ASHE MEMORIAL HOSPITAL INC· JEFFERSON, NC
Physician groupCMS 3/5HospitalistPhysical Medicine & Rehabilitation
200 HOSPITAL AVE, JEFFERSON, NC 28640
Procedures offered
964 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| CT head with contrast CPT 70460 • Imaging | $181 | $181 | $181 |
| CT head without then with contrast CPT 70470 • Imaging | $253 | $253 | $253 |
| CT maxillofacial without contrast CPT 70486 • Imaging | $190 | $190 | $190 |
| CT maxillofacial with contrast CPT 70487 • Imaging | $64 | $64 | $64 |
| CT soft tissue neck with contrast CPT 70491 • Imaging | $122 | $172 | $222 |
| CT angiography neck CPT 70498 • Imaging | $565 | $565 | $565 |
| MRI orbits face neck with and without contrast CPT 70543 • Imaging | $106 | $602 | $1,179 |
| MRI brain without contrast CPT 70551 • Imaging | $71 | $291 | $615 |
| MRI brain with contrast CPT 70552 • Imaging | $260 | $499 | $644 |
| MRI brain without contrast then with contrast CPT 70553 • Imaging | $109 | $401 | $1,193 |
| Chest X-ray single view CPT 71045 • Imaging | $8 | $18 | $57 |
| Chest X-ray 2 views CPT 71046 • Imaging | $9 | $35 | $74 |
| CT chest without contrast CPT 71250 • Imaging | $51 | $148 | $292 |
| CT chest with contrast CPT 71260 • Imaging | $55 | $194 | $393 |
| CT chest without then with contrast CPT 71270 • Imaging | $141 | $246 | $351 |
| CT angiography chest CPT 71275 • Imaging | $80 | $370 | $809 |
| CT cervical spine without contrast CPT 72125 • Imaging | $182 | $182 | $182 |
| CT thoracic spine without contrast CPT 72128 • Imaging | $232 | $232 | $232 |
| CT lumbar spine without contrast CPT 72131 • Imaging | $50 | $50 | $50 |
| MRI cervical spine without contrast CPT 72141 • Imaging | $65 | $322 | $615 |
| MRI thoracic spine without contrast CPT 72146 • Imaging | $65 | $299 | $596 |
| MRI lumbar spine without contrast CPT 72148 • Imaging | $74 | $323 | $615 |
| CT pelvis without contrast CPT 72192 • Imaging | $224 | $224 | $224 |
| CT pelvis with contrast CPT 72193 • Imaging | $58 | $141 | $224 |
| X-ray shoulder complete CPT 73030 • Imaging | $8 | $22 | $76 |
| MRI joint upper extremity without contrast CPT 73221 • Imaging | $68 | $297 | $615 |
| X-ray knee 1-2 views CPT 73560 • Imaging | $7 | $21 | $41 |
| X-ray ankle complete CPT 73610 • Imaging | $8 | $27 | $80 |
| MRI lower extremity without contrast CPT 73718 • Imaging | $67 | $338 | $615 |
| MRI joint lower extremity without contrast CPT 73721 • Imaging | $65 | $237 | $615 |
| CT abdomen without contrast CPT 74150 • Imaging | $170 | $224 | $299 |
| CT abdomen with contrast CPT 74160 • Imaging | $311 | $311 | $311 |
| CT abdomen without then with contrast CPT 74170 • Imaging | $70 | $70 | $70 |
| CT abdomen and pelvis without contrast CPT 74176 • Imaging | $108 | $190 | $402 |
| CT abdomen and pelvis with contrast CPT 74177 • Imaging | $80 | $286 | $352 |
| CT abdomen and pelvis without then with contrast CPT 74178 • Imaging | $125 | $360 | $748 |
| Ultrasound abdominal complete CPT 76700 • Imaging | $35 | $90 | $251 |
| Ultrasound retroperitoneal complete CPT 76770 • Imaging | $37 | $113 | $235 |
| Ultrasound transvaginal CPT 76830 • Imaging | $30 | $105 | $257 |
| Ultrasound pelvic complete CPT 76856 • Imaging | $30 | $88 | $228 |
| Diagnostic mammography unilateral CPT 77065 • Imaging | $35 | $107 | $274 |
| Diagnostic mammography bilateral CPT 77066 • Imaging | $44 | $131 | $345 |
| Screening mammography bilateral CPT 77067 • Imaging | $32 | $119 | $280 |
| DEXA bone density study axial skeleton CPT 77080 • Imaging | $10 | $10 | $10 |
| Nuclear myocardial perfusion study CPT 78452 • Imaging | $368 | $484 | $924 |
| Collection of venous blood by venipuncture CPT 36415 • Laboratory | $2 | $2 | $2 |
| Basic metabolic panel CPT 80048 • Laboratory | $5 | $9 | $19 |
| Comprehensive metabolic panel CPT 80053 • Laboratory | $5 | $9 | $15 |
| Lipid panel CPT 80061 • Laboratory | $8 | $11 | $19 |
| Hepatic function panel CPT 80076 • Laboratory | $4 | $7 | $12 |