $56.80 | 5 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $116.80 | $146.00 | $6.89 – $118.72 | 7 |
| Ghs plngl fx pm cl CPT 26725 | $452.00 | $565.00 | $26.25 – $869.58 | 21 |
| Ghs ppd (tb intradermal) CPT 86580 | $104.80 | $131.00 | $5.78 – $88.77 | 24 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $40.00 | $50.00 | $9.66 – $63.72 | 24 |
| Ghs removal intranasal foreign body CPT 30300 | $165.60 | $207.00 | $23.63 – $467.26 | 21 |
| Ghs sensitivity (per antimicro) CPT 87184 | $37.60 | $47.00 | $7.48 – $45.51 | 24 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $1,248.00 | $1,560.00 | $96.60 – $1,448.30 | 21 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $1,472.00 | $1,840.00 | $96.60 – $1,448.30 | 21 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $881.60 | $1,102.00 | $49.88 – $720.29 | 21 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $1,122.40 | $1,403.00 | $50.93 – $720.29 | 21 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $1,588.00 | $1,985.00 | $96.60 – $720.29 | 21 |
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.