JOHNSTON HEALTH· SMITHFIELD, NC
HospitalCMS 3/5
509 BRIGHT LEAF BLVD, SMITHFIELD, NC 27577
Procedures offered
959 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Vitamin D 25-hydroxy CPT 82306 • Laboratory | $21 | $47 | $81 |
| Creatine kinase (CK) total CPT 82550 • Laboratory | $5 | $10 | $18 |
| Creatinine urine CPT 82570 • Laboratory | $4 | $8 | $14 |
| Ferritin CPT 82728 • Laboratory | $10 | $20 | $37 |
| IgA IgD IgG IgM each CPT 82784 • Laboratory | $7 | $15 | $25 |
| Glucose quantitative blood CPT 82947 • Laboratory | $4 | $6 | $8 |
| Hemoglobin A1c CPT 83036 • Laboratory | $7 | $14 | $19 |
| Iron serum CPT 83540 • Laboratory | $5 | $9 | $13 |
| Iron binding capacity CPT 83550 • Laboratory | $6 | $12 | $17 |
| Prostate specific antigen (PSA) CPT 84153 • Laboratory | $13 | $26 | $36 |
| Free thyroxine (T4) CPT 84439 • Laboratory | $6 | $14 | $25 |
| Thyroid stimulating hormone (TSH) CPT 84443 • Laboratory | $11 | $24 | $33 |
| Complete blood count with differential CPT 85025 • Laboratory | $7 | $12 | $15 |
| Complete blood count automated CPT 85027 • Laboratory | $4 | $8 | $13 |
| Prothrombin time (PT) CPT 85610 • Laboratory | $4 | $6 | $8 |
| Sedimentation rate (ESR) automated CPT 85652 • Laboratory | $2 | $4 | $5 |
| Partial thromboplastin time (PTT) CPT 85730 • Laboratory | $4 | $9 | $16 |
| Cyclic citrullinated peptide antibody CPT 86200 • Laboratory | $9 | $20 | $35 |
| Nuclear antigen antibody CPT 86235 • Laboratory | $13 | $27 | $49 |
| Heterophile antibodies screen CPT 86308 • Laboratory | $5 | $7 | $10 |
| TB skin test intradermal CPT 86580 • Laboratory | $6 | $13 | $19 |
| Blood typing ABO CPT 86900 • Laboratory | $2 | $5 | $8 |
| Blood typing Rh CPT 86901 • Laboratory | $2 | $5 | $8 |
| Urine culture bacterial colony count CPT 87086 • Laboratory | $6 | $11 | $16 |
| Chlamydia nucleic acid amplification CPT 87491 • Laboratory | $17 | $52 | $90 |
| Gonorrhea nucleic acid amplification CPT 87591 • Laboratory | $17 | $50 | $90 |
| SARS-CoV-2 COVID-19 amplified probe CPT 87635 • Laboratory | $33 | $68 | $100 |
| Influenza virus assay with direct optical CPT 87804 • Laboratory | $11 | $21 | $32 |
| Strep A assay with optic observation CPT 87880 • Laboratory | $17 | $24 | $32 |
| Amniocentesis diagnostic CPT 59000 • Maternity | $0 | $149 | $263 |
| Cordocentesis fetal blood sampling CPT 59012 • Maternity | $0 | $220 | $339 |
| Chorionic villus sampling CPT 59015 • Maternity | $1 | $183 | $296 |
| Fetal non-stress test CPT 59025 • Maternity | $1 | $45 | $86 |
| Insertion cervical dilator CPT 59200 • Maternity | $1 | $117 | $231 |
| Vaginal delivery including prenatal and postpartum care CPT 59400 • Maternity | $1 | $2,119 | $4,141 |
| Vaginal delivery only CPT 59409 • Maternity | $1 | $798 | $1,352 |
| Vaginal delivery including postpartum care CPT 59410 • Maternity | $1 | $1,002 | $1,834 |
| External cephalic version CPT 59412 • Maternity | $1 | $114 | $174 |
| Antepartum care 7 or more visits CPT 59426 • Maternity | $1 | $948 | $1,774 |
| Postpartum care only CPT 59430 • Maternity | $0 | $220 | $454 |
| Cesarean delivery including prenatal and postpartum care CPT 59510 • Maternity | $0 | $2,366 | $4,586 |
| Cesarean delivery only CPT 59514 • Maternity | $0 | $923 | $1,529 |
| Cesarean delivery including postpartum care CPT 59515 • Maternity | $1 | $1,225 | $2,269 |
| Vaginal delivery after prior cesarean (VBAC) including prenatal CPT 59610 • Maternity | $1 | $2,214 | $4,323 |
| Obstetric ultrasound first trimester CPT 76801 • Maternity | $44 | $106 | $169 |
| Obstetric ultrasound complete CPT 76805 • Maternity | $77 | $160 | $328 |
| Obstetric ultrasound detailed fetal anatomy CPT 76811 • Maternity | $118 | $218 | $313 |
| Obstetric ultrasound limited CPT 76815 • Maternity | $54 | $84 | $117 |
| Ultrasound transvaginal obstetric CPT 76817 • Maternity | $33 | $90 | $133 |
| Interactive complexity add-on CPT 90785 • Mental Health | $1 | $11 | $26 |