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 |
|---|---|---|---|---|
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $993.60 | $1,242.00 | $98.70 – $2,218.98 | 21 |
| Ghs urine, porphyrins quant CPT 84120 | $61.60 | $77.00 | $7.88 – $82.93 | 24 |
| Gi inhouse confirmation CPT 87045 | $47.20 | $59.00 | $7.25 – $62.23 | 24 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $653.00 | $816.25 | $19.00 – $526.54 | 20 |
| Glucose 1 hr post dose CPT 82950 | $20.00 | $25.00 | $4.75 – $31.32 | 24 |
| Glucose blood quantitative CPT 82947 | $20.00 | $25.00 | $3.93 – $25.89 | 24 |
| Glucose body fluid CPT 82945 | $20.00 | $25.00 | $3.93 – $25.89 | 24 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $64.00 | $80.00 | $4.56 – $84.96 | 24 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $20.00 | $25.00 | $3.43 – $18.98 | 24 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $34.20 | $42.75 | $0.70 – $3.57 | 19 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $77.60 | $97.00 | $18.38 – $122.65 | 24 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $77.60 | $97.00 | $17.85 – $122.20 | 24 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $236.00 | $295.00 | $97.12 – $477.30 | 3 |
| Guided cath fluid drainage 10030 CPT 10030 | $1,889.60 | $2,362.00 | $131.54 – $2,550.51 | 21 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $12.80 | $16.00 | $0.61 – $2.73 | 4 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | $28.00 | $35.00 | $15.72 – $15.72 | 1 |
| Hand X-ray CPT 73130 | $445.60 | $557.00 | $19.95 – $497.84 | 24 |
| Haptoglobin quantitative CPT 83010 | $45.00 | $66.00 | $12.58 – $83.02 | 24 |
| Hcg quantitative CPT 84702 | $55.00 | $112.00 | $15.05 – $95.71 | 25 |
| Head CT scan (with and without contrast) CPT 70470 | $569.00 | $2,645.00 | $53.74 – $1,610.16 | 24 |
| Head CT scan (with contrast) CPT 70460 | $478.00 | $2,362.00 | $46.36 – $1,306.15 | 24 |
| Head CT scan (without contrast) CPT 70450 | $296.00 | $2,011.00 | $39.18 – $1,017.40 | 24 |
| Heart image spect CPT 78494 | $1,697.60 | $2,122.00 | $57.16 – $2,259.58 | 23 |
| Hematocrit CPT 85014 | $35.20 | $44.00 | $2.37 – $15.64 | 24 |
| Hemoglobin CPT 85018 | $14.40 | $18.00 | $2.37 – $15.64 | 24 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $34.40 | $43.00 | $3.15 – $33.87 | 24 |
| Hemophilus influenza antibdy CPT 86684 | $65.60 | $82.00 | $15.84 – $104.53 | 24 |
| Heparin bolus from bag HCPCS J1644 | $30.00 | $37.50 | $0.15 – $0.77 | 4 |
| Hepatitis a antibody igm CPT 86709 | $46.40 | $58.00 | $11.26 – $74.29 | 24 |
| Hepatitis b core antibody igm CPT 86705 | $48.80 | $61.00 | $11.77 – $77.64 | 24 |
| Hepatitis b core antibody total CPT 86704 | $60.00 | $75.00 | $12.05 – $79.54 | 24 |
| Hepatitis b surface antibody CPT 86706 | $44.80 | $56.00 | $10.74 – $70.86 | 24 |
| Hepatitis c antibody CPT 86803 | $55.00 | $107.00 | $13.16 – $94.18 | 25 |
| Hepatobiliary system imaging CPT 78226 | $1,713.60 | $2,142.00 | $101.88 – $2,259.58 | 23 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | $846.30 – $12,792.87 | 22 |
| Herpes simplex type 1 antibody igg CPT 86695 | $65.60 | $82.00 | $13.19 – $86.99 | 24 |
| Herpes simplex type 2 antibody igg CPT 86696 | $96.80 | $121.00 | $19.35 – $127.71 | 24 |
| Heterophile antibodies screening CPT 86308 | $25.60 | $32.00 | $5.18 – $34.16 | 24 |
| Hip X-ray CPT 73502 | $489.60 | $612.00 | $32.91 – $497.84 | 24 |
| Histamine CPT 83088 | $123.20 | $154.00 | $13.65 – $194.86 | 24 |
| Histochemical stains add-on CPT 88314 | $283.20 | $354.00 | $31.77 – $356.71 | 8 |
| Hla ii typing 1 loc hr CPT 81382 | $514.40 | $643.00 | $123.68 – $762.51 | 21 |
| Hla i low res one antigen equiv ea CPT 81374 | $309.60 | $387.00 | $74.33 – $448.52 | 24 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $588.00 | $735.00 | $39.45 – $583.10 | 21 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $5.60 | $7.00 | $0.55 – $0.77 | 3 |
| Homocysteine CPT 83090 | $89.60 | $112.00 | $17.92 – $111.31 | 24 |
| Homogenization tissue CPT 87176 | $28.80 | $36.00 | $5.88 – $38.82 | 24 |
| Hpv combo assay ca screen HCPCS G0476 | $150.40 | $188.00 | $14.11 – $217.55 | 25 |
| H pylori (c-13) breath CPT 83013 | $280.00 | $350.00 | $29.13 – $286.47 | 24 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $155.80 | $194.75 | $40.95 – $189.00 | 4 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $8.60 | $10.75 | $4.26 – $17.03 | 4 |
| Hydration IV infusion each additional hour CPT 96361 | $154.40 | $193.00 | $9.45 – $167.25 | 21 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $548.00 | $685.00 | $19.13 – $763.74 | 21 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $68.80 | $86.00 | $16.18 – $72.03 | 4 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $7.40 | $9.25 | $0.70 – $4.90 | 4 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $56.00 | $70.00 | $4.62 – $4.62 | 1 |
| Hydroxyurea 500 mg HCPCS S0176 | $1.80 | $2.25 | $1.44 – $10.12 | 2 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $39.00 | $48.75 | $23.24 – $124.32 | 4 |
| Hysterosalpingography s&i CPT 74740 | $784.00 | $980.00 | $181.29 – $1,342.45 | 17 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $814.80 – $11,525.83 | 22 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $130.40 | $163.00 | $144.32 – $379.26 | 3 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $145.60 | $182.00 | $18.75 – $231.60 | 18 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $202.40 | $253.00 | $53.92 – $340.81 | 8 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $761.60 | $952.00 | $10.00 – $1,304.00 | 24 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $554.40 | $693.00 | $25.11 – $621.18 | 24 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $250.40 | $313.00 | $68.11 – $231.57 | 16 |
| Immune complex assay CPT 86332 | $101.60 | $127.00 | $12.50 – $160.83 | 24 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $85.00 | $108.00 | $11.88 – $137.29 | 24 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $85.00 | $108.00 | $20.81 – $137.29 | 24 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $49.60 | $62.00 | $8.40 – $79.08 | 24 |
| Immunofixation electrophoresis serum CPT 86334 | $92.80 | $116.00 | $8.91 – $147.41 | 24 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $198.40 | $248.00 | $20.72 – $458.55 | 8 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $55.20 | $69.00 | $12.13 – $621.18 | 24 |
| Impl neurostim electr perc CPT 63650 | not published | not published | $814.80 – $23,790.58 | 22 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $4,440.80 | $5,551.00 | $24.68 – $5,873.40 | 21 |
| Incision tendon sheath CPT 26055 | not published | not published | $675.15 – $41,602.44 | 23 |
| Infect ag drug suscept pheno predict CPT 87900 | $650.40 | $813.00 | $18.98 – $860.03 | 24 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $642.40 | $803.00 | $20.11 – $818.59 | 24 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $1,285.60 | $1,607.00 | $22.26 – $1,698.64 | 24 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | $172.00 | $215.00 | $12.09 – $170.90 | 24 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $68.80 | $86.00 | $10.37 – $72.67 | 18 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $60.00 | $75.00 | $11.98 – $72.67 | 24 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $60.00 | $75.00 | $12.79 – $72.67 | 24 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $51.20 | $64.00 | $10.33 – $68.15 | 24 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $144.80 | $181.00 | $21.94 – $154.19 | 23 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $60.00 | $75.00 | $8.99 – $72.67 | 18 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $60.00 | $75.00 | $8.99 – $72.67 | 18 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $60.00 | $75.00 | $11.98 – $72.67 | 24 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $211.20 | $264.00 | $14.75 – $231.60 | 24 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $211.20 | $264.00 | $24.35 – $231.60 | 25 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $186.40 | $233.00 | $31.34 – $227.18 | 24 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $2,080.80 | $2,601.00 | $12.50 – $2,583.66 | 18 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $145.60 | $182.00 | $18.75 – $231.60 | 18 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $140.00 | $219.00 | $25.96 – $231.60 | 24 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $208.00 | $260.00 | $24.35 – $231.60 | 25 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $100.00 | $192.00 | $37.26 – $211.91 | 24 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $100.00 | $890.00 | $40.63 – $589.06 | 24 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $132.00 | $165.00 | $24.35 – $231.60 | 24 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $198.40 | $248.00 | $24.55 – $216.33 | 25 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $307.20 | $384.00 | $57.58 – $346.93 | 17 |
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.