DLP HAYWOOD REGIONAL MEDICAL CENTER LLC· CLYDE, NC

LabCMS 3/5

262 LEROY GEORGE DR, CLYDE, NC 28721

Procedures offered

937 total

ProcedureMinAvgMax
MRI cervical spine without contrast
CPT 72141 • Imaging
$168$299$472
MRI thoracic spine without contrast
CPT 72146 • Imaging
$340$471$641
MRI lumbar spine without contrast
CPT 72148 • Imaging
$257$381$510
X-ray shoulder complete
CPT 73030 • Imaging
$19$31$45
MRI joint upper extremity without contrast
CPT 73221 • Imaging
$76$268$456
X-ray knee 1-2 views
CPT 73560 • Imaging
$18$32$41
X-ray ankle complete
CPT 73610 • Imaging
$27$31$36
MRI lower extremity without contrast
CPT 73718 • Imaging
$298$374$456
MRI joint lower extremity without contrast
CPT 73721 • Imaging
$185$304$456
CT abdomen without contrast
CPT 74150 • Imaging
$94$209$275
CT abdomen and pelvis without contrast
CPT 74176 • Imaging
$212$266$310
CT abdomen and pelvis with contrast
CPT 74177 • Imaging
$332$365$430
CT abdomen and pelvis without then with contrast
CPT 74178 • Imaging
$325$371$453
Ultrasound abdominal complete
CPT 76700 • Imaging
$109$127$152
Ultrasound retroperitoneal complete
CPT 76770 • Imaging
$76$107$141
Ultrasound transvaginal
CPT 76830 • Imaging
$42$89$155
Ultrasound pelvic complete
CPT 76856 • Imaging
$42$118$175
Diagnostic mammography unilateral
CPT 77065 • Imaging
$33$110$163
Diagnostic mammography bilateral
CPT 77066 • Imaging
$90$155$206
Screening mammography bilateral
CPT 77067 • Imaging
$109$137$166
Nuclear myocardial perfusion study
CPT 78452 • Imaging
$360$525$613
Urinalysis non-automated without microscopy
CPT 81002 • Lab
$2$6$11
Basic metabolic panel
CPT 80048 • Laboratory
$5$9$15
Comprehensive metabolic panel
CPT 80053 • Laboratory
$6$20$36
Lipid panel
CPT 80061 • Laboratory
$8$32$58
Hepatic function panel
CPT 80076 • Laboratory
$4$18$34
Urinalysis with microscopy
CPT 81001 • Laboratory
$2$3$6
Urinalysis automated without microscopy
CPT 81003 • Laboratory
$2$3$4
Fecal hemoglobin immunoassay
CPT 82274 • Laboratory
$8$18$32
Vitamin D 25-hydroxy
CPT 82306 • Laboratory
$17$74$127
Creatine kinase (CK) total
CPT 82550 • Laboratory
$4$16$28
Creatinine urine
CPT 82570 • Laboratory
$3$6$9
Ferritin
CPT 82728 • Laboratory
$7$9$12
IgA IgD IgG IgM each
CPT 82784 • Laboratory
$5$23$40
Glucose quantitative blood
CPT 82947 • Laboratory
$3$5$7
Hemoglobin A1c
CPT 83036 • Laboratory
$7$9$11
Iron serum
CPT 83540 • Laboratory
$3$6$8
Iron binding capacity
CPT 83550 • Laboratory
$6$19$38
Prostate specific antigen (PSA)
CPT 84153 • Laboratory
$10$43$79
Free thyroxine (T4)
CPT 84439 • Laboratory
$5$22$39
Thyroid stimulating hormone (TSH)
CPT 84443 • Laboratory
$11$39$70
Complete blood count with differential
CPT 85025 • Laboratory
$5$7$9
Complete blood count automated
CPT 85027 • Laboratory
$3$14$28
Prothrombin time (PT)
CPT 85610 • Laboratory
$3$9$17
Sedimentation rate (ESR) automated
CPT 85652 • Laboratory
$2$6$12
Partial thromboplastin time (PTT)
CPT 85730 • Laboratory
$3$4$5
Cyclic citrullinated peptide antibody
CPT 86200 • Laboratory
$6$9$12
Nuclear antigen antibody
CPT 86235 • Laboratory
$9$44$77
Heterophile antibodies screen
CPT 86308 • Laboratory
$4$12$22
TB skin test intradermal
CPT 86580 • Laboratory
$5$10$14