NORTHERN HOSPITAL OF SURRY COUNTY· MOUNT AIRY, NC

Physician group

1016 S SOUTH ST, MOUNT AIRY, NC 27030

Procedures offered

954 total

ProcedureMinAvgMax
MRI brain with contrast
CPT 70552 • Imaging
$89$230$279
MRI brain without contrast then with contrast
CPT 70553 • Imaging
$241$353$492
Chest X-ray single view
CPT 71045 • Imaging
$14$18$26
Chest X-ray 2 views
CPT 71046 • Imaging
$19$25$30
CT chest without contrast
CPT 71250 • Imaging
$58$120$137
CT chest with contrast
CPT 71260 • Imaging
$64$133$188
CT chest without then with contrast
CPT 71270 • Imaging
$200$212$223
CT angiography chest
CPT 71275 • Imaging
$91$235$340
CT cervical spine without contrast
CPT 72125 • Imaging
$123$123$123
CT thoracic spine without contrast
CPT 72128 • Imaging
$122$122$122
CT lumbar spine without contrast
CPT 72131 • Imaging
$50$50$50
MRI cervical spine without contrast
CPT 72141 • Imaging
$124$142$196
MRI thoracic spine without contrast
CPT 72146 • Imaging
$69$110$138
MRI lumbar spine without contrast
CPT 72148 • Imaging
$74$102$125
CT pelvis without contrast
CPT 72192 • Imaging
$54$54$54
CT pelvis with contrast
CPT 72193 • Imaging
$165$195$224
X-ray shoulder complete
CPT 73030 • Imaging
$9$24$30
MRI joint upper extremity without contrast
CPT 73221 • Imaging
$171$200$223
X-ray knee 1-2 views
CPT 73560 • Imaging
$8$23$29
X-ray ankle complete
CPT 73610 • Imaging
$6$24$33
MRI lower extremity without contrast
CPT 73718 • Imaging
$183$228$271
MRI joint lower extremity without contrast
CPT 73721 • Imaging
$206$210$223
CT abdomen without contrast
CPT 74150 • Imaging
$59$109$139
CT abdomen with contrast
CPT 74160 • Imaging
$63$63$63
CT abdomen without then with contrast
CPT 74170 • Imaging
$189$189$189
CT abdomen and pelvis without contrast
CPT 74176 • Imaging
$185$211$282
CT abdomen and pelvis with contrast
CPT 74177 • Imaging
$91$279$367
CT abdomen and pelvis without then with contrast
CPT 74178 • Imaging
$94$298$351
Ultrasound abdominal complete
CPT 76700 • Imaging
$40$113$206
Ultrasound retroperitoneal complete
CPT 76770 • Imaging
$37$76$96
Ultrasound transvaginal
CPT 76830 • Imaging
$38$91$117
Ultrasound pelvic complete
CPT 76856 • Imaging
$34$79$124
Diagnostic mammography unilateral
CPT 77065 • Imaging
$41$88$110
Diagnostic mammography bilateral
CPT 77066 • Imaging
$50$110$139
Screening mammography bilateral
CPT 77067 • Imaging
$32$108$192
DEXA bone density study axial skeleton
CPT 77080 • Imaging
$28$28$28
Nuclear myocardial perfusion study
CPT 78452 • Imaging
$79$378$651
Collection of venous blood by venipuncture
CPT 36415 • Laboratory
$2$2$3
Basic metabolic panel
CPT 80048 • Laboratory
$5$5$6
Comprehensive metabolic panel
CPT 80053 • Laboratory
$5$6$8
Lipid panel
CPT 80061 • Laboratory
$5$8$10
Hepatic function panel
CPT 80076 • Laboratory
$4$5$6
Urinalysis with microscopy
CPT 81001 • Laboratory
$2$2$2
Urinalysis nonautomated without microscopy
CPT 81002 • Laboratory
$2$2$3
Urinalysis automated without microscopy
CPT 81003 • Laboratory
$1$1$2
Fecal hemoglobin immunoassay
CPT 82274 • Laboratory
$8$11$13
Vitamin D 25-hydroxy
CPT 82306 • Laboratory
$16$21$24
Creatine kinase (CK) total
CPT 82550 • Laboratory
$3$4$5
Creatinine urine
CPT 82570 • Laboratory
$3$3$4
Ferritin
CPT 82728 • Laboratory
$2$7$10