FORT HEALTH MEDICAL GROUP PA· CHARLOTTE, NC

Physician group

212 S TRYON ST STE 100, CHARLOTTE, NC 28281

Procedures offered

947 total

Procedure	Min	Avg	Max
Radiation therapy planning simple CPT 77261 • Radiation Therapy	$14	$14	$14
Radiation therapy planning intermediate CPT 77262 • Radiation Therapy	$105	$105	$106
Radiation therapy planning complex CPT 77263 • Radiation Therapy	$207	$207	$207
Radiation therapy simulation simple CPT 77280 • Radiation Therapy	$309	$309	$309
Radiation therapy simulation complex CPT 77290 • Radiation Therapy	$220	$254	$289
3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy	$229	$229	$229
Radiation therapy dose calculation CPT 77300 • Radiation Therapy	$24	$29	$33
IMRT radiation therapy plan CPT 77301 • Radiation Therapy	$1,335	$1,929	$2,524
Radiation treatment device design complex CPT 77334 • Radiation Therapy	$60	$90	$120
Radiation physics consultation CPT 77336 • Radiation Therapy	$31	$31	$31
Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy	$1,059	$1,315	$1,571
Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy	$964	$1,373	$1,781
Radiation treatment delivery superficial CPT 77407 • Radiation Therapy	$34	$34	$34
Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy	$114	$114	$114
Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy	$93	$93	$93
Radiation therapy management complete course CPT 77431 • Radiation Therapy	$52	$52	$52
Proton beam treatment simple CPT 77520 • Radiation Therapy	$855	$855	$855
Proton beam treatment complex CPT 77523 • Radiation Therapy	$498	$1,034	$1,571
Polysomnography under age 6 CPT 95782 • Sleep Medicine	$119	$251	$384
Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine	$896	$896	$896
Sleep study unattended CPT 95800 • Sleep Medicine	$100	$115	$131
Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine	$34	$37	$40
Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine	$50	$195	$339
Polysomnography age 6 or older CPT 95810 • Sleep Medicine	$104	$249	$395
Polysomnography with CPAP titration CPT 95811 • Sleep Medicine	$151	$151	$151
CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine	$88	$121	$154
Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine	$638	$988	$1,337
CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine	$499	$533	$568
Laparoscopic partial nephrectomy CPT 50543 • Urology	$341	$341	$341
Laparoscopic radical nephrectomy CPT 50545 • Urology	$1,069	$1,069	$1,069
Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology	$30	$36	$42
Complex uroflowmetry CPT 51741 • Urology	$8	$19	$30
Post-void residual urine measurement CPT 51798 • Urology	$5	$5	$5
Cystourethroscopy diagnostic CPT 52000 • Urology	$119	$119	$119
Cystourethroscopy with tumor fulguration small CPT 52234 • Urology	$30	$30	$30
Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology	$42	$42	$42
Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology	$256	$256	$256
Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology	$90	$90	$90
Cystourethroscopy with lithotripsy CPT 52353 • Urology	$310	$310	$310
TURP transurethral resection of prostate CPT 52601 • Urology	$355	$355	$355
Laser vaporization of prostate CPT 52648 • Urology	$607	$607	$607
Circumcision CPT 54150 • Urology	$103	$106	$109
Orchiectomy simple CPT 54520 • Urology	$42	$199	$356
Orchiectomy radical inguinal CPT 54530 • Urology	$50	$50	$50
Vasectomy CPT 55250 • Urology	$42	$185	$328
Radical prostatectomy retropubic CPT 55840 • Urology	$171	$171	$171
Laparoscopic radical prostatectomy CPT 55866 • Urology	$983	$983	$983