ADVENTHEALTH HENDERSONVILLE· HENDERSONVILLE, NC

HospitalCMS 4/5

100 HOSPITAL DRIVE, HENDERSONVILLE, NC 28792

Procedures offered

939 total

Procedure	Min	Avg	Max
Heterophile antibodies screen CPT 86308 • Laboratory	$3	$6	$11
TB skin test intradermal CPT 86580 • Laboratory	$5	$8	$11
Blood typing ABO CPT 86900 • Laboratory	$1	$3	$6
Blood typing Rh CPT 86901 • Laboratory	$1	$3	$6
Urine culture bacterial colony count CPT 87086 • Laboratory	$6	$10	$17
Chlamydia nucleic acid amplification CPT 87491 • Laboratory	$15	$36	$75
Gonorrhea nucleic acid amplification CPT 87591 • Laboratory	$15	$33	$55
SARS-CoV-2 COVID-19 amplified probe CPT 87635 • Laboratory	$21	$44	$59
Influenza virus assay with direct optical CPT 87804 • Laboratory	$14	$18	$28
Amniocentesis diagnostic CPT 59000 • Maternity	$80	$120	$183
Cordocentesis fetal blood sampling CPT 59012 • Maternity	$191	$256	$309
Chorionic villus sampling CPT 59015 • Maternity	$134	$173	$234
Fetal non-stress test CPT 59025 • Maternity	$37	$47	$53
Insertion cervical dilator CPT 59200 • Maternity	$46	$74	$143
Vaginal delivery including prenatal and postpartum care CPT 59400 • Maternity	$1,623	$2,294	$3,150
Vaginal delivery only CPT 59409 • Maternity	$721	$1,028	$1,623
Vaginal delivery including postpartum care CPT 59410 • Maternity	$807	$1,272	$1,694
External cephalic version CPT 59412 • Maternity	$97	$123	$169
Antepartum care 7 or more visits CPT 59426 • Maternity	$50	$805	$1,392
Postpartum care only CPT 59430 • Maternity	$118	$206	$315
Cesarean delivery including prenatal and postpartum care CPT 59510 • Maternity	$1,482	$2,196	$2,885
Cesarean delivery only CPT 59514 • Maternity	$162	$953	$1,739
Cesarean delivery including postpartum care CPT 59515 • Maternity	$964	$1,422	$1,739
Vaginal delivery after prior cesarean (VBAC) including prenatal CPT 59610 • Maternity	$1,623	$2,488	$3,311
Obstetric ultrasound first trimester CPT 76801 • Maternity	$48	$111	$203
Obstetric ultrasound complete CPT 76805 • Maternity	$48	$111	$233
Obstetric ultrasound detailed fetal anatomy CPT 76811 • Maternity	$94	$166	$270
Obstetric ultrasound limited CPT 76815 • Maternity	$34	$80	$139
Ultrasound transvaginal obstetric CPT 76817 • Maternity	$44	$98	$160
Interactive complexity add-on CPT 90785 • Mental Health	$4	$14	$17
Psychiatric diagnostic evaluation CPT 90791 • Mental Health	$101	$145	$172
Psychiatric diagnostic evaluation with medical services CPT 90792 • Mental Health	$101	$174	$249
Psychotherapy 30 minutes CPT 90832 • Mental Health	$41	$78	$110
Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health	$20	$61	$81
Psychotherapy 45 minutes CPT 90834 • Mental Health	$78	$100	$147
Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health	$35	$92	$119
Psychotherapy 60 minutes CPT 90837 • Mental Health	$113	$140	$159
Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health	$61	$119	$142
Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health	$113	$172	$229
Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health	$54	$79	$110
Family psychotherapy without patient CPT 90846 • Mental Health	$73	$105	$127
Family psychotherapy with patient CPT 90847 • Mental Health	$82	$115	$140
Group psychotherapy CPT 90853 • Mental Health	$26	$36	$53
Brief emotional/behavioral assessment CPT 96127 • Mental Health	$5	$6	$10
Lumbar puncture diagnostic CPT 62270 • Neurology	$63	$138	$262
Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology	$130	$181	$304
Chemodenervation of muscle neck CPT 64616 • Neurology	$141	$156	$200
Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology	$72	$298	$544
Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology	$109	$347	$676
Electromyography (EMG) 1 extremity CPT 95860 • Neurology	$63	$91	$114