GOOD HOPE HOSPITAL, INC· ERWIN, NC
Hospital
410 DENIM DRIVE, ERWIN, NC 28339
Procedures offered
941 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Prothrombin time (PT) CPT 85610 • Laboratory | $1 | $2 | $3 |
| Sedimentation rate (ESR) automated CPT 85652 • Laboratory | $1 | $3 | $7 |
| Partial thromboplastin time (PTT) CPT 85730 • Laboratory | $1 | $7 | $15 |
| Cyclic citrullinated peptide antibody CPT 86200 • Laboratory | $4 | $7 | $10 |
| Nuclear antigen antibody CPT 86235 • Laboratory | $7 | $21 | $44 |
| Heterophile antibodies screen CPT 86308 • Laboratory | $2 | $2 | $3 |
| TB skin test intradermal CPT 86580 • Laboratory | $6 | $9 | $12 |
| Blood typing ABO CPT 86900 • Laboratory | $1 | $1 | $1 |
| Blood typing Rh CPT 86901 • Laboratory | $1 | $4 | $7 |
| Urine culture bacterial colony count CPT 87086 • Laboratory | $3 | $4 | $5 |
| Chlamydia nucleic acid amplification CPT 87491 • Laboratory | $17 | $23 | $28 |
| Gonorrhea nucleic acid amplification CPT 87591 • Laboratory | $11 | $17 | $23 |
| SARS-CoV-2 COVID-19 amplified probe CPT 87635 • Laboratory | $13 | $38 | $51 |
| Influenza virus assay with direct optical CPT 87804 • Laboratory | $4 | $8 | $11 |
| Strep A assay with optic observation CPT 87880 • Laboratory | $7 | $7 | $7 |
| Amniocentesis diagnostic CPT 59000 • Maternity | $107 | $139 | $170 |
| Cordocentesis fetal blood sampling CPT 59012 • Maternity | $30 | $186 | $347 |
| Chorionic villus sampling CPT 59015 • Maternity | $140 | $209 | $277 |
| Fetal non-stress test CPT 59025 • Maternity | $44 | $53 | $69 |
| Insertion cervical dilator CPT 59200 • Maternity | $30 | $57 | $91 |
| Vaginal delivery including prenatal and postpartum care CPT 59400 • Maternity | $2,000 | $2,701 | $3,403 |
| Vaginal delivery only CPT 59409 • Maternity | $30 | $812 | $1,684 |
| Vaginal delivery including postpartum care CPT 59410 • Maternity | $30 | $647 | $957 |
| External cephalic version CPT 59412 • Maternity | $92 | $118 | $145 |
| Antepartum care 7 or more visits CPT 59426 • Maternity | $705 | $812 | $920 |
| Postpartum care only CPT 59430 • Maternity | $234 | $234 | $234 |
| Cesarean delivery including prenatal and postpartum care CPT 59510 • Maternity | $2,100 | $3,641 | $5,181 |
| Cesarean delivery only CPT 59514 • Maternity | $817 | $1,183 | $1,549 |
| Cesarean delivery including postpartum care CPT 59515 • Maternity | $30 | $798 | $1,190 |
| Vaginal delivery after prior cesarean (VBAC) including prenatal CPT 59610 • Maternity | $30 | $1,461 | $2,252 |
| Obstetric ultrasound first trimester CPT 76801 • Maternity | $104 | $114 | $124 |
| Obstetric ultrasound complete CPT 76805 • Maternity | $94 | $107 | $119 |
| Obstetric ultrasound detailed fetal anatomy CPT 76811 • Maternity | $150 | $164 | $188 |
| Obstetric ultrasound limited CPT 76815 • Maternity | $30 | $52 | $72 |
| Ultrasound transvaginal obstetric CPT 76817 • Maternity | $38 | $67 | $82 |
| Interactive complexity add-on CPT 90785 • Mental Health | $3 | $8 | $14 |
| Psychiatric diagnostic evaluation CPT 90791 • Mental Health | $146 | $165 | $191 |
| Psychiatric diagnostic evaluation with medical services CPT 90792 • Mental Health | $146 | $172 | $191 |
| Psychotherapy 30 minutes CPT 90832 • Mental Health | $73 | $80 | $93 |
| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $71 | $85 | $102 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $108 | $116 | $130 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $86 | $107 | $118 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $124 | $143 | $162 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $108 | $120 | $136 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $137 | $142 | $146 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $73 | $82 | $96 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $104 | $121 | $150 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $108 | $122 | $150 |
| Group psychotherapy CPT 90853 • Mental Health | $26 | $37 | $48 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $4 | $4 | $5 |