GOSHEN MEDICAL CENTER INCORPORATED· MOUNT OLIVE, NC
Provider
325 NC HIGHWAY 55 W, MOUNT OLIVE, NC 28365
Procedures offered
441 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| MRI brain without contrast then with contrast CPT 70553 • Imaging | $110 | $110 | $110 |
| Chest X-ray single view CPT 71045 • Imaging | $9 | $9 | $9 |
| Chest X-ray 2 views CPT 71046 • Imaging | $11 | $27 | $43 |
| CT chest without contrast CPT 71250 • Imaging | $38 | $38 | $38 |
| CT chest with contrast CPT 71260 • Imaging | $63 | $63 | $63 |
| CT angiography chest CPT 71275 • Imaging | $144 | $144 | $144 |
| MRI cervical spine without contrast CPT 72141 • Imaging | $195 | $195 | $195 |
| MRI thoracic spine without contrast CPT 72146 • Imaging | $71 | $71 | $71 |
| MRI lumbar spine without contrast CPT 72148 • Imaging | $191 | $191 | $191 |
| X-ray shoulder complete CPT 73030 • Imaging | $27 | $36 | $44 |
| MRI joint upper extremity without contrast CPT 73221 • Imaging | $66 | $66 | $66 |
| X-ray knee 1-2 views CPT 73560 • Imaging | $26 | $35 | $44 |
| X-ray ankle complete CPT 73610 • Imaging | $22 | $35 | $47 |
| MRI lower extremity without contrast CPT 73718 • Imaging | $65 | $65 | $65 |
| MRI joint lower extremity without contrast CPT 73721 • Imaging | $48 | $48 | $48 |
| CT abdomen without contrast CPT 74150 • Imaging | $139 | $139 | $139 |
| CT abdomen and pelvis without contrast CPT 74176 • Imaging | $77 | $77 | $77 |
| CT abdomen and pelvis with contrast CPT 74177 • Imaging | $226 | $226 | $226 |
| CT abdomen and pelvis without then with contrast CPT 74178 • Imaging | $97 | $97 | $97 |
| Ultrasound abdominal complete CPT 76700 • Imaging | $84 | $84 | $84 |
| Ultrasound retroperitoneal complete CPT 76770 • Imaging | $80 | $80 | $80 |
| Ultrasound transvaginal CPT 76830 • Imaging | $33 | $33 | $33 |
| Ultrasound pelvic complete CPT 76856 • Imaging | $76 | $76 | $76 |
| Diagnostic mammography unilateral CPT 77065 • Imaging | $91 | $91 | $91 |
| Diagnostic mammography bilateral CPT 77066 • Imaging | $115 | $115 | $115 |
| Screening mammography bilateral CPT 77067 • Imaging | $95 | $95 | $95 |
| Nuclear myocardial perfusion study CPT 78452 • Imaging | $321 | $321 | $321 |
| Venipuncture (routine blood draw) CPT 36415 • Lab | $4 | $4 | $4 |
| Urinalysis non-automated without microscopy CPT 81002 • Lab | $2 | $2 | $2 |
| Strep test rapid (Streptococcus group A direct) CPT 87880 • Lab | $7 | $13 | $19 |
| Basic metabolic panel CPT 80048 • Laboratory | $10 | $10 | $10 |
| Comprehensive metabolic panel CPT 80053 • Laboratory | $3 | $8 | $12 |
| Lipid panel CPT 80061 • Laboratory | $4 | $10 | $16 |
| Urinalysis with microscopy CPT 81001 • Laboratory | $1 | $1 | $1 |
| Urinalysis automated without microscopy CPT 81003 • Laboratory | $1 | $2 | $3 |
| Vitamin D 25-hydroxy CPT 82306 • Laboratory | $8 | $21 | $35 |
| Creatinine urine CPT 82570 • Laboratory | $1 | $1 | $1 |
| Ferritin CPT 82728 • Laboratory | $4 | $10 | $16 |
| IgA IgD IgG IgM each CPT 82784 • Laboratory | $5 | $5 | $5 |
| Glucose quantitative blood CPT 82947 • Laboratory | $2 | $2 | $2 |
| Hemoglobin A1c CPT 83036 • Laboratory | $3 | $7 | $11 |
| Iron serum CPT 83540 • Laboratory | $2 | $2 | $2 |
| Iron binding capacity CPT 83550 • Laboratory | $2 | $6 | $10 |
| Prostate specific antigen (PSA) CPT 84153 • Laboratory | $5 | $5 | $5 |
| Free thyroxine (T4) CPT 84439 • Laboratory | $2 | $7 | $11 |
| Thyroid stimulating hormone (TSH) CPT 84443 • Laboratory | $4 | $4 | $4 |
| Complete blood count with differential CPT 85025 • Laboratory | $2 | $6 | $9 |
| Complete blood count automated CPT 85027 • Laboratory | $3 | $3 | $3 |
| Prothrombin time (PT) CPT 85610 • Laboratory | $1 | $3 | $5 |
| Heterophile antibodies screen CPT 86308 • Laboratory | $2 | $4 | $6 |