ONSLOW MEMORIAL HOSPITAL INC· JACKSONVILLE, NC
HospitalCMS 1/5
317 WESTERN BLVD, JACKSONVILLE, NC 28546
Procedures offered
954 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| IgA IgD IgG IgM each CPT 82784 • Laboratory | $5 | $10 | $25 |
| Glucose quantitative blood CPT 82947 • Laboratory | $2 | $4 | $5 |
| Hemoglobin A1c CPT 83036 • Laboratory | $3 | $8 | $13 |
| Iron serum CPT 83540 • Laboratory | $2 | $6 | $9 |
| Iron binding capacity CPT 83550 • Laboratory | $3 | $7 | $10 |
| Prostate specific antigen (PSA) CPT 84153 • Laboratory | $6 | $21 | $50 |
| Free thyroxine (T4) CPT 84439 • Laboratory | $5 | $11 | $25 |
| Thyroid stimulating hormone (TSH) CPT 84443 • Laboratory | $3 | $17 | $46 |
| Complete blood count with differential CPT 85025 • Laboratory | $4 | $7 | $10 |
| Complete blood count automated CPT 85027 • Laboratory | $2 | $5 | $9 |
| Prothrombin time (PT) CPT 85610 • Laboratory | $1 | $4 | $5 |
| Sedimentation rate (ESR) automated CPT 85652 • Laboratory | $1 | $2 | $4 |
| Partial thromboplastin time (PTT) CPT 85730 • Laboratory | $3 | $7 | $16 |
| Cyclic citrullinated peptide antibody CPT 86200 • Laboratory | $6 | $14 | $35 |
| Nuclear antigen antibody CPT 86235 • Laboratory | $6 | $20 | $49 |
| Heterophile antibodies screen CPT 86308 • Laboratory | $3 | $5 | $7 |
| TB skin test intradermal CPT 86580 • Laboratory | $3 | $7 | $8 |
| Blood typing ABO CPT 86900 • Laboratory | $1 | $3 | $8 |
| Blood typing Rh CPT 86901 • Laboratory | $1 | $3 | $8 |
| Urine culture bacterial colony count CPT 87086 • Laboratory | $4 | $7 | $11 |
| Chlamydia nucleic acid amplification CPT 87491 • Laboratory | $20 | $37 | $90 |
| Gonorrhea nucleic acid amplification CPT 87591 • Laboratory | $20 | $40 | $90 |
| SARS-CoV-2 COVID-19 amplified probe CPT 87635 • Laboratory | $13 | $41 | $56 |
| Influenza virus assay with direct optical CPT 87804 • Laboratory | $7 | $11 | $14 |
| Strep A assay with optic observation CPT 87880 • Laboratory | $12 | $12 | $12 |
| Amniocentesis diagnostic CPT 59000 • Maternity | $70 | $112 | $146 |
| Cordocentesis fetal blood sampling CPT 59012 • Maternity | $30 | $187 | $283 |
| Chorionic villus sampling CPT 59015 • Maternity | $162 | $187 | $277 |
| Fetal non-stress test CPT 59025 • Maternity | $37 | $57 | $103 |
| Insertion cervical dilator CPT 59200 • Maternity | $47 | $77 | $103 |
| Vaginal delivery including prenatal and postpartum care CPT 59400 • Maternity | $2,200 | $2,487 | $3,403 |
| Vaginal delivery only CPT 59409 • Maternity | $721 | $856 | $1,123 |
| Vaginal delivery including postpartum care CPT 59410 • Maternity | $807 | $1,223 | $2,550 |
| External cephalic version CPT 59412 • Maternity | $91 | $102 | $108 |
| Antepartum care 7 or more visits CPT 59426 • Maternity | $50 | $935 | $2,171 |
| Postpartum care only CPT 59430 • Maternity | $118 | $199 | $324 |
| Cesarean delivery including prenatal and postpartum care CPT 59510 • Maternity | $45 | $1,941 | $2,388 |
| Cesarean delivery only CPT 59514 • Maternity | $204 | $795 | $961 |
| Cesarean delivery including postpartum care CPT 59515 • Maternity | $964 | $1,443 | $2,550 |
| Vaginal delivery after prior cesarean (VBAC) including prenatal CPT 59610 • Maternity | $2,250 | $2,494 | $3,575 |
| Obstetric ultrasound first trimester CPT 76801 • Maternity | $46 | $99 | $143 |
| Obstetric ultrasound complete CPT 76805 • Maternity | $54 | $109 | $159 |
| Obstetric ultrasound detailed fetal anatomy CPT 76811 • Maternity | $81 | $131 | $209 |
| Obstetric ultrasound limited CPT 76815 • Maternity | $35 | $68 | $110 |
| Ultrasound transvaginal obstetric CPT 76817 • Maternity | $44 | $73 | $108 |
| Interactive complexity add-on CPT 90785 • Mental Health | $5 | $15 | $18 |
| Psychiatric diagnostic evaluation CPT 90791 • Mental Health | $133 | $154 | $182 |
| Psychiatric diagnostic evaluation with medical services CPT 90792 • Mental Health | $137 | $166 | $190 |
| Psychotherapy 30 minutes CPT 90832 • Mental Health | $56 | $72 | $83 |
| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $47 | $75 | $94 |