Diagnostic & Therapeutic Charges for Lebanon County - WellSpan Health
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Diagnostic & Therapeutic Charges for Lebanon County

In This Section

CPT Code Service/Procedure WellSpan Good Samaritan Hospital
Cardiac Diagnostics
93017 Treadmill stress test $953
93351 Treadmill stress echocardiogram w/ monitoring $2,137
93306 Echocardiogram w/ Doppler $2,170
Cardiac Rehabilitation
93798 Therapy -- initial visit $261
Physical Therapy
97161 Physical therapy evaluation (low complex) $462
97162 Physical therapy evaluation (moderate complex) $462
97163 Physical therapy evaluation (high complex) $462
97140 Manual therapy (15 min.) $215
Diagnostic Imaging Studies
74150 CT scan of the abdomen (unenhanced) $932
72141 MRI scan of the cervical spine (unenhanced) $1,526
77067 Digital screening mammogram with computer aided detection $584
71045 X-ray - Chest 1 View $449
71046 X-ray - Chest 2 View $449
Laboratory Studies
80061 Lipid panel $120
81003 Routine urinalysis $18