CATAWBA VALLEY MEDICAL CENTER· HICKORY, NC

HospitalCMS 3/5

810 FAIRGROVE CHURCH RD, HICKORY, NC 28602

Procedures offered

944 total

ProcedureMinAvgMax
Chest X-ray single view
CPT 71045 • Imaging
$9$20$44
Chest X-ray 2 views
CPT 71046 • Imaging
$20$37$57
CT chest without contrast
CPT 71250 • Imaging
$54$152$264
CT chest with contrast
CPT 71260 • Imaging
$58$179$309
CT angiography chest
CPT 71275 • Imaging
$262$362$524
MRI cervical spine without contrast
CPT 72141 • Imaging
$76$232$472
MRI thoracic spine without contrast
CPT 72146 • Imaging
$76$306$621
MRI lumbar spine without contrast
CPT 72148 • Imaging
$76$242$510
X-ray shoulder complete
CPT 73030 • Imaging
$11$27$37
MRI joint upper extremity without contrast
CPT 73221 • Imaging
$70$235$456
X-ray knee 1-2 views
CPT 73560 • Imaging
$8$31$55
X-ray ankle complete
CPT 73610 • Imaging
$8$33$61
MRI lower extremity without contrast
CPT 73718 • Imaging
$67$193$456
MRI joint lower extremity without contrast
CPT 73721 • Imaging
$59$180$456
CT abdomen without contrast
CPT 74150 • Imaging
$149$178$257
CT abdomen and pelvis without contrast
CPT 74176 • Imaging
$123$217$317
CT abdomen and pelvis with contrast
CPT 74177 • Imaging
$80$342$514
CT abdomen and pelvis without then with contrast
CPT 74178 • Imaging
$291$393$555
Ultrasound abdominal complete
CPT 76700 • Imaging
$36$102$185
Ultrasound retroperitoneal complete
CPT 76770 • Imaging
$71$103$115
Ultrasound transvaginal
CPT 76830 • Imaging
$31$61$97
Ultrasound pelvic complete
CPT 76856 • Imaging
$31$83$117
Diagnostic mammography unilateral
CPT 77065 • Imaging
$40$110$134
Diagnostic mammography bilateral
CPT 77066 • Imaging
$144$179$252
Screening mammography bilateral
CPT 77067 • Imaging
$32$107$204
Nuclear myocardial perfusion study
CPT 78452 • Imaging
$71$392$701
Urinalysis non-automated without microscopy
CPT 81002 • Lab
$1$4$6
Basic metabolic panel
CPT 80048 • Laboratory
$3$8$16
Comprehensive metabolic panel
CPT 80053 • Laboratory
$5$10$20
Lipid panel
CPT 80061 • Laboratory
$6$10$15
Hepatic function panel
CPT 80076 • Laboratory
$3$8$15
Urinalysis with microscopy
CPT 81001 • Laboratory
$1$3$4
Urinalysis automated without microscopy
CPT 81003 • Laboratory
$1$1$2
Fecal hemoglobin immunoassay
CPT 82274 • Laboratory
$5$14$32
Vitamin D 25-hydroxy
CPT 82306 • Laboratory
$11$28$55
Creatine kinase (CK) total
CPT 82550 • Laboratory
$2$6$12
Creatinine urine
CPT 82570 • Laboratory
$2$5$10
Ferritin
CPT 82728 • Laboratory
$4$13$25
IgA IgD IgG IgM each
CPT 82784 • Laboratory
$3$7$10
Glucose quantitative blood
CPT 82947 • Laboratory
$1$3$4
Hemoglobin A1c
CPT 83036 • Laboratory
$3$9$18
Iron serum
CPT 83540 • Laboratory
$2$6$12
Iron binding capacity
CPT 83550 • Laboratory
$3$8$16
Prostate specific antigen (PSA)
CPT 84153 • Laboratory
$9$18$34
Free thyroxine (T4)
CPT 84439 • Laboratory
$3$8$17
Thyroid stimulating hormone (TSH)
CPT 84443 • Laboratory
$5$16$31
Complete blood count with differential
CPT 85025 • Laboratory
$2$7$14
Complete blood count automated
CPT 85027 • Laboratory
$2$5$12
Prothrombin time (PT)
CPT 85610 • Laboratory
$1$4$6
Sedimentation rate (ESR) automated
CPT 85652 • Laboratory
$1$3$5