NOVANT HEALTH ROWAN MEDICAL CENTER LLC· SALISBURY, NC

HospitalCMS 2/5

612 MOCKSVILLE AVE, SALISBURY, NC 28144

Procedures offered

984 total

ProcedureMinAvgMax
CT abdomen and pelvis without contrast
CPT 74176 • Imaging
$77$265$500
CT abdomen and pelvis with contrast
CPT 74177 • Imaging
$65$319$633
CT abdomen and pelvis without then with contrast
CPT 74178 • Imaging
$127$438$825
Ultrasound abdominal complete
CPT 76700 • Imaging
$51$123$173
Ultrasound retroperitoneal complete
CPT 76770 • Imaging
$71$121$160
Ultrasound transvaginal
CPT 76830 • Imaging
$42$146$237
Ultrasound pelvic complete
CPT 76856 • Imaging
$38$110$238
Diagnostic mammography unilateral
CPT 77065 • Imaging
$91$148$300
Diagnostic mammography bilateral
CPT 77066 • Imaging
$115$169$263
Screening mammography bilateral
CPT 77067 • Imaging
$27$119$306
DEXA bone density study axial skeleton
CPT 77080 • Imaging
$12$39$65
Nuclear myocardial perfusion study
CPT 78452 • Imaging
$360$774$1,324
Collection of venous blood by venipuncture
CPT 36415 • Laboratory
$4$4$5
Basic metabolic panel
CPT 80048 • Laboratory
$6$11$19
Comprehensive metabolic panel
CPT 80053 • Laboratory
$3$12$24
Lipid panel
CPT 80061 • Laboratory
$5$13$20
Hepatic function panel
CPT 80076 • Laboratory
$6$11$19
Urinalysis with microscopy
CPT 81001 • Laboratory
$2$4$7
Urinalysis nonautomated without microscopy
CPT 81002 • Laboratory
$2$4$5
Urinalysis automated without microscopy
CPT 81003 • Laboratory
$2$3$3
Fecal hemoglobin immunoassay
CPT 82274 • Laboratory
$11$19$32
Vitamin D 25-hydroxy
CPT 82306 • Laboratory
$8$25$44
Creatine kinase (CK) total
CPT 82550 • Laboratory
$5$6$9
Creatinine urine
CPT 82570 • Laboratory
$4$6$8
Ferritin
CPT 82728 • Laboratory
$10$14$20
IgA IgD IgG IgM each
CPT 82784 • Laboratory
$7$10$13
Glucose quantitative blood
CPT 82947 • Laboratory
$2$4$9
Hemoglobin A1c
CPT 83036 • Laboratory
$5$9$15
Iron serum
CPT 83540 • Laboratory
$5$7$10
Iron binding capacity
CPT 83550 • Laboratory
$6$8$13
Prostate specific antigen (PSA)
CPT 84153 • Laboratory
$13$25$42
Free thyroxine (T4)
CPT 84439 • Laboratory
$6$10$14
Thyroid stimulating hormone (TSH)
CPT 84443 • Laboratory
$2$17$38
Complete blood count with differential
CPT 85025 • Laboratory
$5$8$12
Complete blood count automated
CPT 85027 • Laboratory
$3$6$10
Prothrombin time (PT)
CPT 85610 • Laboratory
$2$4$6
Sedimentation rate (ESR) automated
CPT 85652 • Laboratory
$2$3$4
Partial thromboplastin time (PTT)
CPT 85730 • Laboratory
$1$5$9
Cyclic citrullinated peptide antibody
CPT 86200 • Laboratory
$9$14$19
Nuclear antigen antibody
CPT 86235 • Laboratory
$13$19$27
Heterophile antibodies screen
CPT 86308 • Laboratory
$4$6$12
TB skin test intradermal
CPT 86580 • Laboratory
$5$12$27
Blood typing ABO
CPT 86900 • Laboratory
$2$3$4
Blood typing Rh
CPT 86901 • Laboratory
$2$3$4
Urine culture bacterial colony count
CPT 87086 • Laboratory
$6$10$18
Chlamydia nucleic acid amplification
CPT 87491 • Laboratory
$15$34$53
Gonorrhea nucleic acid amplification
CPT 87591 • Laboratory
$15$28$37
SARS-CoV-2 COVID-19 amplified probe
CPT 87635 • Laboratory
$36$59$99
Influenza virus assay with direct optical
CPT 87804 • Laboratory
$12$18$25
Strep A assay with optic observation
CPT 87880 • Laboratory
$7$10$17