NOVANT HEALTH MIDTOWN OUTPATIENT SURGERY, LLC· CHARLOTTE, NC
Ambulatory surgery center
1918 RANDOLPH RD STE 740, CHARLOTTE, NC 28207
Procedures offered
947 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| CT chest without contrast CPT 71250 • Imaging | $134 | $156 | $221 |
| CT chest with contrast CPT 71260 • Imaging | $168 | $237 | $306 |
| CT chest without then with contrast CPT 71270 • Imaging | $200 | $301 | $402 |
| CT angiography chest CPT 71275 • Imaging | $147 | $201 | $255 |
| CT cervical spine without contrast CPT 72125 • Imaging | $221 | $221 | $221 |
| CT thoracic spine without contrast CPT 72128 • Imaging | $161 | $161 | $161 |
| CT lumbar spine without contrast CPT 72131 • Imaging | $81 | $81 | $81 |
| MRI cervical spine without contrast CPT 72141 • Imaging | $195 | $203 | $218 |
| MRI thoracic spine without contrast CPT 72146 • Imaging | $30 | $75 | $120 |
| MRI lumbar spine without contrast CPT 72148 • Imaging | $120 | $158 | $196 |
| CT pelvis without contrast CPT 72192 • Imaging | $53 | $53 | $53 |
| CT pelvis with contrast CPT 72193 • Imaging | $224 | $253 | $282 |
| X-ray shoulder complete CPT 73030 • Imaging | $9 | $25 | $30 |
| MRI joint upper extremity without contrast CPT 73221 • Imaging | $30 | $100 | $206 |
| X-ray knee 1-2 views CPT 73560 • Imaging | $28 | $29 | $30 |
| X-ray ankle complete CPT 73610 • Imaging | $6 | $23 | $32 |
| MRI lower extremity without contrast CPT 73718 • Imaging | $291 | $291 | $291 |
| MRI joint lower extremity without contrast CPT 73721 • Imaging | $206 | $281 | $432 |
| CT abdomen without contrast CPT 74150 • Imaging | $211 | $211 | $211 |
| CT abdomen with contrast CPT 74160 • Imaging | $281 | $281 | $281 |
| CT abdomen without then with contrast CPT 74170 • Imaging | $411 | $411 | $411 |
| CT abdomen and pelvis without contrast CPT 74176 • Imaging | $172 | $181 | $185 |
| CT abdomen and pelvis with contrast CPT 74177 • Imaging | $269 | $302 | $313 |
| CT abdomen and pelvis without then with contrast CPT 74178 • Imaging | $350 | $406 | $572 |
| Ultrasound abdominal complete CPT 76700 • Imaging | $103 | $105 | $109 |
| Ultrasound retroperitoneal complete CPT 76770 • Imaging | $96 | $141 | $186 |
| Ultrasound transvaginal CPT 76830 • Imaging | $91 | $100 | $105 |
| Ultrasound pelvic complete CPT 76856 • Imaging | $30 | $101 | $180 |
| Diagnostic mammography unilateral CPT 77065 • Imaging | $75 | $109 | $140 |
| Diagnostic mammography bilateral CPT 77066 • Imaging | $139 | $178 | $255 |
| Screening mammography bilateral CPT 77067 • Imaging | $32 | $115 | $206 |
| DEXA bone density study axial skeleton CPT 77080 • Imaging | $101 | $101 | $101 |
| Nuclear myocardial perfusion study CPT 78452 • Imaging | $68 | $341 | $565 |
| Collection of venous blood by venipuncture CPT 36415 • Laboratory | $2 | $5 | $12 |
| Basic metabolic panel CPT 80048 • Laboratory | $8 | $8 | $8 |
| Comprehensive metabolic panel CPT 80053 • Laboratory | $6 | $7 | $8 |
| Lipid panel CPT 80061 • Laboratory | $5 | $7 | $9 |
| Hepatic function panel CPT 80076 • Laboratory | $6 | $6 | $6 |
| Urinalysis with microscopy CPT 81001 • Laboratory | $3 | $3 | $3 |
| Urinalysis nonautomated without microscopy CPT 81002 • Laboratory | $2 | $3 | $3 |
| Urinalysis automated without microscopy CPT 81003 • Laboratory | $1 | $2 | $2 |
| Fecal hemoglobin immunoassay CPT 82274 • Laboratory | $13 | $14 | $14 |
| Vitamin D 25-hydroxy CPT 82306 • Laboratory | $24 | $27 | $30 |
| Creatine kinase (CK) total CPT 82550 • Laboratory | $5 | $6 | $7 |
| Creatinine urine CPT 82570 • Laboratory | $4 | $4 | $4 |
| Ferritin CPT 82728 • Laboratory | $10 | $10 | $11 |
| IgA IgD IgG IgM each CPT 82784 • Laboratory | $7 | $7 | $7 |
| Glucose quantitative blood CPT 82947 • Laboratory | $4 | $4 | $4 |
| Hemoglobin A1c CPT 83036 • Laboratory | $7 | $7 | $7 |
| Iron serum CPT 83540 • Laboratory | $5 | $5 | $5 |