LIFEBRITE COMMUNITY HOSPITAL OF STOKES· DANBURY, NC

Hospital

1570 NC 8 & 89 HWY NORTH, DANBURY, NC 27016

Procedures offered

936 total

ProcedureMinAvgMax
MRI lumbar spine without contrast
CPT 72148 • Imaging
$74$358$969
X-ray shoulder complete
CPT 73030 • Imaging
$18$33$54
MRI joint upper extremity without contrast
CPT 73221 • Imaging
$68$202$425
X-ray knee 1-2 views
CPT 73560 • Imaging
$8$36$82
X-ray ankle complete
CPT 73610 • Imaging
$20$29$44
MRI lower extremity without contrast
CPT 73718 • Imaging
$80$394$1,068
MRI joint lower extremity without contrast
CPT 73721 • Imaging
$103$278$478
CT abdomen without contrast
CPT 74150 • Imaging
$59$224$461
CT abdomen and pelvis without contrast
CPT 74176 • Imaging
$113$222$398
CT abdomen and pelvis with contrast
CPT 74177 • Imaging
$158$217$285
CT abdomen and pelvis without then with contrast
CPT 74178 • Imaging
$119$218$335
Ultrasound abdominal complete
CPT 76700 • Imaging
$82$155$366
Ultrasound retroperitoneal complete
CPT 76770 • Imaging
$52$92$165
Ultrasound transvaginal
CPT 76830 • Imaging
$61$91$123
Ultrasound pelvic complete
CPT 76856 • Imaging
$66$132$324
Diagnostic mammography unilateral
CPT 77065 • Imaging
$39$74$106
Diagnostic mammography bilateral
CPT 77066 • Imaging
$59$109$161
Screening mammography bilateral
CPT 77067 • Imaging
$89$123$195
Nuclear myocardial perfusion study
CPT 78452 • Imaging
$138$342$484
Venipuncture (routine blood draw)
CPT 36415 • Lab
$11$11$11
Urinalysis non-automated without microscopy
CPT 81002 • Lab
$2$4$5
Strep test rapid (Streptococcus group A direct)
CPT 87880 • Lab
$13$13$13
Basic metabolic panel
CPT 80048 • Laboratory
$5$9$18
Comprehensive metabolic panel
CPT 80053 • Laboratory
$6$12$23
Lipid panel
CPT 80061 • Laboratory
$9$14$29
Hepatic function panel
CPT 80076 • Laboratory
$5$9$17
Urinalysis with microscopy
CPT 81001 • Laboratory
$2$3$7
Urinalysis automated without microscopy
CPT 81003 • Laboratory
$2$3$5
Fecal hemoglobin immunoassay
CPT 82274 • Laboratory
$11$18$32
Vitamin D 25-hydroxy
CPT 82306 • Laboratory
$20$32$62
Creatine kinase (CK) total
CPT 82550 • Laboratory
$4$7$14
Creatinine urine
CPT 82570 • Laboratory
$4$4$4
Ferritin
CPT 82728 • Laboratory
$9$17$29
IgA IgD IgG IgM each
CPT 82784 • Laboratory
$6$10$20
Glucose quantitative blood
CPT 82947 • Laboratory
$3$4$8
Hemoglobin A1c
CPT 83036 • Laboratory
$5$9$21
Iron serum
CPT 83540 • Laboratory
$4$8$14
Iron binding capacity
CPT 83550 • Laboratory
$6$11$18
Prostate specific antigen (PSA)
CPT 84153 • Laboratory
$12$21$40
Free thyroxine (T4)
CPT 84439 • Laboratory
$6$10$20
Thyroid stimulating hormone (TSH)
CPT 84443 • Laboratory
$11$18$36
Complete blood count with differential
CPT 85025 • Laboratory
$5$10$18
Complete blood count automated
CPT 85027 • Laboratory
$4$7$14
Prothrombin time (PT)
CPT 85610 • Laboratory
$3$5$9
Sedimentation rate (ESR) automated
CPT 85652 • Laboratory
$2$3$6
Partial thromboplastin time (PTT)
CPT 85730 • Laboratory
$4$6$13
Cyclic citrullinated peptide antibody
CPT 86200 • Laboratory
$9$14$27
Nuclear antigen antibody
CPT 86235 • Laboratory
$12$20$38
Heterophile antibodies screen
CPT 86308 • Laboratory
$4$6$11
TB skin test intradermal
CPT 86580 • Laboratory
$5$9$12