THE CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY· CHARLOTTE, NC
ProviderCMS 3/5
8800 N TRYON ST, CHARLOTTE, NC 28262
Procedures offered
966 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| CT head without contrast CPT 70450 • Imaging | $111 | $111 | $111 |
| CT head with contrast CPT 70460 • Imaging | $148 | $148 | $148 |
| CT head without then with contrast CPT 70470 • Imaging | $346 | $346 | $346 |
| CT maxillofacial without contrast CPT 70486 • Imaging | $522 | $522 | $522 |
| CT maxillofacial with contrast CPT 70487 • Imaging | $460 | $460 | $460 |
| CT soft tissue neck with contrast CPT 70491 • Imaging | $181 | $181 | $181 |
| CT angiography neck CPT 70498 • Imaging | $229 | $229 | $229 |
| MRI orbits face neck with and without contrast CPT 70543 • Imaging | $281 | $771 | $1,271 |
| MRI brain without contrast CPT 70551 • Imaging | $170 | $450 | $700 |
| MRI brain with contrast CPT 70552 • Imaging | $235 | $548 | $840 |
| MRI brain without contrast then with contrast CPT 70553 • Imaging | $277 | $633 | $990 |
| Chest X-ray single view CPT 71045 • Imaging | $21 | $40 | $67 |
| Chest X-ray 2 views CPT 71046 • Imaging | $40 | $52 | $87 |
| CT chest without contrast CPT 71250 • Imaging | $216 | $344 | $482 |
| CT chest with contrast CPT 71260 • Imaging | $69 | $235 | $437 |
| CT chest without then with contrast CPT 71270 • Imaging | $547 | $547 | $547 |
| CT angiography chest CPT 71275 • Imaging | $252 | $497 | $695 |
| CT cervical spine without contrast CPT 72125 • Imaging | $140 | $140 | $140 |
| CT thoracic spine without contrast CPT 72128 • Imaging | $131 | $131 | $131 |
| CT lumbar spine without contrast CPT 72131 • Imaging | $131 | $131 | $131 |
| MRI cervical spine without contrast CPT 72141 • Imaging | $168 | $479 | $700 |
| MRI thoracic spine without contrast CPT 72146 • Imaging | $250 | $395 | $499 |
| MRI lumbar spine without contrast CPT 72148 • Imaging | $376 | $520 | $700 |
| CT pelvis without contrast CPT 72192 • Imaging | $240 | $240 | $240 |
| CT pelvis with contrast CPT 72193 • Imaging | $593 | $593 | $593 |
| X-ray shoulder complete CPT 73030 • Imaging | $19 | $52 | $90 |
| MRI joint upper extremity without contrast CPT 73221 • Imaging | $76 | $431 | $700 |
| X-ray knee 1-2 views CPT 73560 • Imaging | $24 | $45 | $88 |
| X-ray ankle complete CPT 73610 • Imaging | $9 | $43 | $94 |
| MRI lower extremity without contrast CPT 73718 • Imaging | $75 | $610 | $923 |
| MRI joint lower extremity without contrast CPT 73721 • Imaging | $261 | $509 | $700 |
| CT abdomen without contrast CPT 74150 • Imaging | $66 | $242 | $392 |
| CT abdomen with contrast CPT 74160 • Imaging | $167 | $167 | $167 |
| CT abdomen without then with contrast CPT 74170 • Imaging | $515 | $515 | $515 |
| CT abdomen and pelvis without contrast CPT 74176 • Imaging | $124 | $315 | $550 |
| CT abdomen and pelvis with contrast CPT 74177 • Imaging | $200 | $508 | $792 |
| CT abdomen and pelvis without then with contrast CPT 74178 • Imaging | $325 | $668 | $951 |
| Ultrasound abdominal complete CPT 76700 • Imaging | $76 | $148 | $357 |
| Ultrasound retroperitoneal complete CPT 76770 • Imaging | $87 | $195 | $336 |
| Ultrasound transvaginal CPT 76830 • Imaging | $42 | $131 | $319 |
| Ultrasound pelvic complete CPT 76856 • Imaging | $42 | $146 | $314 |
| Diagnostic mammography unilateral CPT 77065 • Imaging | $68 | $131 | $234 |
| Diagnostic mammography bilateral CPT 77066 • Imaging | $128 | $270 | $427 |
| Screening mammography bilateral CPT 77067 • Imaging | $32 | $183 | $344 |
| DEXA bone density study axial skeleton CPT 77080 • Imaging | $217 | $217 | $217 |
| Nuclear myocardial perfusion study CPT 78452 • Imaging | $261 | $595 | $1,263 |
| Collection of venous blood by venipuncture CPT 36415 • Laboratory | $3 | $3 | $3 |
| Basic metabolic panel CPT 80048 • Laboratory | $5 | $12 | $22 |
| Comprehensive metabolic panel CPT 80053 • Laboratory | $6 | $14 | $27 |
| Lipid panel CPT 80061 • Laboratory | $8 | $20 | $34 |