GOSHEN MEDICAL CENTER INCORPORATED· WHITEVILLE, NC
ProviderClinic/Center, Federally Qualified Health Center (FQHC)Clinic/Center, Multi-Specialty
5 WHITEVILLE TOWNE CTR, WHITEVILLE, NC 28472
Procedures offered
952 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Hemoglobin A1c CPT 83036 • Laboratory | $2 | $7 | $11 |
| Iron serum CPT 83540 • Laboratory | $2 | $3 | $4 |
| Iron binding capacity CPT 83550 • Laboratory | $2 | $8 | $14 |
| Prostate specific antigen (PSA) CPT 84153 • Laboratory | $5 | $8 | $11 |
| Free thyroxine (T4) CPT 84439 • Laboratory | $2 | $7 | $11 |
| Thyroid stimulating hormone (TSH) CPT 84443 • Laboratory | $4 | $8 | $13 |
| Complete blood count with differential CPT 85025 • Laboratory | $2 | $6 | $9 |
| Complete blood count automated CPT 85027 • Laboratory | $2 | $3 | $4 |
| Prothrombin time (PT) CPT 85610 • Laboratory | $1 | $4 | $5 |
| Sedimentation rate (ESR) automated CPT 85652 • Laboratory | $2 | $2 | $2 |
| Partial thromboplastin time (PTT) CPT 85730 • Laboratory | $4 | $4 | $4 |
| Cyclic citrullinated peptide antibody CPT 86200 • Laboratory | $8 | $8 | $8 |
| Nuclear antigen antibody CPT 86235 • Laboratory | $11 | $11 | $11 |
| Heterophile antibodies screen CPT 86308 • Laboratory | $2 | $5 | $6 |
| TB skin test intradermal CPT 86580 • Laboratory | $3 | $8 | $12 |
| Blood typing ABO CPT 86900 • Laboratory | $2 | $2 | $2 |
| Blood typing Rh CPT 86901 • Laboratory | $2 | $2 | $2 |
| Urine culture bacterial colony count CPT 87086 • Laboratory | $2 | $6 | $9 |
| Chlamydia nucleic acid amplification CPT 87491 • Laboratory | $18 | $19 | $21 |
| Gonorrhea nucleic acid amplification CPT 87591 • Laboratory | $18 | $19 | $21 |
| SARS-CoV-2 COVID-19 amplified probe CPT 87635 • Laboratory | $26 | $34 | $51 |
| Influenza virus assay with direct optical CPT 87804 • Laboratory | $7 | $14 | $19 |
| Strep A assay with optic observation CPT 87880 • Laboratory | $6 | $16 | $26 |
| Amniocentesis diagnostic CPT 59000 • Maternity | $100 | $100 | $100 |
| Cordocentesis fetal blood sampling CPT 59012 • Maternity | $170 | $170 | $170 |
| Chorionic villus sampling CPT 59015 • Maternity | $111 | $111 | $111 |
| Fetal non-stress test CPT 59025 • Maternity | $25 | $28 | $29 |
| Insertion cervical dilator CPT 59200 • Maternity | $38 | $38 | $38 |
| Vaginal delivery including prenatal and postpartum care CPT 59400 • Maternity | $1,781 | $1,885 | $1,988 |
| Vaginal delivery only CPT 59409 • Maternity | $683 | $683 | $683 |
| Vaginal delivery including postpartum care CPT 59410 • Maternity | $879 | $879 | $879 |
| External cephalic version CPT 59412 • Maternity | $87 | $87 | $87 |
| Antepartum care 7 or more visits CPT 59426 • Maternity | $610 | $745 | $931 |
| Postpartum care only CPT 59430 • Maternity | $118 | $151 | $168 |
| Cesarean delivery including prenatal and postpartum care CPT 59510 • Maternity | $1,972 | $1,972 | $1,972 |
| Cesarean delivery only CPT 59514 • Maternity | $770 | $770 | $770 |
| Cesarean delivery including postpartum care CPT 59515 • Maternity | $1,068 | $1,068 | $1,068 |
| Vaginal delivery after prior cesarean (VBAC) including prenatal CPT 59610 • Maternity | $1,870 | $1,870 | $1,870 |
| Obstetric ultrasound first trimester CPT 76801 • Maternity | $42 | $59 | $85 |
| Obstetric ultrasound complete CPT 76805 • Maternity | $72 | $89 | $98 |
| Obstetric ultrasound detailed fetal anatomy CPT 76811 • Maternity | $147 | $147 | $147 |
| Obstetric ultrasound limited CPT 76815 • Maternity | $20 | $28 | $41 |
| Ultrasound transvaginal obstetric CPT 76817 • Maternity | $22 | $57 | $149 |
| Interactive complexity add-on CPT 90785 • Mental Health | $10 | $11 | $12 |
| Psychiatric diagnostic evaluation CPT 90791 • Mental Health | $95 | $194 | $281 |
| Psychiatric diagnostic evaluation with medical services CPT 90792 • Mental Health | $119 | $190 | $315 |
| Psychotherapy 30 minutes CPT 90832 • Mental Health | $46 | $94 | $136 |
| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $55 | $58 | $63 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $71 | $137 | $191 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $68 | $75 | $80 |