MOSES CONE MEDICAL SERVICES INC.· GREENSBORO, NC

Ambulatory surgery center

520 N ELAM AVE, GREENSBORO, NC 27403

Procedures offered

950 total

ProcedureMinAvgMax
Prostate specific antigen (PSA)
CPT 84153 • Laboratory
$9$15$28
Free thyroxine (T4)
CPT 84439 • Laboratory
$6$8$10
Thyroid stimulating hormone (TSH)
CPT 84443 • Laboratory
$7$13$19
Complete blood count with differential
CPT 85025 • Laboratory
$5$7$12
Complete blood count automated
CPT 85027 • Laboratory
$1$5$9
Prothrombin time (PT)
CPT 85610 • Laboratory
$3$4$6
Sedimentation rate (ESR) automated
CPT 85652 • Laboratory
$2$3$5
Partial thromboplastin time (PTT)
CPT 85730 • Laboratory
$3$4$5
Cyclic citrullinated peptide antibody
CPT 86200 • Laboratory
$5$8$10
Nuclear antigen antibody
CPT 86235 • Laboratory
$5$9$14
Heterophile antibodies screen
CPT 86308 • Laboratory
$3$4$5
TB skin test intradermal
CPT 86580 • Laboratory
$7$8$10
Blood typing ABO
CPT 86900 • Laboratory
$1$2$3
Blood typing Rh
CPT 86901 • Laboratory
$2$2$2
Urine culture bacterial colony count
CPT 87086 • Laboratory
$4$6$11
Chlamydia nucleic acid amplification
CPT 87491 • Laboratory
$5$25$47
Gonorrhea nucleic acid amplification
CPT 87591 • Laboratory
$5$28$47
SARS-CoV-2 COVID-19 amplified probe
CPT 87635 • Laboratory
$31$47$51
Influenza virus assay with direct optical
CPT 87804 • Laboratory
$13$14$17
Strep A assay with optic observation
CPT 87880 • Laboratory
$7$16$23
Amniocentesis diagnostic
CPT 59000 • Maternity
$85$677$2,223
Cordocentesis fetal blood sampling
CPT 59012 • Maternity
$195$527$757
Chorionic villus sampling
CPT 59015 • Maternity
$87$962$2,223
Fetal non-stress test
CPT 59025 • Maternity
$27$185$747
Insertion cervical dilator
CPT 59200 • Maternity
$84$246$747
Vaginal delivery including prenatal and postpartum care
CPT 59400 • Maternity
$50$3,433$7,748
Vaginal delivery only
CPT 59409 • Maternity
$730$2,877$8,789
Vaginal delivery including postpartum care
CPT 59410 • Maternity
$861$2,439$4,121
External cephalic version
CPT 59412 • Maternity
$386$2,983$8,789
Antepartum care 7 or more visits
CPT 59426 • Maternity
$779$2,417$4,121
Postpartum care only
CPT 59430 • Maternity
$215$1,195$4,121
Cesarean delivery including prenatal and postpartum care
CPT 59510 • Maternity
$2,397$5,130$8,589
Cesarean delivery only
CPT 59514 • Maternity
$889$2,655$4,121
Cesarean delivery including postpartum care
CPT 59515 • Maternity
$1,194$2,329$4,703
Vaginal delivery after prior cesarean (VBAC) including prenatal
CPT 59610 • Maternity
$2,441$3,819$8,141
Obstetric ultrasound first trimester
CPT 76801 • Maternity
$80$243$446
Obstetric ultrasound complete
CPT 76805 • Maternity
$51$227$514
Obstetric ultrasound detailed fetal anatomy
CPT 76811 • Maternity
$89$237$663
Obstetric ultrasound limited
CPT 76815 • Maternity
$25$89$305
Ultrasound transvaginal obstetric
CPT 76817 • Maternity
$32$112$352
Interactive complexity add-on
CPT 90785 • Mental Health
$6$9$15
Psychiatric diagnostic evaluation
CPT 90791 • Mental Health
$137$185$250
Psychiatric diagnostic evaluation with medical services
CPT 90792 • Mental Health
$138$162$173
Psychotherapy 30 minutes
CPT 90832 • Mental Health
$76$87$93
Psychotherapy 30 min add-on to E/M
CPT 90833 • Mental Health
$51$86$102
Psychotherapy 45 minutes
CPT 90834 • Mental Health
$106$128$154
Psychotherapy 45 min add-on to E/M
CPT 90836 • Mental Health
$88$105$117
Psychotherapy 60 minutes
CPT 90837 • Mental Health
$138$173$228
Psychotherapy 60 min add-on to E/M
CPT 90838 • Mental Health
$123$150$181
Psychotherapy crisis first 60 minutes
CPT 90839 • Mental Health
$129$182$270