NORTHERN HOSPITAL DISTRICT OF SURRY COUNTY· MOUNT AIRY, NC
ProviderCMS 4/5
830 ROCKFORD ST, MOUNT AIRY, NC 27030
Procedures offered
941 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| CT chest with contrast CPT 71260 • Imaging | $55 | $213 | $400 |
| CT angiography chest CPT 71275 • Imaging | $85 | $397 | $532 |
| MRI cervical spine without contrast CPT 72141 • Imaging | $95 | $299 | $502 |
| MRI thoracic spine without contrast CPT 72146 • Imaging | $69 | $275 | $502 |
| MRI lumbar spine without contrast CPT 72148 • Imaging | $70 | $292 | $510 |
| X-ray shoulder complete CPT 73030 • Imaging | $9 | $33 | $58 |
| MRI joint upper extremity without contrast CPT 73221 • Imaging | $99 | $297 | $489 |
| X-ray knee 1-2 views CPT 73560 • Imaging | $26 | $36 | $57 |
| X-ray ankle complete CPT 73610 • Imaging | $27 | $38 | $61 |
| MRI lower extremity without contrast CPT 73718 • Imaging | $98 | $347 | $489 |
| MRI joint lower extremity without contrast CPT 73721 • Imaging | $99 | $313 | $489 |
| CT abdomen without contrast CPT 74150 • Imaging | $90 | $214 | $300 |
| CT abdomen and pelvis without contrast CPT 74176 • Imaging | $212 | $275 | $309 |
| CT abdomen and pelvis with contrast CPT 74177 • Imaging | $227 | $447 | $717 |
| CT abdomen and pelvis without then with contrast CPT 74178 • Imaging | $94 | $330 | $572 |
| Ultrasound abdominal complete CPT 76700 • Imaging | $62 | $112 | $162 |
| Ultrasound retroperitoneal complete CPT 76770 • Imaging | $56 | $97 | $155 |
| Ultrasound transvaginal CPT 76830 • Imaging | $42 | $104 | $179 |
| Ultrasound pelvic complete CPT 76856 • Imaging | $42 | $78 | $143 |
| Diagnostic mammography unilateral CPT 77065 • Imaging | $39 | $90 | $133 |
| Diagnostic mammography bilateral CPT 77066 • Imaging | $76 | $127 | $169 |
| Screening mammography bilateral CPT 77067 • Imaging | $58 | $148 | $203 |
| Nuclear myocardial perfusion study CPT 78452 • Imaging | $360 | $541 | $705 |
| Venipuncture (routine blood draw) CPT 36415 • Lab | $3 | $3 | $3 |
| Urinalysis non-automated without microscopy CPT 81002 • Lab | $2 | $4 | $6 |
| Strep test rapid (Streptococcus group A direct) CPT 87880 • Lab | $10 | $10 | $10 |
| Basic metabolic panel CPT 80048 • Laboratory | $5 | $12 | $17 |
| Comprehensive metabolic panel CPT 80053 • Laboratory | $5 | $15 | $21 |
| Lipid panel CPT 80061 • Laboratory | $8 | $19 | $26 |
| Hepatic function panel CPT 80076 • Laboratory | $4 | $11 | $16 |
| Urinalysis with microscopy CPT 81001 • Laboratory | $2 | $5 | $6 |
| Urinalysis automated without microscopy CPT 81003 • Laboratory | $2 | $3 | $5 |
| Fecal hemoglobin immunoassay CPT 82274 • Laboratory | $8 | $25 | $32 |
| Vitamin D 25-hydroxy CPT 82306 • Laboratory | $17 | $42 | $60 |
| Creatine kinase (CK) total CPT 82550 • Laboratory | $4 | $9 | $13 |
| Creatinine urine CPT 82570 • Laboratory | $3 | $7 | $10 |
| Ferritin CPT 82728 • Laboratory | $7 | $19 | $27 |
| IgA IgD IgG IgM each CPT 82784 • Laboratory | $5 | $11 | $15 |
| Glucose quantitative blood CPT 82947 • Laboratory | $2 | $5 | $8 |
| Hemoglobin A1c CPT 83036 • Laboratory | $6 | $13 | $20 |
| Iron serum CPT 83540 • Laboratory | $3 | $8 | $13 |
| Iron binding capacity CPT 83550 • Laboratory | $4 | $12 | $18 |
| Prostate specific antigen (PSA) CPT 84153 • Laboratory | $9 | $25 | $37 |
| Free thyroxine (T4) CPT 84439 • Laboratory | $4 | $12 | $18 |
| Thyroid stimulating hormone (TSH) CPT 84443 • Laboratory | $10 | $24 | $34 |
| Complete blood count with differential CPT 85025 • Laboratory | $5 | $11 | $16 |
| Complete blood count automated CPT 85027 • Laboratory | $3 | $7 | $13 |
| Prothrombin time (PT) CPT 85610 • Laboratory | $3 | $6 | $8 |
| Sedimentation rate (ESR) automated CPT 85652 • Laboratory | $2 | $4 | $5 |
| Partial thromboplastin time (PTT) CPT 85730 • Laboratory | $3 | $8 | $12 |