DLP HARRIS REGIONAL HOSPITAL LLC· SYLVA, NC
HospitalCMS 3/5
68 HOSPITAL RD, SYLVA, NC 28779
Procedures offered
946 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| MRI brain with contrast CPT 70552 • Imaging | $330 | $526 | $734 |
| MRI brain without contrast then with contrast CPT 70553 • Imaging | $390 | $589 | $990 |
| Chest X-ray single view CPT 71045 • Imaging | $8 | $32 | $71 |
| Chest X-ray 2 views CPT 71046 • Imaging | $24 | $45 | $91 |
| CT chest without contrast CPT 71250 • Imaging | $168 | $236 | $322 |
| CT chest with contrast CPT 71260 • Imaging | $150 | $262 | $343 |
| CT angiography chest CPT 71275 • Imaging | $251 | $419 | $589 |
| MRI cervical spine without contrast CPT 72141 • Imaging | $232 | $406 | $583 |
| MRI thoracic spine without contrast CPT 72146 • Imaging | $232 | $418 | $605 |
| MRI lumbar spine without contrast CPT 72148 • Imaging | $231 | $345 | $510 |
| X-ray shoulder complete CPT 73030 • Imaging | $10 | $28 | $43 |
| MRI joint upper extremity without contrast CPT 73221 • Imaging | $245 | $355 | $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 | $335 | $525 |
| MRI joint lower extremity without contrast CPT 73721 • Imaging | $193 | $441 | $957 |
| CT abdomen without contrast CPT 74150 • Imaging | $155 | $207 | $257 |
| CT abdomen and pelvis without contrast CPT 74176 • Imaging | $209 | $251 | $304 |
| CT abdomen and pelvis with contrast CPT 74177 • Imaging | $305 | $328 | $353 |
| CT abdomen and pelvis without then with contrast CPT 74178 • Imaging | $111 | $573 | $1,538 |
| Ultrasound abdominal complete CPT 76700 • Imaging | $109 | $192 | $344 |
| Ultrasound retroperitoneal complete CPT 76770 • Imaging | $105 | $196 | $474 |
| Ultrasound transvaginal CPT 76830 • Imaging | $31 | $84 | $185 |
| Ultrasound pelvic complete CPT 76856 • Imaging | $42 | $98 | $166 |
| Diagnostic mammography unilateral CPT 77065 • Imaging | $133 | $151 | $199 |
| Diagnostic mammography bilateral CPT 77066 • Imaging | $169 | $172 | $174 |
| Screening mammography bilateral CPT 77067 • Imaging | $34 | $132 | $210 |
| Nuclear myocardial perfusion study CPT 78452 • Imaging | $360 | $500 | $727 |
| Venipuncture (routine blood draw) CPT 36415 • Lab | $5 | $5 | $5 |
| Urinalysis non-automated without microscopy CPT 81002 • Lab | $4 | $7 | $11 |
| Strep test rapid (Streptococcus group A direct) CPT 87880 • Lab | $16 | $16 | $16 |
| Basic metabolic panel CPT 80048 • Laboratory | $8 | $14 | $18 |
| Comprehensive metabolic panel CPT 80053 • Laboratory | $10 | $21 | $36 |
| Lipid panel CPT 80061 • Laboratory | $10 | $30 | $58 |
| Hepatic function panel CPT 80076 • Laboratory | $3 | $17 | $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 | $19 | $32 |
| Vitamin D 25-hydroxy CPT 82306 • Laboratory | $11 | $60 | $127 |
| Creatine kinase (CK) total CPT 82550 • Laboratory | $2 | $11 | $28 |
| Creatinine urine CPT 82570 • Laboratory | $4 | $7 | $10 |
| Ferritin CPT 82728 • Laboratory | $10 | $15 | $30 |
| IgA IgD IgG IgM each CPT 82784 • Laboratory | $6 | $21 | $40 |
| Glucose quantitative blood CPT 82947 • Laboratory | $1 | $5 | $7 |
| Hemoglobin A1c CPT 83036 • Laboratory | $3 | $10 | $18 |
| Iron serum CPT 83540 • Laboratory | $6 | $10 | $14 |
| Iron binding capacity CPT 83550 • Laboratory | $3 | $17 | $38 |
| Prostate specific antigen (PSA) CPT 84153 • Laboratory | $18 | $47 | $79 |
| Free thyroxine (T4) CPT 84439 • Laboratory | $3 | $17 | $39 |
| Thyroid stimulating hormone (TSH) CPT 84443 • Laboratory | $16 | $42 | $70 |