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WellSpan Evangelical Community Hospital prices. From its own published file.

WellSpan Evangelical Community Hospital in Lewisburg, PA publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

1,151prices published
Jan 2026file last updated
$438cash price for ct abdomen and pelvis with contrast (list $7,857)

Common services

ServiceCash priceList priceInsurers pay
Emergency visit, moderate (level 3)
99283
$995$1,244$66.85–$1,838
Emergency visit, high (level 4)
99284
$1,601$2,001$112–$3,778
Emergency visit, highest (level 5)
99285
$1,752$2,190$164–$5,657
Comprehensive metabolic panel
80053
$25.00$331$10.45–$132
Basic metabolic panel
80048
$20.00$287$8.38–$100
Complete blood count (CBC)
85025
$15.00$138$6.60–$90.44
Blood draw (venipuncture)
36415
$5.00$40.00$9.00–$44.08
Urinalysis
81001
$10.00$113$3.14–$26.33
Troponin (heart test)
84484
$63.00$78.75$10.86–$105
EKG tracing
93005
$378$473$11.51–$459
Chest X-ray, 2 views
71046
$538$672$26.00–$498
CT head without contrast
70450
$296$2,338$102–$1,501
CT abdomen and pelvis with contrast
74177
$438$7,857$289–$7,229
MRI lower back without contrast
72148
$454$4,527$233–$3,565
Ultrasound, abdomen
76700
$1,124$1,405$102–$761
IV push, single drug
96374
$240$300$34.12–$291
IV fluids, first hour
96360
$1,035$1,294$34.79–$1,257
Ketorolac injection, 15 mg
J1885
$3.20$4.25$0.23–$2.24
Ondansetron injection
J2405
$1.40$1.75$0.28–$1.15
Colonoscopy, diagnostic
45378
——$854–$4,362
Upper GI endoscopy with biopsy
43239
——$854–$4,362
Knee arthroscopy
29881
——$854–$15,468

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: WellSpan Evangelical Community Hospital price transparency page.

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