THE CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY· CHARLOTTE, NC

ProviderCMS 3/5

8800 N TRYON ST, CHARLOTTE, NC 28262

Procedures offered

966 total

ProcedureMinAvgMax
Hepatic function panel
CPT 80076 • Laboratory
$4$12$21
Urinalysis with microscopy
CPT 81001 • Laboratory
$2$4$8
Urinalysis nonautomated without microscopy
CPT 81002 • Laboratory
$2$4$9
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$43$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$13$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$11$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$47$90
Gonorrhea nucleic acid amplification
CPT 87591 • Laboratory
$20$45$90
SARS-CoV-2 COVID-19 amplified probe
CPT 87635 • Laboratory
$21$59$131
Influenza virus assay with direct optical
CPT 87804 • Laboratory
$14$20$42
Strep A assay with optic observation
CPT 87880 • Laboratory
$16$16$16
Amniocentesis diagnostic
CPT 59000 • Maternity
$57$232$404
Cordocentesis fetal blood sampling
CPT 59012 • Maternity
$134$398$670
Chorionic villus sampling
CPT 59015 • Maternity
$87$306$508
Fetal non-stress test
CPT 59025 • Maternity
$31$57$97
Insertion cervical dilator
CPT 59200 • Maternity
$47$156$336
Vaginal delivery including prenatal and postpartum care
CPT 59400 • Maternity
$1,323$3,330$6,023
Vaginal delivery only
CPT 59409 • Maternity
$721$1,395$1,966
Vaginal delivery including postpartum care
CPT 59410 • Maternity
$711$1,588$2,667
External cephalic version
CPT 59412 • Maternity
$73$204$341
Antepartum care 7 or more visits
CPT 59426 • Maternity
$50$1,646$2,659
Postpartum care only
CPT 59430 • Maternity
$85$394$661
Cesarean delivery including prenatal and postpartum care
CPT 59510 • Maternity
$2,200$3,950$6,670
Cesarean delivery only
CPT 59514 • Maternity
$142$1,317$2,224
Cesarean delivery including postpartum care
CPT 59515 • Maternity
$711$1,911$3,301
Vaginal delivery after prior cesarean (VBAC) including prenatal
CPT 59610 • Maternity
$2,200$3,595$6,287
Obstetric ultrasound first trimester
CPT 76801 • Maternity
$55$178$321