CAPE FEAR VALLEY HOKE HOSPITAL· RAEFORD, NC
HospitalCMS 4/5
210 MEDICAL PAVILION DRIVE, RAEFORD, NC 28376
Procedures offered
936 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Blood typing Rh CPT 86901 • Laboratory | $1 | $3 | $6 |
| Urine culture bacterial colony count CPT 87086 • Laboratory | $4 | $8 | $15 |
| Chlamydia nucleic acid amplification CPT 87491 • Laboratory | $20 | $37 | $65 |
| Gonorrhea nucleic acid amplification CPT 87591 • Laboratory | $20 | $55 | $138 |
| SARS-CoV-2 COVID-19 amplified probe CPT 87635 • Laboratory | $21 | $55 | $95 |
| Influenza virus assay with direct optical CPT 87804 • Laboratory | $12 | $19 | $32 |
| Amniocentesis diagnostic CPT 59000 • Maternity | $85 | $180 | $356 |
| Cordocentesis fetal blood sampling CPT 59012 • Maternity | $165 | $307 | $569 |
| Chorionic villus sampling CPT 59015 • Maternity | $138 | $261 | $438 |
| Fetal non-stress test CPT 59025 • Maternity | $24 | $47 | $86 |
| Insertion cervical dilator CPT 59200 • Maternity | $58 | $144 | $230 |
| Vaginal delivery including prenatal and postpartum care CPT 59400 • Maternity | $2,446 | $3,431 | $4,343 |
| Vaginal delivery only CPT 59409 • Maternity | $1,181 | $1,388 | $1,564 |
| Vaginal delivery including postpartum care CPT 59410 • Maternity | $1,563 | $1,781 | $2,111 |
| External cephalic version CPT 59412 • Maternity | $103 | $159 | $200 |
| Antepartum care 7 or more visits CPT 59426 • Maternity | $159 | $1,148 | $1,838 |
| Postpartum care only CPT 59430 • Maternity | $178 | $330 | $463 |
| Cesarean delivery including prenatal and postpartum care CPT 59510 • Maternity | $2,716 | $4,160 | $5,222 |
| Cesarean delivery only CPT 59514 • Maternity | $1,182 | $1,416 | $1,651 |
| Cesarean delivery including postpartum care CPT 59515 • Maternity | $1,622 | $2,130 | $2,618 |
| Vaginal delivery after prior cesarean (VBAC) including prenatal CPT 59610 • Maternity | $2,561 | $3,927 | $4,923 |
| Obstetric ultrasound first trimester CPT 76801 • Maternity | $61 | $118 | $197 |
| Obstetric ultrasound complete CPT 76805 • Maternity | $93 | $138 | $226 |
| Obstetric ultrasound detailed fetal anatomy CPT 76811 • Maternity | $126 | $231 | $362 |
| Obstetric ultrasound limited CPT 76815 • Maternity | $30 | $58 | $121 |
| Ultrasound transvaginal obstetric CPT 76817 • Maternity | $46 | $87 | $155 |
| Interactive complexity add-on CPT 90785 • Mental Health | $14 | $20 | $26 |
| Psychiatric diagnostic evaluation CPT 90791 • Mental Health | $163 | $236 | $305 |
| Psychiatric diagnostic evaluation with medical services CPT 90792 • Mental Health | $188 | $273 | $343 |
| Psychotherapy 30 minutes CPT 90832 • Mental Health | $76 | $111 | $144 |
| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $77 | $102 | $133 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $101 | $147 | $190 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $99 | $132 | $169 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $141 | $226 | $357 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $130 | $171 | $225 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $148 | $209 | $293 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $72 | $105 | $140 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $114 | $143 | $182 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $119 | $150 | $190 |
| Group psychotherapy CPT 90853 • Mental Health | $29 | $39 | $51 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $6 | $8 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $52 | $155 | $250 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $126 | $227 | $370 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $109 | $184 | $246 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $73 | $440 | $642 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $55 | $509 | $747 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $65 | $99 | $187 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $103 | $220 | $480 |
| EMG needle each extremity complete CPT 95886 • Neurology | $52 | $111 | $158 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $46 | $118 | $269 |