JEROME BUTLER· GASTONIA, NC

Imaging center

2525 COURT DR, GASTONIA, NC 28054

Procedures offered

953 total

Procedure	Min	Avg	Max
Diffusing capacity (DLCO) CPT 94729 • Pulmonology	$47	$77	$107
Pulse oximetry single measurement CPT 94760 • Pulmonology	$2	$5	$7
Pulse oximetry continuous overnight CPT 94762 • Pulmonology	$25	$27	$31
Radiation therapy planning simple CPT 77261 • Radiation Therapy	$70	$117	$164
Radiation therapy planning intermediate CPT 77262 • Radiation Therapy	$247	$247	$247
Radiation therapy planning complex CPT 77263 • Radiation Therapy	$142	$334	$432
Radiation therapy simulation simple CPT 77280 • Radiation Therapy	$220	$471	$688
Radiation therapy simulation complex CPT 77290 • Radiation Therapy	$1,172	$1,172	$1,172
3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy	$1,048	$1,143	$1,239
Radiation therapy dose calculation CPT 77300 • Radiation Therapy	$54	$70	$86
IMRT radiation therapy plan CPT 77301 • Radiation Therapy	$1,134	$3,469	$4,841
Radiation treatment device design complex CPT 77334 • Radiation Therapy	$103	$130	$166
Radiation physics consultation CPT 77336 • Radiation Therapy	$69	$108	$178
Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy	$890	$1,631	$3,113
Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy	$803	$1,493	$2,873
IMRT delivery simple CPT 77385 • Radiation Therapy	$773	$773	$773
IMRT delivery complex CPT 77386 • Radiation Therapy	$978	$978	$978
Radiation treatment delivery superficial CPT 77407 • Radiation Therapy	$142	$391	$627
Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy	$188	$375	$562
Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy	$160	$320	$428
Radiation therapy management complete course CPT 77431 • Radiation Therapy	$89	$133	$220
Proton beam treatment simple CPT 77520 • Radiation Therapy	$701	$1,041	$1,720
Proton beam treatment complex CPT 77523 • Radiation Therapy	$816	$1,204	$1,979
Polysomnography under age 6 CPT 95782 • Sleep Medicine	$165	$640	$942
Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine	$138	$537	$1,274
Sleep study unattended CPT 95800 • Sleep Medicine	$149	$152	$155
Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine	$41	$71	$94
Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine	$83	$386	$660
Polysomnography age 6 or older CPT 95810 • Sleep Medicine	$121	$184	$310
Polysomnography with CPAP titration CPT 95811 • Sleep Medicine	$659	$659	$659
CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine	$101	$128	$141
Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine	$110	$416	$722
CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine	$39	$200	$393
Laparoscopic partial nephrectomy CPT 50543 • Urology	$4,878	$4,878	$4,878
Laparoscopic radical nephrectomy CPT 50545 • Urology	$1,623	$1,884	$2,145
Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology	$898	$1,376	$1,854
Complex uroflowmetry CPT 51741 • Urology	$10	$13	$20
Post-void residual urine measurement CPT 51798 • Urology	$12	$16	$20
Cystourethroscopy diagnostic CPT 52000 • Urology	$414	$414	$414
Cystourethroscopy with tumor fulguration small CPT 52234 • Urology	$297	$552	$807
Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology	$349	$648	$948
Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology	$255	$473	$692
Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology	$48	$406	$764
Cystourethroscopy with lithotripsy CPT 52353 • Urology	$474	$881	$1,288
TURP transurethral resection of prostate CPT 52601 • Urology	$887	$1,827	$2,767
Laser vaporization of prostate CPT 52648 • Urology	$591	$847	$1,103
Circumcision CPT 54150 • Urology	$124	$213	$324
Orchiectomy simple CPT 54520 • Urology	$426	$426	$426
Orchiectomy radical inguinal CPT 54530 • Urology	$654	$730	$806
Vasectomy CPT 55250 • Urology	$43	$202	$362