HUGH CHATHAM MEMORIAL HOSPITAL· ELKIN, NC

HospitalCMS 3/5

180 PARKWOOD DR, ELKIN, NC 28621

Procedures offered

948 total

ProcedureMinAvgMax
Parathyroidectomy
CPT 60500 • General Surgery
$877$1,101$1,380
MRI orbits face neck with and without contrast
CPT 70543 • Imaging
$119$469$972
MRI brain without contrast
CPT 70551 • Imaging
$99$291$467
MRI brain with contrast
CPT 70552 • Imaging
$99$307$560
MRI brain without contrast then with contrast
CPT 70553 • Imaging
$131$437$990
Chest X-ray single view
CPT 71045 • Imaging
$8$20$38
Chest X-ray 2 views
CPT 71046 • Imaging
$19$30$49
CT chest without contrast
CPT 71250 • Imaging
$65$127$264
CT chest with contrast
CPT 71260 • Imaging
$50$171$309
CT angiography chest
CPT 71275 • Imaging
$107$292$524
MRI cervical spine without contrast
CPT 72141 • Imaging
$99$281$495
MRI thoracic spine without contrast
CPT 72146 • Imaging
$99$275$504
MRI lumbar spine without contrast
CPT 72148 • Imaging
$83$202$510
X-ray shoulder complete
CPT 73030 • Imaging
$21$32$51
MRI joint upper extremity without contrast
CPT 73221 • Imaging
$91$278$456
X-ray knee 1-2 views
CPT 73560 • Imaging
$21$36$56
X-ray ankle complete
CPT 73610 • Imaging
$23$34$53
MRI lower extremity without contrast
CPT 73718 • Imaging
$65$260$457
MRI joint lower extremity without contrast
CPT 73721 • Imaging
$55$266$522
CT abdomen without contrast
CPT 74150 • Imaging
$79$149$257
CT abdomen and pelvis without contrast
CPT 74176 • Imaging
$99$176$271
CT abdomen and pelvis with contrast
CPT 74177 • Imaging
$75$289$449
CT abdomen and pelvis without then with contrast
CPT 74178 • Imaging
$94$328$503
Ultrasound abdominal complete
CPT 76700 • Imaging
$54$88$109
Ultrasound retroperitoneal complete
CPT 76770 • Imaging
$30$84$105
Ultrasound transvaginal
CPT 76830 • Imaging
$42$83$127
Ultrasound pelvic complete
CPT 76856 • Imaging
$42$79$94
Diagnostic mammography unilateral
CPT 77065 • Imaging
$54$116$147
Diagnostic mammography bilateral
CPT 77066 • Imaging
$67$133$169
Screening mammography bilateral
CPT 77067 • Imaging
$51$105$151
Nuclear myocardial perfusion study
CPT 78452 • Imaging
$94$335$478
Urinalysis non-automated without microscopy
CPT 81002 • Lab
$2$3$5
Basic metabolic panel
CPT 80048 • Laboratory
$5$7$12
Comprehensive metabolic panel
CPT 80053 • Laboratory
$5$9$15
Lipid panel
CPT 80061 • Laboratory
$8$12$19
Hepatic function panel
CPT 80076 • Laboratory
$5$7$12
Urinalysis with microscopy
CPT 81001 • Laboratory
$2$3$5
Urinalysis automated without microscopy
CPT 81003 • Laboratory
$1$2$3
Fecal hemoglobin immunoassay
CPT 82274 • Laboratory
$11$19$32
Vitamin D 25-hydroxy
CPT 82306 • Laboratory
$17$26$43
Creatine kinase (CK) total
CPT 82550 • Laboratory
$4$6$9
Creatinine urine
CPT 82570 • Laboratory
$3$5$8
Ferritin
CPT 82728 • Laboratory
$8$12$20
IgA IgD IgG IgM each
CPT 82784 • Laboratory
$5$8$13
Glucose quantitative blood
CPT 82947 • Laboratory
$3$4$6
Hemoglobin A1c
CPT 83036 • Laboratory
$6$9$14
Iron serum
CPT 83540 • Laboratory
$4$6$9
Iron binding capacity
CPT 83550 • Laboratory
$5$8$13
Prostate specific antigen (PSA)
CPT 84153 • Laboratory
$11$16$27
Free thyroxine (T4)
CPT 84439 • Laboratory
$5$8$13