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 |
|---|---|---|---|---|
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $56.80 | $71.00 | $28.84 – $50.47 | 16 |
| Prealbumin CPT 84134 | $59.20 | $74.00 | $14.59 – $68.54 | 25 |
| Prednisone 1 mg tablet HCPCS J7512 | $0.80 | $1.00 | $0.01 – $4.51 | 9 |
| Prep skin to 100cm2 trk/ext CPT 15002 | not published | not published | $970.00 – $3,098.97 | 21 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | not published | not published | $970.00 – $1,430.00 | 6 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | not published | not published | $970.00 – $1,101.92 | 6 |
| Pr incision & drainage abscess simple/single CPT 10060 | $333.60 | $417.00 | $29.38 – $336.63 | 22 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | not published | not published | $970.00 – $1,101.92 | 6 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $375.20 | $469.00 | $12.38 – $33.66 | 7 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $970.00 – $1,101.92 | 6 |
| Procalcitonin CPT 84145 | $136.00 | $170.00 | $22.21 – $112.42 | 25 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $36.40 | $45.50 | $1.81 – $10.22 | 9 |
| Promethazine hcl injection HCPCS J2550 | $23.80 | $29.75 | $2.95 – $11.59 | 9 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $107.40 | $134.25 | $1.80 – $28.80 | 9 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $7,882.66 | $9,853.32 | $3,952.45 – $3,952.45 | 1 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $40.00 | $56.00 | $10.74 – $49.81 | 25 |
| Protein total 24 hour urine CPT 84156 | $15.20 | $19.00 | $3.67 – $15.16 | 25 |
| Protein total serum plasma whole blood CPT 84155 | $15.20 | $19.00 | $3.67 – $15.88 | 25 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $970.00 – $3,098.97 | 21 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $970.00 – $1,173.75 | 6 |
| PSA (Prostate) Test CPT 84153 | $45.00 | $96.00 | $18.39 – $82.82 | 25 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $133.60 | $167.00 | $13.78 – $56.80 | 22 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $118.40 | $148.00 | $13.39 – $56.80 | 22 |
| Pt evaluation high complexity patient/family CPT 97163 | $333.60 | $417.00 | $79.51 – $216.27 | 22 |
| Pt evaluation low complexity patient/family CPT 97161 | $292.80 | $366.00 | $79.51 – $216.27 | 22 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $312.80 | $391.00 | $79.51 – $216.27 | 22 |
| Pt re-evaluation patient/family CPT 97164 | $192.00 | $240.00 | $53.90 – $146.61 | 22 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $110.40 | $138.00 | $39.85 – $69.74 | 21 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $118.40 | $148.00 | $27.75 – $56.80 | 22 |
| Pt wheelchair management each 15 minutes CPT 97542 | $118.40 | $148.00 | $29.62 – $56.80 | 21 |
| Pulse ox continuous overnight monitoring CPT 94762 | $180.80 | $226.00 | $78.23 – $265.07 | 17 |
| Pulse ox multiple CPT 94761 | $109.60 | $137.00 | $4.83 – $13.12 | 7 |
| Pump on-q 100mlx2ml/hr 2 day delivery HCPCS C9804 | $2,239.20 | $2,799.00 | $230.83 – $1,233.35 | 16 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $73.60 | $92.00 | $16.25 – $218.38 | 22 |
| Radiation physics consult CPT 77336 | $476.80 | $596.00 | $61.25 – $224.93 | 22 |
| Radiation therapy dose plan CPT 77300 | $789.60 | $987.00 | $26.88 – $224.93 | 22 |
| Radiation treatment aid(s) CPT 77334 | $1,132.80 | $1,416.00 | $68.75 – $620.18 | 22 |
| Radiation treatment delivery CPT 77412 | $1,056.00 | $1,320.00 | $55.00 – $445.53 | 22 |
| Radical resection of elbow CPT 24149 | not published | not published | $970.00 – $1,101.92 | 6 |
| Radiology port images(s) CPT 77417 | $88.80 | $111.00 | $16.15 – $43.93 | 7 |
| Radiotherapy dose plan imrt CPT 77301 | $16,511.20 | $20,639.00 | $884.78 – $3,673.39 | 22 |
| Realignment of tendons CPT 26437 | not published | not published | $970.00 – $1,940.00 | 6 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $970.00 – $1,101.92 | 5 |
| Reconstruct elbow lat ligmnt CPT 24344 | not published | not published | $970.00 – $1,101.92 | 6 |
| Reconstruct elbow med ligmnt CPT 24346 | not published | not published | $970.00 – $1,101.92 | 6 |
| Reconstruct head of radius CPT 24366 | not published | not published | $970.00 – $1,101.92 | 6 |
| Reconstruction ankle joint CPT 27703 | not published | not published | $970.00 – $1,844.33 | 20 |
| Reconstruction knee CPT 27427 | not published | not published | $970.00 – $1,165.00 | 6 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | $970.00 – $1,101.92 | 5 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $1,181.60 | $1,477.00 | $30.00 – $318.50 | 22 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $1,409.60 | $1,762.00 | $30.00 – $447.65 | 22 |
| Release finger contracture CPT 26525 | not published | not published | $970.00 – $1,101.92 | 6 |
| Release knuckle contracture CPT 26520 | not published | not published | $970.00 – $1,101.92 | 6 |
| Release muscles of hand CPT 26593 | not published | not published | $970.00 – $1,940.00 | 6 |
| Release of foot tendon 28225 CPT 28225 | not published | not published | $970.00 – $1,101.92 | 6 |
| Release of foot tendons CPT 28222 | not published | not published | $970.00 – $1,101.92 | 6 |
| Release of foot tendons CPT 28226 | not published | not published | $970.00 – $1,101.92 | 6 |
| Release of lower leg tendon CPT 27680 | not published | not published | $970.00 – $1,183.75 | 6 |
| Release of lower leg tendons CPT 27681 | not published | not published | $970.00 – $1,183.75 | 6 |
| Release palm contracture CPT 26121 | not published | not published | $970.00 – $1,101.92 | 6 |
| Release palm contracture CPT 26123 | not published | not published | $970.00 – $1,101.92 | 6 |
| Release palm contracture 26045 CPT 26045 | not published | not published | $970.00 – $1,101.92 | 6 |
| Release wrist/forearm tendon CPT 25295 | not published | not published | $970.00 – $1,101.92 | 6 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $1,186.40 | $1,483.00 | $162.94 – $1,047.43 | 22 |
| Removal foreign body foot cmplx CPT 28193 | not published | not published | $900.00 – $1,101.92 | 6 |
| Removal foreign body foot subcutaneous right CPT 28190 | not published | not published | $681.13 – $1,191.98 | 21 |
| Removal implant from finger/hand 26320 CPT 26320 | not published | not published | $970.00 – $1,101.92 | 6 |
| Removal implant superficial separate procedure CPT 20670 | not published | not published | $970.00 – $1,642.50 | 6 |
| Removal of ankle/heel lesion CPT 28100 | not published | not published | $970.00 – $1,290.00 | 6 |
| Removal of finger lesion CPT 26210 | not published | not published | $550.00 – $1,101.92 | 6 |
| Removal of foot lesion CPT 28080 | not published | not published | $970.00 – $1,101.92 | 6 |
| Removal of foot lesion CPT 28090 | not published | not published | $970.00 – $1,107.50 | 6 |
| Removal of foot lesion CPT 28104 | not published | not published | $970.00 – $1,140.00 | 6 |
| Removal of heel bone CPT 28118 | not published | not published | $970.00 – $1,101.92 | 6 |
| Removal of heel spur CPT 28119 | not published | not published | $970.00 – $1,101.92 | 6 |
| Removal of hip prosthesis CPT 27091 | not published | not published | $970.00 – $2,630.88 | 20 |
| Removal of implant deep CPT 20680 | not published | not published | $970.00 – $3,098.97 | 21 |
| Removal of kneecap bursa CPT 27340 | not published | not published | $970.00 – $1,101.92 | 6 |
| Removal of nerve lesion CPT 64790 | not published | not published | $970.00 – $1,101.92 | 6 |
| Removal of sesamoid bone CPT 28315 | not published | not published | $970.00 – $1,216.25 | 6 |
| Removal of tendon lesion CPT 27630 | not published | not published | $970.00 – $1,101.92 | 6 |
| Removal of toe lesions CPT 28108 | not published | not published | $970.00 – $1,101.92 | 6 |
| Removal of wrist bone CPT 25210 | not published | not published | $970.00 – $1,101.92 | 6 |
| Removal of wrist lesion CPT 25130 | not published | not published | $970.00 – $1,101.92 | 6 |
| Remove digit nerve lesion 64776 CPT 64776 | not published | not published | $970.00 – $1,205.00 | 6 |
| Remove femur lesion CPT 27355 | not published | not published | $970.00 – $1,101.92 | 6 |
| Remove & graft wrist lesion CPT 25135 | not published | not published | $868.75 – $1,101.92 | 6 |
| Remove knee joint lining CPT 27334 | not published | not published | $970.00 – $1,203.75 | 6 |
| Remove limb nerve lesion CPT 64782 | not published | not published | $970.00 – $1,176.25 | 6 |
| Remove lower leg bone lesion CPT 27635 | not published | not published | $841.25 – $1,101.92 | 6 |
| Remove nerve lesion CPT 64784 | not published | not published | $970.00 – $1,260.00 | 6 |
| Remove skin nerve lesion CPT 64774 | not published | not published | $970.00 – $1,101.92 | 6 |
| Remove skin nerve lesion 64788 CPT 64788 | not published | not published | $970.00 – $1,101.92 | 6 |
| Remove spinal canal catheter 62355 CPT 62355 | not published | not published | $970.00 – $1,101.92 | 6 |
| Remove spine eltrd perq aray CPT 63661 | not published | not published | $970.00 – $1,101.92 | 6 |
| Remove spine eltrd plate CPT 63662 | not published | not published | $970.00 – $1,101.92 | 6 |
| Remove spine infusion device CPT 62365 | not published | not published | $970.00 – $1,101.92 | 6 |
| Remove/transplant tendon CPT 23440 | not published | not published | $970.00 – $1,101.92 | 6 |
| Remove wrist/forearm lesion CPT 25116 | not published | not published | $970.00 – $1,101.92 | 6 |
| Remove wrist joint cartilage CPT 25107 | not published | not published | $970.00 – $1,101.92 | 6 |
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.