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Wellspan Surgery and Rehabilitation Hospital

55 Monument Road, York, PA 17403 · (717) 812-6100

Acute Care HospitalsVoluntary non-profit - PrivateYork, PA metroWebsite ↗

Price file

Prices published

File dated 2026-01-01

1,488 price rows for 26 procedures

Published prices

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

CPT 80048 · lowest of 2 lines · metro median $55

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

CPT 74177 · lowest of 2 lines · metro median $2,986

$438
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $797

$296
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 2 lines · metro median $196

$147
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines · metro median $40

$15
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $68

$25
cash
Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 2 lines · metro median $206

$206
cash
Gonorrhea test (DNA)

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

$147
cash
—
cash
—
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines · metro median $88

$40
cash
Liver function panel

CPT 80076 · lowest of 2 lines · metro median $54

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

CPT 70553 · lowest of 2 lines · metro median $2,855

$702
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 2 lines · metro median $1,656

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

CPT 72141 · lowest of 2 lines · metro median $1,742

$454
cash
—
cash
PSA test (prostate)

CPT 84153 · lowest of 2 lines · metro median $110

$45
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 2 lines · metro median $31

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

CPT 97110 · lowest of 4 lines · metro median $118

$118
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 2 lines · metro median $22

$15
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 2 lines · metro median $257

$225
cash
—
cash
TSH test (thyroid)

CPT 84443 · lowest of 2 lines · metro median $86

$40
cash
Ultrasound of the abdomen (complete)

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

$1,272
cash
Urinalysis with microscope

CPT 81001 · lowest of 2 lines · metro median $23

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

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

$526
cash

Source files

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