ALLEGHANY COUNTY MEMORIAL HOSPITAL INC· SPARTA, NC

Physician group

233 DOCTORS ST, SPARTA, NC 28675

Procedures offered

932 total

ProcedureMinAvgMax
MRI joint upper extremity without contrast
CPT 73221 • Imaging
$211$317$525
X-ray knee 1-2 views
CPT 73560 • Imaging
$21$40$67
X-ray ankle complete
CPT 73610 • Imaging
$32$39$48
MRI lower extremity without contrast
CPT 73718 • Imaging
$254$360$525
MRI joint lower extremity without contrast
CPT 73721 • Imaging
$215$383$525
CT abdomen without contrast
CPT 74150 • Imaging
$117$165$213
CT abdomen and pelvis without contrast
CPT 74176 • Imaging
$108$152$201
CT abdomen and pelvis with contrast
CPT 74177 • Imaging
$297$341$407
CT abdomen and pelvis without then with contrast
CPT 74178 • Imaging
$122$231$339
Ultrasound abdominal complete
CPT 76700 • Imaging
$54$101$177
Ultrasound retroperitoneal complete
CPT 76770 • Imaging
$49$113$149
Ultrasound transvaginal
CPT 76830 • Imaging
$77$124$181
Ultrasound pelvic complete
CPT 76856 • Imaging
$74$86$98
Diagnostic mammography unilateral
CPT 77065 • Imaging
$38$80$121
Diagnostic mammography bilateral
CPT 77066 • Imaging
$151$171$207
Screening mammography bilateral
CPT 77067 • Imaging
$87$115$130
Nuclear myocardial perfusion study
CPT 78452 • Imaging
$97$352$528
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
$5$9$13
Lipid panel
CPT 80061 • Laboratory
$8$16$25
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$3$4
Fecal hemoglobin immunoassay
CPT 82274 • Laboratory
$8$14$19
Vitamin D 25-hydroxy
CPT 82306 • Laboratory
$17$26$36
Creatine kinase (CK) total
CPT 82550 • Laboratory
$4$6$8
Creatinine urine
CPT 82570 • Laboratory
$3$5$6
Ferritin
CPT 82728 • Laboratory
$7$12$17
IgA IgD IgG IgM each
CPT 82784 • Laboratory
$5$8$11
Glucose quantitative blood
CPT 82947 • Laboratory
$2$3$5
Hemoglobin A1c
CPT 83036 • Laboratory
$6$12$18
Iron serum
CPT 83540 • Laboratory
$3$6$8
Iron binding capacity
CPT 83550 • Laboratory
$4$7$11
Prostate specific antigen (PSA)
CPT 84153 • Laboratory
$9$16$22
Free thyroxine (T4)
CPT 84439 • Laboratory
$4$8$11
Thyroid stimulating hormone (TSH)
CPT 84443 • Laboratory
$10$15$20
Complete blood count with differential
CPT 85025 • Laboratory
$5$7$9
Complete blood count automated
CPT 85027 • Laboratory
$4$8$12
Prothrombin time (PT)
CPT 85610 • Laboratory
$3$4$5
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
$6$11$16
Nuclear antigen antibody
CPT 86235 • Laboratory
$9$15$22
Heterophile antibodies screen
CPT 86308 • Laboratory
$3$6$10
TB skin test intradermal
CPT 86580 • Laboratory
$3$7$9
Blood typing ABO
CPT 86900 • Laboratory
$1$3$4
Blood typing Rh
CPT 86901 • Laboratory
$1$3$4
Urine culture bacterial colony count
CPT 87086 • Laboratory
$4$7$10
Chlamydia nucleic acid amplification
CPT 87491 • Laboratory
$17$30$43