SENTARA ALBEMARLE REGIONAL MEDICAL CENTER· ELIZABETH CITY, NC
HospitalCMS 3/5
3050 HALSTEAD BLVD, ELIZABETH CITY, NC 27909
Procedures offered
949 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Chest X-ray 2 views CPT 71046 • Imaging | $11 | $21 | $32 |
| CT chest without contrast CPT 71250 • Imaging | $31 | $146 | $318 |
| CT chest with contrast CPT 71260 • Imaging | $174 | $344 | $700 |
| CT chest without then with contrast CPT 71270 • Imaging | $206 | $206 | $206 |
| CT angiography chest CPT 71275 • Imaging | $244 | $501 | $696 |
| CT cervical spine without contrast CPT 72125 • Imaging | $136 | $136 | $136 |
| CT thoracic spine without contrast CPT 72128 • Imaging | $135 | $135 | $135 |
| CT lumbar spine without contrast CPT 72131 • Imaging | $135 | $135 | $135 |
| MRI cervical spine without contrast CPT 72141 • Imaging | $31 | $368 | $738 |
| MRI thoracic spine without contrast CPT 72146 • Imaging | $104 | $288 | $538 |
| MRI lumbar spine without contrast CPT 72148 • Imaging | $196 | $445 | $1,092 |
| CT pelvis with contrast CPT 72193 • Imaging | $31 | $31 | $31 |
| X-ray shoulder complete CPT 73030 • Imaging | $15 | $31 | $37 |
| MRI joint upper extremity without contrast CPT 73221 • Imaging | $194 | $393 | $597 |
| X-ray knee 1-2 views CPT 73560 • Imaging | $9 | $25 | $36 |
| X-ray ankle complete CPT 73610 • Imaging | $8 | $34 | $50 |
| MRI lower extremity without contrast CPT 73718 • Imaging | $79 | $425 | $681 |
| MRI joint lower extremity without contrast CPT 73721 • Imaging | $31 | $230 | $522 |
| CT abdomen without contrast CPT 74150 • Imaging | $125 | $290 | $694 |
| CT abdomen without then with contrast CPT 74170 • Imaging | $243 | $243 | $243 |
| CT abdomen and pelvis without contrast CPT 74176 • Imaging | $89 | $178 | $330 |
| CT abdomen and pelvis with contrast CPT 74177 • Imaging | $94 | $302 | $387 |
| CT abdomen and pelvis without then with contrast CPT 74178 • Imaging | $200 | $382 | $572 |
| Ultrasound abdominal complete CPT 76700 • Imaging | $94 | $158 | $202 |
| Ultrasound retroperitoneal complete CPT 76770 • Imaging | $39 | $135 | $192 |
| Ultrasound transvaginal CPT 76830 • Imaging | $99 | $122 | $149 |
| Ultrasound pelvic complete CPT 76856 • Imaging | $75 | $128 | $240 |
| Diagnostic mammography unilateral CPT 77065 • Imaging | $36 | $108 | $222 |
| Diagnostic mammography bilateral CPT 77066 • Imaging | $67 | $140 | $281 |
| Screening mammography bilateral CPT 77067 • Imaging | $77 | $130 | $226 |
| Nuclear myocardial perfusion study CPT 78452 • Imaging | $381 | $503 | $730 |
| Collection of venous blood by venipuncture CPT 36415 • Laboratory | $2 | $4 | $4 |
| Basic metabolic panel CPT 80048 • Laboratory | $6 | $9 | $17 |
| Comprehensive metabolic panel CPT 80053 • Laboratory | $9 | $11 | $16 |
| Lipid panel CPT 80061 • Laboratory | $11 | $14 | $24 |
| Hepatic function panel CPT 80076 • Laboratory | $7 | $8 | $13 |
| Urinalysis with microscopy CPT 81001 • Laboratory | $3 | $3 | $7 |
| Urinalysis nonautomated without microscopy CPT 81002 • Laboratory | $2 | $4 | $5 |
| Urinalysis automated without microscopy CPT 81003 • Laboratory | $1 | $2 | $5 |
| Fecal hemoglobin immunoassay CPT 82274 • Laboratory | $5 | $15 | $22 |
| Vitamin D 25-hydroxy CPT 82306 • Laboratory | $24 | $30 | $42 |
| Creatine kinase (CK) total CPT 82550 • Laboratory | $5 | $7 | $10 |
| Creatinine urine CPT 82570 • Laboratory | $4 | $6 | $8 |
| Ferritin CPT 82728 • Laboratory | $10 | $14 | $21 |
| IgA IgD IgG IgM each CPT 82784 • Laboratory | $7 | $10 | $14 |
| Glucose quantitative blood CPT 82947 • Laboratory | $3 | $4 | $8 |
| Hemoglobin A1c CPT 83036 • Laboratory | $7 | $12 | $20 |
| Iron serum CPT 83540 • Laboratory | $5 | $7 | $10 |
| Iron binding capacity CPT 83550 • Laboratory | $7 | $9 | $14 |
| Prostate specific antigen (PSA) CPT 84153 • Laboratory | $13 | $21 | $29 |