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Patient Guide

Patient Guide

Diagnostic & Therapeutic Service Charges

CPT Code Service/Procedure WellSpan Gettysburg Hospital WellSpan York Hospital WellSpan Surgery & Rehabilitation Hospital
Cardiac Diagnostics
93017 Treadmill stress test $610 $610 $610
93350 Treadmill stress echocardiogram $2,353.75 $2,353.75 $2,353.75
93307 Echocardiogram $1,535.50 $1,535.50 $1,535.50
93542 Diagnostic cardiac catheterization (Left heart cath) $4,187.75 $4,187.75 n/a
Cardiac Rehabilitation
93798 Physical therapy evaluation $208.75 $208.75 n/a
Physical Therapy
97001 Physical therapy evaluation $229.25 $229.25 $229.25
97140 Manual Therapy (15 min.) $86.25 $86.25 $86.25
Diagnostic Imaging Studies
74150 CT Scan of the abdomen (unenhanced) $2,146.75 $2,146.75 $2,146.75
72141 MRI scan of the cervical spine (unenhanced) $1,893.25 $1,893.25 $1,893.25
G0202/
77052
Digital screening mammogram with computer aided detection $313.25 $313.25 $313.25
71010 X-ray - CXR frontal $198.50 $198.50 $198.50
71020 X-ray - CXR 2 Views $235.00 $235.00 $235.00
Laboratory Studies
80061 Lipid panel $60.50 $60.50 $60.50
81003 Routine urinalysis $8.75 $8.75 $8.75

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This search will provide you with WellSpan Medical Group and Northern Lancaster County (Ephrata) Medical Group primary care physicians and specialists. If we don’t have a WellSpan Medical Group physician to meet your criteria, the search will expand to include community physicians who partner with WellSpan Medical Group physicians through the WellSpan Provider Network or provide care to patients on the Medical Staffs of WellSpan’s Hospitals.

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