ONSLOW MEMORIAL HOSPITAL INC· JACKSONVILLE, NC
HospitalCMS 1/5
317 WESTERN BLVD, JACKSONVILLE, NC 28546
Procedures offered
954 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| MRI brain with contrast CPT 70552 • Imaging | $89 | $314 | $560 |
| MRI brain without contrast then with contrast CPT 70553 • Imaging | $116 | $443 | $990 |
| Chest X-ray single view CPT 71045 • Imaging | $16 | $22 | $34 |
| Chest X-ray 2 views CPT 71046 • Imaging | $9 | $22 | $33 |
| CT chest without contrast CPT 71250 • Imaging | $63 | $203 | $273 |
| CT chest with contrast CPT 71260 • Imaging | $113 | $216 | $348 |
| CT chest without then with contrast CPT 71270 • Imaging | $241 | $334 | $428 |
| CT angiography chest CPT 71275 • Imaging | $91 | $335 | $524 |
| CT cervical spine without contrast CPT 72125 • Imaging | $133 | $133 | $133 |
| CT thoracic spine without contrast CPT 72128 • Imaging | $186 | $186 | $186 |
| CT lumbar spine without contrast CPT 72131 • Imaging | $54 | $54 | $54 |
| MRI cervical spine without contrast CPT 72141 • Imaging | $80 | $355 | $523 |
| MRI thoracic spine without contrast CPT 72146 • Imaging | $134 | $293 | $523 |
| MRI lumbar spine without contrast CPT 72148 • Imaging | $131 | $331 | $523 |
| CT pelvis without contrast CPT 72192 • Imaging | $59 | $59 | $59 |
| CT pelvis with contrast CPT 72193 • Imaging | $63 | $196 | $329 |
| X-ray shoulder complete CPT 73030 • Imaging | $21 | $36 | $45 |
| MRI joint upper extremity without contrast CPT 73221 • Imaging | $73 | $265 | $523 |
| X-ray knee 1-2 views CPT 73560 • Imaging | $9 | $30 | $45 |
| X-ray ankle complete CPT 73610 • Imaging | $24 | $34 | $45 |
| MRI lower extremity without contrast CPT 73718 • Imaging | $64 | $227 | $523 |
| MRI joint lower extremity without contrast CPT 73721 • Imaging | $45 | $312 | $523 |
| CT abdomen without contrast CPT 74150 • Imaging | $64 | $191 | $275 |
| CT abdomen with contrast CPT 74160 • Imaging | $68 | $68 | $68 |
| CT abdomen without then with contrast CPT 74170 • Imaging | $75 | $75 | $75 |
| CT abdomen and pelvis without contrast CPT 74176 • Imaging | $94 | $194 | $235 |
| CT abdomen and pelvis with contrast CPT 74177 • Imaging | $98 | $274 | $376 |
| CT abdomen and pelvis without then with contrast CPT 74178 • Imaging | $108 | $354 | $477 |
| Ultrasound abdominal complete CPT 76700 • Imaging | $38 | $102 | $150 |
| Ultrasound retroperitoneal complete CPT 76770 • Imaging | $40 | $117 | $148 |
| Ultrasound transvaginal CPT 76830 • Imaging | $37 | $107 | $160 |
| Ultrasound pelvic complete CPT 76856 • Imaging | $42 | $98 | $138 |
| Diagnostic mammography unilateral CPT 77065 • Imaging | $94 | $127 | $143 |
| Diagnostic mammography bilateral CPT 77066 • Imaging | $50 | $137 | $182 |
| Screening mammography bilateral CPT 77067 • Imaging | $38 | $104 | $147 |
| DEXA bone density study axial skeleton CPT 77080 • Imaging | $31 | $31 | $31 |
| Nuclear myocardial perfusion study CPT 78452 • Imaging | $336 | $411 | $534 |
| Collection of venous blood by venipuncture CPT 36415 • Laboratory | $2 | $2 | $3 |
| Basic metabolic panel CPT 80048 • Laboratory | $3 | $10 | $23 |
| Comprehensive metabolic panel CPT 80053 • Laboratory | $6 | $9 | $14 |
| Lipid panel CPT 80061 • Laboratory | $7 | $16 | $36 |
| Hepatic function panel CPT 80076 • Laboratory | $3 | $9 | $22 |
| Urinalysis with microscopy CPT 81001 • Laboratory | $1 | $3 | $4 |
| Urinalysis nonautomated without microscopy CPT 81002 • Laboratory | $1 | $3 | $3 |
| Urinalysis automated without microscopy CPT 81003 • Laboratory | $1 | $2 | $3 |
| Fecal hemoglobin immunoassay CPT 82274 • Laboratory | $8 | $17 | $32 |
| Vitamin D 25-hydroxy CPT 82306 • Laboratory | $16 | $35 | $81 |
| Creatine kinase (CK) total CPT 82550 • Laboratory | $2 | $7 | $18 |
| Creatinine urine CPT 82570 • Laboratory | $3 | $6 | $14 |
| Ferritin CPT 82728 • Laboratory | $4 | $16 | $37 |