STANLY REGIONAL MEDICAL CENTER· ALBEMARLE, NC
HospitalCMS 3/5
301 YADKIN ST, ALBEMARLE, NC 28001
Procedures offered
943 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Partial thromboplastin time (PTT) CPT 85730 • Laboratory | $3 | $5 | $8 |
| Cyclic citrullinated peptide antibody CPT 86200 • Laboratory | $9 | $21 | $38 |
| Nuclear antigen antibody CPT 86235 • Laboratory | $11 | $16 | $23 |
| Heterophile antibodies screen CPT 86308 • Laboratory | $4 | $7 | $15 |
| TB skin test intradermal CPT 86580 • Laboratory | $4 | $8 | $12 |
| Blood typing ABO CPT 86900 • Laboratory | $2 | $3 | $4 |
| Blood typing Rh CPT 86901 • Laboratory | $2 | $5 | $10 |
| Urine culture bacterial colony count CPT 87086 • Laboratory | $4 | $9 | $14 |
| Chlamydia nucleic acid amplification CPT 87491 • Laboratory | $20 | $30 | $46 |
| Gonorrhea nucleic acid amplification CPT 87591 • Laboratory | $20 | $24 | $28 |
| SARS-CoV-2 COVID-19 amplified probe CPT 87635 • Laboratory | $36 | $51 | $66 |
| Influenza virus assay with direct optical CPT 87804 • Laboratory | $10 | $14 | $22 |
| Amniocentesis diagnostic CPT 59000 • Maternity | $96 | $141 | $188 |
| Cordocentesis fetal blood sampling CPT 59012 • Maternity | $191 | $288 | $370 |
| Chorionic villus sampling CPT 59015 • Maternity | $162 | $219 | $296 |
| Fetal non-stress test CPT 59025 • Maternity | $30 | $51 | $79 |
| Insertion cervical dilator CPT 59200 • Maternity | $43 | $85 | $151 |
| Vaginal delivery including prenatal and postpartum care CPT 59400 • Maternity | $586 | $2,030 | $2,876 |
| Vaginal delivery only CPT 59409 • Maternity | $586 | $1,129 | $2,100 |
| Vaginal delivery including postpartum care CPT 59410 • Maternity | $586 | $1,290 | $2,300 |
| External cephalic version CPT 59412 • Maternity | $97 | $139 | $171 |
| Antepartum care 7 or more visits CPT 59426 • Maternity | $50 | $833 | $1,419 |
| Postpartum care only CPT 59430 • Maternity | $118 | $204 | $281 |
| Cesarean delivery including prenatal and postpartum care CPT 59510 • Maternity | $2,200 | $3,299 | $5,400 |
| Cesarean delivery only CPT 59514 • Maternity | $851 | $1,368 | $2,100 |
| Cesarean delivery including postpartum care CPT 59515 • Maternity | $964 | $1,985 | $3,450 |
| Vaginal delivery after prior cesarean (VBAC) including prenatal CPT 59610 • Maternity | $586 | $1,943 | $3,018 |
| Obstetric ultrasound first trimester CPT 76801 • Maternity | $58 | $117 | $168 |
| Obstetric ultrasound complete CPT 76805 • Maternity | $60 | $145 | $243 |
| Obstetric ultrasound detailed fetal anatomy CPT 76811 • Maternity | $105 | $160 | $237 |
| Obstetric ultrasound limited CPT 76815 • Maternity | $39 | $82 | $129 |
| Ultrasound transvaginal obstetric CPT 76817 • Maternity | $41 | $110 | $221 |
| Interactive complexity add-on CPT 90785 • Mental Health | $5 | $15 | $22 |
| Psychiatric diagnostic evaluation CPT 90791 • Mental Health | $133 | $205 | $305 |
| Psychiatric diagnostic evaluation with medical services CPT 90792 • Mental Health | $137 | $226 | $294 |
| Psychotherapy 30 minutes CPT 90832 • Mental Health | $56 | $84 | $113 |
| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $47 | $77 | $104 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $84 | $121 | $150 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $77 | $108 | $132 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $100 | $158 | $244 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $123 | $150 | $174 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $155 | $178 | $211 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $64 | $85 | $105 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $110 | $121 | $144 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $140 | $155 | $190 |
| Group psychotherapy CPT 90853 • Mental Health | $28 | $42 | $69 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $6 | $7 | $7 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $86 | $147 | $283 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $111 | $151 | $203 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $122 | $181 | $269 |