ATRIUM HEALTH PINEVILLE· CHARLOTTE, NC
HospitalCMS 3/5
10628 PARK RD, CHARLOTTE, NC 28210
Procedures offered
966 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Urinalysis with microscopy CPT 81001 • Laboratory | $2 | $4 | $8 |
| Urinalysis automated without microscopy CPT 81003 • Laboratory | $2 | $3 | $6 |
| Fecal hemoglobin immunoassay CPT 82274 • Laboratory | $8 | $24 | $41 |
| Vitamin D 25-hydroxy CPT 82306 • Laboratory | $17 | $40 | $76 |
| Creatine kinase (CK) total CPT 82550 • Laboratory | $4 | $6 | $8 |
| Creatinine urine CPT 82570 • Laboratory | $3 | $7 | $13 |
| Ferritin CPT 82728 • Laboratory | $7 | $18 | $35 |
| IgA IgD IgG IgM each CPT 82784 • Laboratory | $5 | $11 | $24 |
| Glucose quantitative blood CPT 82947 • Laboratory | $3 | $4 | $4 |
| Hemoglobin A1c CPT 83036 • Laboratory | $7 | $13 | $25 |
| Iron serum CPT 83540 • Laboratory | $3 | $8 | $17 |
| Iron binding capacity CPT 83550 • Laboratory | $4 | $10 | $22 |
| Prostate specific antigen (PSA) CPT 84153 • Laboratory | $10 | $25 | $47 |
| Free thyroxine (T4) CPT 84439 • Laboratory | $5 | $12 | $23 |
| Thyroid stimulating hormone (TSH) CPT 84443 • Laboratory | $11 | $22 | $43 |
| Complete blood count with differential CPT 85025 • Laboratory | $5 | $11 | $20 |
| Complete blood count automated CPT 85027 • Laboratory | $3 | $8 | $17 |
| Prothrombin time (PT) CPT 85610 • Laboratory | $3 | $4 | $6 |
| Sedimentation rate (ESR) automated CPT 85652 • Laboratory | $2 | $4 | $7 |
| Partial thromboplastin time (PTT) CPT 85730 • Laboratory | $3 | $6 | $11 |
| Cyclic citrullinated peptide antibody CPT 86200 • Laboratory | $6 | $16 | $33 |
| Nuclear antigen antibody CPT 86235 • Laboratory | $9 | $21 | $46 |
| Heterophile antibodies screen CPT 86308 • Laboratory | $4 | $6 | $10 |
| TB skin test intradermal CPT 86580 • Laboratory | $5 | $8 | $10 |
| Blood typing ABO CPT 86900 • Laboratory | $1 | $4 | $8 |
| Blood typing Rh CPT 86901 • Laboratory | $1 | $4 | $8 |
| Urine culture bacterial colony count CPT 87086 • Laboratory | $4 | $11 | $21 |
| Chlamydia nucleic acid amplification CPT 87491 • Laboratory | $20 | $41 | $90 |
| Gonorrhea nucleic acid amplification CPT 87591 • Laboratory | $20 | $46 | $90 |
| SARS-CoV-2 COVID-19 amplified probe CPT 87635 • Laboratory | $21 | $60 | $131 |
| Influenza virus assay with direct optical CPT 87804 • Laboratory | $12 | $20 | $42 |
| Amniocentesis diagnostic CPT 59000 • Maternity | $57 | $142 | $297 |
| Cordocentesis fetal blood sampling CPT 59012 • Maternity | $191 | $327 | $494 |
| Chorionic villus sampling CPT 59015 • Maternity | $128 | $216 | $395 |
| Fetal non-stress test CPT 59025 • Maternity | $30 | $51 | $71 |
| Insertion cervical dilator CPT 59200 • Maternity | $43 | $132 | $336 |
| Vaginal delivery including prenatal and postpartum care CPT 59400 • Maternity | $586 | $2,832 | $6,023 |
| Vaginal delivery only CPT 59409 • Maternity | $586 | $977 | $1,966 |
| Vaginal delivery including postpartum care CPT 59410 • Maternity | $586 | $1,239 | $2,667 |
| External cephalic version CPT 59412 • Maternity | $73 | $132 | $253 |
| Antepartum care 7 or more visits CPT 59426 • Maternity | $50 | $1,052 | $2,580 |
| Postpartum care only CPT 59430 • Maternity | $118 | $262 | $661 |
| Cesarean delivery including prenatal and postpartum care CPT 59510 • Maternity | $2,200 | $3,718 | $6,670 |
| Cesarean delivery only CPT 59514 • Maternity | $851 | $1,403 | $2,224 |
| Cesarean delivery including postpartum care CPT 59515 • Maternity | $964 | $1,672 | $3,301 |
| Vaginal delivery after prior cesarean (VBAC) including prenatal CPT 59610 • Maternity | $586 | $3,062 | $6,287 |
| Obstetric ultrasound first trimester CPT 76801 • Maternity | $55 | $131 | $300 |
| Obstetric ultrasound complete CPT 76805 • Maternity | $60 | $163 | $346 |
| Obstetric ultrasound detailed fetal anatomy CPT 76811 • Maternity | $105 | $275 | $456 |
| Obstetric ultrasound limited CPT 76815 • Maternity | $35 | $70 | $115 |