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 |
|---|---|---|---|
| Cyclic citrullinated peptide antibody CPT 86200 • Laboratory | $6 | $18 | $26 |
| Nuclear antigen antibody CPT 86235 • Laboratory | $9 | $25 | $36 |
| Heterophile antibodies screen CPT 86308 • Laboratory | $3 | $7 | $10 |
| TB skin test intradermal CPT 86580 • Laboratory | $3 | $9 | $17 |
| Blood typing ABO CPT 86900 • Laboratory | $1 | $4 | $6 |
| Blood typing Rh CPT 86901 • Laboratory | $1 | $4 | $6 |
| Urine culture bacterial colony count CPT 87086 • Laboratory | $4 | $11 | $16 |
| Chlamydia nucleic acid amplification CPT 87491 • Laboratory | $17 | $49 | $71 |
| Gonorrhea nucleic acid amplification CPT 87591 • Laboratory | $17 | $49 | $71 |
| SARS-CoV-2 COVID-19 amplified probe CPT 87635 • Laboratory | $51 | $58 | $85 |
| Influenza virus assay with direct optical CPT 87804 • Laboratory | $10 | $17 | $27 |
| Amniocentesis diagnostic CPT 59000 • Maternity | $99 | $140 | $192 |
| Cordocentesis fetal blood sampling CPT 59012 • Maternity | $191 | $264 | $318 |
| Chorionic villus sampling CPT 59015 • Maternity | $132 | $183 | $255 |
| Fetal non-stress test CPT 59025 • Maternity | $37 | $55 | $80 |
| Insertion cervical dilator CPT 59200 • Maternity | $55 | $77 | $99 |
| Vaginal delivery including prenatal and postpartum care CPT 59400 • Maternity | $1,536 | $3,228 | $7,103 |
| Vaginal delivery only CPT 59409 • Maternity | $721 | $928 | $1,267 |
| Vaginal delivery including postpartum care CPT 59410 • Maternity | $807 | $1,170 | $1,719 |
| External cephalic version CPT 59412 • Maternity | $97 | $122 | $163 |
| Antepartum care 7 or more visits CPT 59426 • Maternity | $50 | $918 | $1,663 |
| Postpartum care only CPT 59430 • Maternity | $118 | $222 | $426 |
| Cesarean delivery including prenatal and postpartum care CPT 59510 • Maternity | $1,708 | $2,638 | $4,299 |
| Cesarean delivery only CPT 59514 • Maternity | $851 | $1,071 | $1,433 |
| Cesarean delivery including postpartum care CPT 59515 • Maternity | $850 | $1,307 | $2,128 |
| Vaginal delivery after prior cesarean (VBAC) including prenatal CPT 59610 • Maternity | $2,182 | $3,080 | $4,052 |
| Obstetric ultrasound first trimester CPT 76801 • Maternity | $58 | $108 | $157 |
| Obstetric ultrasound complete CPT 76805 • Maternity | $60 | $100 | $174 |
| Obstetric ultrasound detailed fetal anatomy CPT 76811 • Maternity | $89 | $186 | $294 |
| Obstetric ultrasound limited CPT 76815 • Maternity | $39 | $71 | $108 |
| Ultrasound transvaginal obstetric CPT 76817 • Maternity | $44 | $79 | $120 |
| Interactive complexity add-on CPT 90785 • Mental Health | $5 | $18 | $25 |
| Psychiatric diagnostic evaluation CPT 90791 • Mental Health | $133 | $213 | $280 |
| Psychiatric diagnostic evaluation with medical services CPT 90792 • Mental Health | $137 | $211 | $315 |
| Psychotherapy 30 minutes CPT 90832 • Mental Health | $56 | $78 | $97 |
| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $47 | $67 | $90 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $84 | $121 | $174 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $77 | $112 | $155 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $126 | $211 | $304 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $123 | $161 | $205 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $178 | $219 | $249 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $86 | $96 | $110 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $115 | $128 | $164 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $120 | $143 | $171 |
| Group psychotherapy CPT 90853 • Mental Health | $28 | $39 | $47 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $7 | $8 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $89 | $115 | $176 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $76 | $162 | $226 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $122 | $162 | $226 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $56 | $137 | $257 |