UNC ROCKINGHAM· EDEN, NC

HospitalCMS 2/5

117 E KINGS HIGHWAY, EDEN, NC 27288

Procedures offered

946 total

ProcedureMinAvgMax
MRI brain with contrast
CPT 70552 • Imaging
$103$386$560
MRI brain without contrast then with contrast
CPT 70553 • Imaging
$370$548$990
Chest X-ray single view
CPT 71045 • Imaging
$15$20$26
Chest X-ray 2 views
CPT 71046 • Imaging
$10$24$31
CT chest without contrast
CPT 71250 • Imaging
$56$156$264
CT chest with contrast
CPT 71260 • Imaging
$150$249$368
CT angiography chest
CPT 71275 • Imaging
$362$529$692
MRI cervical spine without contrast
CPT 72141 • Imaging
$195$324$472
MRI thoracic spine without contrast
CPT 72146 • Imaging
$166$347$621
MRI lumbar spine without contrast
CPT 72148 • Imaging
$168$304$510
X-ray shoulder complete
CPT 73030 • Imaging
$29$35$44
MRI joint upper extremity without contrast
CPT 73221 • Imaging
$78$283$456
X-ray knee 1-2 views
CPT 73560 • Imaging
$9$38$71
X-ray ankle complete
CPT 73610 • Imaging
$9$26$37
MRI lower extremity without contrast
CPT 73718 • Imaging
$295$372$456
MRI joint lower extremity without contrast
CPT 73721 • Imaging
$193$279$456
CT abdomen without contrast
CPT 74150 • Imaging
$94$166$257
CT abdomen and pelvis without contrast
CPT 74176 • Imaging
$137$185$212
CT abdomen and pelvis with contrast
CPT 74177 • Imaging
$333$468$717
CT abdomen and pelvis without then with contrast
CPT 74178 • Imaging
$325$404$501
Ultrasound abdominal complete
CPT 76700 • Imaging
$36$105$179
Ultrasound retroperitoneal complete
CPT 76770 • Imaging
$76$98$116
Ultrasound transvaginal
CPT 76830 • Imaging
$31$62$105
Ultrasound pelvic complete
CPT 76856 • Imaging
$31$85$175
Diagnostic mammography unilateral
CPT 77065 • Imaging
$36$95$133
Diagnostic mammography bilateral
CPT 77066 • Imaging
$44$136$192
Screening mammography bilateral
CPT 77067 • Imaging
$109$122$136
Nuclear myocardial perfusion study
CPT 78452 • Imaging
$70$338$601
Collection of venous blood by venipuncture
CPT 36415 • Laboratory
$4$4$4
Basic metabolic panel
CPT 80048 • Laboratory
$5$9$15
Comprehensive metabolic panel
CPT 80053 • Laboratory
$6$11$19
Lipid panel
CPT 80061 • Laboratory
$8$21$44
Hepatic function panel
CPT 80076 • Laboratory
$4$7$11
Urinalysis with microscopy
CPT 81001 • Laboratory
$2$3$6
Urinalysis nonautomated without microscopy
CPT 81002 • Laboratory
$1$3$5
Urinalysis automated without microscopy
CPT 81003 • Laboratory
$1$2$4
Fecal hemoglobin immunoassay
CPT 82274 • Laboratory
$8$17$32
Vitamin D 25-hydroxy
CPT 82306 • Laboratory
$17$32$54
Creatine kinase (CK) total
CPT 82550 • Laboratory
$4$7$12
Creatinine urine
CPT 82570 • Laboratory
$3$5$9
Ferritin
CPT 82728 • Laboratory
$7$14$25
IgA IgD IgG IgM each
CPT 82784 • Laboratory
$5$9$17
Glucose quantitative blood
CPT 82947 • Laboratory
$2$4$7
Hemoglobin A1c
CPT 83036 • Laboratory
$7$9$13
Iron serum
CPT 83540 • Laboratory
$3$6$8
Iron binding capacity
CPT 83550 • Laboratory
$4$8$11
Prostate specific antigen (PSA)
CPT 84153 • Laboratory
$10$19$34
Free thyroxine (T4)
CPT 84439 • Laboratory
$5$9$16
Thyroid stimulating hormone (TSH)
CPT 84443 • Laboratory
$11$18$31
Complete blood count with differential
CPT 85025 • Laboratory
$5$7$10