DLP HARRIS REGIONAL HOSPITAL LLC· SYLVA, NC
HospitalCMS 3/5
68 HOSPITAL RD, SYLVA, NC 28779
Procedures offered
944 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| MRI brain with contrast CPT 70552 • Imaging | $480 | $591 | $734 |
| MRI brain without contrast then with contrast CPT 70553 • Imaging | $426 | $639 | $990 |
| Chest X-ray single view CPT 71045 • Imaging | $8 | $33 | $71 |
| Chest X-ray 2 views CPT 71046 • Imaging | $24 | $47 | $91 |
| CT chest without contrast CPT 71250 • Imaging | $170 | $253 | $322 |
| CT chest with contrast CPT 71260 • Imaging | $150 | $269 | $343 |
| CT angiography chest CPT 71275 • Imaging | $251 | $455 | $589 |
| MRI cervical spine without contrast CPT 72141 • Imaging | $336 | $464 | $583 |
| MRI thoracic spine without contrast CPT 72146 • Imaging | $400 | $479 | $605 |
| MRI lumbar spine without contrast CPT 72148 • Imaging | $306 | $383 | $510 |
| X-ray shoulder complete CPT 73030 • Imaging | $10 | $27 | $43 |
| MRI joint upper extremity without contrast CPT 73221 • Imaging | $273 | $383 | $456 |
| X-ray knee 1-2 views CPT 73560 • Imaging | $27 | $31 | $35 |
| X-ray ankle complete CPT 73610 • Imaging | $26 | $33 | $47 |
| MRI lower extremity without contrast CPT 73718 • Imaging | $176 | $344 | $525 |
| MRI joint lower extremity without contrast CPT 73721 • Imaging | $193 | $490 | $957 |
| CT abdomen without contrast CPT 74150 • Imaging | $174 | $220 | $257 |
| CT abdomen and pelvis without contrast CPT 74176 • Imaging | $212 | $262 | $304 |
| CT abdomen and pelvis with contrast CPT 74177 • Imaging | $305 | $330 | $353 |
| CT abdomen and pelvis without then with contrast CPT 74178 • Imaging | $111 | $626 | $1,538 |
| Ultrasound abdominal complete CPT 76700 • Imaging | $109 | $213 | $344 |
| Ultrasound retroperitoneal complete CPT 76770 • Imaging | $105 | $215 | $474 |
| Ultrasound transvaginal CPT 76830 • Imaging | $31 | $73 | $185 |
| Ultrasound pelvic complete CPT 76856 • Imaging | $42 | $94 | $166 |
| Diagnostic mammography unilateral CPT 77065 • Imaging | $133 | $155 | $199 |
| Diagnostic mammography bilateral CPT 77066 • Imaging | $169 | $171 | $174 |
| Screening mammography bilateral CPT 77067 • Imaging | $34 | $129 | $210 |
| Nuclear myocardial perfusion study CPT 78452 • Imaging | $360 | $467 | $727 |
| Urinalysis non-automated without microscopy CPT 81002 • Lab | $4 | $7 | $11 |
| Basic metabolic panel CPT 80048 • Laboratory | $15 | $16 | $18 |
| Comprehensive metabolic panel CPT 80053 • Laboratory | $11 | $23 | $36 |
| Lipid panel CPT 80061 • Laboratory | $10 | $33 | $58 |
| Hepatic function panel CPT 80076 • Laboratory | $3 | $19 | $34 |
| Urinalysis with microscopy CPT 81001 • Laboratory | $2 | $5 | $7 |
| Urinalysis automated without microscopy CPT 81003 • Laboratory | $1 | $3 | $4 |
| Fecal hemoglobin immunoassay CPT 82274 • Laboratory | $5 | $20 | $32 |
| Vitamin D 25-hydroxy CPT 82306 • Laboratory | $11 | $67 | $127 |
| Creatine kinase (CK) total CPT 82550 • Laboratory | $2 | $12 | $28 |
| Creatinine urine CPT 82570 • Laboratory | $4 | $8 | $10 |
| Ferritin CPT 82728 • Laboratory | $10 | $16 | $30 |
| IgA IgD IgG IgM each CPT 82784 • Laboratory | $6 | $23 | $40 |
| Glucose quantitative blood CPT 82947 • Laboratory | $1 | $5 | $7 |
| Hemoglobin A1c CPT 83036 • Laboratory | $3 | $11 | $18 |
| Iron serum CPT 83540 • Laboratory | $8 | $11 | $14 |
| Iron binding capacity CPT 83550 • Laboratory | $3 | $18 | $38 |
| Prostate specific antigen (PSA) CPT 84153 • Laboratory | $32 | $52 | $79 |
| Free thyroxine (T4) CPT 84439 • Laboratory | $3 | $19 | $39 |
| Thyroid stimulating hormone (TSH) CPT 84443 • Laboratory | $29 | $47 | $70 |
| Complete blood count with differential CPT 85025 • Laboratory | $6 | $11 | $17 |
| Complete blood count automated CPT 85027 • Laboratory | $3 | $17 | $28 |