NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER· HUNTERSVILLE, NC

HospitalCMS 4/5

10030 GILEAD ROAD, HUNTERSVILLE, NC 28078

Procedures offered

935 total

ProcedureMinAvgMax
MRI thoracic spine without contrast
CPT 72146 • Imaging
$79$314$903
MRI lumbar spine without contrast
CPT 72148 • Imaging
$79$193$277
X-ray shoulder complete
CPT 73030 • Imaging
$18$36$53
MRI joint upper extremity without contrast
CPT 73221 • Imaging
$131$369$798
X-ray knee 1-2 views
CPT 73560 • Imaging
$30$48$61
X-ray ankle complete
CPT 73610 • Imaging
$36$55$63
MRI lower extremity without contrast
CPT 73718 • Imaging
$260$322$361
MRI joint lower extremity without contrast
CPT 73721 • Imaging
$290$311$354
CT abdomen without contrast
CPT 74150 • Imaging
$96$222$450
CT abdomen and pelvis without contrast
CPT 74176 • Imaging
$120$218$325
CT abdomen and pelvis with contrast
CPT 74177 • Imaging
$495$540$599
CT abdomen and pelvis without then with contrast
CPT 74178 • Imaging
$106$272$482
Ultrasound abdominal complete
CPT 76700 • Imaging
$89$152$238
Ultrasound retroperitoneal complete
CPT 76770 • Imaging
$39$112$156
Ultrasound transvaginal
CPT 76830 • Imaging
$99$142$184
Ultrasound pelvic complete
CPT 76856 • Imaging
$36$126$212
Diagnostic mammography unilateral
CPT 77065 • Imaging
$121$173$246
Diagnostic mammography bilateral
CPT 77066 • Imaging
$127$182$234
Screening mammography bilateral
CPT 77067 • Imaging
$40$108$194
Nuclear myocardial perfusion study
CPT 78452 • Imaging
$406$581$783
Urinalysis non-automated without microscopy
CPT 81002 • Lab
$2$3$4
Basic metabolic panel
CPT 80048 • Laboratory
$5$8$10
Comprehensive metabolic panel
CPT 80053 • Laboratory
$6$10$13
Lipid panel
CPT 80061 • Laboratory
$9$21$44
Hepatic function panel
CPT 80076 • Laboratory
$4$7$10
Urinalysis with microscopy
CPT 81001 • Laboratory
$2$3$4
Urinalysis automated without microscopy
CPT 81003 • Laboratory
$2$2$3
Fecal hemoglobin immunoassay
CPT 82274 • Laboratory
$8$17$24
Vitamin D 25-hydroxy
CPT 82306 • Laboratory
$18$28$36
Creatine kinase (CK) total
CPT 82550 • Laboratory
$4$6$8
Creatinine urine
CPT 82570 • Laboratory
$3$5$6
Ferritin
CPT 82728 • Laboratory
$7$14$24
IgA IgD IgG IgM each
CPT 82784 • Laboratory
$5$8$11
Glucose quantitative blood
CPT 82947 • Laboratory
$2$4$5
Hemoglobin A1c
CPT 83036 • Laboratory
$6$9$12
Iron serum
CPT 83540 • Laboratory
$3$6$8
Iron binding capacity
CPT 83550 • Laboratory
$5$8$10
Prostate specific antigen (PSA)
CPT 84153 • Laboratory
$10$16$22
Free thyroxine (T4)
CPT 84439 • Laboratory
$5$9$16
Thyroid stimulating hormone (TSH)
CPT 84443 • Laboratory
$11$15$20
Complete blood count with differential
CPT 85025 • Laboratory
$5$7$9
Complete blood count automated
CPT 85027 • Laboratory
$4$6$8
Prothrombin time (PT)
CPT 85610 • Laboratory
$3$5$6
Sedimentation rate (ESR) automated
CPT 85652 • Laboratory
$2$2$3
Partial thromboplastin time (PTT)
CPT 85730 • Laboratory
$3$5$7
Cyclic citrullinated peptide antibody
CPT 86200 • Laboratory
$7$11$16
Nuclear antigen antibody
CPT 86235 • Laboratory
$10$16$22
Heterophile antibodies screen
CPT 86308 • Laboratory
$3$5$6
TB skin test intradermal
CPT 86580 • Laboratory
$4$9$16
Blood typing ABO
CPT 86900 • Laboratory
$2$3$4