Diagnostic & Therapeutic Charges

CPT Code Service/Procedure WellSpan Good Samaritan Hospital
Cardiac Diagnostics
93017 Treadmill stress test $866
93351 Treadmill stress echocardiogram w/ monitoring $1,943
93306 Echocardiogram w/ Doppler $1,973
Cardiac Rehabilitation
93798 Therapy -- initial visit $246
Physical Therapy
97161 Physical therapy evaluation (low complex) $440
97162 Physical therapy evaluation (moderate complex) $440
97163 Physical therapy evaluation (high complex) $440
97140 Manual therapy (15 min.) $205
Diagnostic Imaging Studies
74150 CT scan of the abdomen (unenhanced) $879
72141 MRI scan of the cervical spine (unenhanced) $1,526
77067 Digital screening mammogram with computer aided detection $551
71045 X-ray - Chest 1 View $424
71046 X-ray - Chest 2 View $424
Laboratory Studies
80061 Lipid panel $96
81003 Routine urinalysis $17

Are you sure you would like to cancel?

All information will be lost.

Yes No ×

About the provider search

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.


Schedule Your Next Appointment Online with MyWellSpan

Use your MyWellSpan patient portal any time to view available appointments, and pick the date and time that best suits your schedule.

Go to MyWellSpan

New to this practice?

If you don't have a WellSpan primary care provider and would like to schedule a new patient appointment with a provider who is accepting patients, just log into your MyWellSpan account, and go to the Appointment Center section. As you progress through the scheduling process, you will be able to see the offices that are accepting new patients in relation to your zip code. If you are not enrolled in MyWellSpan, go to https://my.wellspan.org, call 1-866-638-1842 or speak with a member of the staff at a participating facility to sign up. New patient scheduling not available at all practices/programs.

Already a patient at this practice?

If you already have a relationship with a WellSpan practice, simply log into your account, and go to the Appointment Center section. As you progress through the scheduling process, you will be able to schedule an appointment with any provider or practice that already counts you as a patient. Online scheduling varies by practice/program.