ATRIUM HEALTH UNIVERSITY CITY· CHARLOTTE, NC

HospitalCMS 3/5

8800 NORTH TYRON STREET, CHARLOTTE, NC 28262

Procedures offered

933 total

ProcedureMinAvgMax
MRI joint upper extremity without contrast
CPT 73221 • Imaging
$76$389$700
X-ray knee 1-2 views
CPT 73560 • Imaging
$27$49$88
X-ray ankle complete
CPT 73610 • Imaging
$9$39$94
MRI lower extremity without contrast
CPT 73718 • Imaging
$75$548$923
MRI joint lower extremity without contrast
CPT 73721 • Imaging
$261$482$700
CT abdomen without contrast
CPT 74150 • Imaging
$66$212$356
CT abdomen and pelvis without contrast
CPT 74176 • Imaging
$124$333$550
CT abdomen and pelvis with contrast
CPT 74177 • Imaging
$200$493$792
CT abdomen and pelvis without then with contrast
CPT 74178 • Imaging
$325$612$951
Ultrasound abdominal complete
CPT 76700 • Imaging
$76$156$357
Ultrasound retroperitoneal complete
CPT 76770 • Imaging
$87$167$336
Ultrasound transvaginal
CPT 76830 • Imaging
$42$93$144
Ultrasound pelvic complete
CPT 76856 • Imaging
$42$112$224
Diagnostic mammography unilateral
CPT 77065 • Imaging
$68$136$234
Diagnostic mammography bilateral
CPT 77066 • Imaging
$128$265$427
Screening mammography bilateral
CPT 77067 • Imaging
$32$151$344
Nuclear myocardial perfusion study
CPT 78452 • Imaging
$261$462$906
Urinalysis non-automated without microscopy
CPT 81002 • Lab
$2$5$9
Basic metabolic panel
CPT 80048 • Laboratory
$5$13$22
Comprehensive metabolic panel
CPT 80053 • Laboratory
$6$14$27
Lipid panel
CPT 80061 • Laboratory
$8$20$34
Hepatic function panel
CPT 80076 • Laboratory
$4$12$21
Urinalysis with microscopy
CPT 81001 • Laboratory
$2$4$8
Urinalysis automated without microscopy
CPT 81003 • Laboratory
$2$3$6
Fecal hemoglobin immunoassay
CPT 82274 • Laboratory
$8$24$41
Vitamin D 25-hydroxy
CPT 82306 • Laboratory
$17$44$76
Creatine kinase (CK) total
CPT 82550 • Laboratory
$4$10$17
Creatinine urine
CPT 82570 • Laboratory
$3$8$13
Ferritin
CPT 82728 • Laboratory
$7$20$35
IgA IgD IgG IgM each
CPT 82784 • Laboratory
$5$14$24
Glucose quantitative blood
CPT 82947 • Laboratory
$3$6$10
Hemoglobin A1c
CPT 83036 • Laboratory
$7$14$25
Iron serum
CPT 83540 • Laboratory
$3$9$17
Iron binding capacity
CPT 83550 • Laboratory
$4$12$22
Prostate specific antigen (PSA)
CPT 84153 • Laboratory
$10$27$47
Free thyroxine (T4)
CPT 84439 • Laboratory
$5$13$23
Thyroid stimulating hormone (TSH)
CPT 84443 • Laboratory
$11$25$43
Complete blood count with differential
CPT 85025 • Laboratory
$5$11$20
Complete blood count automated
CPT 85027 • Laboratory
$4$9$17
Prothrombin time (PT)
CPT 85610 • Laboratory
$3$6$11
Sedimentation rate (ESR) automated
CPT 85652 • Laboratory
$2$4$7
Partial thromboplastin time (PTT)
CPT 85730 • Laboratory
$3$9$15
Cyclic citrullinated peptide antibody
CPT 86200 • Laboratory
$6$19$33
Nuclear antigen antibody
CPT 86235 • Laboratory
$9$26$46
Heterophile antibodies screen
CPT 86308 • Laboratory
$4$7$13
TB skin test intradermal
CPT 86580 • Laboratory
$5$12$26
Blood typing ABO
CPT 86900 • Laboratory
$1$4$8
Blood typing Rh
CPT 86901 • Laboratory
$1$4$8
Urine culture bacterial colony count
CPT 87086 • Laboratory
$4$11$21
Chlamydia nucleic acid amplification
CPT 87491 • Laboratory
$20$50$90