Sampson Regional Medical Center

Clinton, NC

Posts prices for 32 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-17.

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ProcedureCash priceGross charge× Medicare
CT head/brain without contrast (70450) $1,729 $2,470 17.3×
MRI brain without contrast (70551) $2,614.50 $3,735 11.5×
MRI brain with contrast (70552) $3,215.10 $4,593 9.6×
MRI brain without and with contrast (70553) $3,682 $5,260 11.0×
X-ray lower spine, 4+ views (72110) $540.40 $772 5.4×
MRI lumbar spine without contrast (72148) $2,662.80 $3,804 11.7×
CT pelvis with contrast (72193) $2,121.70 $3,031 12.7×
MRI lower-extremity joint without contrast (73721) $2,606.10 $3,723 11.4×
CT abdomen and pelvis with contrast (74177) $4,239.90 $6,057 12.7×
Ultrasound, abdomen complete (76700) $716.10 $1,023 7.2×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $672 $960 6.7×
Ultrasound, transvaginal (76830) $609 $870 6.1×
Mammography, one breast (diagnostic) (77065) $212.80 $304 2.5×
Mammography, both breasts (diagnostic) (77066) $296.10 $423 2.7×
Mammography, screening (bilateral) (77067) $219.45 $313.50 2.4×
Basic metabolic panel (80048) $77 $110 9.1×
Comprehensive metabolic panel (80053) $152.60 $218 14.5×
Lipid panel (80061) $177.80 $254 13.3×
Renal function panel (80069) $161.70 $231 18.6×
Hepatic function panel (80076) $161.70 $231 19.8×
Urinalysis, non-automated, without microscopy (81002) $23.10 $33 6.6×
PSA, total (84153) $140.70 $201 7.7×
Thyroid stimulating hormone (TSH) (84443) $170.80 $244 10.2×
CBC with automated differential (85025) $95.90 $137 12.3×
CBC, automated (85027) $86.10 $123 13.3×
Prothrombin time (PT) (85610) $51.10 $73 11.9×
Partial thromboplastin time (PTT) (85730) $46.90 $67 7.8×
Sleep study (attended polysomnography) (95810) $2,167.20 $3,096 2.6×
Physical therapy, therapeutic exercise (per 15 min) (97110) $147.70 $211 5.1×
Office visit, new patient (low complexity, ~30 min) (99203) $299.25 $427.50 2.4×
Office visit, new patient (moderate complexity, ~45 min) (99204) $389.90 $557 3.1×
Office visit, new patient (high complexity, ~60 min) (99205) $476.70 $681 3.7×

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