MOORESVILLE HOSPITAL MANAGEMENT ASSOCIATES LLC· MOORESVILLE, NC
ProviderCMS 2/5
171 FAIRVIEW RD, MOORESVILLE, NC 28117
Procedures offered
948 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Thyroid stimulating hormone (TSH) CPT 84443 • Laboratory | $8 | $22 | $47 |
| Complete blood count with differential CPT 85025 • Laboratory | $4 | $11 | $22 |
| Complete blood count automated CPT 85027 • Laboratory | $3 | $8 | $19 |
| Prothrombin time (PT) CPT 85610 • Laboratory | $2 | $6 | $11 |
| Sedimentation rate (ESR) automated CPT 85652 • Laboratory | $1 | $4 | $8 |
| Partial thromboplastin time (PTT) CPT 85730 • Laboratory | $3 | $8 | $17 |
| Cyclic citrullinated peptide antibody CPT 86200 • Laboratory | $6 | $11 | $15 |
| Nuclear antigen antibody CPT 86235 • Laboratory | $9 | $16 | $21 |
| Heterophile antibodies screen CPT 86308 • Laboratory | $3 | $5 | $6 |
| TB skin test intradermal CPT 86580 • Laboratory | $6 | $7 | $9 |
| Blood typing ABO CPT 86900 • Laboratory | $2 | $4 | $9 |
| Blood typing Rh CPT 86901 • Laboratory | $2 | $3 | $3 |
| Urine culture bacterial colony count CPT 87086 • Laboratory | $4 | $11 | $23 |
| Chlamydia nucleic acid amplification CPT 87491 • Laboratory | $18 | $38 | $70 |
| Gonorrhea nucleic acid amplification CPT 87591 • Laboratory | $18 | $28 | $35 |
| SARS-CoV-2 COVID-19 amplified probe CPT 87635 • Laboratory | $22 | $53 | $89 |
| Influenza virus assay with direct optical CPT 87804 • Laboratory | $8 | $13 | $17 |
| Strep A assay with optic observation CPT 87880 • Laboratory | $7 | $7 | $7 |
| Amniocentesis diagnostic CPT 59000 • Maternity | $99 | $985 | $2,329 |
| Cordocentesis fetal blood sampling CPT 59012 • Maternity | $191 | $467 | $723 |
| Chorionic villus sampling CPT 59015 • Maternity | $162 | $1,040 | $2,329 |
| Fetal non-stress test CPT 59025 • Maternity | $36 | $276 | $723 |
| Insertion cervical dilator CPT 59200 • Maternity | $55 | $333 | $723 |
| Vaginal delivery including prenatal and postpartum care CPT 59400 • Maternity | $2,200 | $3,855 | $6,280 |
| Vaginal delivery only CPT 59409 • Maternity | $721 | $3,879 | $8,409 |
| Vaginal delivery including postpartum care CPT 59410 • Maternity | $807 | $3,009 | $6,280 |
| External cephalic version CPT 59412 • Maternity | $97 | $3,362 | $8,409 |
| Antepartum care 7 or more visits CPT 59426 • Maternity | $50 | $2,820 | $6,280 |
| Postpartum care only CPT 59430 • Maternity | $118 | $2,685 | $6,280 |
| Cesarean delivery including prenatal and postpartum care CPT 59510 • Maternity | $2,200 | $4,330 | $6,280 |
| Cesarean delivery only CPT 59514 • Maternity | $141 | $2,908 | $6,280 |
| Cesarean delivery including postpartum care CPT 59515 • Maternity | $964 | $3,076 | $6,280 |
| Vaginal delivery after prior cesarean (VBAC) including prenatal CPT 59610 • Maternity | $2,250 | $4,250 | $6,280 |
| Obstetric ultrasound first trimester CPT 76801 • Maternity | $42 | $75 | $103 |
| Obstetric ultrasound complete CPT 76805 • Maternity | $30 | $109 | $278 |
| Obstetric ultrasound detailed fetal anatomy CPT 76811 • Maternity | $81 | $129 | $182 |
| Obstetric ultrasound limited CPT 76815 • Maternity | $30 | $41 | $62 |
| Ultrasound transvaginal obstetric CPT 76817 • Maternity | $36 | $112 | $285 |
| Interactive complexity add-on CPT 90785 • Mental Health | $5 | $13 | $30 |
| Psychiatric diagnostic evaluation CPT 90791 • Mental Health | $121 | $187 | $303 |
| Psychiatric diagnostic evaluation with medical services CPT 90792 • Mental Health | $137 | $214 | $347 |
| Psychotherapy 30 minutes CPT 90832 • Mental Health | $56 | $94 | $161 |
| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $47 | $101 | $148 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $76 | $114 | $185 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $77 | $123 | $166 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $112 | $174 | $273 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $123 | $172 | $220 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $106 | $197 | $310 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $95 | $122 | $149 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $78 | $136 | $199 |