NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER LLC· WILMINGTON, NC

ProviderCMS 2/5

2131 S 17TH ST, WILMINGTON, NC 28401

Procedures offered

956 total

ProcedureMinAvgMax
CT angiography neck
CPT 70498 • Imaging
$30$116$203
MRI orbits face neck with and without contrast
CPT 70543 • Imaging
$30$592$1,195
MRI brain without contrast
CPT 70551 • Imaging
$175$612$1,884
MRI brain with contrast
CPT 70552 • Imaging
$489$542$701
MRI brain without contrast then with contrast
CPT 70553 • Imaging
$30$340$577
Chest X-ray single view
CPT 71045 • Imaging
$8$14$23
Chest X-ray 2 views
CPT 71046 • Imaging
$20$34$70
CT chest without contrast
CPT 71250 • Imaging
$51$370$1,583
CT chest with contrast
CPT 71260 • Imaging
$105$262$350
CT chest without then with contrast
CPT 71270 • Imaging
$30$275$519
CT angiography chest
CPT 71275 • Imaging
$68$478$984
CT cervical spine without contrast
CPT 72125 • Imaging
$30$149$267
CT thoracic spine without contrast
CPT 72128 • Imaging
$30$242$454
CT lumbar spine without contrast
CPT 72131 • Imaging
$30$166$379
MRI cervical spine without contrast
CPT 72141 • Imaging
$71$334$670
MRI thoracic spine without contrast
CPT 72146 • Imaging
$30$253$344
MRI lumbar spine without contrast
CPT 72148 • Imaging
$39$295$540
CT pelvis without contrast
CPT 72192 • Imaging
$326$326$326
CT pelvis with contrast
CPT 72193 • Imaging
$520$1,052$1,583
X-ray shoulder complete
CPT 73030 • Imaging
$22$44$81
MRI joint upper extremity without contrast
CPT 73221 • Imaging
$92$244$362
X-ray knee 1-2 views
CPT 73560 • Imaging
$15$44$74
X-ray ankle complete
CPT 73610 • Imaging
$20$37$48
MRI lower extremity without contrast
CPT 73718 • Imaging
$444$474$565
MRI joint lower extremity without contrast
CPT 73721 • Imaging
$90$300$578
CT abdomen without contrast
CPT 74150 • Imaging
$30$183$230
CT abdomen with contrast
CPT 74160 • Imaging
$384$384$385
CT abdomen without then with contrast
CPT 74170 • Imaging
$118$373$692
CT abdomen and pelvis without contrast
CPT 74176 • Imaging
$65$266$450
CT abdomen and pelvis with contrast
CPT 74177 • Imaging
$68$382$484
CT abdomen and pelvis without then with contrast
CPT 74178 • Imaging
$180$635$1,583
Ultrasound abdominal complete
CPT 76700 • Imaging
$54$171$272
Ultrasound retroperitoneal complete
CPT 76770 • Imaging
$30$115$175
Ultrasound transvaginal
CPT 76830 • Imaging
$168$199$272
Ultrasound pelvic complete
CPT 76856 • Imaging
$55$151$238
Diagnostic mammography unilateral
CPT 77065 • Imaging
$82$150$204
Diagnostic mammography bilateral
CPT 77066 • Imaging
$140$232$272
Screening mammography bilateral
CPT 77067 • Imaging
$112$197$238
DEXA bone density study axial skeleton
CPT 77080 • Imaging
$23$54$86
Nuclear myocardial perfusion study
CPT 78452 • Imaging
$125$482$887
Collection of venous blood by venipuncture
CPT 36415 • Laboratory
$2$6$11
Basic metabolic panel
CPT 80048 • Laboratory
$1$6$8
Comprehensive metabolic panel
CPT 80053 • Laboratory
$8$9$11
Lipid panel
CPT 80061 • Laboratory
$5$9$13
Hepatic function panel
CPT 80076 • Laboratory
$7$8$16
Urinalysis with microscopy
CPT 81001 • Laboratory
$3$3$6
Urinalysis nonautomated without microscopy
CPT 81002 • Laboratory
$2$3$4
Urinalysis automated without microscopy
CPT 81003 • Laboratory
$0$2$2
Fecal hemoglobin immunoassay
CPT 82274 • Laboratory
$13$16$30
Vitamin D 25-hydroxy
CPT 82306 • Laboratory
$5$22$30