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 |
|---|---|---|---|
| Urinalysis with microscopy CPT 81001 • Laboratory | $2 | $3 | $6 |
| Urinalysis nonautomated without microscopy CPT 81002 • Laboratory | $2 | $3 | $8 |
| Urinalysis automated without microscopy CPT 81003 • Laboratory | $2 | $2 | $3 |
| Fecal hemoglobin immunoassay CPT 82274 • Laboratory | $8 | $13 | $23 |
| Vitamin D 25-hydroxy CPT 82306 • Laboratory | $17 | $25 | $42 |
| Creatine kinase (CK) total CPT 82550 • Laboratory | $4 | $7 | $14 |
| Creatinine urine CPT 82570 • Laboratory | $3 | $6 | $11 |
| Ferritin CPT 82728 • Laboratory | $7 | $11 | $19 |
| IgA IgD IgG IgM each CPT 82784 • Laboratory | $5 | $10 | $20 |
| Glucose quantitative blood CPT 82947 • Laboratory | $2 | $3 | $6 |
| Hemoglobin A1c CPT 83036 • Laboratory | $6 | $10 | $18 |
| Iron serum CPT 83540 • Laboratory | $3 | $7 | $14 |
| Iron binding capacity CPT 83550 • Laboratory | $4 | $7 | $12 |
| Prostate specific antigen (PSA) CPT 84153 • Laboratory | $9 | $17 | $26 |
| Free thyroxine (T4) CPT 84439 • Laboratory | $4 | $10 | $20 |
| Thyroid stimulating hormone (TSH) CPT 84443 • Laboratory | $10 | $16 | $24 |
| Complete blood count with differential CPT 85025 • Laboratory | $5 | $8 | $15 |
| Complete blood count automated CPT 85027 • Laboratory | $3 | $6 | $14 |
| Prothrombin time (PT) CPT 85610 • Laboratory | $3 | $4 | $8 |
| Sedimentation rate (ESR) automated CPT 85652 • Laboratory | $2 | $3 | $6 |
| Partial thromboplastin time (PTT) CPT 85730 • Laboratory | $3 | $6 | $13 |
| Cyclic citrullinated peptide antibody CPT 86200 • Laboratory | $6 | $11 | $18 |
| Nuclear antigen antibody CPT 86235 • Laboratory | $9 | $15 | $25 |
| Heterophile antibodies screen CPT 86308 • Laboratory | $3 | $5 | $11 |
| TB skin test intradermal CPT 86580 • Laboratory | $3 | $9 | $23 |
| Blood typing ABO CPT 86900 • Laboratory | $1 | $3 | $4 |
| Blood typing Rh CPT 86901 • Laboratory | $1 | $3 | $8 |
| Urine culture bacterial colony count CPT 87086 • Laboratory | $4 | $9 | $18 |
| Chlamydia nucleic acid amplification CPT 87491 • Laboratory | $17 | $34 | $77 |
| Gonorrhea nucleic acid amplification CPT 87591 • Laboratory | $17 | $27 | $47 |
| SARS-CoV-2 COVID-19 amplified probe CPT 87635 • Laboratory | $26 | $47 | $75 |
| Influenza virus assay with direct optical CPT 87804 • Laboratory | $8 | $15 | $31 |
| Strep A assay with optic observation CPT 87880 • Laboratory | $8 | $8 | $8 |
| Amniocentesis diagnostic CPT 59000 • Maternity | $52 | $148 | $268 |
| Cordocentesis fetal blood sampling CPT 59012 • Maternity | $189 | $262 | $454 |
| Chorionic villus sampling CPT 59015 • Maternity | $156 | $211 | $362 |
| Fetal non-stress test CPT 59025 • Maternity | $11 | $41 | $111 |
| Insertion cervical dilator CPT 59200 • Maternity | $42 | $112 | $299 |
| Vaginal delivery including prenatal and postpartum care CPT 59400 • Maternity | $2,074 | $2,851 | $5,503 |
| Vaginal delivery only CPT 59409 • Maternity | $749 | $967 | $1,819 |
| Vaginal delivery including postpartum care CPT 59410 • Maternity | $691 | $1,270 | $2,464 |
| External cephalic version CPT 59412 • Maternity | $66 | $129 | $236 |
| Antepartum care 7 or more visits CPT 59426 • Maternity | $630 | $1,082 | $2,406 |
| Postpartum care only CPT 59430 • Maternity | $140 | $251 | $593 |
| Cesarean delivery including prenatal and postpartum care CPT 59510 • Maternity | $1,726 | $2,962 | $6,163 |
| Cesarean delivery only CPT 59514 • Maternity | $850 | $1,191 | $2,080 |
| Cesarean delivery including postpartum care CPT 59515 • Maternity | $1,255 | $1,658 | $3,082 |
| Vaginal delivery after prior cesarean (VBAC) including prenatal CPT 59610 • Maternity | $1,627 | $2,824 | $5,817 |
| Obstetric ultrasound first trimester CPT 76801 • Maternity | $49 | $114 | $251 |
| Obstetric ultrasound complete CPT 76805 • Maternity | $44 | $132 | $291 |