FIRSTHEALTH MOORE REGIONAL HOSPITAL· PINEHURST, NC

HospitalCMS 4/5

155 MEMORIAL DRIVE, PINEHURST, NC 28374

Procedures offered

936 total

ProcedureMinAvgMax
MRI thoracic spine without contrast
CPT 72146 • Imaging
$168$301$459
MRI lumbar spine without contrast
CPT 72148 • Imaging
$168$261$430
X-ray shoulder complete
CPT 73030 • Imaging
$9$35$77
MRI joint upper extremity without contrast
CPT 73221 • Imaging
$79$244$459
X-ray knee 1-2 views
CPT 73560 • Imaging
$11$41$76
X-ray ankle complete
CPT 73610 • Imaging
$9$41$81
MRI lower extremity without contrast
CPT 73718 • Imaging
$220$315$502
MRI joint lower extremity without contrast
CPT 73721 • Imaging
$221$301$458
CT abdomen without contrast
CPT 74150 • Imaging
$108$193$306
CT abdomen and pelvis without contrast
CPT 74176 • Imaging
$112$213$412
CT abdomen and pelvis with contrast
CPT 74177 • Imaging
$100$382$681
CT abdomen and pelvis without then with contrast
CPT 74178 • Imaging
$111$391$763
Ultrasound abdominal complete
CPT 76700 • Imaging
$36$93$154
Ultrasound retroperitoneal complete
CPT 76770 • Imaging
$75$108$143
Ultrasound transvaginal
CPT 76830 • Imaging
$31$81$141
Ultrasound pelvic complete
CPT 76856 • Imaging
$31$80$160
Diagnostic mammography unilateral
CPT 77065 • Imaging
$33$107$166
Diagnostic mammography bilateral
CPT 77066 • Imaging
$45$150$352
Screening mammography bilateral
CPT 77067 • Imaging
$78$127$169
Nuclear myocardial perfusion study
CPT 78452 • Imaging
$76$406$940
Urinalysis non-automated without microscopy
CPT 81002 • Lab
$2$4$8
Basic metabolic panel
CPT 80048 • Laboratory
$5$10$19
Comprehensive metabolic panel
CPT 80053 • Laboratory
$6$12$23
Lipid panel
CPT 80061 • Laboratory
$8$14$29
Hepatic function panel
CPT 80076 • Laboratory
$4$9$18
Urinalysis with microscopy
CPT 81001 • Laboratory
$2$4$7
Urinalysis automated without microscopy
CPT 81003 • Laboratory
$2$3$5
Fecal hemoglobin immunoassay
CPT 82274 • Laboratory
$8$17$35
Vitamin D 25-hydroxy
CPT 82306 • Laboratory
$17$34$65
Creatine kinase (CK) total
CPT 82550 • Laboratory
$4$7$14
Creatinine urine
CPT 82570 • Laboratory
$3$6$11
Ferritin
CPT 82728 • Laboratory
$7$15$30
IgA IgD IgG IgM each
CPT 82784 • Laboratory
$5$10$20
Glucose quantitative blood
CPT 82947 • Laboratory
$3$5$9
Hemoglobin A1c
CPT 83036 • Laboratory
$6$10$21
Iron serum
CPT 83540 • Laboratory
$3$7$14
Iron binding capacity
CPT 83550 • Laboratory
$4$10$19
Prostate specific antigen (PSA)
CPT 84153 • Laboratory
$10$21$40
Free thyroxine (T4)
CPT 84439 • Laboratory
$5$10$20
Thyroid stimulating hormone (TSH)
CPT 84443 • Laboratory
$11$20$37
Complete blood count with differential
CPT 85025 • Laboratory
$5$9$17
Complete blood count automated
CPT 85027 • Laboratory
$4$7$14
Prothrombin time (PT)
CPT 85610 • Laboratory
$3$5$9
Sedimentation rate (ESR) automated
CPT 85652 • Laboratory
$2$3$6
Partial thromboplastin time (PTT)
CPT 85730 • Laboratory
$3$7$13
Cyclic citrullinated peptide antibody
CPT 86200 • Laboratory
$6$16$28
Nuclear antigen antibody
CPT 86235 • Laboratory
$9$19$39
Heterophile antibodies screen
CPT 86308 • Laboratory
$3$6$11
TB skin test intradermal
CPT 86580 • Laboratory
$5$10$22
Blood typing ABO
CPT 86900 • Laboratory
$1$3$7