NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER· WILMINGTON, NC

HospitalCMS 2/5

2131 S 17TH ST, WILMINGTON, NC 28402

Procedures offered

710 total

ProcedureMinAvgMax
Chest X-ray single view
CPT 71045 • Imaging
$8$13$18
Chest X-ray 2 views
CPT 71046 • Imaging
$20$21$22
CT chest without contrast
CPT 71250 • Imaging
$160$204$249
CT chest with contrast
CPT 71260 • Imaging
$350$350$350
CT angiography chest
CPT 71275 • Imaging
$68$263$459
MRI cervical spine without contrast
CPT 72141 • Imaging
$229$287$344
MRI thoracic spine without contrast
CPT 72146 • Imaging
$344$344$344
MRI lumbar spine without contrast
CPT 72148 • Imaging
$231$287$343
X-ray shoulder complete
CPT 73030 • Imaging
$44$50$57
MRI joint upper extremity without contrast
CPT 73221 • Imaging
$238$300$362
X-ray knee 1-2 views
CPT 73560 • Imaging
$24$35$47
X-ray ankle complete
CPT 73610 • Imaging
$27$38$48
MRI lower extremity without contrast
CPT 73718 • Imaging
$444$444$444
MRI joint lower extremity without contrast
CPT 73721 • Imaging
$245$304$362
CT abdomen without contrast
CPT 74150 • Imaging
$230$230$230
CT abdomen and pelvis without contrast
CPT 74176 • Imaging
$65$187$309
CT abdomen and pelvis with contrast
CPT 74177 • Imaging
$68$272$476
CT abdomen and pelvis without then with contrast
CPT 74178 • Imaging
$258$399$540
Ultrasound abdominal complete
CPT 76700 • Imaging
$133$161$189
Ultrasound retroperitoneal complete
CPT 76770 • Imaging
$83$129$175
Ultrasound transvaginal
CPT 76830 • Imaging
$168$178$188
Ultrasound pelvic complete
CPT 76856 • Imaging
$144$157$170
Diagnostic mammography unilateral
CPT 77065 • Imaging
$114$159$204
Diagnostic mammography bilateral
CPT 77066 • Imaging
$140$199$258
Screening mammography bilateral
CPT 77067 • Imaging
$180$194$208
Nuclear myocardial perfusion study
CPT 78452 • Imaging
$90$416$742
Venipuncture (routine blood draw)
CPT 36415 • Lab
$5$5$5
Urinalysis non-automated without microscopy
CPT 81002 • Lab
$2$2$3
Strep test rapid (Streptococcus group A direct)
CPT 87880 • Lab
$8$8$8
Basic metabolic panel
CPT 80048 • Laboratory
$7$8$8
Comprehensive metabolic panel
CPT 80053 • Laboratory
$8$10$11
Lipid panel
CPT 80061 • Laboratory
$7$9$11
Hepatic function panel
CPT 80076 • Laboratory
$7$7$8
Urinalysis with microscopy
CPT 81001 • Laboratory
$3$3$3
Urinalysis automated without microscopy
CPT 81003 • Laboratory
$1$1$2
Fecal hemoglobin immunoassay
CPT 82274 • Laboratory
$13$13$14
Vitamin D 25-hydroxy
CPT 82306 • Laboratory
$24$24$25
Creatine kinase (CK) total
CPT 82550 • Laboratory
$5$6$7
Creatinine urine
CPT 82570 • Laboratory
$4$5$5
Ferritin
CPT 82728 • Laboratory
$11$12$14
IgA IgD IgG IgM each
CPT 82784 • Laboratory
$7$7$7
Glucose quantitative blood
CPT 82947 • Laboratory
$2$3$3
Hemoglobin A1c
CPT 83036 • Laboratory
$5$6$8
Iron serum
CPT 83540 • Laboratory
$5$6$6
Iron binding capacity
CPT 83550 • Laboratory
$7$7$7
Prostate specific antigen (PSA)
CPT 84153 • Laboratory
$9$12$15
Free thyroxine (T4)
CPT 84439 • Laboratory
$7$8$9
Thyroid stimulating hormone (TSH)
CPT 84443 • Laboratory
$7$10$13
Complete blood count with differential
CPT 85025 • Laboratory
$4$5$6
Complete blood count automated
CPT 85027 • Laboratory
$5$6$6