WellSpan Surgery and Rehabilitation Hospital
WellSpan Surgery and Rehabilitation Hospital in York, PA publishes cash prices for 23 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
55 Monument Road, York PA 17403 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Scan of Abdomen and Pelvis With Contrast | $437.50 | $2,896.00 | 85% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Scan of Abdomen and Pelvis With Contrast | $437.50 | $2,896.00 | 85% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Scan Head or Brain Without Contrast | $296.00 | $1,462.00 | 80% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Scan Head or Brain Without Contrast | $296.00 | $1,462.00 | 80% |
| MRI of the brain, no contrast dye CPT 70551 MRI Scan of Brain Without Contrast | $455.00 | $2,225.00 | 80% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Scan of Brain Without Contrast | $455.00 | $2,225.00 | 80% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Scan of Brain Before and After Contrast | $701.50 | $2,646.00 | 73% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Scan of Brain Before and After Contrast | $701.50 | $2,646.00 | 73% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Scan of Lower Spinal Canal Without Contrast | $454.00 | $2,225.00 | 80% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Scan of Lower Spinal Canal Without Contrast | $454.00 | $2,225.00 | 80% |
| Screening mammogram, both breasts CPT 77067 Screening Mammography | $225.00 | $427.00 | 47% |
| Screening mammogram, both breasts inpatient CPT 77067 Screening Mammography | $225.00 | $427.00 | 47% |
| Ultrasound of the abdomen, complete CPT 76700 Complete Ultrasound Scan of Abdomen | $1,272.00 | $1,590.00 | 20% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 Complete Ultrasound Scan of Abdomen | $1,272.00 | $1,590.00 | 20% |
| X-ray of the lower back, 4 or more views CPT 72110 X-Ray of Lower and Sacral Spine, Minimum of 4 Views | $526.40 | $658.00 | 20% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 X-Ray of Lower and Sacral Spine, Minimum of 4 Views | $526.40 | $658.00 | 20% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 Blood Test, Basic Group of Blood Chemicals (Calcium, Total) | $20.00 | $69.00 | 71% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Blood Test, Basic Group of Blood Chemicals (Calcium, Total) | $20.00 | $69.00 | 71% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood Test, Lipids (Cholesterol and Triglycerides) | $40.00 | $100.00 | 60% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Blood Test, Lipids (Cholesterol and Triglycerides) | $40.00 | $100.00 | 60% |
| Complete blood count (CBC) with differential CPT 85025 Complete Blood Cell Count, With Diff | $15.00 | $55.00 | 73% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Complete Blood Cell Count, With Diff | $15.00 | $55.00 | 73% |
| Complete blood count (CBC), no differential CPT 85027 Complete Blood Cell Count, W/O Diff | $15.00 | $45.00 | 67% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Complete Blood Cell Count, W/O Diff | $15.00 | $45.00 | 67% |
| Comprehensive metabolic panel (blood test) CPT 80053 Blood Test, Comprehensive Group of Blood Chemicals | $25.00 | $88.00 | 72% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Blood Test, Comprehensive Group of Blood Chemicals | $25.00 | $88.00 | 72% |
| Kidney function blood test panel CPT 80069 Kidney Function Blood Test Panel | $36.00 | $45.00 | 20% |
| Kidney function blood test panel inpatient CPT 80069 Kidney Function Blood Test Panel | $36.00 | $45.00 | 20% |
| Liver function blood test panel CPT 80076 Liver Function Blood Test Panel | $25.00 | $42.00 | 40% |
| Liver function blood test panel inpatient CPT 80076 Liver Function Blood Test Panel | $25.00 | $42.00 | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Psa (Prostate Specific Antigen) Measurement, Free | $45.00 | $96.00 | 53% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Psa (Prostate Specific Antigen) Measurement, Free | $45.00 | $96.00 | 53% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Psa (Prostate Specific Antigen) Measurement, Total | $45.00 | $96.00 | 53% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa (Prostate Specific Antigen) Measurement, Total | $45.00 | $96.00 | 53% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation Assessment Blood Test, Plasma or Whole Blood | $30.00 | $40.00 | 25% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Coagulation Assessment Blood Test, Plasma or Whole Blood | $30.00 | $40.00 | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Blood Test, Clotting Time | $15.00 | $34.00 | 56% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Blood Test, Clotting Time | $15.00 | $34.00 | 56% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood Test, Thyroid Stimulating Hormone (Tsh) | $40.00 | $112.00 | 64% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Blood Test, Thyroid Stimulating Hormone (Tsh) | $40.00 | $112.00 | 64% |
| Urinalysis with microscope exam, automated CPT 81001 Manual Urinalysis Test With Examination Using Microscope, Automated | $10.00 | $20.00 | 50% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Manual Urinalysis Test With Examination Using Microscope, Automated | $10.00 | $20.00 | 50% |
| Urinalysis without microscope exam, automated CPT 81003 Automated Urinalysis Test | $10.00 | $11.00 | 9% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Automated Urinalysis Test | $10.00 | $11.00 | 9% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Physical Therapy, Each 15 Minutes | $118.40 | $148.00 | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Occupational Therapy, Each 15 Minutes | $118.40 | $148.00 | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Physical Therapy, Each 15 Minutes | $118.40 | $148.00 | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Occupational Therapy, Each 15 Minutes | $118.40 | $148.00 | 20% |