DLP MARIA PARHAM MEDICAL CENTER LLC· HENDERSON, NC

HospitalCMS 2/5

566 RUIN CREEK RD, HENDERSON, NC 27536

Procedures offered

684 total

ProcedureMinAvgMax
Vitamin D 25-hydroxy
CPT 82306 • Laboratory
$28$93$127
Creatine kinase (CK) total
CPT 82550 • Laboratory
$6$20$28
Creatinine urine
CPT 82570 • Laboratory
$5$5$5
Ferritin
CPT 82728 • Laboratory
$13$13$13
IgA IgD IgG IgM each
CPT 82784 • Laboratory
$9$29$40
Glucose quantitative blood
CPT 82947 • Laboratory
$4$4$4
Hemoglobin A1c
CPT 83036 • Laboratory
$9$9$9
Iron serum
CPT 83540 • Laboratory
$6$6$6
Iron binding capacity
CPT 83550 • Laboratory
$8$27$38
Prostate specific antigen (PSA)
CPT 84153 • Laboratory
$18$58$79
Free thyroxine (T4)
CPT 84439 • Laboratory
$9$28$39
Thyroid stimulating hormone (TSH)
CPT 84443 • Laboratory
$16$51$70
Complete blood count with differential
CPT 85025 • Laboratory
$7$7$7
Complete blood count automated
CPT 85027 • Laboratory
$6$20$28
Prothrombin time (PT)
CPT 85610 • Laboratory
$4$12$17
Sedimentation rate (ESR) automated
CPT 85652 • Laboratory
$3$8$12
Partial thromboplastin time (PTT)
CPT 85730 • Laboratory
$6$6$6
Cyclic citrullinated peptide antibody
CPT 86200 • Laboratory
$12$12$12
Nuclear antigen antibody
CPT 86235 • Laboratory
$17$56$77
Heterophile antibodies screen
CPT 86308 • Laboratory
$5$16$22
TB skin test intradermal
CPT 86580 • Laboratory
$9$9$9
Blood typing ABO
CPT 86900 • Laboratory
$3$3$3
Blood typing Rh
CPT 86901 • Laboratory
$3$9$13
Urine culture bacterial colony count
CPT 87086 • Laboratory
$8$8$8
Chlamydia nucleic acid amplification
CPT 87491 • Laboratory
$33$33$33
Gonorrhea nucleic acid amplification
CPT 87591 • Laboratory
$33$80$105
SARS-CoV-2 COVID-19 amplified probe
CPT 87635 • Laboratory
$61$61$61
Influenza virus assay with direct optical
CPT 87804 • Laboratory
$16$38$49
Amniocentesis diagnostic
CPT 59000 • Maternity
$188$2,151$6,072
Cordocentesis fetal blood sampling
CPT 59012 • Maternity
$308$376$502
Chorionic villus sampling
CPT 59015 • Maternity
$234$2,182$6,072
Fetal non-stress test
CPT 59025 • Maternity
$72$216$502
Insertion cervical dilator
CPT 59200 • Maternity
$107$240$502
Vaginal delivery including prenatal and postpartum care
CPT 59400 • Maternity
$3,156$4,460$6,982
Vaginal delivery only
CPT 59409 • Maternity
$1,237$5,953$15,352
Vaginal delivery including postpartum care
CPT 59410 • Maternity
$1,578$3,394$6,982
External cephalic version
CPT 59412 • Maternity
$157$5,223$15,352
Antepartum care 7 or more visits
CPT 59426 • Maternity
$1,226$3,156$6,982
Postpartum care only
CPT 59430 • Maternity
$278$2,515$6,982
Cesarean delivery including prenatal and postpartum care
CPT 59510 • Maternity
$3,497$4,691$6,982
Cesarean delivery only
CPT 59514 • Maternity
$1,393$3,268$6,982
Cesarean delivery including postpartum care
CPT 59515 • Maternity
$1,915$3,621$6,982
Vaginal delivery after prior cesarean (VBAC) including prenatal
CPT 59610 • Maternity
$3,316$4,568$6,982
Obstetric ultrasound first trimester
CPT 76801 • Maternity
$126$127$129
Obstetric ultrasound complete
CPT 76805 • Maternity
$145$147$149
Obstetric ultrasound detailed fetal anatomy
CPT 76811 • Maternity
$188$190$193
Obstetric ultrasound limited
CPT 76815 • Maternity
$86$87$89
Ultrasound transvaginal obstetric
CPT 76817 • Maternity
$99$101$102
Lumbar puncture diagnostic
CPT 62270 • Neurology
$236$2,184$6,072
Chemodenervation of muscle cervical dystonia
CPT 64612 • Neurology
$195$299$502