NOVANT HEALTH ROWAN MEDICAL CENTER· SALISBURY, NC
HospitalCMS 2/5
612 MOCKSVILLE AVE, SALISBURY, NC 28144
Procedures offered
962 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Vitamin D 25-hydroxy CPT 82306 • Laboratory | $21 | $25 | $34 |
| Creatine kinase (CK) total CPT 82550 • Laboratory | $5 | $6 | $7 |
| Creatinine urine CPT 82570 • Laboratory | $4 | $5 | $6 |
| Ferritin CPT 82728 • Laboratory | $10 | $11 | $16 |
| IgA IgD IgG IgM each CPT 82784 • Laboratory | $7 | $9 | $11 |
| Glucose quantitative blood CPT 82947 • Laboratory | $3 | $5 | $9 |
| Hemoglobin A1c CPT 83036 • Laboratory | $7 | $9 | $11 |
| Iron serum CPT 83540 • Laboratory | $5 | $6 | $8 |
| Iron binding capacity CPT 83550 • Laboratory | $6 | $7 | $10 |
| Prostate specific antigen (PSA) CPT 84153 • Laboratory | $13 | $24 | $42 |
| Free thyroxine (T4) CPT 84439 • Laboratory | $6 | $8 | $10 |
| Thyroid stimulating hormone (TSH) CPT 84443 • Laboratory | $12 | $22 | $38 |
| Complete blood count with differential CPT 85025 • Laboratory | $5 | $7 | $9 |
| Complete blood count automated CPT 85027 • Laboratory | $3 | $5 | $7 |
| Prothrombin time (PT) CPT 85610 • Laboratory | $3 | $4 | $6 |
| Sedimentation rate (ESR) automated CPT 85652 • Laboratory | $2 | $2 | $3 |
| Partial thromboplastin time (PTT) CPT 85730 • Laboratory | $4 | $5 | $7 |
| Cyclic citrullinated peptide antibody CPT 86200 • Laboratory | $9 | $12 | $15 |
| Nuclear antigen antibody CPT 86235 • Laboratory | $13 | $15 | $21 |
| Heterophile antibodies screen CPT 86308 • Laboratory | $4 | $7 | $12 |
| TB skin test intradermal CPT 86580 • Laboratory | $6 | $14 | $27 |
| Blood typing ABO CPT 86900 • Laboratory | $2 | $2 | $3 |
| Blood typing Rh CPT 86901 • Laboratory | $2 | $2 | $3 |
| Urine culture bacterial colony count CPT 87086 • Laboratory | $6 | $10 | $18 |
| Chlamydia nucleic acid amplification CPT 87491 • Laboratory | $25 | $34 | $39 |
| Gonorrhea nucleic acid amplification CPT 87591 • Laboratory | $25 | $29 | $37 |
| SARS-CoV-2 COVID-19 amplified probe CPT 87635 • Laboratory | $36 | $51 | $64 |
| Influenza virus assay with direct optical CPT 87804 • Laboratory | $12 | $15 | $23 |
| Amniocentesis diagnostic CPT 59000 • Maternity | $99 | $190 | $348 |
| Cordocentesis fetal blood sampling CPT 59012 • Maternity | $191 | $329 | $507 |
| Chorionic villus sampling CPT 59015 • Maternity | $162 | $323 | $460 |
| Fetal non-stress test CPT 59025 • Maternity | $10 | $41 | $85 |
| Insertion cervical dilator CPT 59200 • Maternity | $55 | $95 | $187 |
| Vaginal delivery including prenatal and postpartum care CPT 59400 • Maternity | $586 | $2,925 | $4,704 |
| Vaginal delivery only CPT 59409 • Maternity | $586 | $1,051 | $1,486 |
| Vaginal delivery including postpartum care CPT 59410 • Maternity | $586 | $1,208 | $1,864 |
| External cephalic version CPT 59412 • Maternity | $91 | $117 | $179 |
| Antepartum care 7 or more visits CPT 59426 • Maternity | $50 | $605 | $1,794 |
| Postpartum care only CPT 59430 • Maternity | $118 | $265 | $466 |
| Cesarean delivery including prenatal and postpartum care CPT 59510 • Maternity | $2,200 | $3,426 | $4,641 |
| Cesarean delivery only CPT 59514 • Maternity | $851 | $1,299 | $1,593 |
| Cesarean delivery including postpartum care CPT 59515 • Maternity | $964 | $1,500 | $2,291 |
| Vaginal delivery after prior cesarean (VBAC) including prenatal CPT 59610 • Maternity | $586 | $3,058 | $5,001 |
| Obstetric ultrasound first trimester CPT 76801 • Maternity | $58 | $142 | $205 |
| Obstetric ultrasound complete CPT 76805 • Maternity | $60 | $175 | $315 |
| Obstetric ultrasound detailed fetal anatomy CPT 76811 • Maternity | $115 | $180 | $256 |
| Obstetric ultrasound limited CPT 76815 • Maternity | $39 | $84 | $120 |
| Ultrasound transvaginal obstetric CPT 76817 • Maternity | $44 | $92 | $137 |
| Interactive complexity add-on CPT 90785 • Mental Health | $14 | $17 | $20 |
| Psychiatric diagnostic evaluation CPT 90791 • Mental Health | $130 | $222 | $344 |