FIRSTHEALTH MOORE REGIONAL HOSPITAL· PINEHURST, NC
ProviderCMS 4/5
155 MEMORIAL DR, PINEHURST, NC 28374
Procedures offered
949 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Chest X-ray 2 views CPT 71046 • Imaging | $17 | $41 | $75 |
| CT chest without contrast CPT 71250 • Imaging | $65 | $298 | $1,245 |
| CT chest with contrast CPT 71260 • Imaging | $65 | $501 | $1,245 |
| CT chest without then with contrast CPT 71270 • Imaging | $1,245 | $1,245 | $1,245 |
| CT angiography chest CPT 71275 • Imaging | $84 | $575 | $1,245 |
| CT cervical spine without contrast CPT 72125 • Imaging | $1,245 | $1,245 | $1,245 |
| CT thoracic spine without contrast CPT 72128 • Imaging | $1,245 | $1,245 | $1,245 |
| CT lumbar spine without contrast CPT 72131 • Imaging | $1,245 | $1,245 | $1,245 |
| MRI cervical spine without contrast CPT 72141 • Imaging | $87 | $600 | $1,684 |
| MRI thoracic spine without contrast CPT 72146 • Imaging | $168 | $820 | $1,684 |
| MRI lumbar spine without contrast CPT 72148 • Imaging | $168 | $795 | $1,684 |
| CT pelvis with contrast CPT 72193 • Imaging | $1,245 | $1,245 | $1,245 |
| X-ray shoulder complete CPT 73030 • Imaging | $9 | $39 | $77 |
| MRI joint upper extremity without contrast CPT 73221 • Imaging | $79 | $655 | $1,684 |
| X-ray knee 1-2 views CPT 73560 • Imaging | $11 | $43 | $76 |
| X-ray ankle complete CPT 73610 • Imaging | $9 | $44 | $81 |
| MRI lower extremity without contrast CPT 73718 • Imaging | $220 | $706 | $1,684 |
| MRI joint lower extremity without contrast CPT 73721 • Imaging | $221 | $649 | $1,684 |
| CT abdomen without contrast CPT 74150 • Imaging | $108 | $588 | $1,245 |
| CT abdomen without then with contrast CPT 74170 • Imaging | $1,245 | $1,245 | $1,245 |
| CT abdomen and pelvis without contrast CPT 74176 • Imaging | $112 | $508 | $1,245 |
| CT abdomen and pelvis with contrast CPT 74177 • Imaging | $100 | $609 | $1,245 |
| CT abdomen and pelvis without then with contrast CPT 74178 • Imaging | $111 | $622 | $1,245 |
| Ultrasound abdominal complete CPT 76700 • Imaging | $36 | $93 | $154 |
| Ultrasound retroperitoneal complete CPT 76770 • Imaging | $75 | $117 | $165 |
| Ultrasound transvaginal CPT 76830 • Imaging | $31 | $81 | $141 |
| Ultrasound pelvic complete CPT 76856 • Imaging | $31 | $80 | $160 |
| Diagnostic mammography unilateral CPT 77065 • Imaging | $33 | $121 | $193 |
| Diagnostic mammography bilateral CPT 77066 • Imaging | $45 | $150 | $352 |
| Screening mammography bilateral CPT 77067 • Imaging | $78 | $139 | $196 |
| Nuclear myocardial perfusion study CPT 78452 • Imaging | $76 | $449 | $940 |
| Collection of venous blood by venipuncture CPT 36415 • Laboratory | $1 | $8 | $15 |
| Basic metabolic panel CPT 80048 • Laboratory | $5 | $10 | $19 |
| Comprehensive metabolic panel CPT 80053 • Laboratory | $6 | $11 | $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 nonautomated without microscopy CPT 81002 • Laboratory | $2 | $4 | $8 |
| 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 | $5 | $11 |
| Ferritin CPT 82728 • Laboratory | $7 | $15 | $30 |
| IgA IgD IgG IgM each CPT 82784 • Laboratory | $5 | $9 | $20 |
| Glucose quantitative blood CPT 82947 • Laboratory | $3 | $4 | $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 | $20 | $40 |