GRANVILLE HEALTH SYSTEM· OXFORD, NC
Imaging center
1010 COLLEGE ST, OXFORD, NC 27565
Procedures offered
954 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| IgA IgD IgG IgM each CPT 82784 • Laboratory | $7 | $11 | $13 |
| Glucose quantitative blood CPT 82947 • Laboratory | $4 | $5 | $5 |
| Hemoglobin A1c CPT 83036 • Laboratory | $7 | $11 | $13 |
| Iron serum CPT 83540 • Laboratory | $5 | $8 | $9 |
| Iron binding capacity CPT 83550 • Laboratory | $6 | $11 | $12 |
| Prostate specific antigen (PSA) CPT 84153 • Laboratory | $13 | $19 | $25 |
| Free thyroxine (T4) CPT 84439 • Laboratory | $6 | $10 | $12 |
| Thyroid stimulating hormone (TSH) CPT 84443 • Laboratory | $11 | $19 | $23 |
| Complete blood count with differential CPT 85025 • Laboratory | $7 | $9 | $11 |
| Complete blood count automated CPT 85027 • Laboratory | $5 | $8 | $9 |
| Prothrombin time (PT) CPT 85610 • Laboratory | $4 | $5 | $5 |
| Sedimentation rate (ESR) automated CPT 85652 • Laboratory | $2 | $3 | $4 |
| Partial thromboplastin time (PTT) CPT 85730 • Laboratory | $4 | $7 | $8 |
| Cyclic citrullinated peptide antibody CPT 86200 • Laboratory | $9 | $12 | $12 |
| Nuclear antigen antibody CPT 86235 • Laboratory | $13 | $22 | $25 |
| Heterophile antibodies screen CPT 86308 • Laboratory | $5 | $6 | $7 |
| TB skin test intradermal CPT 86580 • Laboratory | $6 | $9 | $10 |
| Blood typing ABO CPT 86900 • Laboratory | $2 | $3 | $4 |
| Blood typing Rh CPT 86901 • Laboratory | $2 | $3 | $3 |
| Urine culture bacterial colony count CPT 87086 • Laboratory | $6 | $9 | $11 |
| Chlamydia nucleic acid amplification CPT 87491 • Laboratory | $17 | $30 | $34 |
| Gonorrhea nucleic acid amplification CPT 87591 • Laboratory | $17 | $28 | $34 |
| SARS-CoV-2 COVID-19 amplified probe CPT 87635 • Laboratory | $33 | $52 | $62 |
| Influenza virus assay with direct optical CPT 87804 • Laboratory | $14 | $15 | $16 |
| Strep A assay with optic observation CPT 87880 • Laboratory | $16 | $16 | $17 |
| Amniocentesis diagnostic CPT 59000 • Maternity | $105 | $105 | $105 |
| Cordocentesis fetal blood sampling CPT 59012 • Maternity | $266 | $266 | $266 |
| Chorionic villus sampling CPT 59015 • Maternity | $200 | $200 | $200 |
| Fetal non-stress test CPT 59025 • Maternity | $15 | $46 | $56 |
| Insertion cervical dilator CPT 59200 • Maternity | $101 | $101 | $101 |
| Vaginal delivery including prenatal and postpartum care CPT 59400 • Maternity | $36 | $1,539 | $2,806 |
| Vaginal delivery only CPT 59409 • Maternity | $36 | $679 | $941 |
| Vaginal delivery including postpartum care CPT 59410 • Maternity | $919 | $919 | $919 |
| External cephalic version CPT 59412 • Maternity | $135 | $135 | $135 |
| Antepartum care 7 or more visits CPT 59426 • Maternity | $979 | $1,124 | $1,196 |
| Postpartum care only CPT 59430 • Maternity | $179 | $267 | $311 |
| Cesarean delivery including prenatal and postpartum care CPT 59510 • Maternity | $2,005 | $2,731 | $3,094 |
| Cesarean delivery only CPT 59514 • Maternity | $945 | $1,023 | $1,062 |
| Cesarean delivery including postpartum care CPT 59515 • Maternity | $1,108 | $1,108 | $1,108 |
| Vaginal delivery after prior cesarean (VBAC) including prenatal CPT 59610 • Maternity | $1,858 | $1,858 | $1,858 |
| Obstetric ultrasound first trimester CPT 76801 • Maternity | $72 | $107 | $125 |
| Obstetric ultrasound complete CPT 76805 • Maternity | $121 | $136 | $143 |
| Obstetric ultrasound detailed fetal anatomy CPT 76811 • Maternity | $118 | $118 | $118 |
| Obstetric ultrasound limited CPT 76815 • Maternity | $36 | $56 | $86 |
| Ultrasound transvaginal obstetric CPT 76817 • Maternity | $33 | $72 | $99 |
| Interactive complexity add-on CPT 90785 • Mental Health | $5 | $6 | $7 |
| Psychiatric diagnostic evaluation CPT 90791 • Mental Health | $123 | $189 | $229 |
| Psychiatric diagnostic evaluation with medical services CPT 90792 • Mental Health | $131 | $205 | $229 |
| Psychotherapy 30 minutes CPT 90832 • Mental Health | $65 | $65 | $65 |
| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $43 | $103 | $123 |