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Wellspan Ephrata Community Hospital

169 Martin Avenue, Ephrata, PA 17522 · (717) 733-0311

Acute Care HospitalsVoluntary non-profit - OtherCMS rating 5/5Lancaster, PA metroWebsite ↗

Price file

Prices published

File dated 2026-01-01

2,537 price rows for 50 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $20

$20
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $518

$438
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $296

$296
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $476

$476
cash
—
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 2 lines · metro median $146

$146
cash
—
cash
—
cash
—
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines · metro median $15

$15
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $25

$25
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 2 lines · metro median $208

$208
cash
Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 4 lines · metro median $792

$792
cash
—
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 2 lines · metro median $114

$146
cash
—
cash
—
cash
—
cash
—
cash
—
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines · metro median $40

$40
cash
Liver function panel

CPT 80076 · lowest of 2 lines · metro median $25

$25
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $702

$702
cash
MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 2 lines · metro median $350

$462
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 2 lines · metro median $454

$454
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $454

$454
cash
—
cash
Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 2 lines · metro median $2,647

$3,187
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 4 lines · metro median $122

$122
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 2 lines · metro median $386

$386
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 2 lines · metro median $693

$693
cash
PSA test (prostate)

CPT 84153 · lowest of 2 lines · metro median $45

$45
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 2 lines · metro median $30

$30
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 4 lines · metro median $52

$197
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines · metro median $394

$1,019
cash
—
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 2 lines · metro median $15

$15
cash
—
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 2 lines · metro median $225

$225
cash
—
cash
Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 2 lines · metro median $2,048

$2,320
cash
TSH test (thyroid)

CPT 84443 · lowest of 2 lines · metro median $40

$40
cash
—
cash
Transvaginal ultrasound

CPT 76830 · lowest of 2 lines · metro median $154

$709
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $184

$1,366
cash
—
cash
—
cash
Urinalysis with microscope

CPT 81001 · lowest of 2 lines · metro median $10

$10
cash
—
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 2 lines · metro median $263

$663
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.