STANLY REGIONAL MEDICAL CENTER· ALBEMARLE, NC

HospitalCMS 3/5

301 YADKIN ST, ALBEMARLE, NC 28001

Procedures offered

943 total

ProcedureMinAvgMax
Chest X-ray single view
CPT 71045 • Imaging
$20$30$41
Chest X-ray 2 views
CPT 71046 • Imaging
$28$35$48
CT chest without contrast
CPT 71250 • Imaging
$64$156$264
CT chest with contrast
CPT 71260 • Imaging
$145$404$847
CT angiography chest
CPT 71275 • Imaging
$289$636$1,039
MRI cervical spine without contrast
CPT 72141 • Imaging
$76$319$472
MRI thoracic spine without contrast
CPT 72146 • Imaging
$76$361$621
MRI lumbar spine without contrast
CPT 72148 • Imaging
$76$241$510
X-ray shoulder complete
CPT 73030 • Imaging
$22$35$49
MRI joint upper extremity without contrast
CPT 73221 • Imaging
$70$421$881
X-ray knee 1-2 views
CPT 73560 • Imaging
$8$35$71
X-ray ankle complete
CPT 73610 • Imaging
$8$26$53
MRI lower extremity without contrast
CPT 73718 • Imaging
$121$277$456
MRI joint lower extremity without contrast
CPT 73721 • Imaging
$59$319$456
CT abdomen without contrast
CPT 74150 • Imaging
$158$318$673
CT abdomen and pelvis without contrast
CPT 74176 • Imaging
$152$227$346
CT abdomen and pelvis with contrast
CPT 74177 • Imaging
$80$395$717
CT abdomen and pelvis without then with contrast
CPT 74178 • Imaging
$119$299$461
Ultrasound abdominal complete
CPT 76700 • Imaging
$36$172$378
Ultrasound retroperitoneal complete
CPT 76770 • Imaging
$71$142$249
Ultrasound transvaginal
CPT 76830 • Imaging
$42$109$171
Ultrasound pelvic complete
CPT 76856 • Imaging
$38$73$151
Diagnostic mammography unilateral
CPT 77065 • Imaging
$127$175$261
Diagnostic mammography bilateral
CPT 77066 • Imaging
$69$178$248
Screening mammography bilateral
CPT 77067 • Imaging
$33$107$182
Nuclear myocardial perfusion study
CPT 78452 • Imaging
$360$553$864
Urinalysis non-automated without microscopy
CPT 81002 • Lab
$2$3$5
Basic metabolic panel
CPT 80048 • Laboratory
$6$9$15
Comprehensive metabolic panel
CPT 80053 • Laboratory
$7$17$31
Lipid panel
CPT 80061 • Laboratory
$9$22$44
Hepatic function panel
CPT 80076 • Laboratory
$5$7$11
Urinalysis with microscopy
CPT 81001 • Laboratory
$2$4$6
Urinalysis automated without microscopy
CPT 81003 • Laboratory
$1$2$4
Fecal hemoglobin immunoassay
CPT 82274 • Laboratory
$8$18$32
Vitamin D 25-hydroxy
CPT 82306 • Laboratory
$21$49$87
Creatine kinase (CK) total
CPT 82550 • Laboratory
$5$11$19
Creatinine urine
CPT 82570 • Laboratory
$4$5$9
Ferritin
CPT 82728 • Laboratory
$7$11$16
IgA IgD IgG IgM each
CPT 82784 • Laboratory
$5$8$12
Glucose quantitative blood
CPT 82947 • Laboratory
$2$4$7
Hemoglobin A1c
CPT 83036 • Laboratory
$7$10$13
Iron serum
CPT 83540 • Laboratory
$3$6$8
Iron binding capacity
CPT 83550 • Laboratory
$4$8$11
Prostate specific antigen (PSA)
CPT 84153 • Laboratory
$13$31$54
Free thyroxine (T4)
CPT 84439 • Laboratory
$5$8$12
Thyroid stimulating hormone (TSH)
CPT 84443 • Laboratory
$12$28$49
Complete blood count with differential
CPT 85025 • Laboratory
$5$7$10
Complete blood count automated
CPT 85027 • Laboratory
$3$5$8
Prothrombin time (PT)
CPT 85610 • Laboratory
$3$4$6
Sedimentation rate (ESR) automated
CPT 85652 • Laboratory
$2$3$4