GRANVILLE HEALTH SYSTEM· OXFORD, NC
Hospital
1010 COLLEGE ST, OXFORD, NC 27565
Procedures offered
450 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Chest X-ray single view CPT 71045 • Imaging | $27 | $78 | $180 |
| Chest X-ray 2 views CPT 71046 • Imaging | $11 | $95 | $180 |
| CT chest without contrast CPT 71250 • Imaging | $252 | $367 | $425 |
| CT chest with contrast CPT 71260 • Imaging | $202 | $306 | $410 |
| CT chest without then with contrast CPT 71270 • Imaging | $425 | $425 | $425 |
| CT angiography chest CPT 71275 • Imaging | $410 | $418 | $425 |
| CT cervical spine without contrast CPT 72125 • Imaging | $425 | $425 | $425 |
| CT thoracic spine without contrast CPT 72128 • Imaging | $425 | $425 | $425 |
| CT lumbar spine without contrast CPT 72131 • Imaging | $425 | $425 | $425 |
| MRI cervical spine without contrast CPT 72141 • Imaging | $235 | $331 | $524 |
| MRI thoracic spine without contrast CPT 72146 • Imaging | $85 | $403 | $600 |
| MRI lumbar spine without contrast CPT 72148 • Imaging | $235 | $453 | $600 |
| CT pelvis with contrast CPT 72193 • Imaging | $425 | $425 | $425 |
| X-ray shoulder complete CPT 73030 • Imaging | $36 | $84 | $180 |
| MRI joint upper extremity without contrast CPT 73221 • Imaging | $36 | $280 | $524 |
| X-ray knee 1-2 views CPT 73560 • Imaging | $36 | $84 | $180 |
| X-ray ankle complete CPT 73610 • Imaging | $36 | $85 | $180 |
| MRI lower extremity without contrast CPT 73718 • Imaging | $524 | $562 | $600 |
| MRI joint lower extremity without contrast CPT 73721 • Imaging | $524 | $575 | $600 |
| CT abdomen without contrast CPT 74150 • Imaging | $252 | $367 | $425 |
| CT abdomen without then with contrast CPT 74170 • Imaging | $425 | $425 | $425 |
| CT abdomen and pelvis without contrast CPT 74176 • Imaging | $425 | $475 | $524 |
| CT abdomen and pelvis with contrast CPT 74177 • Imaging | $425 | $570 | $859 |
| CT abdomen and pelvis without then with contrast CPT 74178 • Imaging | $425 | $570 | $859 |
| Ultrasound abdominal complete CPT 76700 • Imaging | $124 | $188 | $252 |
| Ultrasound retroperitoneal complete CPT 76770 • Imaging | $115 | $161 | $252 |
| Ultrasound transvaginal CPT 76830 • Imaging | $127 | $190 | $252 |
| Ultrasound pelvic complete CPT 76856 • Imaging | $36 | $144 | $252 |
| Diagnostic mammography unilateral CPT 77065 • Imaging | $91 | $145 | $213 |
| Diagnostic mammography bilateral CPT 77066 • Imaging | $167 | $219 | $271 |
| Screening mammography bilateral CPT 77067 • Imaging | $96 | $152 | $225 |
| DEXA bone density study axial skeleton CPT 77080 • Imaging | $252 | $252 | $252 |
| Nuclear myocardial perfusion study CPT 78452 • Imaging | $469 | $1,267 | $2,862 |
| Collection of venous blood by venipuncture CPT 36415 • Laboratory | $3 | $3 | $3 |
| Basic metabolic panel CPT 80048 • Laboratory | $8 | $10 | $11 |
| Comprehensive metabolic panel CPT 80053 • Laboratory | $10 | $10 | $11 |
| Lipid panel CPT 80061 • Laboratory | $13 | $17 | $19 |
| Hepatic function panel CPT 80076 • Laboratory | $8 | $9 | $11 |
| Urinalysis with microscopy CPT 81001 • Laboratory | $3 | $4 | $4 |
| Urinalysis nonautomated without microscopy CPT 81002 • Laboratory | $3 | $4 | $4 |
| Urinalysis automated without microscopy CPT 81003 • Laboratory | $2 | $3 | $3 |
| Fecal hemoglobin immunoassay CPT 82274 • Laboratory | $16 | $16 | $16 |
| Vitamin D 25-hydroxy CPT 82306 • Laboratory | $30 | $37 | $41 |
| Creatine kinase (CK) total CPT 82550 • Laboratory | $7 | $8 | $9 |
| Creatinine urine CPT 82570 • Laboratory | $5 | $6 | $7 |
| Ferritin CPT 82728 • Laboratory | $13 | $15 | $19 |
| IgA IgD IgG IgM each CPT 82784 • Laboratory | $9 | $11 | $13 |
| Glucose quantitative blood CPT 82947 • Laboratory | $4 | $5 | $5 |
| Hemoglobin A1c CPT 83036 • Laboratory | $10 | $12 | $13 |
| Iron serum CPT 83540 • Laboratory | $6 | $8 | $9 |