GOOD HOPE HOSPITAL, INC· ERWIN, NC
Hospital
410 DENIM DRIVE, ERWIN, NC 28339
Procedures offered
941 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| CT angiography chest CPT 71275 • Imaging | $189 | $232 | $275 |
| CT cervical spine without contrast CPT 72125 • Imaging | $30 | $30 | $30 |
| CT thoracic spine without contrast CPT 72128 • Imaging | $30 | $30 | $30 |
| CT lumbar spine without contrast CPT 72131 • Imaging | $30 | $30 | $30 |
| MRI cervical spine without contrast CPT 72141 • Imaging | $30 | $404 | $757 |
| MRI thoracic spine without contrast CPT 72146 • Imaging | $30 | $221 | $425 |
| MRI lumbar spine without contrast CPT 72148 • Imaging | $30 | $361 | $627 |
| CT pelvis with contrast CPT 72193 • Imaging | $30 | $30 | $30 |
| X-ray shoulder complete CPT 73030 • Imaging | $29 | $47 | $83 |
| MRI joint upper extremity without contrast CPT 73221 • Imaging | $425 | $808 | $1,191 |
| X-ray knee 1-2 views CPT 73560 • Imaging | $28 | $29 | $30 |
| X-ray ankle complete CPT 73610 • Imaging | $30 | $40 | $59 |
| MRI lower extremity without contrast CPT 73718 • Imaging | $425 | $624 | $823 |
| MRI joint lower extremity without contrast CPT 73721 • Imaging | $153 | $261 | $425 |
| CT abdomen without contrast CPT 74150 • Imaging | $30 | $176 | $275 |
| CT abdomen without then with contrast CPT 74170 • Imaging | $30 | $30 | $30 |
| CT abdomen and pelvis without contrast CPT 74176 • Imaging | $275 | $287 | $299 |
| CT abdomen and pelvis with contrast CPT 74177 • Imaging | $275 | $508 | $935 |
| CT abdomen and pelvis without then with contrast CPT 74178 • Imaging | $275 | $394 | $555 |
| Ultrasound abdominal complete CPT 76700 • Imaging | $104 | $177 | $250 |
| Ultrasound retroperitoneal complete CPT 76770 • Imaging | $30 | $54 | $96 |
| Ultrasound transvaginal CPT 76830 • Imaging | $34 | $70 | $106 |
| Ultrasound pelvic complete CPT 76856 • Imaging | $34 | $64 | $94 |
| Diagnostic mammography unilateral CPT 77065 • Imaging | $109 | $140 | $199 |
| Diagnostic mammography bilateral CPT 77066 • Imaging | $139 | $196 | $252 |
| Screening mammography bilateral CPT 77067 • Imaging | $112 | $127 | $156 |
| Nuclear myocardial perfusion study CPT 78452 • Imaging | $391 | $515 | $746 |
| Collection of venous blood by venipuncture CPT 36415 • Laboratory | $2 | $2 | $2 |
| Basic metabolic panel CPT 80048 • Laboratory | $5 | $11 | $21 |
| Comprehensive metabolic panel CPT 80053 • Laboratory | $7 | $17 | $26 |
| Lipid panel CPT 80061 • Laboratory | $8 | $17 | $33 |
| Hepatic function panel CPT 80076 • Laboratory | $3 | $5 | $7 |
| Urinalysis with microscopy CPT 81001 • Laboratory | $2 | $4 | $8 |
| Urinalysis nonautomated without microscopy CPT 81002 • Laboratory | $1 | $2 | $3 |
| Urinalysis automated without microscopy CPT 81003 • Laboratory | $1 | $1 | $2 |
| Fecal hemoglobin immunoassay CPT 82274 • Laboratory | $5 | $9 | $13 |
| Vitamin D 25-hydroxy CPT 82306 • Laboratory | $11 | $18 | $24 |
| Creatine kinase (CK) total CPT 82550 • Laboratory | $2 | $4 | $5 |
| Creatinine urine CPT 82570 • Laboratory | $2 | $2 | $3 |
| Ferritin CPT 82728 • Laboratory | $9 | $18 | $34 |
| IgA IgD IgG IgM each CPT 82784 • Laboratory | $6 | $14 | $23 |
| Glucose quantitative blood CPT 82947 • Laboratory | $2 | $6 | $10 |
| Hemoglobin A1c CPT 83036 • Laboratory | $3 | $5 | $6 |
| Iron serum CPT 83540 • Laboratory | $1 | $2 | $4 |
| Iron binding capacity CPT 83550 • Laboratory | $3 | $5 | $7 |
| Prostate specific antigen (PSA) CPT 84153 • Laboratory | $6 | $9 | $12 |
| Free thyroxine (T4) CPT 84439 • Laboratory | $3 | $4 | $6 |
| Thyroid stimulating hormone (TSH) CPT 84443 • Laboratory | $3 | $6 | $11 |
| Complete blood count with differential CPT 85025 • Laboratory | $2 | $5 | $6 |
| Complete blood count automated CPT 85027 • Laboratory | $1 | $2 | $4 |