RUTHERFORD REGIONAL MEDICAL CENTER· RUTHERFORDTON, NC

HospitalCMS 3/5

288 SOUTH RIDGECREST AVE, RUTHERFORDTON, NC 28139

Procedures offered

932 total

ProcedureMinAvgMax
MRI joint upper extremity without contrast
CPT 73221 • Imaging
$58$229$456
X-ray knee 1-2 views
CPT 73560 • Imaging
$27$36$51
X-ray ankle complete
CPT 73610 • Imaging
$26$32$44
MRI lower extremity without contrast
CPT 73718 • Imaging
$340$394$456
MRI joint lower extremity without contrast
CPT 73721 • Imaging
$58$254$456
CT abdomen without contrast
CPT 74150 • Imaging
$30$123$257
CT abdomen and pelvis without contrast
CPT 74176 • Imaging
$105$180$223
CT abdomen and pelvis with contrast
CPT 74177 • Imaging
$271$327$376
CT abdomen and pelvis without then with contrast
CPT 74178 • Imaging
$325$421$518
Ultrasound abdominal complete
CPT 76700 • Imaging
$42$120$209
Ultrasound retroperitoneal complete
CPT 76770 • Imaging
$73$98$115
Ultrasound transvaginal
CPT 76830 • Imaging
$42$128$214
Ultrasound pelvic complete
CPT 76856 • Imaging
$42$76$112
Diagnostic mammography unilateral
CPT 77065 • Imaging
$105$123$133
Diagnostic mammography bilateral
CPT 77066 • Imaging
$167$175$190
Screening mammography bilateral
CPT 77067 • Imaging
$111$127$136
Nuclear myocardial perfusion study
CPT 78452 • Imaging
$354$672$1,301
Urinalysis non-automated without microscopy
CPT 81002 • Lab
$2$3$4
Basic metabolic panel
CPT 80048 • Laboratory
$5$8$12
Comprehensive metabolic panel
CPT 80053 • Laboratory
$5$7$9
Lipid panel
CPT 80061 • Laboratory
$8$17$25
Hepatic function panel
CPT 80076 • Laboratory
$4$8$11
Urinalysis with microscopy
CPT 81001 • Laboratory
$2$5$7
Urinalysis automated without microscopy
CPT 81003 • Laboratory
$2$3$4
Fecal hemoglobin immunoassay
CPT 82274 • Laboratory
$8$18$32
Vitamin D 25-hydroxy
CPT 82306 • Laboratory
$17$37$54
Creatine kinase (CK) total
CPT 82550 • Laboratory
$4$7$9
Creatinine urine
CPT 82570 • Laboratory
$3$5$7
Ferritin
CPT 82728 • Laboratory
$7$17$25
IgA IgD IgG IgM each
CPT 82784 • Laboratory
$5$9$13
Glucose quantitative blood
CPT 82947 • Laboratory
$2$3$4
Hemoglobin A1c
CPT 83036 • Laboratory
$6$9$11
Iron serum
CPT 83540 • Laboratory
$3$6$8
Iron binding capacity
CPT 83550 • Laboratory
$4$8$10
Prostate specific antigen (PSA)
CPT 84153 • Laboratory
$9$21$30
Free thyroxine (T4)
CPT 84439 • Laboratory
$4$9$12
Thyroid stimulating hormone (TSH)
CPT 84443 • Laboratory
$10$23$37
Complete blood count with differential
CPT 85025 • Laboratory
$5$15$31
Complete blood count automated
CPT 85027 • Laboratory
$3$5$8
Prothrombin time (PT)
CPT 85610 • Laboratory
$3$4$5
Sedimentation rate (ESR) automated
CPT 85652 • Laboratory
$2$3$3
Partial thromboplastin time (PTT)
CPT 85730 • Laboratory
$3$6$8
Cyclic citrullinated peptide antibody
CPT 86200 • Laboratory
$6$13$18
Nuclear antigen antibody
CPT 86235 • Laboratory
$9$17$25
Heterophile antibodies screen
CPT 86308 • Laboratory
$3$5$6
TB skin test intradermal
CPT 86580 • Laboratory
$3$5$7
Blood typing ABO
CPT 86900 • Laboratory
$1$3$4
Blood typing Rh
CPT 86901 • Laboratory
$1$4$8
Urine culture bacterial colony count
CPT 87086 • Laboratory
$4$6$8
Chlamydia nucleic acid amplification
CPT 87491 • Laboratory
$17$30$45