DUPLIN GENERAL HOSPITAL INCORPORATED· KENANSVILLE, NC

HospitalCMS 4/5

401 NORTH MAIN ST, KENANSVILLE, NC 28349

Procedures offered

928 total

ProcedureMinAvgMax
MRI joint lower extremity without contrast
CPT 73721 • Imaging
$221$464$768
CT abdomen without contrast
CPT 74150 • Imaging
$125$241$365
CT abdomen and pelvis without contrast
CPT 74176 • Imaging
$157$390$526
CT abdomen and pelvis with contrast
CPT 74177 • Imaging
$244$406$633
CT abdomen and pelvis without then with contrast
CPT 74178 • Imaging
$385$757$968
Ultrasound abdominal complete
CPT 76700 • Imaging
$69$226$492
Ultrasound retroperitoneal complete
CPT 76770 • Imaging
$99$157$266
Ultrasound transvaginal
CPT 76830 • Imaging
$127$220$292
Ultrasound pelvic complete
CPT 76856 • Imaging
$107$170$205
Diagnostic mammography unilateral
CPT 77065 • Imaging
$125$322$536
Diagnostic mammography bilateral
CPT 77066 • Imaging
$67$301$450
Screening mammography bilateral
CPT 77067 • Imaging
$32$176$365
Nuclear myocardial perfusion study
CPT 78452 • Imaging
$212$541$853
Urinalysis non-automated without microscopy
CPT 81002 • Lab
$5$7$8
Basic metabolic panel
CPT 80048 • Laboratory
$7$12$18
Comprehensive metabolic panel
CPT 80053 • Laboratory
$9$15$23
Lipid panel
CPT 80061 • Laboratory
$16$21$29
Hepatic function panel
CPT 80076 • Laboratory
$11$15$18
Urinalysis with microscopy
CPT 81001 • Laboratory
$3$5$7
Urinalysis automated without microscopy
CPT 81003 • Laboratory
$2$4$5
Fecal hemoglobin immunoassay
CPT 82274 • Laboratory
$13$23$34
Vitamin D 25-hydroxy
CPT 82306 • Laboratory
$41$53$64
Creatine kinase (CK) total
CPT 82550 • Laboratory
$5$9$14
Creatinine urine
CPT 82570 • Laboratory
$4$8$11
Ferritin
CPT 82728 • Laboratory
$19$28$36
IgA IgD IgG IgM each
CPT 82784 • Laboratory
$13$16$20
Glucose quantitative blood
CPT 82947 • Laboratory
$3$6$8
Hemoglobin A1c
CPT 83036 • Laboratory
$11$17$21
Iron serum
CPT 83540 • Laboratory
$5$9$14
Iron binding capacity
CPT 83550 • Laboratory
$7$13$19
Prostate specific antigen (PSA)
CPT 84153 • Laboratory
$15$27$40
Free thyroxine (T4)
CPT 84439 • Laboratory
$12$16$20
Thyroid stimulating hormone (TSH)
CPT 84443 • Laboratory
$14$24$36
Complete blood count with differential
CPT 85025 • Laboratory
$6$11$17
Complete blood count automated
CPT 85027 • Laboratory
$5$10$14
Prothrombin time (PT)
CPT 85610 • Laboratory
$6$8$9
Sedimentation rate (ESR) automated
CPT 85652 • Laboratory
$3$5$6
Partial thromboplastin time (PTT)
CPT 85730 • Laboratory
$13$14$16
Cyclic citrullinated peptide antibody
CPT 86200 • Laboratory
$18$23$28
Nuclear antigen antibody
CPT 86235 • Laboratory
$25$32$39
Heterophile antibodies screen
CPT 86308 • Laboratory
$4$7$11
TB skin test intradermal
CPT 86580 • Laboratory
$14$16$19
Blood typing ABO
CPT 86900 • Laboratory
$4$6$8
Blood typing Rh
CPT 86901 • Laboratory
$4$6$8
Urine culture bacterial colony count
CPT 87086 • Laboratory
$7$12$17
Chlamydia nucleic acid amplification
CPT 87491 • Laboratory
$28$51$76
Gonorrhea nucleic acid amplification
CPT 87591 • Laboratory
$48$70$86
SARS-CoV-2 COVID-19 amplified probe
CPT 87635 • Laboratory
$70$92$111
Influenza virus assay with direct optical
CPT 87804 • Laboratory
$23$30$36
Amniocentesis diagnostic
CPT 59000 • Maternity
$165$181$204