DLP MARIA PARHAM MEDICAL CENTER LLC· HENDERSON, NC
HospitalCMS 2/5
566 RUIN CREEK RD, HENDERSON, NC 27536
Procedures offered
540 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| CT chest with contrast CPT 71260 • Imaging | $230 | $230 | $230 |
| CT angiography chest CPT 71275 • Imaging | $302 | $302 | $302 |
| MRI cervical spine without contrast CPT 72141 • Imaging | $226 | $226 | $226 |
| MRI thoracic spine without contrast CPT 72146 • Imaging | $226 | $226 | $226 |
| MRI lumbar spine without contrast CPT 72148 • Imaging | $225 | $225 | $225 |
| X-ray shoulder complete CPT 73030 • Imaging | $29 | $29 | $29 |
| MRI joint upper extremity without contrast CPT 73221 • Imaging | $238 | $238 | $238 |
| X-ray knee 1-2 views CPT 73560 • Imaging | $31 | $31 | $31 |
| X-ray ankle complete CPT 73610 • Imaging | $32 | $32 | $32 |
| MRI lower extremity without contrast CPT 73718 • Imaging | $292 | $292 | $292 |
| MRI joint lower extremity without contrast CPT 73721 • Imaging | $238 | $238 | $238 |
| CT abdomen without contrast CPT 74150 • Imaging | $151 | $151 | $151 |
| CT abdomen and pelvis without contrast CPT 74176 • Imaging | $203 | $203 | $203 |
| CT abdomen and pelvis with contrast CPT 74177 • Imaging | $313 | $313 | $313 |
| CT abdomen and pelvis without then with contrast CPT 74178 • Imaging | $355 | $355 | $355 |
| Ultrasound abdominal complete CPT 76700 • Imaging | $124 | $124 | $124 |
| Ultrasound retroperitoneal complete CPT 76770 • Imaging | $115 | $115 | $115 |
| Ultrasound transvaginal CPT 76830 • Imaging | $124 | $124 | $124 |
| Ultrasound pelvic complete CPT 76856 • Imaging | $112 | $112 | $112 |
| Diagnostic mammography unilateral CPT 77065 • Imaging | $134 | $134 | $134 |
| Diagnostic mammography bilateral CPT 77066 • Imaging | $170 | $170 | $170 |
| Screening mammography bilateral CPT 77067 • Imaging | $137 | $137 | $137 |
| Nuclear myocardial perfusion study CPT 78452 • Imaging | $613 | $613 | $613 |
| Urinalysis non-automated without microscopy CPT 81002 • Lab | $11 | $11 | $11 |
| Comprehensive metabolic panel CPT 80053 • Laboratory | $35 | $36 | $36 |
| Lipid panel CPT 80061 • Laboratory | $56 | $57 | $58 |
| Hepatic function panel CPT 80076 • Laboratory | $33 | $34 | $34 |
| Vitamin D 25-hydroxy CPT 82306 • Laboratory | $123 | $125 | $127 |
| Creatine kinase (CK) total CPT 82550 • Laboratory | $27 | $28 | $28 |
| IgA IgD IgG IgM each CPT 82784 • Laboratory | $39 | $39 | $40 |
| Iron binding capacity CPT 83550 • Laboratory | $36 | $37 | $38 |
| Prostate specific antigen (PSA) CPT 84153 • Laboratory | $77 | $78 | $79 |
| Free thyroxine (T4) CPT 84439 • Laboratory | $38 | $38 | $39 |
| Thyroid stimulating hormone (TSH) CPT 84443 • Laboratory | $68 | $69 | $70 |
| Complete blood count automated CPT 85027 • Laboratory | $27 | $27 | $28 |
| Prothrombin time (PT) CPT 85610 • Laboratory | $16 | $17 | $17 |
| Sedimentation rate (ESR) automated CPT 85652 • Laboratory | $11 | $11 | $12 |
| Nuclear antigen antibody CPT 86235 • Laboratory | $75 | $76 | $77 |
| Heterophile antibodies screen CPT 86308 • Laboratory | $22 | $22 | $22 |
| Blood typing Rh CPT 86901 • Laboratory | $12 | $13 | $13 |
| Gonorrhea nucleic acid amplification CPT 87591 • Laboratory | $102 | $104 | $105 |
| Influenza virus assay with direct optical CPT 87804 • Laboratory | $48 | $48 | $49 |
| Amniocentesis diagnostic CPT 59000 • Maternity | $188 | $3,130 | $6,072 |
| Cordocentesis fetal blood sampling CPT 59012 • Maternity | $308 | $405 | $502 |
| Chorionic villus sampling CPT 59015 • Maternity | $234 | $3,153 | $6,072 |
| Fetal non-stress test CPT 59025 • Maternity | $72 | $287 | $502 |
| Insertion cervical dilator CPT 59200 • Maternity | $107 | $305 | $502 |
| Vaginal delivery including prenatal and postpartum care CPT 59400 • Maternity | $3,156 | $5,069 | $6,982 |
| Vaginal delivery only CPT 59409 • Maternity | $1,237 | $8,295 | $15,352 |
| Vaginal delivery including postpartum care CPT 59410 • Maternity | $1,578 | $4,280 | $6,982 |