CALDWELL MEMORIAL HOSPITAL· LENOIR, NC

Physician groupCMS 1/5

322 MULBERRY ST SW, LENOIR, NC 28645

Procedures offered

935 total

ProcedureMinAvgMax
MRI thoracic spine without contrast
CPT 72146 • Imaging
$166$409$659
MRI lumbar spine without contrast
CPT 72148 • Imaging
$255$393$649
X-ray shoulder complete
CPT 73030 • Imaging
$27$35$49
MRI joint upper extremity without contrast
CPT 73221 • Imaging
$79$355$483
X-ray knee 1-2 views
CPT 73560 • Imaging
$8$32$67
X-ray ankle complete
CPT 73610 • Imaging
$27$44$59
MRI lower extremity without contrast
CPT 73718 • Imaging
$79$364$599
MRI joint lower extremity without contrast
CPT 73721 • Imaging
$152$311$480
CT abdomen without contrast
CPT 74150 • Imaging
$103$175$257
CT abdomen and pelvis without contrast
CPT 74176 • Imaging
$150$272$516
CT abdomen and pelvis with contrast
CPT 74177 • Imaging
$288$450$858
CT abdomen and pelvis without then with contrast
CPT 74178 • Imaging
$111$267$461
Ultrasound abdominal complete
CPT 76700 • Imaging
$109$201$317
Ultrasound retroperitoneal complete
CPT 76770 • Imaging
$33$138$210
Ultrasound transvaginal
CPT 76830 • Imaging
$42$137$233
Ultrasound pelvic complete
CPT 76856 • Imaging
$42$105$196
Diagnostic mammography unilateral
CPT 77065 • Imaging
$128$212$340
Diagnostic mammography bilateral
CPT 77066 • Imaging
$45$185$370
Screening mammography bilateral
CPT 77067 • Imaging
$34$105$169
Nuclear myocardial perfusion study
CPT 78452 • Imaging
$71$374$660
Urinalysis non-automated without microscopy
CPT 81002 • Lab
$3$4$6
Basic metabolic panel
CPT 80048 • Laboratory
$6$10$15
Comprehensive metabolic panel
CPT 80053 • Laboratory
$8$13$19
Lipid panel
CPT 80061 • Laboratory
$10$15$24
Hepatic function panel
CPT 80076 • Laboratory
$6$10$15
Urinalysis with microscopy
CPT 81001 • Laboratory
$2$4$6
Urinalysis automated without microscopy
CPT 81003 • Laboratory
$2$3$4
Fecal hemoglobin immunoassay
CPT 82274 • Laboratory
$11$21$32
Vitamin D 25-hydroxy
CPT 82306 • Laboratory
$21$37$53
Creatine kinase (CK) total
CPT 82550 • Laboratory
$5$7$12
Creatinine urine
CPT 82570 • Laboratory
$4$6$9
Ferritin
CPT 82728 • Laboratory
$10$17$24
IgA IgD IgG IgM each
CPT 82784 • Laboratory
$7$12$17
Glucose quantitative blood
CPT 82947 • Laboratory
$3$5$7
Hemoglobin A1c
CPT 83036 • Laboratory
$7$11$14
Iron serum
CPT 83540 • Laboratory
$5$8$10
Iron binding capacity
CPT 83550 • Laboratory
$6$10$12
Prostate specific antigen (PSA)
CPT 84153 • Laboratory
$13$23$33
Free thyroxine (T4)
CPT 84439 • Laboratory
$7$11$16
Thyroid stimulating hormone (TSH)
CPT 84443 • Laboratory
$12$21$30
Complete blood count with differential
CPT 85025 • Laboratory
$6$9$11
Complete blood count automated
CPT 85027 • Laboratory
$3$6$9
Prothrombin time (PT)
CPT 85610 • Laboratory
$3$5$6
Sedimentation rate (ESR) automated
CPT 85652 • Laboratory
$2$3$4
Partial thromboplastin time (PTT)
CPT 85730 • Laboratory
$4$8$11
Cyclic citrullinated peptide antibody
CPT 86200 • Laboratory
$9$17$23
Nuclear antigen antibody
CPT 86235 • Laboratory
$13$23$32
Heterophile antibodies screen
CPT 86308 • Laboratory
$4$5$7
TB skin test intradermal
CPT 86580 • Laboratory
$8$12$14
Blood typing ABO
CPT 86900 • Laboratory
$2$4$5