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Diagnostic & Therapeutic Charges for Lancaster County

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CPT Code Service/Procedure WellSpan Ephrata Community Hospital
Cardiac Diagnostics
93017 Treadmill stress test $3,146
93351 Treadmill stress echocardiogram w/ monitoring N/A
93306 Echocardiogram w/ Doppler $3,399
Cardiac Rehabilitation
93798 Therapy -- initial visit $296
Physical Therapy
97161 Physical therapy evaluation (low complex) $465
97162 Physical therapy evaluation (moderate complex) $507
97163 Physical therapy evaluation (high complex) $534
97140 Manual therapy (15 min.) $176
Diagnostic Imaging Studies
74150 CT scan of the abdomen (unenhanced) $1,433
72141 MRI scan of the cervical spine (unenhanced) $2,027
77067 Digital screening mammogram with computer aided detection $855
71045 X-ray - Chest 1 View $497
71046 X-ray - Chest 2 View $321
Laboratory Studies
80061 Lipid panel $192
81003 Routine urinalysis $58