BLUE RIDGE REGIONAL HOSPITAL· SPRUCE PINE, NC

HospitalCMS 3/5

125 HOSPITAL DRIVE, SPRUCE PINE, NC 28777

Procedures offered

933 total

ProcedureMinAvgMax
MRI joint upper extremity without contrast
CPT 73221 • Imaging
$261$461$666
X-ray knee 1-2 views
CPT 73560 • Imaging
$27$34$41
X-ray ankle complete
CPT 73610 • Imaging
$27$31$37
MRI lower extremity without contrast
CPT 73718 • Imaging
$456$551$664
MRI joint lower extremity without contrast
CPT 73721 • Imaging
$253$458$666
CT abdomen without contrast
CPT 74150 • Imaging
$139$184$257
CT abdomen and pelvis without contrast
CPT 74176 • Imaging
$124$236$372
CT abdomen and pelvis with contrast
CPT 74177 • Imaging
$275$298$333
CT abdomen and pelvis without then with contrast
CPT 74178 • Imaging
$324$465$747
Ultrasound abdominal complete
CPT 76700 • Imaging
$43$74$109
Ultrasound retroperitoneal complete
CPT 76770 • Imaging
$39$121$218
Ultrasound transvaginal
CPT 76830 • Imaging
$37$66$120
Ultrasound pelvic complete
CPT 76856 • Imaging
$33$60$107
Diagnostic mammography unilateral
CPT 77065 • Imaging
$110$132$152
Diagnostic mammography bilateral
CPT 77066 • Imaging
$139$167$192
Screening mammography bilateral
CPT 77067 • Imaging
$32$111$164
Nuclear myocardial perfusion study
CPT 78452 • Imaging
$76$294$446
Urinalysis non-automated without microscopy
CPT 81002 • Lab
$2$3$4
Basic metabolic panel
CPT 80048 • Laboratory
$5$13$20
Comprehensive metabolic panel
CPT 80053 • Laboratory
$6$17$25
Lipid panel
CPT 80061 • Laboratory
$8$15$24
Hepatic function panel
CPT 80076 • Laboratory
$4$13$19
Urinalysis with microscopy
CPT 81001 • Laboratory
$2$5$8
Urinalysis automated without microscopy
CPT 81003 • Laboratory
$2$3$4
Fecal hemoglobin immunoassay
CPT 82274 • Laboratory
$8$18$32
Vitamin D 25-hydroxy
CPT 82306 • Laboratory
$17$47$70
Creatine kinase (CK) total
CPT 82550 • Laboratory
$4$10$16
Creatinine urine
CPT 82570 • Laboratory
$3$8$12
Ferritin
CPT 82728 • Laboratory
$7$14$24
IgA IgD IgG IgM each
CPT 82784 • Laboratory
$5$14$22
Glucose quantitative blood
CPT 82947 • Laboratory
$3$5$7
Hemoglobin A1c
CPT 83036 • Laboratory
$7$9$11
Iron serum
CPT 83540 • Laboratory
$3$5$8
Iron binding capacity
CPT 83550 • Laboratory
$4$12$21
Prostate specific antigen (PSA)
CPT 84153 • Laboratory
$10$29$44
Free thyroxine (T4)
CPT 84439 • Laboratory
$5$14$21
Thyroid stimulating hormone (TSH)
CPT 84443 • Laboratory
$11$27$40
Complete blood count with differential
CPT 85025 • Laboratory
$5$11$19
Complete blood count automated
CPT 85027 • Laboratory
$3$4$5
Prothrombin time (PT)
CPT 85610 • Laboratory
$3$4$5
Sedimentation rate (ESR) automated
CPT 85652 • Laboratory
$2$4$6
Partial thromboplastin time (PTT)
CPT 85730 • Laboratory
$3$6$11
Cyclic citrullinated peptide antibody
CPT 86200 • Laboratory
$6$13$23
Nuclear antigen antibody
CPT 86235 • Laboratory
$9$18$32
Heterophile antibodies screen
CPT 86308 • Laboratory
$4$5$6
TB skin test intradermal
CPT 86580 • Laboratory
$5$9$12
Blood typing ABO
CPT 86900 • Laboratory
$1$3$5
Blood typing Rh
CPT 86901 • Laboratory
$1$5$10
Urine culture bacterial colony count
CPT 87086 • Laboratory
$4$8$14
Chlamydia nucleic acid amplification
CPT 87491 • Laboratory
$20$38$62