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Diagnostic & Therapeutic Charges for York County

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CPT Code Service/Procedure WellSpan York Hospital WellSpan Surgery & Rehabilitation Hospital
Cardiac Diagnostics
93017 Treadmill stress test $882 $882
93351 Treadmill stress echocardiogram w/ monitoring $4,302
$4,302
93306 Echocardiogram w/ Doppler $4,583
$4,583
Cardiac Rehabilitation
93798 Therapy -- initial visit $322 $322
Physical Therapy
97161 Physical therapy evaluation (low complex) $309 $309
97162 Physical therapy evaluation (moderate complex) $331 $331
0097163 Physical therapy evaluation (high complex) $352 $352
97140 Manual therapy (15 min.) $125 $125
Diagnostic Imaging Studies
74150 CT scan of the abdomen (unenhanced) $1,047
$1,047
72141 MRI scan of the cervical spine (unenhanced) $1,395 $1,395
77067 Digital screening mammogram with computer aided detection $403 $403
071045 X-ray - Chest 1 View $272 $272
71046 X-ray - Chest 2 View $321 $321
Laboratory Studies
80061 Lipid panel $106 $106
81003 Routine urinalysis $19 $19