ATRIUM HEALTH HOSPITALS INC· SHELBY, NC
HospitalCMS 2/5
201 E GROVER ST, SHELBY, NC 28150
Procedures offered
951 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Free thyroxine (T4) CPT 84439 • Laboratory | $5 | $8 | $14 |
| Thyroid stimulating hormone (TSH) CPT 84443 • Laboratory | $11 | $15 | $20 |
| Complete blood count with differential CPT 85025 • Laboratory | $4 | $6 | $9 |
| Complete blood count automated CPT 85027 • Laboratory | $4 | $5 | $7 |
| Prothrombin time (PT) CPT 85610 • Laboratory | $3 | $4 | $6 |
| Sedimentation rate (ESR) automated CPT 85652 • Laboratory | $2 | $2 | $3 |
| Partial thromboplastin time (PTT) CPT 85730 • Laboratory | $3 | $4 | $6 |
| Cyclic citrullinated peptide antibody CPT 86200 • Laboratory | $6 | $11 | $15 |
| Nuclear antigen antibody CPT 86235 • Laboratory | $9 | $15 | $19 |
| Heterophile antibodies screen CPT 86308 • Laboratory | $3 | $5 | $8 |
| TB skin test intradermal CPT 86580 • Laboratory | $5 | $11 | $24 |
| Blood typing ABO CPT 86900 • Laboratory | $1 | $2 | $3 |
| Blood typing Rh CPT 86901 • Laboratory | $1 | $3 | $6 |
| Urine culture bacterial colony count CPT 87086 • Laboratory | $4 | $6 | $8 |
| Chlamydia nucleic acid amplification CPT 87491 • Laboratory | $17 | $22 | $27 |
| Gonorrhea nucleic acid amplification CPT 87591 • Laboratory | $17 | $23 | $27 |
| SARS-CoV-2 COVID-19 amplified probe CPT 87635 • Laboratory | $21 | $43 | $64 |
| Influenza virus assay with direct optical CPT 87804 • Laboratory | $11 | $16 | $26 |
| Strep A assay with optic observation CPT 87880 • Laboratory | $11 | $11 | $11 |
| Amniocentesis diagnostic CPT 59000 • Maternity | $99 | $190 | $320 |
| Cordocentesis fetal blood sampling CPT 59012 • Maternity | $191 | $272 | $318 |
| Chorionic villus sampling CPT 59015 • Maternity | $134 | $243 | $441 |
| Fetal non-stress test CPT 59025 • Maternity | $10 | $44 | $91 |
| Insertion cervical dilator CPT 59200 • Maternity | $47 | $83 | $190 |
| Vaginal delivery including prenatal and postpartum care CPT 59400 • Maternity | $2,200 | $3,331 | $4,468 |
| Vaginal delivery only CPT 59409 • Maternity | $667 | $1,121 | $1,494 |
| Vaginal delivery including postpartum care CPT 59410 • Maternity | $711 | $1,330 | $1,974 |
| External cephalic version CPT 59412 • Maternity | $93 | $123 | $169 |
| Antepartum care 7 or more visits CPT 59426 • Maternity | $50 | $758 | $1,890 |
| Postpartum care only CPT 59430 • Maternity | $118 | $218 | $328 |
| Cesarean delivery including prenatal and postpartum care CPT 59510 • Maternity | $2,200 | $3,442 | $4,468 |
| Cesarean delivery only CPT 59514 • Maternity | $851 | $1,323 | $1,691 |
| Cesarean delivery including postpartum care CPT 59515 • Maternity | $964 | $1,602 | $2,426 |
| Vaginal delivery after prior cesarean (VBAC) including prenatal CPT 59610 • Maternity | $1,775 | $3,187 | $4,741 |
| Obstetric ultrasound first trimester CPT 76801 • Maternity | $55 | $108 | $211 |
| Obstetric ultrasound complete CPT 76805 • Maternity | $60 | $166 | $315 |
| Obstetric ultrasound detailed fetal anatomy CPT 76811 • Maternity | $115 | $301 | $601 |
| Obstetric ultrasound limited CPT 76815 • Maternity | $39 | $94 | $155 |
| Ultrasound transvaginal obstetric CPT 76817 • Maternity | $44 | $117 | $166 |
| Interactive complexity add-on CPT 90785 • Mental Health | $4 | $12 | $21 |
| Psychiatric diagnostic evaluation CPT 90791 • Mental Health | $132 | $226 | $344 |
| Psychiatric diagnostic evaluation with medical services CPT 90792 • Mental Health | $101 | $216 | $357 |
| Psychotherapy 30 minutes CPT 90832 • Mental Health | $41 | $96 | $148 |
| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $47 | $87 | $126 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $67 | $127 | $222 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $40 | $100 | $160 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $101 | $178 | $343 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $70 | $140 | $212 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $143 | $194 | $257 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $57 | $88 | $127 |