CPT Code Service/Procedure Chambersburg Hospital Waynesboro Hospital
Cardiac Diagnostics
93017 Treadmill stress test $992 $992
93351 Treadmill stress test w/ monitoring $2,289 N/A
93306 Echocardiogram w/ Doppler $2,774 $2,774
Cardiac Rehabilitation
93798 Therapy - initial visit $251 N/A
Physical Therapy
97161 PT Eval Low Complex $212 $212
97162 PT Eval Mod Complex $247 $247
97163 PT Eval High Complex $279 $279
97140 Manual therapy (15 min) $110 $110
Diagonostic Imaging Studies
74150 CT Scan of the abdomen (unenhanced) $1,150 $1,150
72141 MRI Scan of the cervical spine (unenhanced) $2,254 $2,254
77067 Digital screening mammogram with computer aided detection $376 $376
71045 X-ray - Chest 1 view $362 $362
71046 X-ray - Chest 2 view $339 $339
Laboratory Studies
80061 Lipid panel $110 $110
81003 Routine urinalysis $39 $39