Wellspan Evangelical Community Hospital

One Hospital Drive, Lewisburg, PA 17837 · (570) 522-2000

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 4/5Lewisburg, PA metro Website ↗

Price file

Prices published

File dated 2026-01-01

1,695 price rows for 48 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · metro median $20

$20

cash

$8 to $100

30 negotiated rates

$287

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · metro median $438

$438

cash

$289 to $7,229

30 negotiated rates

$7,857

list

CT scan of the head, no contrast

CPT 70450 · metro median $296

$296

cash

$102 to $1,501

30 negotiated rates

$2,338

list

CT scan of the pelvis, with contrast

CPT 72193 · metro median $476

$476

cash

$154 to $2,111

30 negotiated rates

$2,959

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$6,250 to $29,385

23 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · metro median $362

$362

cash

$26 to $453

30 negotiated rates

$453

list

Colonoscopy (diagnostic)

CPT 45378

—

cash

$854 to $4,362

29 negotiated rates

—

list

Colonoscopy with biopsy

CPT 45380

—

cash

$854 to $4,838

29 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$854 to $4,838

29 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025 · metro median $15

$15

cash

$7 to $90

30 negotiated rates

$138

list

Comprehensive metabolic panel (blood test)

CPT 80053 · metro median $25

$25

cash

$10 to $132

30 negotiated rates

$331

list

Diagnostic mammogram (both breasts)

CPT 77066 · metro median $208

$208

cash

$99 to $1,235

30 negotiated rates

$1,066

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 2 lines · metro median $316

$316

cash

$44 to $656

60 negotiated rates

$395

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$854 to $23,941

29 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591 · metro median $362

$362

cash

$26 to $455

30 negotiated rates

$453

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$12,573 to $44,010

23 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$854 to $15,468

29 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$854 to $15,468

29 negotiated rates

—

list

Lipid panel (cholesterol test)

CPT 80061 · metro median $40

$40

cash

$13 to $129

30 negotiated rates

$350

list

Liver function panel

CPT 80076 · metro median $25

$25

cash

$8 to $100

30 negotiated rates

$358

list

MRI of the brain, with and without contrast

CPT 70553 · metro median $702

$702

cash

$344 to $6,973

30 negotiated rates

$6,651

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · metro median $462

$462

cash

$233 to $3,074

30 negotiated rates

$4,562

list

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

CPT 72148 · metro median $454

$454

cash

$233 to $3,565

30 negotiated rates

$4,527

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · metro median $454

$454

cash

$233 to $3,339

30 negotiated rates

$4,256

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · metro median $3,272

$3,272

cash

$105 to $4,362

30 negotiated rates

$4,090

list

New patient office visit (about 30 minutes)

CPT 99203 · metro median $239

$239

cash

$44 to $529

30 negotiated rates

$299

list

New patient office visit (about 45 minutes)

CPT 99204 · metro median $266

$266

cash

$44 to $679

30 negotiated rates

$333

list

New patient office visit (about 60 minutes)

CPT 99205 · metro median $316

$316

cash

$44 to $829

27 negotiated rates

$395

list

PSA test (prostate)

CPT 84153 · metro median $45

$45

cash

$18 to $173

30 negotiated rates

$306

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · metro median $30

$30

cash

$6 to $50

30 negotiated rates

$165

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 2 lines · metro median $135

$135

cash

$27 to $314

58 negotiated rates

$169

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · metro median $847

$847

cash

$85 to $891

30 negotiated rates

$1,059

list

Prostate biopsy

CPT 55700 · metro median $6,035

$6,035

cash

$98 to $8,406

59 negotiated rates

$7,544

list

Prothrombin time (blood clotting test)

CPT 85610 · metro median $15

$15

cash

$4 to $33

30 negotiated rates

$120

list

Removal of a breast lump (biopsy by excision)

CPT 19120 · metro median $5,849

$5,849

cash

$190 to $8,811

30 negotiated rates

$7,311

list

Screening mammogram (both breasts)

CPT 77067 · metro median $225

$225

cash

$82 to $1,009

30 negotiated rates

$672

list

Shoulder arthroscopy with decompression

CPT 29826

—

cash

$854 to $29,314

29 negotiated rates

—

list

Sleep study (overnight, attended)

CPT 95810 · metro median $7,018

$7,018

cash

$381 to $8,519

30 negotiated rates

$8,773

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · metro median $1,843

$1,843

cash

$89 to $5,032

59 negotiated rates

$2,304

list

TSH test (thyroid)

CPT 84443 · metro median $40

$40

cash

$17 to $185

30 negotiated rates

$295

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$854 to $24,275

29 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830 · metro median $832

$832

cash

$84 to $641

29 negotiated rates

$1,040

list

Ultrasound of the abdomen (complete)

CPT 76700 · metro median $1,124

$1,124

cash

$102 to $761

30 negotiated rates

$1,405

list

Upper endoscopy (EGD)

CPT 43235

—

cash

$854 to $4,362

29 negotiated rates

—

list

Upper endoscopy with biopsy

CPT 43239

—

cash

$854 to $4,362

29 negotiated rates

—

list

Urinalysis with microscope

CPT 81001 · metro median $10

$10

cash

$3 to $26

30 negotiated rates

$113

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$4,395 to $18,890

23 negotiated rates

—

list

X-ray of the lower spine (4 or more views)

CPT 72110 · metro median $961

$961

cash

$40 to $602

30 negotiated rates

$1,201

list

Source files

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

https://edge.sitecorecloud.io/269a6006063e-wellspanxmcef9f-production4406-c241/media/Project/Wellspan-Site-Tenant/wellspan-site/data/media/files/Patient-Resources/Cost/240795411_evangelical-community-hospital_standardcharges.csv
WellSpan Evangelical Community Hospital · parsed · tall v3.0.0 · file dated 2026-01-01 · 6.7 MB · 1695 price rows read · read Nov 2026