BETSY JOHNSON REGIONAL HOSPITAL· DUNN, NC
HospitalCMS 3/5
800 TILGHMAN DR, DUNN, NC 28334
Procedures offered
962 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Vitamin D 25-hydroxy CPT 82306 • Laboratory | $17 | $28 | $42 |
| Creatine kinase (CK) total CPT 82550 • Laboratory | $4 | $5 | $7 |
| Creatinine urine CPT 82570 • Laboratory | $3 | $4 | $6 |
| Ferritin CPT 82728 • Laboratory | $7 | $12 | $17 |
| IgA IgD IgG IgM each CPT 82784 • Laboratory | $5 | $7 | $10 |
| Glucose quantitative blood CPT 82947 • Laboratory | $2 | $4 | $6 |
| Hemoglobin A1c CPT 83036 • Laboratory | $6 | $9 | $14 |
| Iron serum CPT 83540 • Laboratory | $3 | $5 | $8 |
| Iron binding capacity CPT 83550 • Laboratory | $4 | $8 | $12 |
| Prostate specific antigen (PSA) CPT 84153 • Laboratory | $9 | $17 | $26 |
| Free thyroxine (T4) CPT 84439 • Laboratory | $4 | $8 | $13 |
| Thyroid stimulating hormone (TSH) CPT 84443 • Laboratory | $10 | $16 | $24 |
| Complete blood count with differential CPT 85025 • Laboratory | $5 | $8 | $11 |
| Complete blood count automated CPT 85027 • Laboratory | $4 | $6 | $9 |
| Prothrombin time (PT) CPT 85610 • Laboratory | $3 | $4 | $6 |
| Sedimentation rate (ESR) automated CPT 85652 • Laboratory | $2 | $2 | $3 |
| Partial thromboplastin time (PTT) CPT 85730 • Laboratory | $3 | $6 | $8 |
| Cyclic citrullinated peptide antibody CPT 86200 • Laboratory | $6 | $10 | $14 |
| Nuclear antigen antibody CPT 86235 • Laboratory | $9 | $13 | $20 |
| Heterophile antibodies screen CPT 86308 • Laboratory | $3 | $4 | $6 |
| TB skin test intradermal CPT 86580 • Laboratory | $3 | $12 | $24 |
| Blood typing ABO CPT 86900 • Laboratory | $1 | $3 | $4 |
| Blood typing Rh CPT 86901 • Laboratory | $1 | $3 | $4 |
| Urine culture bacterial colony count CPT 87086 • Laboratory | $4 | $7 | $11 |
| Chlamydia nucleic acid amplification CPT 87491 • Laboratory | $17 | $26 | $35 |
| Gonorrhea nucleic acid amplification CPT 87591 • Laboratory | $17 | $26 | $35 |
| SARS-CoV-2 COVID-19 amplified probe CPT 87635 • Laboratory | $36 | $53 | $72 |
| Influenza virus assay with direct optical CPT 87804 • Laboratory | $10 | $12 | $14 |
| Amniocentesis diagnostic CPT 59000 • Maternity | $99 | $131 | $202 |
| Cordocentesis fetal blood sampling CPT 59012 • Maternity | $176 | $266 | $507 |
| Chorionic villus sampling CPT 59015 • Maternity | $137 | $236 | $460 |
| Fetal non-stress test CPT 59025 • Maternity | $20 | $52 | $85 |
| Insertion cervical dilator CPT 59200 • Maternity | $55 | $98 | $183 |
| Vaginal delivery including prenatal and postpartum care CPT 59400 • Maternity | $2,150 | $2,451 | $3,176 |
| Vaginal delivery only CPT 59409 • Maternity | $721 | $901 | $1,088 |
| Vaginal delivery including postpartum care CPT 59410 • Maternity | $807 | $1,299 | $1,606 |
| External cephalic version CPT 59412 • Maternity | $89 | $159 | $305 |
| Antepartum care 7 or more visits CPT 59426 • Maternity | $50 | $715 | $1,353 |
| Postpartum care only CPT 59430 • Maternity | $118 | $195 | $347 |
| Cesarean delivery including prenatal and postpartum care CPT 59510 • Maternity | $1,684 | $2,385 | $3,517 |
| Cesarean delivery only CPT 59514 • Maternity | $850 | $992 | $1,181 |
| Cesarean delivery including postpartum care CPT 59515 • Maternity | $964 | $1,303 | $1,749 |
| Vaginal delivery after prior cesarean (VBAC) including prenatal CPT 59610 • Maternity | $1,800 | $2,181 | $2,520 |
| Obstetric ultrasound first trimester CPT 76801 • Maternity | $58 | $130 | $174 |
| Obstetric ultrasound complete CPT 76805 • Maternity | $44 | $103 | $180 |
| Obstetric ultrasound detailed fetal anatomy CPT 76811 • Maternity | $83 | $156 | $237 |
| Obstetric ultrasound limited CPT 76815 • Maternity | $39 | $44 | $48 |
| Ultrasound transvaginal obstetric CPT 76817 • Maternity | $44 | $81 | $123 |
| Interactive complexity add-on CPT 90785 • Mental Health | $14 | $22 | $39 |
| Psychiatric diagnostic evaluation CPT 90791 • Mental Health | $142 | $231 | $369 |