ATRIUM HEALTH HOSPITALS INC· SHELBY, NC

HospitalCMS 2/5

201 E GROVER ST, SHELBY, NC 28150

Procedures offered

951 total

ProcedureMinAvgMax
Parathyroidectomy
CPT 60500 • General Surgery
$200$1,107$1,796
MRI orbits face neck with and without contrast
CPT 70543 • Imaging
$450$771$972
MRI brain without contrast
CPT 70551 • Imaging
$114$352$647
MRI brain with contrast
CPT 70552 • Imaging
$242$390$560
MRI brain without contrast then with contrast
CPT 70553 • Imaging
$209$552$990
Chest X-ray single view
CPT 71045 • Imaging
$6$18$46
Chest X-ray 2 views
CPT 71046 • Imaging
$8$32$60
CT chest without contrast
CPT 71250 • Imaging
$54$199$350
CT chest with contrast
CPT 71260 • Imaging
$41$297$836
CT angiography chest
CPT 71275 • Imaging
$241$400$524
MRI cervical spine without contrast
CPT 72141 • Imaging
$272$415$646
MRI thoracic spine without contrast
CPT 72146 • Imaging
$182$327$433
MRI lumbar spine without contrast
CPT 72148 • Imaging
$163$540$1,340
X-ray shoulder complete
CPT 73030 • Imaging
$7$26$52
MRI joint upper extremity without contrast
CPT 73221 • Imaging
$261$352$456
X-ray knee 1-2 views
CPT 73560 • Imaging
$9$33$46
X-ray ankle complete
CPT 73610 • Imaging
$27$39$65
MRI lower extremity without contrast
CPT 73718 • Imaging
$58$307$537
MRI joint lower extremity without contrast
CPT 73721 • Imaging
$127$319$456
CT abdomen without contrast
CPT 74150 • Imaging
$97$170$257
CT abdomen and pelvis without contrast
CPT 74176 • Imaging
$96$204$340
CT abdomen and pelvis with contrast
CPT 74177 • Imaging
$64$264$333
CT abdomen and pelvis without then with contrast
CPT 74178 • Imaging
$324$426$629
Ultrasound abdominal complete
CPT 76700 • Imaging
$62$149$224
Ultrasound retroperitoneal complete
CPT 76770 • Imaging
$40$135$281
Ultrasound transvaginal
CPT 76830 • Imaging
$36$139$223
Ultrasound pelvic complete
CPT 76856 • Imaging
$42$96$188
Diagnostic mammography unilateral
CPT 77065 • Imaging
$60$122$223
Diagnostic mammography bilateral
CPT 77066 • Imaging
$39$145$280
Screening mammography bilateral
CPT 77067 • Imaging
$34$135$227
Nuclear myocardial perfusion study
CPT 78452 • Imaging
$96$563$1,324
Collection of venous blood by venipuncture
CPT 36415 • Laboratory
$2$3$5
Basic metabolic panel
CPT 80048 • Laboratory
$5$7$9
Comprehensive metabolic panel
CPT 80053 • Laboratory
$5$6$8
Lipid panel
CPT 80061 • Laboratory
$8$10$14
Hepatic function panel
CPT 80076 • Laboratory
$4$6$8
Urinalysis with microscopy
CPT 81001 • Laboratory
$3$4$5
Urinalysis nonautomated without microscopy
CPT 81002 • Laboratory
$2$3$5
Urinalysis automated without microscopy
CPT 81003 • Laboratory
$2$2$2
Fecal hemoglobin immunoassay
CPT 82274 • Laboratory
$8$18$32
Vitamin D 25-hydroxy
CPT 82306 • Laboratory
$17$20$23
Creatine kinase (CK) total
CPT 82550 • Laboratory
$4$5$7
Creatinine urine
CPT 82570 • Laboratory
$3$5$8
Ferritin
CPT 82728 • Laboratory
$7$10$15
IgA IgD IgG IgM each
CPT 82784 • Laboratory
$5$7$10
Glucose quantitative blood
CPT 82947 • Laboratory
$3$4$6
Hemoglobin A1c
CPT 83036 • Laboratory
$7$10$15
Iron serum
CPT 83540 • Laboratory
$3$6$8
Iron binding capacity
CPT 83550 • Laboratory
$4$7$10
Prostate specific antigen (PSA)
CPT 84153 • Laboratory
$10$17$29