HUGH CHATHAM MEMORIAL HOSPITAL· ELKIN, NC
HospitalCMS 3/5
180 PARKWOOD DR, ELKIN, NC 28621
Procedures offered
948 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Thyroid stimulating hormone (TSH) CPT 84443 • Laboratory | $9 | $15 | $24 |
| Complete blood count with differential CPT 85025 • Laboratory | $4 | $7 | $10 |
| Complete blood count automated CPT 85027 • Laboratory | $3 | $5 | $9 |
| Prothrombin time (PT) CPT 85610 • Laboratory | $3 | $4 | $6 |
| Sedimentation rate (ESR) automated CPT 85652 • Laboratory | $2 | $3 | $4 |
| Partial thromboplastin time (PTT) CPT 85730 • Laboratory | $3 | $5 | $9 |
| Cyclic citrullinated peptide antibody CPT 86200 • Laboratory | $7 | $11 | $19 |
| Nuclear antigen antibody CPT 86235 • Laboratory | $10 | $16 | $26 |
| Heterophile antibodies screen CPT 86308 • Laboratory | $4 | $5 | $8 |
| TB skin test intradermal CPT 86580 • Laboratory | $5 | $8 | $15 |
| Blood typing ABO CPT 86900 • Laboratory | $2 | $3 | $4 |
| Blood typing Rh CPT 86901 • Laboratory | $2 | $3 | $4 |
| Urine culture bacterial colony count CPT 87086 • Laboratory | $5 | $7 | $12 |
| Chlamydia nucleic acid amplification CPT 87491 • Laboratory | $14 | $29 | $51 |
| Gonorrhea nucleic acid amplification CPT 87591 • Laboratory | $14 | $29 | $51 |
| SARS-CoV-2 COVID-19 amplified probe CPT 87635 • Laboratory | $36 | $50 | $74 |
| Influenza virus assay with direct optical CPT 87804 • Laboratory | $11 | $15 | $24 |
| Amniocentesis diagnostic CPT 59000 • Maternity | $95 | $118 | $168 |
| Cordocentesis fetal blood sampling CPT 59012 • Maternity | $164 | $209 | $280 |
| Chorionic villus sampling CPT 59015 • Maternity | $127 | $173 | $224 |
| Fetal non-stress test CPT 59025 • Maternity | $21 | $44 | $71 |
| Insertion cervical dilator CPT 59200 • Maternity | $43 | $65 | $94 |
| Vaginal delivery including prenatal and postpartum care CPT 59400 • Maternity | $1,861 | $2,274 | $3,412 |
| Vaginal delivery only CPT 59409 • Maternity | $586 | $749 | $983 |
| Vaginal delivery including postpartum care CPT 59410 • Maternity | $807 | $1,102 | $1,511 |
| External cephalic version CPT 59412 • Maternity | $83 | $119 | $164 |
| Antepartum care 7 or more visits CPT 59426 • Maternity | $50 | $691 | $979 |
| Postpartum care only CPT 59430 • Maternity | $118 | $201 | $374 |
| Cesarean delivery including prenatal and postpartum care CPT 59510 • Maternity | $2,107 | $2,499 | $3,778 |
| Cesarean delivery only CPT 59514 • Maternity | $745 | $996 | $1,259 |
| Cesarean delivery including postpartum care CPT 59515 • Maternity | $964 | $1,254 | $1,870 |
| Vaginal delivery after prior cesarean (VBAC) including prenatal CPT 59610 • Maternity | $586 | $2,082 | $3,561 |
| Obstetric ultrasound first trimester CPT 76801 • Maternity | $48 | $71 | $103 |
| Obstetric ultrasound complete CPT 76805 • Maternity | $48 | $70 | $118 |
| Obstetric ultrasound detailed fetal anatomy CPT 76811 • Maternity | $72 | $188 | $290 |
| Obstetric ultrasound limited CPT 76815 • Maternity | $39 | $79 | $118 |
| Ultrasound transvaginal obstetric CPT 76817 • Maternity | $44 | $75 | $97 |
| Interactive complexity add-on CPT 90785 • Mental Health | $5 | $14 | $24 |
| Psychiatric diagnostic evaluation CPT 90791 • Mental Health | $133 | $167 | $246 |
| Psychiatric diagnostic evaluation with medical services CPT 90792 • Mental Health | $125 | $171 | $276 |
| Psychotherapy 30 minutes CPT 90832 • Mental Health | $56 | $84 | $129 |
| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $47 | $75 | $110 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $84 | $115 | $153 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $77 | $103 | $136 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $126 | $171 | $227 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $123 | $146 | $181 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $156 | $190 | $218 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $74 | $94 | $107 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $96 | $116 | $144 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $109 | $127 | $151 |