COUNTY OF MONTGOMERY· TROY, NC
Provider
217 S MAIN ST, TROY, NC 27371
Procedures offered
952 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Chest X-ray single view CPT 71045 • Imaging | $11 | $14 | $18 |
| Chest X-ray 2 views CPT 71046 • Imaging | $10 | $21 | $32 |
| CT chest without contrast CPT 71250 • Imaging | $172 | $226 | $279 |
| CT chest with contrast CPT 71260 • Imaging | $215 | $273 | $330 |
| CT chest without then with contrast CPT 71270 • Imaging | $335 | $335 | $335 |
| CT angiography chest CPT 71275 • Imaging | $91 | $92 | $93 |
| CT cervical spine without contrast CPT 72125 • Imaging | $174 | $174 | $174 |
| CT thoracic spine without contrast CPT 72128 • Imaging | $173 | $173 | $173 |
| CT lumbar spine without contrast CPT 72131 • Imaging | $173 | $173 | $173 |
| MRI cervical spine without contrast CPT 72141 • Imaging | $78 | $204 | $330 |
| MRI thoracic spine without contrast CPT 72146 • Imaging | $76 | $269 | $463 |
| MRI lumbar spine without contrast CPT 72148 • Imaging | $70 | $71 | $72 |
| CT pelvis without contrast CPT 72192 • Imaging | $213 | $213 | $213 |
| CT pelvis with contrast CPT 72193 • Imaging | $204 | $204 | $204 |
| X-ray shoulder complete CPT 73030 • Imaging | $9 | $15 | $21 |
| MRI joint upper extremity without contrast CPT 73221 • Imaging | $360 | $397 | $434 |
| X-ray knee 1-2 views CPT 73560 • Imaging | $8 | $19 | $30 |
| X-ray ankle complete CPT 73610 • Imaging | $8 | $8 | $8 |
| MRI lower extremity without contrast CPT 73718 • Imaging | $439 | $440 | $440 |
| MRI joint lower extremity without contrast CPT 73721 • Imaging | $65 | $250 | $436 |
| CT abdomen without contrast CPT 74150 • Imaging | $218 | $244 | $270 |
| CT abdomen with contrast CPT 74160 • Imaging | $296 | $296 | $296 |
| CT abdomen without then with contrast CPT 74170 • Imaging | $392 | $392 | $392 |
| CT abdomen and pelvis without contrast CPT 74176 • Imaging | $142 | $178 | $213 |
| CT abdomen and pelvis with contrast CPT 74177 • Imaging | $335 | $353 | $372 |
| CT abdomen and pelvis without then with contrast CPT 74178 • Imaging | $111 | $221 | $332 |
| Ultrasound abdominal complete CPT 76700 • Imaging | $96 | $108 | $120 |
| Ultrasound retroperitoneal complete CPT 76770 • Imaging | $93 | $105 | $117 |
| Ultrasound transvaginal CPT 76830 • Imaging | $33 | $61 | $88 |
| Ultrasound pelvic complete CPT 76856 • Imaging | $67 | $93 | $120 |
| Diagnostic mammography unilateral CPT 77065 • Imaging | $84 | $112 | $140 |
| Diagnostic mammography bilateral CPT 77066 • Imaging | $46 | $49 | $53 |
| Screening mammography bilateral CPT 77067 • Imaging | $35 | $38 | $40 |
| DEXA bone density study axial skeleton CPT 77080 • Imaging | $53 | $53 | $53 |
| Nuclear myocardial perfusion study CPT 78452 • Imaging | $85 | $277 | $470 |
| Collection of venous blood by venipuncture CPT 36415 • Laboratory | $2 | $3 | $4 |
| Basic metabolic panel CPT 80048 • Laboratory | $6 | $7 | $9 |
| Comprehensive metabolic panel CPT 80053 • Laboratory | $6 | $6 | $7 |
| Lipid panel CPT 80061 • Laboratory | $5 | $7 | $9 |
| Hepatic function panel CPT 80076 • Laboratory | $5 | $5 | $6 |
| Urinalysis with microscopy CPT 81001 • Laboratory | $3 | $4 | $5 |
| Urinalysis nonautomated without microscopy CPT 81002 • Laboratory | $3 | $4 | $5 |
| Urinalysis automated without microscopy CPT 81003 • Laboratory | $2 | $2 | $2 |
| Fecal hemoglobin immunoassay CPT 82274 • Laboratory | $5 | $10 | $16 |
| Vitamin D 25-hydroxy CPT 82306 • Laboratory | $19 | $20 | $21 |
| Creatine kinase (CK) total CPT 82550 • Laboratory | $5 | $5 | $5 |
| Creatinine urine CPT 82570 • Laboratory | $4 | $4 | $5 |
| Ferritin CPT 82728 • Laboratory | $9 | $9 | $10 |
| IgA IgD IgG IgM each CPT 82784 • Laboratory | $6 | $6 | $7 |
| Glucose quantitative blood CPT 82947 • Laboratory | $4 | $4 | $4 |