ECU HEALTH NORTH HOSPITAL· ROANOKE RAPIDS, NC
HospitalCMS 2/5
250 SMITH CHURCH ROAD, ROANOKE RAPIDS, NC 27870
Procedures offered
934 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| MRI lumbar spine without contrast CPT 72148 • Imaging | $199 | $320 | $510 |
| X-ray shoulder complete CPT 73030 • Imaging | $22 | $25 | $29 |
| MRI joint upper extremity without contrast CPT 73221 • Imaging | $150 | $366 | $489 |
| X-ray knee 1-2 views CPT 73560 • Imaging | $6 | $20 | $36 |
| X-ray ankle complete CPT 73610 • Imaging | $6 | $29 | $57 |
| MRI lower extremity without contrast CPT 73718 • Imaging | $170 | $309 | $456 |
| MRI joint lower extremity without contrast CPT 73721 • Imaging | $100 | $269 | $456 |
| CT abdomen without contrast CPT 74150 • Imaging | $87 | $160 | $257 |
| CT abdomen and pelvis without contrast CPT 74176 • Imaging | $181 | $260 | $440 |
| CT abdomen and pelvis with contrast CPT 74177 • Imaging | $287 | $506 | $730 |
| CT abdomen and pelvis without then with contrast CPT 74178 • Imaging | $96 | $401 | $819 |
| Ultrasound abdominal complete CPT 76700 • Imaging | $70 | $114 | $182 |
| Ultrasound retroperitoneal complete CPT 76770 • Imaging | $31 | $65 | $105 |
| Ultrasound transvaginal CPT 76830 • Imaging | $42 | $129 | $280 |
| Ultrasound pelvic complete CPT 76856 • Imaging | $42 | $88 | $165 |
| Diagnostic mammography unilateral CPT 77065 • Imaging | $31 | $77 | $133 |
| Diagnostic mammography bilateral CPT 77066 • Imaging | $73 | $127 | $169 |
| Screening mammography bilateral CPT 77067 • Imaging | $106 | $121 | $136 |
| Nuclear myocardial perfusion study CPT 78452 • Imaging | $320 | $361 | $390 |
| Urinalysis non-automated without microscopy CPT 81002 • Lab | $1 | $28 | $100 |
| Basic metabolic panel CPT 80048 • Laboratory | $4 | $29 | $100 |
| Comprehensive metabolic panel CPT 80053 • Laboratory | $5 | $31 | $100 |
| Lipid panel CPT 80061 • Laboratory | $8 | $35 | $100 |
| Hepatic function panel CPT 80076 • Laboratory | $4 | $32 | $100 |
| Urinalysis with microscopy CPT 81001 • Laboratory | $2 | $29 | $100 |
| Urinalysis automated without microscopy CPT 81003 • Laboratory | $1 | $27 | $100 |
| Fecal hemoglobin immunoassay CPT 82274 • Laboratory | $7 | $17 | $32 |
| Vitamin D 25-hydroxy CPT 82306 • Laboratory | $21 | $55 | $100 |
| Creatine kinase (CK) total CPT 82550 • Laboratory | $4 | $32 | $100 |
| Creatinine urine CPT 82570 • Laboratory | $3 | $30 | $100 |
| Ferritin CPT 82728 • Laboratory | $10 | $38 | $100 |
| IgA IgD IgG IgM each CPT 82784 • Laboratory | $4 | $30 | $100 |
| Glucose quantitative blood CPT 82947 • Laboratory | $2 | $27 | $100 |
| Hemoglobin A1c CPT 83036 • Laboratory | $7 | $13 | $24 |
| Iron serum CPT 83540 • Laboratory | $3 | $5 | $8 |
| Iron binding capacity CPT 83550 • Laboratory | $6 | $11 | $18 |
| Prostate specific antigen (PSA) CPT 84153 • Laboratory | $9 | $35 | $100 |
| Free thyroxine (T4) CPT 84439 • Laboratory | $4 | $30 | $100 |
| Thyroid stimulating hormone (TSH) CPT 84443 • Laboratory | $12 | $42 | $100 |
| Complete blood count with differential CPT 85025 • Laboratory | $5 | $10 | $19 |
| Complete blood count automated CPT 85027 • Laboratory | $3 | $7 | $16 |
| Prothrombin time (PT) CPT 85610 • Laboratory | $2 | $3 | $5 |
| Sedimentation rate (ESR) automated CPT 85652 • Laboratory | $2 | $2 | $3 |
| Partial thromboplastin time (PTT) CPT 85730 • Laboratory | $4 | $31 | $100 |
| Cyclic citrullinated peptide antibody CPT 86200 • Laboratory | $9 | $37 | $100 |
| Nuclear antigen antibody CPT 86235 • Laboratory | $8 | $35 | $100 |
| Heterophile antibodies screen CPT 86308 • Laboratory | $3 | $4 | $6 |
| TB skin test intradermal CPT 86580 • Laboratory | $3 | $6 | $9 |
| Blood typing ABO CPT 86900 • Laboratory | $2 | $28 | $100 |
| Blood typing Rh CPT 86901 • Laboratory | $1 | $27 | $100 |