ATRIUM HEALTH UNION· MONROE, NC

HospitalCMS 3/5

600 HOSPITAL DR, MONROE, NC 28112

Procedures offered

936 total

ProcedureMinAvgMax
MRI thoracic spine without contrast
CPT 72146 • Imaging
$71$255$433
MRI lumbar spine without contrast
CPT 72148 • Imaging
$88$289$510
X-ray shoulder complete
CPT 73030 • Imaging
$10$32$53
MRI joint upper extremity without contrast
CPT 73221 • Imaging
$58$217$456
X-ray knee 1-2 views
CPT 73560 • Imaging
$6$28$78
X-ray ankle complete
CPT 73610 • Imaging
$6$25$47
MRI lower extremity without contrast
CPT 73718 • Imaging
$80$385$923
MRI joint lower extremity without contrast
CPT 73721 • Imaging
$80$282$462
CT abdomen without contrast
CPT 74150 • Imaging
$64$175$358
CT abdomen and pelvis without contrast
CPT 74176 • Imaging
$181$301$550
CT abdomen and pelvis with contrast
CPT 74177 • Imaging
$278$366$579
CT abdomen and pelvis without then with contrast
CPT 74178 • Imaging
$96$395$951
Ultrasound abdominal complete
CPT 76700 • Imaging
$48$128$357
Ultrasound retroperitoneal complete
CPT 76770 • Imaging
$31$140$336
Ultrasound transvaginal
CPT 76830 • Imaging
$41$82$116
Ultrasound pelvic complete
CPT 76856 • Imaging
$42$106$224
Diagnostic mammography unilateral
CPT 77065 • Imaging
$31$100$234
Diagnostic mammography bilateral
CPT 77066 • Imaging
$59$189$427
Screening mammography bilateral
CPT 77067 • Imaging
$32$132$344
Nuclear myocardial perfusion study
CPT 78452 • Imaging
$94$306$419
Urinalysis non-automated without microscopy
CPT 81002 • Lab
$2$4$5
Basic metabolic panel
CPT 80048 • Laboratory
$5$9$11
Comprehensive metabolic panel
CPT 80053 • Laboratory
$6$11$14
Lipid panel
CPT 80061 • Laboratory
$5$13$18
Hepatic function panel
CPT 80076 • Laboratory
$4$8$11
Urinalysis with microscopy
CPT 81001 • Laboratory
$2$4$7
Urinalysis automated without microscopy
CPT 81003 • Laboratory
$2$3$4
Fecal hemoglobin immunoassay
CPT 82274 • Laboratory
$8$19$32
Vitamin D 25-hydroxy
CPT 82306 • Laboratory
$17$31$40
Creatine kinase (CK) total
CPT 82550 • Laboratory
$4$7$9
Creatinine urine
CPT 82570 • Laboratory
$3$6$7
Ferritin
CPT 82728 • Laboratory
$5$13$19
IgA IgD IgG IgM each
CPT 82784 • Laboratory
$5$10$13
Glucose quantitative blood
CPT 82947 • Laboratory
$3$4$5
Hemoglobin A1c
CPT 83036 • Laboratory
$7$12$19
Iron serum
CPT 83540 • Laboratory
$3$7$12
Iron binding capacity
CPT 83550 • Laboratory
$4$9$12
Prostate specific antigen (PSA)
CPT 84153 • Laboratory
$10$19$25
Free thyroxine (T4)
CPT 84439 • Laboratory
$5$10$12
Thyroid stimulating hormone (TSH)
CPT 84443 • Laboratory
$11$21$37
Complete blood count with differential
CPT 85025 • Laboratory
$5$12$31
Complete blood count automated
CPT 85027 • Laboratory
$4$7$9
Prothrombin time (PT)
CPT 85610 • Laboratory
$3$5$5
Sedimentation rate (ESR) automated
CPT 85652 • Laboratory
$2$3$4
Partial thromboplastin time (PTT)
CPT 85730 • Laboratory
$3$6$8
Cyclic citrullinated peptide antibody
CPT 86200 • Laboratory
$6$14$18
Nuclear antigen antibody
CPT 86235 • Laboratory
$9$19$24
Heterophile antibodies screen
CPT 86308 • Laboratory
$4$6$9
TB skin test intradermal
CPT 86580 • Laboratory
$5$9$13
Blood typing ABO
CPT 86900 • Laboratory
$1$3$4