WellSpan Surgery & Rehabilitation Hospital
55 Monument Road, York PA 17403, PA · Wellspan · · NPI 1760787576
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 |
|---|---|---|---|---|
| Fusion of foot bones CPT 28730 | not published | not published | $970.00 – $1,183.75 | 6 |
| Fusion of foot bones CPT 28735 | not published | not published | $970.00 – $1,101.92 | 6 |
| Fusion of foot bones CPT 28740 | not published | not published | $970.00 – $1,101.92 | 6 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $970.00 – $1,101.92 | 6 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $970.00 – $1,101.92 | 6 |
| Fusion of thumb CPT 26841 | not published | not published | $970.00 – $1,101.92 | 6 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $970.00 – $1,101.92 | 6 |
| Gammaglobulin iga CPT 82784 | $35.00 | $49.00 | $9.30 – $43.69 | 25 |
| Gamma glutamyltransferase CPT 82977 | $29.60 | $37.00 | $7.20 – $31.82 | 25 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $245.60 | $307.00 | $39.54 – $126.78 | 9 |
| General health panel CPT 80050 | $70.00 | $239.00 | $43.89 – $149.23 | 9 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $16.80 | $21.00 | $2.21 – $8.65 | 9 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | not published | not published | $970.00 – $3,098.97 | 21 |
| Ghs community re-entry 15 minutes CPT 97537 | $126.40 | $158.00 | $30.52 – $56.80 | 21 |
| Ghs fb removal - incisional CPT 10121 | not published | not published | $900.00 – $1,101.92 | 6 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $188.80 | $236.00 | $76.38 – $207.74 | 7 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $179.20 | $224.00 | $10.41 – $28.32 | 7 |
| Ghs nailbed repair/nail removal CPT 11760 | not published | not published | $970.00 – $1,101.92 | 6 |
| Ghs ot prosthetic training/15 min CPT 97761 | $118.40 | $148.00 | $38.66 – $67.66 | 21 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $120.80 | $151.00 | $50.00 – $100.12 | 21 |
| Ghs ppd (tb intradermal) CPT 86580 | $104.80 | $131.00 | $5.50 – $85.11 | 25 |
| Ghs protoporphyrins fract CPT 84202 | $60.00 | $75.00 | $14.35 – $67.46 | 25 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $970.00 – $1,101.92 | 6 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $970.00 – $1,101.92 | 6 |
| Ghs sensitivity (per antimicro) CPT 87184 | $30.40 | $38.00 | $7.48 – $30.89 | 25 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $263.20 | $329.00 | $50.00 – $169.91 | 21 |
| Ghs st - re-eval for alt comm CPT 92597 | $737.60 | $922.00 | $68.94 – $120.65 | 16 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | not published | not published | $592.59 – $1,101.92 | 21 |
| Gi inhouse confirmation CPT 87045 | $38.40 | $48.00 | $6.90 – $38.99 | 25 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $1,624.60 | $2,030.75 | $148.99 – $526.54 | 25 |
| Glucose blood quantitative CPT 82947 | $16.00 | $20.00 | $3.93 – $16.23 | 25 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $31.20 | $39.00 | $1.80 – $7.14 | 24 |
| Guided cath fluid drainage 10030 CPT 10030 | $1,156.00 | $1,445.00 | $156.60 – $1,191.98 | 22 |
| Guid loc target vol rad tx CPT 77387 | $875.20 | $1,094.00 | $79.76 – $270.44 | 7 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $25.80 | $32.25 | $0.80 – $2.73 | 9 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | $28.00 | $35.00 | $15.72 – $15.72 | 1 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $970.00 – $1,940.00 | 6 |
| Hand X-ray CPT 73130 | $296.80 | $371.00 | $14.38 – $497.84 | 24 |
| Haptoglobin quantitative CPT 83010 | $45.00 | $66.00 | $12.00 – $51.96 | 25 |
| Hcg quantitative CPT 84702 | $55.00 | $77.00 | $15.05 – $62.16 | 26 |
| Head CT scan (without contrast) CPT 70450 | $296.00 | $1,462.00 | $96.88 – $602.31 | 24 |
| Hematocrit CPT 85014 | $13.60 | $17.00 | $2.37 – $10.98 | 25 |
| Hemodialysis one evaluation CPT 90935 | $516.00 | $645.00 | $677.38 – $1,185.42 | 16 |
| Hemoglobin CPT 85018 | $13.60 | $17.00 | $2.37 – $10.98 | 25 |
| Hemoglobin plasma CPT 83051 | $30.40 | $38.00 | $3.50 – $30.19 | 25 |
| Heparin assay CPT 85520 | $94.40 | $118.00 | $6.53 – $54.06 | 25 |
| Heparin bolus from bag HCPCS J1644 | $68.00 | $85.00 | $0.21 – $0.77 | 9 |
| Hepatitis b core antibody igm CPT 86705 | $48.80 | $61.00 | $11.77 – $55.25 | 25 |
| Hepatitis b core antibody total CPT 86704 | $49.60 | $62.00 | $12.05 – $51.00 | 25 |
| Hepatitis b surface antibody CPT 86706 | $44.80 | $56.00 | $10.74 – $44.81 | 25 |
| Hepatitis c antibody CPT 86803 | $55.00 | $74.00 | $14.27 – $64.60 | 26 |
| Hip arthr0 w/debridement CPT 29862 | not published | not published | $970.00 – $1,101.92 | 6 |
| Hip arthro acetabuloplasty CPT 29915 | not published | not published | $970.00 – $1,101.92 | 6 |
| Hip arthro w/femoroplasty CPT 29914 | not published | not published | $970.00 – $1,101.92 | 6 |
| Hip arthro w/labral repair CPT 29916 | not published | not published | $970.00 – $1,101.92 | 6 |
| Hip X-ray CPT 73502 | $344.80 | $431.00 | $27.95 – $497.84 | 24 |
| Homogenization tissue CPT 87176 | $24.00 | $30.00 | $5.88 – $24.65 | 25 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $136.40 | $170.50 | $5.38 – $17.03 | 9 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $218.80 | $273.50 | $21.31 – $72.03 | 9 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $59.20 | $74.00 | $0.45 – $2.45 | 9 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $126.20 | $157.75 | $17.22 – $17.22 | 1 |
| Hydroxyurea 500 mg HCPCS S0176 | $2.20 | $2.75 | $1.44 – $1.44 | 1 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $198.40 | $248.00 | $42.53 – $340.81 | 10 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $253.60 | $317.00 | $50.17 – $488.22 | 25 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $57.35 | $71.69 | $68.11 – $237.46 | 17 |
| Immunofixation electrophoresis serum CPT 86334 | $92.80 | $116.00 | $22.34 – $95.20 | 25 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $970.00 – $1,101.92 | 6 |
| Implant spine infusion pump CPT 62362 | not published | not published | $970.00 – $1,101.92 | 6 |
| In-111 autol wbc diag per dose HCPCS A9570 | $6,836.00 | $8,545.00 | $1,031.39 – $15,029.56 | 19 |
| Incise flexor carpi radialis CPT 25001 | not published | not published | $970.00 – $1,101.92 | 6 |
| Incision of achilles tendon CPT 27605 | $1,291.20 | $1,614.00 | $227.58 – $619.00 | 7 |
| Incision of achilles tendon CPT 27606 | not published | not published | $970.00 – $1,101.92 | 6 |
| Incision of fibula CPT 27707 | not published | not published | $970.00 – $1,101.92 | 6 |
| Incision of foot fascia CPT 28008 | $2,590.40 | $3,238.00 | $170.63 – $464.10 | 7 |
| Incision of heel bone CPT 28300 | not published | not published | $970.00 – $1,730.00 | 6 |
| Incision of hip tendons CPT 27006 | $2,590.40 | $3,238.00 | $236.25 – $642.60 | 7 |
| Incision of metatarsal CPT 28306 | not published | not published | $970.00 – $1,420.00 | 6 |
| Incision of metatarsal CPT 28308 | not published | not published | $970.00 – $1,295.00 | 6 |
| Incision of spinal nerve 64772 CPT 64772 | not published | not published | $970.00 – $1,101.92 | 6 |
| Incision of tendon & muscle CPT 23405 | $5,725.60 | $7,157.00 | $440.00 – $1,196.80 | 2 |
| Incision of tendon sheath CPT 25000 | not published | not published | $968.75 – $1,101.92 | 6 |
| Incision of tibia CPT 27705 | not published | not published | $970.00 – $1,101.92 | 6 |
| Incision of tibia & fibula CPT 27709 | not published | not published | $970.00 – $1,101.92 | 6 |
| Incision of toe tendons 28011 CPT 28011 | not published | not published | $970.00 – $1,101.92 | 6 |
| Incision tendon sheath CPT 26055 | not published | not published | $803.75 – $1,101.92 | 6 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $60.00 | $75.00 | $12.18 – $59.39 | 25 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $42.40 | $53.00 | $10.33 – $48.18 | 25 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $48.80 | $61.00 | $5.99 – $49.48 | 20 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $48.80 | $61.00 | $11.98 – $49.48 | 25 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $143.20 | $179.00 | $23.19 – $144.92 | 25 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $147.20 | $184.00 | $23.19 – $144.92 | 26 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $152.00 | $190.00 | $37.27 – $153.93 | 25 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $145.60 | $182.00 | $17.55 – $144.92 | 20 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $140.00 | $179.00 | $35.09 – $144.92 | 25 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $147.20 | $184.00 | $23.19 – $144.92 | 26 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $100.00 | $192.00 | $35.49 – $211.91 | 25 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $100.00 | $430.00 | $112.86 – $589.06 | 25 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $122.40 | $153.00 | $23.19 – $144.92 | 25 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $515.20 | $644.00 | $208.39 – $1,721.30 | 20 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $178.40 | $223.00 | $39.65 – $176.93 | 25 |
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.