WELLSPAN EVANGELICAL COMMUNITY HOSPITAL

CCN 390013

45 CFR § 180 compliance
C · 70
This hospital published part of what § 180 requires.
Machine-readable file published
Gross / standard charges
Discounted cash price
Payer-specific negotiated rates
Min / max negotiated charges
Free, public, no login required
Procedures listed
1,460
Insurances with rates
18
CPT / HCPCS codes
1,012
Source MRF

Most expensive procedures (gross)

J3245
$73,040
TILDRAKIZUMAB-ASMN 100 MG/ML SUBCUTANEOUS SYRINGE
Gross
$91,301
J3380
$54,156
VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION
Gross
$67,695
J0180
$47,028
AGALSIDASE BETA 35 MG INTRAVENOUS SOLUTION
Gross
$58,785
J3101
$46,984
TENECTEPLASE IV PUSH FOR ACUTE ISCHEMIC STROKE
Gross
$58,730
J0491
$32,563
ANIFROLUMAB-FNIA 300 MG/2 ML (150 MG/ML) INTRAVENOUS SOLUTION
Gross
$40,704
33285
$23,846
Insertion of Heart Rhythm Monitor Under Skin
Gross
$29,808
C9606
$21,276
Percutaneous Transluminal Revascularization
Gross
$26,595
64555
$19,865
Insertion of Peripheral Nerve Neurostimulator Electrode Through Skin
Gross
$24,831
481
$19,172
Percutaneous Transcatheter
Gross
$23,965
63650
$19,151
Insertion of Spinal Neurostimulator Electrode Array Through Skin
Gross
$23,939
C1778
$17,050
Lead, Neurostimulator (Implantable)
Gross
$21,312
C1761
$16,354
CATHETER ULTRASOUND SHOCKWAVE C2+ 2.5MM .044IN 138CM 12MM CORONARY ARTERIAL CONNECTOR
Gross
$20,442
C1764
$15,658
DEVICE CARDIAC 9.4MMX46.5MM ASSERT-IQ THK3.1MM 3+ ICM
Gross
$19,572
93799
$14,686
Calculate Blood Flow of Initial Blood Vessel
Gross
$18,357
37246
$13,595
Balloon Dilation of Artery With Review by Radiologist, Initial Artery
Gross
$16,994
C1821
$12,659
SPACER SPINAL 14X7MM COALITION MIS 7D 12MM TITANIUM STERILE LATEX FREE
Gross
$15,823
36902
$12,076
Insert Needle/Tube Hemodialysis Circuit/Balloon W Radiology Review
Gross
$15,096
36581
$12,026
Replacement of Tunneled Central Venous Tube
Gross
$15,033
36558
$11,785
Insertion of Tunneled Central Venous Tube for Infusion (5 Years or Older)
Gross
$14,732
C1732
$10,599
CATHETER ELECTROPHYSIOLOGY CARTO 3 THERMOCOOL SF D-D CURVE 7.5FR BIDIRECTIONAL DEFLECTABLE
Gross
$13,248
92920
$10,267
Balloon Dilation of Single Coronary Artery or Branch
Gross
$12,834
C1785
$9,996
PACEMAKER CARDIAC ASSURITY MRI THK6MM 2 CHAMBER PULSE GENERATOR IS-1 CONNECTOR RF
Gross
$12,495
19499
$9,758
Other Procedure on Breast
Gross
$12,198
C1889
$9,743
SUBSTITUTE BONE GRAFT I FACTOR ALLOGRAFT PUTTY SYRINGE 5CC
Gross
$12,178
C1714
$9,551
SYSTEM INTERNAL FIXATION 4 LEG LOW PROFILE BROAD BRIDGE DYNACLIP FORTE L30 MM X W16 MM
Gross
$11,939
37226
$9,074
Insertion of Stent in Arteries of Leg
Gross
$11,343
46040
$8,921
Drainage of Deep Abscess in Rectum
Gross
$11,152
93456
$8,400
Insert Tube in Right Heart Chambers and Coronary Artery
Gross
$10,500
59412
$8,107
Turning of Fetus Through External Manipulation
Gross
$10,133
74178
$525
CT Scan of Abdomen and Pelvis Before and After Contrast
Gross
$10,099
95811
$8,062
Sleep Study in Sleep Lab With Continuous Airway Pressure (6 Years or Older)
Gross
$10,078
C1762
$7,846
GRAFT SOFT TISSUE ANTERIOR TIBIALIS TENDON ALLOGRAFT FROZEN
Gross
$9,808
64625
$7,732
Destruct Nerves Supplying Joint Between Spine and Pelvis W Image Guide
Gross
$9,666
92973
$7,599
Removal of Blood Clot in Heart Artery
Gross
$9,499
33210
$7,439
Insertion of Temporary Pacemaker Lead in Single Heart Chamber
Gross
$9,299
11044
$7,414
Removal of Bone, 20.0 Sq Cm or Less
Gross
$9,267
78815
$7,410
Nuclear Medicine Study From Skull Base to Mid-Thigh With CT Scan
Gross
$9,263
95810
$7,018
Sleep Study in Sleep Lab (6 Years or Older)
Gross
$8,773
28190
$6,900
Removal of Foreign Body of Foot Tissue, Accessed Beneath the Skin
Gross
$8,625
93454
$6,734
Insert Tube in Coronary Artery for Diagnosis W Review by Radiologist
Gross
$8,418
93455
$6,734
Insertion of Tube in Bypass Graft for Diagnosis With Review by Radiologist
Gross
$8,418
93453
$6,734
Insert Tube in Right and Left Heart Chambers
Gross
$8,418
93458
$6,734
Insert Tube in Left Lower Heart Chamber and Coronary Artery
Gross
$8,418
93460
$6,734
Insert Tube in Right and Left Heart Chambers and Coronary Artery
Gross
$8,418
C2623
$6,715
BALLOON DILATATION LUTONIX ULTRAVERSE GEOALIGN 4MM 40MM 130CM DRUG COATED REINFORCE INNER
Gross
$8,394
64624
$6,628
Destruction of Nerve Branches of Knee Using Imaging Guidance
Gross
$8,285
74177
$438
CT Scan of Abdomen and Pelvis With Contrast
Gross
$7,857
71552
$706
MRI Scan of Chest Before and After Contrast
Gross
$7,643
75635
$398
CT Scan of Abdominal Aorta and Both Leg Arteries With Contrast
Gross
$7,558
55700
$6,035
Biopsy of Prostate Gland
Gross
$7,544
Showing top 50 of 1,460 priced procedures, sorted by gross charge.

Data straight from this hospital's federally-mandated machine-readable file (45 CFR § 180). The compliance grade reflects how completely the hospital published the six required data elements, not the quality of care.