Diagnostic & Therapeutic Charges

CPT Code Service/Procedure WellSpan York Hospital WellSpan Surgery & Rehabilitation Hospital
Cardiac Diagnostics
93017 Treadmill stress test $770 $770
93351 Treadmill stress echocardiogram w/ monitoring $3,758
93306 Echocardiogram w/ Doppler $4,003
Cardiac Rehabilitation
93798 Therapy -- initial visit $263 $263
Physical Therapy
97161 Physical therapy evaluation (low complex) $270 $270
97162 Physical therapy evaluation (moderate complex) $270 $270
97163 Physical therapy evaluation (high complex) $270 $270
97140 Manual therapy (15 min.) $102 $102
Diagnostic Imaging Studies
74150 CT scan of the abdomen (unenhanced) $879
72141 MRI scan of the cervical spine (unenhanced) $1,289 $1,289
77067 Digital screening mammogram with computer aided detection $362 $362
71045 X-ray - Chest 1 View $228 $228
71046 X-ray - Chest 2 View $270 $270
Laboratory Studies
80061 Lipid panel $75 $75
81003 Routine urinalysis $16 $16

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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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