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Diagnostic & Therapeutic Charges for Franklin County

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CPT Code Service/Procedure WellSpan Chambersburg Hospital WellSpan Waynesboro Hospital
Cardiac Diagnostics
93017 Treadmill stress test $1,236 $1,236
93351 Treadmill stress echocardiogram w/ monitoring $2,638
$2,638
93306 Echocardiogram w/ Doppler $3,195
$3,195
Cardiac Rehabilitation
93798 Therapy -- initial visit $295 $295
Physical Therapy
97161 Physical therapy evaluation (low complex) $245 $245
97162 Physical therapy evaluation (moderate complex) $285 $285
97163 Physical therapy evaluation (high complex) $321 $321
97140 Manual therapy (15 min.) $132 $132
Diagnostic Imaging Studies
74150 CT scan of the abdomen (unenhanced) $1,326
$1,326
72141 MRI scan of the cervical spine (unenhanced) $2,597 $2,597
77067 Digital screening mammogram with computer aided detection $250 $450
71045 X-ray - Chest 1 View $418 $418
71046 X-ray - Chest 2 View $391 $391
Laboratory Studies
80061 Lipid panel $127 $127
81003 Routine urinalysis $45 $45