▸ Hospital · NC · CCN 340064
Wilkes Regional Medical Center
1370 WEST D STREET, NORTH WILKESBORO, NC, 28659-
77 bedsAcute Care Hospitals8
Compliance grade
A
100/100
Procedures tracked
167
of 209 target codes
Payers
19
with negotiated rates
Rates published
31,151
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 10 | — | — | $11,313 | $20,783 | $21,300 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 1 | — | — | $158.06 | $158.06 | $158.06 |
| Psychiatric eval with medical services | CPT | 90792 | 19 | $658 | $329 | $123.11 | $335.91 | $605.36 |
| Psychotherapy 30 minutes | CPT | 90832 | 1 | — | — | $158.06 | $158.06 | $158.06 |
| Psychotherapy 45 minutes | CPT | 90834 | 1 | — | — | $158.06 | $158.06 | $158.06 |
| Psychotherapy 60 minutes | CPT | 90837 | 1 | — | — | $158.06 | $158.06 | $158.06 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 1 | — | — | $158.06 | $158.06 | $158.06 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 19 | $339 | $169.5 | $63.43 | $173.06 | $311.88 |
| ED visit level 2 | CPT | 99282 | 19 | $614 | $307 | $114.88 | $313.45 | $564.88 |
| ED visit level 3 | CPT | 99283 | 19 | $1,013 | $506.5 | $189.53 | $517.14 | $931.96 |
| ED visit level 4 | CPT | 99284 | 19 | $1,532 | $766 | $286.64 | $782.09 | $1,409.44 |
| ED visit level 5 | CPT | 99285 | 19 | $1,988 | $994 | $371.95 | $1,014.88 | $1,828.96 |
| Critical care, first hour | CPT | 99291 | 19 | $1,604 | $802 | $300.11 | $834.72 | $1,475.68 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 19 | $1,805 | $902.5 | $104.61 | $921.46 | $1,660.6 |
| CT head with contrast | CPT | 70460 | 19 | $2,419 | $1,209.5 | $175.13 | $1,234.9 | $2,225.48 |
| CT head with and without contrast | CPT | 70470 | 19 | $3,124 | $1,562 | $175.13 | $1,594.81 | $2,874.08 |
| CT neck with contrast | CPT | 70491 | 19 | $3,075 | $1,537.5 | $175.13 | $1,569.79 | $2,829 |
| MRI brain without contrast | CPT | 70551 | 19 | $3,588 | $1,794 | $237.8 | $1,831.68 | $3,300.96 |
| MRI brain with contrast | CPT | 70552 | 19 | $4,522 | $2,261 | $351.34 | $2,308.48 | $4,160.24 |
| MRI brain with and without contrast | CPT | 70553 | 19 | $4,808 | $2,404 | $351.34 | $2,454.49 | $4,423.36 |
| Chest X-ray single view | CPT | 71045 | 19 | $349 | $174.5 | $65.3 | $178.17 | $321.08 |
| Chest X-ray 2 views | CPT | 71046 | 19 | $441 | $220.5 | $82.51 | $225.13 | $405.72 |
| Chest X-ray 3 views | CPT | 71047 | 19 | $441 | $220.5 | $82.51 | $225.13 | $405.72 |
| CT chest without contrast | CPT | 71250 | 19 | $1,940 | $970 | $104.61 | $990.37 | $1,784.8 |
| CT chest with contrast | CPT | 71260 | 19 | $2,549 | $1,274.5 | $175.13 | $1,301.27 | $2,345.08 |
| CT chest with and without contrast | CPT | 71270 | 19 | $3,009 | $1,504.5 | $175.13 | $1,536.1 | $2,768.28 |
| MRI chest without contrast | CPT | 71550 | 19 | $2,677 | $1,338.5 | $237.8 | $1,366.61 | $2,462.84 |
| MRI chest with contrast | CPT | 71551 | 1 | — | — | $777.24 | $777.24 | $777.24 |
| MRI chest with and without contrast | CPT | 71552 | 1 | — | — | $351.34 | $351.34 | $351.34 |
| Lumbosacral spine X-ray | CPT | 72100 | 19 | $511 | $255.5 | $95.61 | $260.87 | $470.12 |
| CT cervical spine without contrast | CPT | 72125 | 19 | $2,180 | $1,090 | $104.61 | $1,112.89 | $2,005.6 |
| CT thoracic spine without contrast | CPT | 72128 | 19 | $1,463 | $731.5 | $104.61 | $746.86 | $1,345.96 |
| CT lumbar spine without contrast | CPT | 72131 | 19 | $1,505 | $752.5 | $104.61 | $768.31 | $1,384.6 |
| MRI cervical spine without contrast | CPT | 72141 | 19 | $3,722 | $1,861 | $237.8 | $1,900.08 | $3,424.24 |
| MRI thoracic spine without contrast | CPT | 72146 | 19 | $2,744 | $1,372 | $237.8 | $1,400.82 | $2,524.48 |
| MRI lumbar spine without contrast | CPT | 72148 | 19 | $3,664 | $1,832 | $237.8 | $1,870.48 | $3,370.88 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 19 | $3,737 | $1,868.5 | $351.34 | $1,907.74 | $3,438.04 |
| MRI cervical spine with and without contrast | CPT | 72156 | 19 | $4,467 | $2,233.5 | $351.34 | $2,280.41 | $4,109.64 |
| MRI lumbar spine with contrast | CPT | 72158 | 19 | $4,617 | $2,308.5 | $351.34 | $2,356.98 | $4,247.64 |
| CT pelvis without contrast | CPT | 72192 | 19 | $2,085 | $1,042.5 | $104.61 | $1,064.4 | $1,918.2 |
| CT pelvis with contrast | CPT | 72193 | 19 | $2,934 | $1,467 | $175.13 | $1,497.81 | $2,699.28 |
| Shoulder X-ray | CPT | 73030 | 19 | $457 | $228.5 | $85.5 | $233.3 | $420.44 |
| Humerus X-ray | CPT | 73060 | 19 | $362 | $181 | $67.73 | $184.8 | $333.04 |
| Hand X-ray 3 views | CPT | 73130 | 19 | $457 | $228.5 | $85.5 | $233.3 | $420.44 |
| MRI upper extremity joint without contrast | CPT | 73221 | 19 | $3,517 | $1,758.5 | $237.8 | $1,795.43 | $3,235.64 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 19 | $4,186 | $2,093 | $351.34 | $2,136.95 | $3,851.12 |
| Knee X-ray 1-2 views | CPT | 73560 | 19 | $408 | $204 | $76.34 | $208.29 | $375.36 |
| Ankle X-ray 3 views | CPT | 73610 | 19 | $420 | $210 | $78.58 | $214.41 | $386.4 |
| MRI lower extremity joint without contrast | CPT | 73721 | 19 | $3,504 | $1,752 | $237.8 | $1,788.8 | $3,223.68 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 19 | $5,605 | $2,802.5 | $351.34 | $2,861.36 | $5,156.6 |
| CT abdomen without contrast | CPT | 74150 | 19 | $2,092 | $1,046 | $104.61 | $1,067.97 | $1,924.64 |
| CT abdomen with contrast | CPT | 74160 | 19 | $2,904 | $1,452 | $175.13 | $1,482.5 | $2,671.68 |
| CT abdomen with and without contrast | CPT | 74170 | 19 | $3,253 | $1,626.5 | $175.13 | $1,660.66 | $2,992.76 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 19 | $4,182 | $2,091 | $237.8 | $2,134.91 | $3,847.44 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 19 | $5,806 | $2,903 | $351.34 | $2,963.96 | $5,341.52 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 19 | $6,735 | $3,367.5 | $351.34 | $3,438.22 | $6,196.2 |
| MRI abdomen without contrast | CPT | 74181 | 19 | $3,168 | $1,584 | $237.8 | $1,617.27 | $2,914.56 |
| MRI abdomen with and without contrast | CPT | 74183 | 19 | $5,028 | $2,514 | $351.34 | $2,566.8 | $4,625.76 |
| Abdominal ultrasound complete | CPT | 76700 | 19 | $1,134 | $567 | $104.61 | $578.91 | $1,043.28 |
| Abdominal ultrasound limited | CPT | 76705 | 19 | $1,134 | $567 | $104.61 | $578.91 | $1,043.28 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 19 | $932 | $466 | $104.61 | $475.79 | $857.44 |
| Obstetric ultrasound first trimester | CPT | 76801 | 19 | $353 | $176.5 | $66.05 | $180.21 | $324.76 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 19 | $353 | $176.5 | $66.05 | $180.21 | $324.76 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 1 | — | — | $237.8 | $237.8 | $237.8 |
| Transvaginal ultrasound | CPT | 76830 | 19 | $897 | $448.5 | $104.61 | $457.92 | $825.24 |
| Pelvic ultrasound complete | CPT | 76856 | 19 | $1,079 | $539.5 | $104.61 | $550.83 | $992.68 |
| Scrotal ultrasound | CPT | 76870 | 19 | $846 | $423 | $104.61 | $431.88 | $778.32 |
| Diagnostic mammography unilateral | CPT | 77065 | 19 | $903 | $451.5 | $80.97 | $460.98 | $830.76 |
| Diagnostic mammography bilateral | CPT | 77066 | 19 | $1,363 | $681.5 | $103.18 | $695.81 | $1,253.96 |
| Screening mammography bilateral | CPT | 77067 | 19 | $509 | $254.5 | $85.37 | $259.85 | $468.28 |
| EKG tracing only | CPT | 93005 | 19 | $302 | $151 | $56.5 | $156.03 | $277.84 |
| Transthoracic echocardiogram complete | CPT | 93306 | 19 | $2,450 | $1,225 | $458.4 | $1,250.73 | $2,254 |
| Transthoracic echocardiogram | CPT | 93307 | 1 | — | — | $237.8 | $237.8 | $237.8 |
| Stress echocardiogram | CPT | 93350 | 19 | $1,870 | $935 | $349.88 | $954.64 | $1,720.4 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 10 | — | — | $15,381 | $29,329 | $30,058 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 10 | — | — | $8,557.59 | $14,993 | $15,366 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 10 | — | — | $6,251.61 | $10,148 | $10,401 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 10 | — | — | $12,765 | $23,834 | $24,426 |
| COPD w MCC | MS-DRG | 190 | 10 | — | — | $9,302.16 | $16,557 | $16,969 |
| COPD w CC | MS-DRG | 191 | 10 | — | — | $7,450.23 | $12,666 | $12,982 |
| COPD w/o CC/MCC | MS-DRG | 192 | 10 | — | — | $5,963.2 | $9,542.25 | $9,779.62 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 10 | — | — | $7,175.83 | $12,090 | $12,391 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 10 | — | — | $5,791.26 | $9,181.03 | $9,409.41 |
| AMI discharged alive w MCC | MS-DRG | 280 | 10 | — | — | $12,940 | $24,201 | $24,803 |
| AMI discharged alive w CC | MS-DRG | 281 | 10 | — | — | $7,890.21 | $13,591 | $13,929 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 10 | — | — | $6,509.87 | $10,691 | $10,957 |
| Heart failure & shock w MCC | MS-DRG | 291 | 10 | — | — | $10,578 | $19,238 | $19,716 |
| Heart failure & shock w CC | MS-DRG | 292 | 10 | — | — | $7,464.96 | $12,697 | $13,013 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 10 | — | — | $5,271.96 | $8,089.98 | $8,291.22 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 10 | — | — | $9,883.91 | $17,780 | $18,222 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 10 | — | — | $6,609.51 | $10,900 | $11,171 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 10 | — | — | $5,347.75 | $8,249.21 | $8,454.41 |
| GI hemorrhage w CC | MS-DRG | 378 | 10 | — | — | $8,340.04 | $14,536 | $14,898 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 10 | — | — | $5,889.51 | $9,387.44 | $9,620.96 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 10 | — | — | $6,897.22 | $11,505 | $11,791 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 10 | — | — | $12,123 | $22,483 | $23,042 |
| Kidney/UTI w MCC | MS-DRG | 689 | 10 | — | — | $9,634.07 | $17,255 | $17,684 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 10 | — | — | $7,053.73 | $11,833 | $12,128 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 10 | — | — | $15,191 | $28,929 | $29,649 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 10 | — | — | $8,656.53 | $15,201 | $15,579 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 19 | $54 | $27 | $8.71 | $27.57 | $49.68 |
| General health panel | CPT | 80050 | 9 | — | — | $16.45 | $16.62 | $16.95 |
| Electrolyte panel | CPT | 80051 | 19 | $66 | $33 | $7.22 | $33.69 | $60.72 |
| Comprehensive metabolic panel | CPT | 80053 | 19 | $108 | $54 | $10.88 | $55.14 | $99.36 |
| Lipid panel | CPT | 80061 | 19 | $135 | $67.5 | $13.79 | $68.92 | $124.2 |
| Renal function panel | CPT | 80069 | 19 | $54 | $27 | $8.94 | $27.57 | $49.68 |
| Hepatic function panel | CPT | 80076 | 19 | $100 | $50 | $8.42 | $51.05 | $92 |
| Urinalysis non-automated | CPT | 81002 | 10 | — | — | $3.58 | $4.68 | $4.8 |
| Urinalysis automated | CPT | 81003 | 19 | $39 | $19.5 | $2.32 | $19.91 | $35.88 |
| Glucose quantitative | CPT | 82947 | 19 | $30 | $15 | $4.05 | $15.32 | $27.6 |
| Hemoglobin A1c | CPT | 83036 | 19 | $76 | $38 | $10 | $38.8 | $69.92 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 19 | $129 | $64.5 | $17.3 | $65.86 | $118.68 |
| Complete blood count with automated differential | CPT | 85025 | 19 | $141 | $70.5 | $8 | $71.98 | $129.72 |
| Complete blood count without differential | CPT | 85027 | 19 | $61 | $30.5 | $6.66 | $31.14 | $56.12 |
| Urine culture bacterial | CPT | 87086 | 19 | $45 | $22.5 | $8.31 | $22.98 | $41.4 |
| Urine culture identification | CPT | 87088 | 19 | $49 | $24.5 | $8.33 | $25.02 | $45.08 |
| Tissue exam by pathologist level IV | CPT | 88305 | 19 | $342 | $171 | $52.56 | $174.59 | $314.64 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 19 | $741 | $370.5 | $138.64 | $378.28 | $681.72 |
| Vaginal delivery only | CPT | 59409 | 19 | $12,417 | $6,208.5 | $2,323.22 | $6,338.88 | $11,424 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 1 | — | — | $922.35 | $922.35 | $922.35 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 1 | — | — | $922.35 | $922.35 | $922.35 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 19 | $1,865 | $932.5 | $348.94 | $952.09 | $1,715.8 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 1 | — | — | $896.92 | $896.92 | $896.92 |
| Colonoscopy diagnostic | CPT | 45378 | 1 | — | — | $896.92 | $896.92 | $896.92 |
| Colonoscopy with biopsy | CPT | 45380 | 1 | — | — | $1,159.95 | $1,159.95 | $1,159.95 |
| Colonoscopy with polyp removal | CPT | 45385 | 1 | — | — | $1,159.95 | $1,159.95 | $1,159.95 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 1 | — | — | $18,092 | $18,092 | $18,092 |
| Total hip replacement | CPT | 27130 | 1 | — | — | $12,658 | $12,658 | $12,658 |
| Total knee replacement | CPT | 27447 | 1 | — | — | $12,658 | $12,658 | $12,658 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 1 | — | — | $7,027.81 | $7,027.81 | $7,027.81 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 1 | — | — | $3,191.96 | $3,191.96 | $3,191.96 |
| ACL reconstruction | CPT | 29888 | 1 | — | — | $7,027.81 | $7,027.81 | $7,027.81 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 10 | — | — | $33,645 | $67,702 | $69,387 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 10 | — | — | $18,009 | $34,850 | $35,717 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 10 | — | — | $13,007 | $24,342 | $24,948 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 10 | — | — | $13,059 | $24,451 | $25,060 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 10 | — | — | $10,668 | $19,427 | $19,910 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 10 | — | — | $26,190 | $52,039 | $53,333 |
| Open appendectomy | CPT | 44950 | 1 | — | — | $6,138.5 | $6,138.5 | $6,138.5 |
| Laparoscopic appendectomy | CPT | 44970 | 1 | — | — | $5,739.69 | $5,739.69 | $5,739.69 |
| Major joint replacement w MCC | MS-DRG | 469 | 10 | — | — | $24,360 | $48,193 | $49,392 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 10 | — | — | $14,653 | $27,800 | $28,491 |
| Laparoscopic cholecystectomy | CPT | 47562 | 1 | — | — | $5,739.69 | $5,739.69 | $5,739.69 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 1 | — | — | $5,739.69 | $5,739.69 | $5,739.69 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 10 | — | — | $22,060 | $43,362 | $44,440 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 10 | — | — | $15,982 | $30,592 | $31,353 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 10 | — | — | $12,554 | $23,390 | $23,972 |
| Lap inguinal hernia repair | CPT | 49650 | 1 | — | — | $5,739.69 | $5,739.69 | $5,739.69 |
| Vaginal hysterectomy | CPT | 58260 | 1 | — | — | $4,856.35 | $4,856.35 | $4,856.35 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 1 | — | — | $5,739.69 | $5,739.69 | $5,739.69 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 1 | — | — | $10,242 | $10,242 | $10,242 |
| Lap salpingo-oophorectomy | CPT | 58661 | 1 | — | — | $5,739.69 | $5,739.69 | $5,739.69 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 10 | — | — | $20,555 | $40,199 | $41,199 |
| OR procedure for obesity w CC | MS-DRG | 620 | 10 | — | — | $12,628 | $23,546 | $24,132 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 10 | — | — | $11,680 | $21,553 | $22,089 |
| Complex cataract surgery | CPT | 66982 | 1 | — | — | $2,243.72 | $2,243.72 | $2,243.72 |
| Cataract surgery with lens implant | CPT | 66984 | 1 | — | — | $2,243.72 | $2,243.72 | $2,243.72 |
| Intravitreal injection | CPT | 67028 | 1 | — | — | $326.31 | $326.31 | $326.31 |
| Vitrectomy mechanical | CPT | 67042 | 1 | — | — | $3,957.58 | $3,957.58 | $3,957.58 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 10 | — | — | $9,833.39 | $17,674 | $18,113 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 10 | — | — | $15,134 | $28,810 | $29,526 |
| PCI single major coronary artery | CPT | 92920 | 1 | — | — | $5,609 | $5,609 | $5,609 |
| PCI with drug-eluting stent | CPT | 92928 | 1 | — | — | $11,157 | $11,157 | $11,157 |
| PCI bypass graft | CPT | 92937 | 1 | — | — | $11,157 | $11,157 | $11,157 |
| Left heart catheterization | CPT | 93452 | 1 | — | — | $3,164.22 | $3,164.22 | $3,164.22 |
| Coronary angiography with cath | CPT | 93455 | 1 | — | — | $3,164.22 | $3,164.22 | $3,164.22 |
| Coronary angiography with bypass cath | CPT | 93458 | 1 | — | — | $3,164.22 | $3,164.22 | $3,164.22 |
Payer mix (top 19)
| Payer | Codes covered | Median rate |
|---|---|---|
| healthteam | 166 | $351.34 |
| alliance | 127 | $586.71 |
| amerihealth | 127 | $608.64 |
| WellCare | 127 | $581.18 |
| carolina complete | 127 | $575.33 |
| healthblue | 127 | $575.33 |
| partners | 127 | $575.33 |
| trillium | 127 | $592.55 |
| UnitedHealthcare | 127 | $662.26 |
| vaya | 127 | $581.18 |
| medcost | 82 | $640.46 |
| Multiplan | 82 | $1,299.96 |
| oscar | 82 | $816.2 |
| Blue Cross Blue Shield | 82 | $608.18 |
| Aetna | 82 | $667.33 |
| Cigna | 82 | $752.68 |
| directnet | 82 | $835.08 |
| private healthcare systems | 82 | $1,271.7 |
| Ambetter | 82 | $667.8 |