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 |
|---|---|---|---|---|
| Remove wrist joint implant CPT 25449 | not published | not published | $970.00 – $1,101.92 | 6 |
| Remove wrist tendon lesion CPT 25111 | not published | not published | $970.00 – $1,101.92 | 6 |
| Renal function panel CPT 80069 | $36.00 | $45.00 | $8.68 – $35.85 | 25 |
| Repair achilles tendon CPT 27650 | not published | not published | $970.00 – $1,101.92 | 6 |
| Repair biceps tendon CPT 23430 | not published | not published | $970.00 – $1,101.92 | 6 |
| Repair blood vessel dir upper extr CPT 35206 | not published | not published | $970.00 – $1,101.92 | 6 |
| Repair deformity of toe CPT 28313 | not published | not published | $970.00 – $1,183.75 | 6 |
| Repair degenerated kneecap CPT 27418 | not published | not published | $970.00 – $1,298.75 | 6 |
| Repair elbow deb/attch open CPT 24359 | not published | not published | $970.00 – $1,101.92 | 6 |
| Repair elbow perc CPT 24357 | $2,590.40 | $3,238.00 | $970.00 – $1,101.92 | 6 |
| Repair elbow w/deb open CPT 24358 | not published | not published | $970.00 – $1,101.92 | 6 |
| Repair extns tendon finger without grft ea CPT 26418 | not published | not published | $970.00 – $1,125.00 | 6 |
| Repair fibula nonunion CPT 27726 | not published | not published | $970.00 – $1,101.92 | 6 |
| Repair finger/hand tendon CPT 26350 | not published | not published | $970.00 – $1,101.92 | 6 |
| Repair finger/hand tendon CPT 26356 | not published | not published | $970.00 – $2,122.50 | 6 |
| Repair finger/hand tendon CPT 26357 | not published | not published | $970.00 – $1,101.92 | 6 |
| Repair finger/hand tendon CPT 26426 | not published | not published | $970.00 – $1,101.92 | 6 |
| Repair forearm tendon/muscle CPT 25272 | not published | not published | $970.00 – $1,940.00 | 6 |
| Repair forearm tendon/muscle sec 25263 CPT 25263 | not published | not published | $970.00 – $1,101.92 | 6 |
| Repair/graft achilles tendon CPT 27652 | not published | not published | $970.00 – $1,101.92 | 6 |
| Repair/graft hand tendon CPT 26358 | not published | not published | $970.00 – $1,101.92 | 6 |
| Repair/graft hand tendon CPT 26412 | not published | not published | $970.00 – $2,910.00 | 6 |
| Repair/graft kneecap tendon CPT 27381 | not published | not published | $970.00 – $1,101.92 | 6 |
| Repair/graft of foot tendon CPT 28202 | not published | not published | $970.00 – $1,165.00 | 6 |
| Repair/graft radius or ulna CPT 25405 | not published | not published | $970.00 – $1,101.92 | 6 |
| Repair/graft wrist bone CPT 25440 | not published | not published | $970.00 – $1,101.92 | 6 |
| Repair hand joint CPT 26540 | not published | not published | $970.00 – $1,101.92 | 6 |
| Repair hand joint with graft CPT 26541 | not published | not published | $970.00 – $1,101.92 | 6 |
| Repair lower leg tendons CPT 27675 | not published | not published | $970.00 – $1,101.92 | 6 |
| Repair lower leg tendons CPT 27676 | not published | not published | $970.00 – $1,101.92 | 6 |
| Repair muscles of hand CPT 26591 | not published | not published | $970.00 – $1,101.92 | 6 |
| Repair nonunion hand CPT 26546 | not published | not published | $970.00 – $1,101.92 | 6 |
| Repair of achilles tendon CPT 27654 | not published | not published | $970.00 – $1,101.92 | 6 |
| Repair of ankle ligament CPT 27695 | not published | not published | $970.00 – $1,101.92 | 6 |
| Repair of ankle ligament CPT 27698 | not published | not published | $970.00 – $1,101.92 | 6 |
| Repair of foot bones CPT 28320 | not published | not published | $970.00 – $1,101.92 | 6 |
| Repair of foot tendon CPT 28200 | not published | not published | $970.00 – $1,101.92 | 6 |
| Repair of kneecap tendon CPT 27380 | not published | not published | $970.00 – $1,101.92 | 6 |
| Repair of knee ligament CPT 27405 | not published | not published | $970.00 – $1,101.92 | 6 |
| Repair of leg tendon each CPT 27658 | not published | not published | $970.00 – $1,101.92 | 6 |
| Repair of leg tendon each CPT 27659 | not published | not published | $970.00 – $1,101.92 | 6 |
| Repair of leg tendon each CPT 27665 | not published | not published | $970.00 – $1,101.92 | 6 |
| Repair of metatarsals CPT 28322 | not published | not published | $970.00 – $1,101.92 | 6 |
| Repair of ruptured tendon CPT 24342 | not published | not published | $970.00 – $1,101.92 | 6 |
| Repair of thigh muscle CPT 27385 | not published | not published | $970.00 – $1,101.92 | 6 |
| Repair/revise wrist joint CPT 25320 | not published | not published | $970.00 – $1,101.92 | 6 |
| Repair tendon extensor foot 1/2 each tendon CPT 28208 | not published | not published | $970.00 – $1,101.92 | 6 |
| Repair tendon/muscle forearm/wrist prime sngl ea CPT 25260 | not published | not published | $970.00 – $1,101.92 | 6 |
| Repair upper arm/elbow tendon/muscle ea CPT 24341 | not published | not published | $970.00 – $1,101.92 | 6 |
| Repr elbow lat ligmnt w/tiss CPT 24343 | not published | not published | $970.00 – $1,101.92 | 6 |
| Repr elbw med ligmnt w/tissu CPT 24345 | not published | not published | $970.00 – $1,101.92 | 6 |
| Reremove wrist tendon lesion CPT 25112 | not published | not published | $970.00 – $1,101.92 | 6 |
| Reticulocyte direct measurement automated CPT 85046 | $36.00 | $45.00 | $5.57 – $23.00 | 25 |
| Revise arm/leg nerve CPT 64708 | not published | not published | $970.00 – $1,101.92 | 6 |
| Revise finger joint each CPT 26135 | not published | not published | $970.00 – $1,101.92 | 6 |
| Revise hand/finger tendon CPT 26390 | not published | not published | $970.00 – $1,101.92 | 6 |
| Revise/implant finger joint CPT 26536 | not published | not published | $970.00 – $1,101.92 | 6 |
| Revise knuckle with implant CPT 26531 | not published | not published | $970.00 – $1,287.50 | 6 |
| Revise lower leg tendon CPT 27690 | not published | not published | $970.00 – $1,101.92 | 6 |
| Revise lower leg tendon CPT 27691 | not published | not published | $970.00 – $1,101.92 | 6 |
| Revise/remove neuroelectrode CPT 61880 | not published | not published | $970.00 – $1,101.92 | 6 |
| Revise/replace knee joint CPT 27487 | not published | not published | $970.00 – $2,892.52 | 20 |
| Revise spine eltrd plate CPT 63664 | not published | not published | $970.00 – $1,101.92 | 6 |
| Revise thumb tendon CPT 26490 | not published | not published | $970.00 – $1,101.92 | 6 |
| Revise ulnar nerve at wrist CPT 64719 | not published | not published | $970.00 – $1,101.92 | 6 |
| Revision of ankle joint CPT 27700 | not published | not published | $970.00 – $1,101.92 | 6 |
| Revision of arm nerve(s) CPT 64713 | not published | not published | $970.00 – $1,101.92 | 6 |
| Revision of big toe CPT 28310 | not published | not published | $970.00 – $1,101.92 | 6 |
| Revision of calf tendon CPT 27687 | not published | not published | $840.00 – $1,101.92 | 6 |
| Revision of foot CPT 28116 | not published | not published | $970.00 – $1,101.92 | 6 |
| Revision of foot bones CPT 28737 | not published | not published | $970.00 – $1,101.92 | 6 |
| Revision of knee joint CPT 27446 | not published | not published | $970.00 – $1,101.92 | 6 |
| Revision of radius CPT 25350 | not published | not published | $970.00 – $1,101.92 | 6 |
| Revision of ulna CPT 25360 | not published | not published | $970.00 – $1,101.92 | 6 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $860.00 – $1,101.92 | 6 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $970.00 – $1,101.92 | 6 |
| Rheumatoid factor quantitative CPT 86431 | $23.20 | $29.00 | $5.67 – $26.28 | 25 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $970.00 – $1,101.92 | 6 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | not published | not published | $970.00 – $1,101.92 | 6 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $970.00 – $1,101.92 | 6 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $67.60 | $84.50 | $0.92 – $4.20 | 9 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $1,713.60 | $2,142.00 | $73.75 – $2,259.58 | 23 |
| Rpl tun cvc wo subq port CPT 36581 | $2,422.40 | $3,028.00 | $232.36 – $632.03 | 7 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $744.00 | $930.00 | $149.17 – $620.33 | 22 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $605.60 | $757.00 | $98.25 – $339.32 | 22 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $989.60 | $1,237.00 | $149.17 – $499.15 | 22 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $702.40 | $878.00 | $98.25 – $330.34 | 22 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | $117.60 | $147.00 | $19.00 – $116.76 | 25 |
| Screening hepatitis c antibody high risk HCPCS G0472 | $108.80 | $136.00 | $19.00 – $191.43 | 25 |
| Screening Mammogram CPT 77067 | $225.00 | $427.00 | $83.06 – $521.53 | 24 |
| Screening prostate cancer PSA HCPCS G0103 | $45.00 | $99.00 | $19.31 – $82.82 | 25 |
| Sedimentation rate erythrocyte automated CPT 85652 | $20.00 | $54.00 | $2.70 – $20.00 | 26 |
| Set radiation therapy field CPT 77280 | $1,069.60 | $1,337.00 | $45.63 – $224.93 | 22 |
| Set radiation therapy field CPT 77290 | $1,634.40 | $2,043.00 | $90.63 – $620.18 | 22 |
| Sho arthrs dx +- synovial bx CPT 29805 | not published | not published | $970.00 – $1,101.92 | 6 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $970.00 – $1,101.92 | 6 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $970.00 – $1,101.92 | 6 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $970.00 – $1,165.00 | 6 |
| Sho arthrs srg lss&rescj ads CPT 29825 | not published | not published | $970.00 – $1,165.00 | 6 |
| Sho arthrs srg prtl synvct CPT 29820 | not published | not published | $970.00 – $1,165.00 | 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.