THE MCDOWELL HOSPITAL· MARION, NC

HospitalCMS 3/5

430 RANKIN DRIVE P O BOX 730, MARION, NC 28752

Procedures offered

929 total

ProcedureMinAvgMax
MRI lower extremity without contrast
CPT 73718 • Imaging
$30$262$646
MRI joint lower extremity without contrast
CPT 73721 • Imaging
$30$209$335
CT abdomen without contrast
CPT 74150 • Imaging
$97$120$139
CT abdomen and pelvis without contrast
CPT 74176 • Imaging
$180$217$286
CT abdomen and pelvis with contrast
CPT 74177 • Imaging
$137$271$363
CT abdomen and pelvis without then with contrast
CPT 74178 • Imaging
$351$421$497
Ultrasound abdominal complete
CPT 76700 • Imaging
$69$153$261
Ultrasound retroperitoneal complete
CPT 76770 • Imaging
$60$87$106
Ultrasound transvaginal
CPT 76830 • Imaging
$30$74$139
Ultrasound pelvic complete
CPT 76856 • Imaging
$94$150$235
Diagnostic mammography unilateral
CPT 77065 • Imaging
$61$107$148
Diagnostic mammography bilateral
CPT 77066 • Imaging
$139$230$362
Screening mammography bilateral
CPT 77067 • Imaging
$32$109$157
Nuclear myocardial perfusion study
CPT 78452 • Imaging
$391$534$646
Urinalysis non-automated without microscopy
CPT 81002 • Lab
$2$4$6
Basic metabolic panel
CPT 80048 • Laboratory
$6$12$16
Comprehensive metabolic panel
CPT 80053 • Laboratory
$8$15$20
Lipid panel
CPT 80061 • Laboratory
$10$20$25
Hepatic function panel
CPT 80076 • Laboratory
$6$10$15
Urinalysis with microscopy
CPT 81001 • Laboratory
$3$5$6
Urinalysis automated without microscopy
CPT 81003 • Laboratory
$1$3$4
Fecal hemoglobin immunoassay
CPT 82274 • Laboratory
$13$23$29
Vitamin D 25-hydroxy
CPT 82306 • Laboratory
$23$43$55
Creatine kinase (CK) total
CPT 82550 • Laboratory
$5$10$12
Creatinine urine
CPT 82570 • Laboratory
$4$8$10
Ferritin
CPT 82728 • Laboratory
$10$20$25
IgA IgD IgG IgM each
CPT 82784 • Laboratory
$7$14$17
Glucose quantitative blood
CPT 82947 • Laboratory
$3$6$7
Hemoglobin A1c
CPT 83036 • Laboratory
$7$14$18
Iron serum
CPT 83540 • Laboratory
$5$9$12
Iron binding capacity
CPT 83550 • Laboratory
$6$13$16
Prostate specific antigen (PSA)
CPT 84153 • Laboratory
$14$27$34
Free thyroxine (T4)
CPT 84439 • Laboratory
$7$12$16
Thyroid stimulating hormone (TSH)
CPT 84443 • Laboratory
$13$25$31
Complete blood count with differential
CPT 85025 • Laboratory
$6$11$14
Complete blood count automated
CPT 85027 • Laboratory
$5$9$12
Prothrombin time (PT)
CPT 85610 • Laboratory
$3$6$7
Sedimentation rate (ESR) automated
CPT 85652 • Laboratory
$2$4$5
Partial thromboplastin time (PTT)
CPT 85730 • Laboratory
$4$9$11
Cyclic citrullinated peptide antibody
CPT 86200 • Laboratory
$10$19$24
Nuclear antigen antibody
CPT 86235 • Laboratory
$14$26$33
Heterophile antibodies screen
CPT 86308 • Laboratory
$4$8$10
TB skin test intradermal
CPT 86580 • Laboratory
$8$11$14
Blood typing ABO
CPT 86900 • Laboratory
$2$4$5
Blood typing Rh
CPT 86901 • Laboratory
$2$4$6
Urine culture bacterial colony count
CPT 87086 • Laboratory
$6$12$15
Chlamydia nucleic acid amplification
CPT 87491 • Laboratory
$28$45$62
Gonorrhea nucleic acid amplification
CPT 87591 • Laboratory
$28$52$65
SARS-CoV-2 COVID-19 amplified probe
CPT 87635 • Laboratory
$51$51$51
Influenza virus assay with direct optical
CPT 87804 • Laboratory
$13$21$26