ASHE MEMORIAL HOSPITAL INC· JEFFERSON, NC
Hospital
200 HOSPITAL AVE, JEFFERSON, NC 28640
Procedures offered
184 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| CT abdomen and pelvis with contrast CPT 74177 • Imaging | $313 | $313 | $313 |
| CT abdomen and pelvis without then with contrast CPT 74178 • Imaging | $351 | $351 | $351 |
| Ultrasound abdominal complete CPT 76700 • Imaging | $35 | $69 | $104 |
| Ultrasound retroperitoneal complete CPT 76770 • Imaging | $96 | $96 | $96 |
| Ultrasound transvaginal CPT 76830 • Imaging | $30 | $30 | $30 |
| Ultrasound pelvic complete CPT 76856 • Imaging | $30 | $62 | $94 |
| Diagnostic mammography unilateral CPT 77065 • Imaging | $110 | $110 | $110 |
| Diagnostic mammography bilateral CPT 77066 • Imaging | $139 | $139 | $139 |
| Screening mammography bilateral CPT 77067 • Imaging | $112 | $112 | $112 |
| Nuclear myocardial perfusion study CPT 78452 • Imaging | $391 | $391 | $391 |
| Venipuncture (routine blood draw) CPT 36415 • Lab | $2 | $2 | $2 |
| Basic metabolic panel CPT 80048 • Laboratory | $7 | $7 | $7 |
| Comprehensive metabolic panel CPT 80053 • Laboratory | $8 | $8 | $8 |
| Lipid panel CPT 80061 • Laboratory | $11 | $11 | $11 |
| Hepatic function panel CPT 80076 • Laboratory | $7 | $7 | $7 |
| Urinalysis with microscopy CPT 81001 • Laboratory | $3 | $3 | $3 |
| Urinalysis automated without microscopy CPT 81003 • Laboratory | $2 | $2 | $2 |
| Vitamin D 25-hydroxy CPT 82306 • Laboratory | $24 | $24 | $24 |
| Creatine kinase (CK) total CPT 82550 • Laboratory | $5 | $5 | $5 |
| Creatinine urine CPT 82570 • Laboratory | $4 | $4 | $4 |
| Ferritin CPT 82728 • Laboratory | $11 | $11 | $11 |
| IgA IgD IgG IgM each CPT 82784 • Laboratory | $7 | $7 | $7 |
| Hemoglobin A1c CPT 83036 • Laboratory | $8 | $8 | $8 |
| Iron serum CPT 83540 • Laboratory | $5 | $5 | $5 |
| Iron binding capacity CPT 83550 • Laboratory | $7 | $7 | $7 |
| Prostate specific antigen (PSA) CPT 84153 • Laboratory | $15 | $15 | $15 |
| Free thyroxine (T4) CPT 84439 • Laboratory | $7 | $7 | $7 |
| Thyroid stimulating hormone (TSH) CPT 84443 • Laboratory | $13 | $13 | $13 |
| Complete blood count with differential CPT 85025 • Laboratory | $6 | $6 | $6 |
| Complete blood count automated CPT 85027 • Laboratory | $5 | $5 | $5 |
| Prothrombin time (PT) CPT 85610 • Laboratory | $3 | $3 | $3 |
| Partial thromboplastin time (PTT) CPT 85730 • Laboratory | $5 | $5 | $5 |
| Cyclic citrullinated peptide antibody CPT 86200 • Laboratory | $10 | $10 | $10 |
| Nuclear antigen antibody CPT 86235 • Laboratory | $14 | $14 | $14 |
| Heterophile antibodies screen CPT 86308 • Laboratory | $4 | $4 | $4 |
| Blood typing ABO CPT 86900 • Laboratory | $2 | $2 | $2 |
| Blood typing Rh CPT 86901 • Laboratory | $2 | $2 | $2 |
| Urine culture bacterial colony count CPT 87086 • Laboratory | $6 | $6 | $6 |
| Chlamydia nucleic acid amplification CPT 87491 • Laboratory | $28 | $28 | $28 |
| Gonorrhea nucleic acid amplification CPT 87591 • Laboratory | $28 | $28 | $28 |
| SARS-CoV-2 COVID-19 amplified probe CPT 87635 • Laboratory | $51 | $51 | $51 |
| Fetal non-stress test CPT 59025 • Maternity | $46 | $46 | $46 |
| Vaginal delivery only CPT 59409 • Maternity | $784 | $784 | $784 |
| External cephalic version CPT 59412 • Maternity | $100 | $100 | $100 |
| Obstetric ultrasound complete CPT 76805 • Maternity | $119 | $119 | $119 |
| Obstetric ultrasound limited CPT 76815 • Maternity | $72 | $72 | $72 |
| Ultrasound transvaginal obstetric CPT 76817 • Maternity | $82 | $82 | $82 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $75 | $75 | $75 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $109 | $109 | $109 |
| Office visit established patient minimal CPT 99211 • Office Visits | $9 | $14 | $19 |