GRANVILLE HEALTH SYSTEM· OXFORD, NC

Imaging center

1010 COLLEGE ST, OXFORD, NC 27565

Procedures offered

954 total

Procedure	Min	Avg	Max
Gas dilution lung volumes CPT 94727 • Pulmonology	$30	$30	$30
Diffusing capacity (DLCO) CPT 94729 • Pulmonology	$45	$45	$45
Pulse oximetry single measurement CPT 94760 • Pulmonology	$2	$2	$2
Pulse oximetry continuous overnight CPT 94762 • Pulmonology	$21	$21	$21
Radiation therapy planning simple CPT 77261 • Radiation Therapy	$70	$70	$70
Radiation therapy planning intermediate CPT 77262 • Radiation Therapy	$106	$106	$106
Radiation therapy planning complex CPT 77263 • Radiation Therapy	$157	$157	$157
Radiation therapy simulation simple CPT 77280 • Radiation Therapy	$35	$35	$35
Radiation therapy simulation complex CPT 77290 • Radiation Therapy	$76	$76	$76
3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy	$223	$223	$223
Radiation therapy dose calculation CPT 77300 • Radiation Therapy	$48	$48	$48
IMRT radiation therapy plan CPT 77301 • Radiation Therapy	$1,700	$1,700	$1,700
Radiation treatment device design complex CPT 77334 • Radiation Therapy	$61	$61	$61
Radiation physics consultation CPT 77336 • Radiation Therapy	$96	$96	$96
Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy	$1,113	$1,113	$1,113
Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy	$1,576	$1,576	$1,576
IMRT delivery simple CPT 77385 • Radiation Therapy	$409	$409	$409
IMRT delivery complex CPT 77386 • Radiation Therapy	$410	$410	$410
Radiation treatment delivery superficial CPT 77407 • Radiation Therapy	$111	$111	$111
Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy	$130	$130	$130
Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy	$179	$179	$179
Radiation therapy management complete course CPT 77431 • Radiation Therapy	$93	$93	$93
Proton beam treatment simple CPT 77520 • Radiation Therapy	$87	$87	$87
Proton beam treatment complex CPT 77523 • Radiation Therapy	$98	$98	$98
Polysomnography under age 6 CPT 95782 • Sleep Medicine	$1,046	$1,046	$1,046
Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine	$970	$970	$970
Sleep study unattended CPT 95800 • Sleep Medicine	$208	$208	$208
Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine	$45	$45	$45
Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine	$570	$570	$570
Polysomnography age 6 or older CPT 95810 • Sleep Medicine	$725	$725	$725
Polysomnography with CPAP titration CPT 95811 • Sleep Medicine	$794	$794	$794
CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine	$102	$102	$102
Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine	$1,039	$1,039	$1,039
CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine	$61	$61	$61
Laparoscopic partial nephrectomy CPT 50543 • Urology	$1,621	$1,621	$1,621
Laparoscopic radical nephrectomy CPT 50545 • Urology	$1,476	$1,476	$1,476
Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology	$975	$975	$975
Complex uroflowmetry CPT 51741 • Urology	$36	$43	$65
Post-void residual urine measurement CPT 51798 • Urology	$12	$14	$19
Cystourethroscopy diagnostic CPT 52000 • Urology	$36	$186	$285
Cystourethroscopy with tumor fulguration small CPT 52234 • Urology	$273	$282	$286
Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology	$320	$330	$335
Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology	$36	$171	$245
Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology	$36	$355	$478
Cystourethroscopy with lithotripsy CPT 52353 • Urology	$470	$470	$470
TURP transurethral resection of prostate CPT 52601 • Urology	$853	$864	$888
Laser vaporization of prostate CPT 52648 • Urology	$3,258	$3,258	$3,258
Circumcision CPT 54150 • Urology	$36	$51	$94
Orchiectomy simple CPT 54520 • Urology	$297	$297	$297
Orchiectomy radical inguinal CPT 54530 • Urology	$498	$563	$595