VALLEYGATE DENTAL SURGERY CENTER OF FAYETTEVILLE, LLC· FAYETTEVILLE, NC

Ambulatory surgery center

2038 LITHO PLACE, FAYETTEVILLE, NC 28304

Procedures offered

317 total

ProcedureMinAvgMax
MRI joint lower extremity without contrast
CPT 73721 • Imaging
$122$159$195
CT abdomen and pelvis without contrast
CPT 74176 • Imaging
$95$99$103
CT abdomen and pelvis with contrast
CPT 74177 • Imaging
$181$181$181
CT abdomen and pelvis without then with contrast
CPT 74178 • Imaging
$181$220$259
Ultrasound abdominal complete
CPT 76700 • Imaging
$53$53$53
Ultrasound transvaginal
CPT 76830 • Imaging
$53$54$56
Ultrasound pelvic complete
CPT 76856 • Imaging
$53$54$56
Screening mammography bilateral
CPT 77067 • Imaging
$91$91$91
Nuclear myocardial perfusion study
CPT 78452 • Imaging
$387$529$670
Venipuncture (routine blood draw)
CPT 36415 • Lab
$5$5$5
Urinalysis non-automated without microscopy
CPT 81002 • Lab
$5$5$5
Strep test rapid (Streptococcus group A direct)
CPT 87880 • Lab
$13$13$13
Comprehensive metabolic panel
CPT 80053 • Laboratory
$17$17$17
Lipid panel
CPT 80061 • Laboratory
$13$13$13
Urinalysis automated without microscopy
CPT 81003 • Laboratory
$4$4$4
Ferritin
CPT 82728 • Laboratory
$26$26$26
Glucose quantitative blood
CPT 82947 • Laboratory
$6$6$6
Hemoglobin A1c
CPT 83036 • Laboratory
$5$5$5
Iron serum
CPT 83540 • Laboratory
$12$12$12
Iron binding capacity
CPT 83550 • Laboratory
$17$17$17
Prostate specific antigen (PSA)
CPT 84153 • Laboratory
$20$20$20
Thyroid stimulating hormone (TSH)
CPT 84443 • Laboratory
$27$27$27
Complete blood count with differential
CPT 85025 • Laboratory
$14$14$14
Prothrombin time (PT)
CPT 85610 • Laboratory
$7$7$7
Urine culture bacterial colony count
CPT 87086 • Laboratory
$13$13$13
Chlamydia nucleic acid amplification
CPT 87491 • Laboratory
$38$38$38
Gonorrhea nucleic acid amplification
CPT 87591 • Laboratory
$38$38$38
SARS-CoV-2 COVID-19 amplified probe
CPT 87635 • Laboratory
$75$75$75
Influenza virus assay with direct optical
CPT 87804 • Laboratory
$20$20$20
Amniocentesis diagnostic
CPT 59000 • Maternity
$53$55$57
Cordocentesis fetal blood sampling
CPT 59012 • Maternity
$153$153$153
Chorionic villus sampling
CPT 59015 • Maternity
$58$58$58
Fetal non-stress test
CPT 59025 • Maternity
$18$18$18
Insertion cervical dilator
CPT 59200 • Maternity
$29$51$74
Vaginal delivery including prenatal and postpartum care
CPT 59400 • Maternity
$4,187$4,187$4,187
External cephalic version
CPT 59412 • Maternity
$1,573$1,573$1,573
Antepartum care 7 or more visits
CPT 59426 • Maternity
$1,510$1,510$1,510
Postpartum care only
CPT 59430 • Maternity
$383$383$383
Obstetric ultrasound first trimester
CPT 76801 • Maternity
$53$53$53
Obstetric ultrasound complete
CPT 76805 • Maternity
$56$56$56
Obstetric ultrasound detailed fetal anatomy
CPT 76811 • Maternity
$80$80$80
Ultrasound transvaginal obstetric
CPT 76817 • Maternity
$36$36$36
Psychiatric diagnostic evaluation
CPT 90791 • Mental Health
$240$240$240
Psychotherapy 30 minutes
CPT 90832 • Mental Health
$119$119$119
Psychotherapy 45 minutes
CPT 90834 • Mental Health
$158$158$158
Psychotherapy 60 minutes
CPT 90837 • Mental Health
$190$190$190
Brief emotional/behavioral assessment
CPT 96127 • Mental Health
$6$6$6
Lumbar puncture diagnostic
CPT 62270 • Neurology
$349$349$349
Chemodenervation of muscle cervical dystonia
CPT 64612 • Neurology
$61$61$61
Chemodenervation of muscle neck
CPT 64616 • Neurology
$40$52$65