CENTRAL CAROLINA HOSPITAL· SANFORD, NC
HospitalCMS 1/5
1135 CARTHAGE ST, ATTN ALEX SPICER, FANS, SANFORD, NC 27330
Procedures offered
944 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Chest X-ray single view CPT 71045 • Imaging | $9 | $21 | $26 |
| Chest X-ray 2 views CPT 71046 • Imaging | $9 | $26 | $44 |
| CT chest without contrast CPT 71250 • Imaging | $168 | $252 | $476 |
| CT chest with contrast CPT 71260 • Imaging | $145 | $336 | $847 |
| CT angiography chest CPT 71275 • Imaging | $262 | $408 | $690 |
| MRI cervical spine without contrast CPT 72141 • Imaging | $76 | $333 | $603 |
| MRI thoracic spine without contrast CPT 72146 • Imaging | $76 | $347 | $860 |
| MRI lumbar spine without contrast CPT 72148 • Imaging | $76 | $371 | $848 |
| X-ray shoulder complete CPT 73030 • Imaging | $27 | $33 | $39 |
| MRI joint upper extremity without contrast CPT 73221 • Imaging | $70 | $367 | $762 |
| X-ray knee 1-2 views CPT 73560 • Imaging | $8 | $23 | $36 |
| X-ray ankle complete CPT 73610 • Imaging | $15 | $31 | $48 |
| MRI lower extremity without contrast CPT 73718 • Imaging | $69 | $206 | $456 |
| MRI joint lower extremity without contrast CPT 73721 • Imaging | $245 | $427 | $902 |
| CT abdomen without contrast CPT 74150 • Imaging | $108 | $276 | $673 |
| CT abdomen and pelvis without contrast CPT 74176 • Imaging | $123 | $175 | $249 |
| CT abdomen and pelvis with contrast CPT 74177 • Imaging | $257 | $333 | $451 |
| CT abdomen and pelvis without then with contrast CPT 74178 • Imaging | $104 | $470 | $1,168 |
| Ultrasound abdominal complete CPT 76700 • Imaging | $34 | $137 | $256 |
| Ultrasound retroperitoneal complete CPT 76770 • Imaging | $33 | $114 | $249 |
| Ultrasound transvaginal CPT 76830 • Imaging | $42 | $121 | $227 |
| Ultrasound pelvic complete CPT 76856 • Imaging | $29 | $78 | $139 |
| Diagnostic mammography unilateral CPT 77065 • Imaging | $34 | $171 | $387 |
| Diagnostic mammography bilateral CPT 77066 • Imaging | $109 | $183 | $308 |
| Screening mammography bilateral CPT 77067 • Imaging | $33 | $122 | $181 |
| Nuclear myocardial perfusion study CPT 78452 • Imaging | $81 | $456 | $864 |
| Urinalysis non-automated without microscopy CPT 81002 • Lab | $2 | $4 | $6 |
| Basic metabolic panel CPT 80048 • Laboratory | $6 | $9 | $15 |
| Comprehensive metabolic panel CPT 80053 • Laboratory | $6 | $10 | $15 |
| Lipid panel CPT 80061 • Laboratory | $9 | $13 | $24 |
| Hepatic function panel CPT 80076 • Laboratory | $4 | $8 | $12 |
| Urinalysis with microscopy CPT 81001 • Laboratory | $2 | $3 | $6 |
| Urinalysis automated without microscopy CPT 81003 • Laboratory | $2 | $2 | $4 |
| Fecal hemoglobin immunoassay CPT 82274 • Laboratory | $8 | $15 | $32 |
| Vitamin D 25-hydroxy CPT 82306 • Laboratory | $17 | $31 | $53 |
| Creatine kinase (CK) total CPT 82550 • Laboratory | $5 | $6 | $12 |
| Creatinine urine CPT 82570 • Laboratory | $4 | $5 | $9 |
| Ferritin CPT 82728 • Laboratory | $7 | $12 | $24 |
| IgA IgD IgG IgM each CPT 82784 • Laboratory | $5 | $8 | $17 |
| Glucose quantitative blood CPT 82947 • Laboratory | $2 | $4 | $7 |
| Hemoglobin A1c CPT 83036 • Laboratory | $7 | $9 | $14 |
| Iron serum CPT 83540 • Laboratory | $3 | $5 | $8 |
| Iron binding capacity CPT 83550 • Laboratory | $4 | $8 | $12 |
| Prostate specific antigen (PSA) CPT 84153 • Laboratory | $10 | $19 | $33 |
| Free thyroxine (T4) CPT 84439 • Laboratory | $5 | $9 | $16 |
| Thyroid stimulating hormone (TSH) CPT 84443 • Laboratory | $12 | $18 | $30 |
| Complete blood count with differential CPT 85025 • Laboratory | $5 | $10 | $17 |
| Complete blood count automated CPT 85027 • Laboratory | $3 | $5 | $9 |
| Prothrombin time (PT) CPT 85610 • Laboratory | $3 | $4 | $6 |
| Sedimentation rate (ESR) automated CPT 85652 • Laboratory | $2 | $2 | $3 |