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Diagnostic & Therapeutic Charges for Adams County

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CPT Code Service/Procedure WellSpan Gettysburg Hospital
Cardiac Diagnostics
93017 Treadmill stress test $882
93351 Treadmill stress echocardiogram w/ monitoring $4,302
93306 Echocardiogram w/ Doppler $4,583
Cardiac Rehabilitation
93798 Therapy -- initial visit $322
Physical Therapy
97161 Physical therapy evaluation (low complex) $309
97162 Physical therapy evaluation (moderate complex) $331
97163 Physical therapy evaluation (high complex) $352
97140 Manual therapy (15 min.) $125
Diagnostic Imaging Studies
74150 CT scan of the abdomen (unenhanced) $1,047
72141 MRI scan of the cervical spine (unenhanced) $1,395
77067 Digital screening mammogram with computer aided detection $403
71045 X-ray - Chest 1 View $272
71046 X-ray - Chest 2 View $321
Laboratory Studies
80061 Lipid panel $106
81003 Routine urinalysis $19