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 |
|---|---|---|---|
| Partial thromboplastin time (PTT) CPT 85730 • Laboratory | $3 | $6 | $11 |
| Cyclic citrullinated peptide antibody CPT 86200 • Laboratory | $6 | $12 | $23 |
| Nuclear antigen antibody CPT 86235 • Laboratory | $9 | $16 | $32 |
| Heterophile antibodies screen CPT 86308 • Laboratory | $4 | $4 | $6 |
| TB skin test intradermal CPT 86580 • Laboratory | $5 | $8 | $13 |
| Blood typing ABO CPT 86900 • Laboratory | $1 | $3 | $5 |
| Blood typing Rh CPT 86901 • Laboratory | $1 | $4 | $10 |
| Urine culture bacterial colony count CPT 87086 • Laboratory | $4 | $7 | $14 |
| Chlamydia nucleic acid amplification CPT 87491 • Laboratory | $20 | $33 | $62 |
| Gonorrhea nucleic acid amplification CPT 87591 • Laboratory | $20 | $27 | $35 |
| SARS-CoV-2 COVID-19 amplified probe CPT 87635 • Laboratory | $21 | $46 | $72 |
| Influenza virus assay with direct optical CPT 87804 • Laboratory | $10 | $12 | $14 |
| Amniocentesis diagnostic CPT 59000 • Maternity | $77 | $528 | $2,619 |
| Cordocentesis fetal blood sampling CPT 59012 • Maternity | $191 | $523 | $1,928 |
| Chorionic villus sampling CPT 59015 • Maternity | $134 | $574 | $2,619 |
| Fetal non-stress test CPT 59025 • Maternity | $37 | $376 | $1,928 |
| Insertion cervical dilator CPT 59200 • Maternity | $42 | $396 | $1,928 |
| Vaginal delivery including prenatal and postpartum care CPT 59400 • Maternity | $2,135 | $3,124 | $6,331 |
| Vaginal delivery only CPT 59409 • Maternity | $721 | $1,918 | $6,331 |
| Vaginal delivery including postpartum care CPT 59410 • Maternity | $807 | $2,337 | $6,331 |
| External cephalic version CPT 59412 • Maternity | $97 | $1,155 | $6,331 |
| Antepartum care 7 or more visits CPT 59426 • Maternity | $50 | $1,575 | $6,331 |
| Postpartum care only CPT 59430 • Maternity | $114 | $1,227 | $6,331 |
| Cesarean delivery including prenatal and postpartum care CPT 59510 • Maternity | $2,200 | $3,263 | $6,331 |
| Cesarean delivery only CPT 59514 • Maternity | $851 | $2,200 | $6,331 |
| Cesarean delivery including postpartum care CPT 59515 • Maternity | $964 | $2,213 | $6,331 |
| Vaginal delivery after prior cesarean (VBAC) including prenatal CPT 59610 • Maternity | $650 | $3,245 | $6,331 |
| Obstetric ultrasound first trimester CPT 76801 • Maternity | $42 | $107 | $156 |
| Obstetric ultrasound complete CPT 76805 • Maternity | $60 | $155 | $311 |
| Obstetric ultrasound detailed fetal anatomy CPT 76811 • Maternity | $86 | $161 | $237 |
| Obstetric ultrasound limited CPT 76815 • Maternity | $29 | $77 | $187 |
| Ultrasound transvaginal obstetric CPT 76817 • Maternity | $44 | $110 | $188 |
| Interactive complexity add-on CPT 90785 • Mental Health | $5 | $12 | $16 |
| Psychiatric diagnostic evaluation CPT 90791 • Mental Health | $133 | $191 | $273 |
| Psychiatric diagnostic evaluation with medical services CPT 90792 • Mental Health | $137 | $189 | $233 |
| Psychotherapy 30 minutes CPT 90832 • Mental Health | $56 | $85 | $113 |
| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $47 | $74 | $98 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $84 | $114 | $146 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $77 | $103 | $125 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $126 | $167 | $213 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $119 | $138 | $196 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $143 | $149 | $155 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $68 | $71 | $74 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $108 | $125 | $152 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $112 | $140 | $190 |
| Group psychotherapy CPT 90853 • Mental Health | $28 | $40 | $58 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $7 | $10 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $62 | $588 | $2,619 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $108 | $446 | $1,928 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $99 | $462 | $1,928 |