ATRIUM HEALTH HOSPITALS INC· LINCOLNTON, NC
HospitalCMS 4/5
433 MCALISTER RD, LINCOLNTON, NC 28092
Procedures offered
941 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care | $196 | $218 | $248 |
| Preventive visit new patient infant CPT 99381 • Preventive Care | $78 | $143 | $184 |
| Preventive visit new patient age 1-4 CPT 99382 • Preventive Care | $89 | $132 | $193 |
| Preventive visit new patient age 5-11 CPT 99383 • Preventive Care | $89 | $158 | $201 |
| Preventive visit new patient age 12-17 CPT 99384 • Preventive Care | $100 | $145 | $228 |
| Preventive visit new patient age 18-39 CPT 99385 • Preventive Care | $100 | $169 | $221 |
| Preventive visit new patient age 40-64 CPT 99386 • Preventive Care | $105 | $167 | $256 |
| Preventive visit new patient age 65+ CPT 99387 • Preventive Care | $134 | $189 | $278 |
| Preventive visit established patient infant CPT 99391 • Preventive Care | $67 | $128 | $166 |
| Preventive visit established patient age 1-4 CPT 99392 • Preventive Care | $75 | $108 | $177 |
| Preventive visit established patient age 5-11 CPT 99393 • Preventive Care | $78 | $119 | $176 |
| Preventive visit established patient age 12-17 CPT 99394 • Preventive Care | $85 | $120 | $194 |
| Preventive visit established patient age 18-39 CPT 99395 • Preventive Care | $84 | $129 | $199 |
| Preventive visit established patient age 40-64 CPT 99396 • Preventive Care | $100 | $137 | $212 |
| Preventive visit established patient age 65+ CPT 99397 • Preventive Care | $112 | $154 | $228 |
| Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care | $22 | $42 | $66 |
| Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care | $51 | $130 | $286 |
| Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care | $214 | $352 | $548 |
| Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care | $197 | $319 | $549 |
| Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care | $89 | $250 | $385 |
| Annual wellness visit initial HCPCS G0438 • Preventive Care | $158 | $223 | $282 |
| Annual wellness visit subsequent HCPCS G0439 • Preventive Care | $106 | $158 | $190 |
| Bronchoscopy diagnostic CPT 31622 • Pulmonology | $120 | $236 | $401 |
| Bronchoscopy with brushing CPT 31623 • Pulmonology | $190 | $345 | $446 |
| Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology | $115 | $218 | $417 |
| Bronchoscopy with biopsy CPT 31625 • Pulmonology | $195 | $325 | $569 |
| Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology | $245 | $436 | $605 |
| Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology | $823 | $1,245 | $1,793 |
| Ventilation assist and management initiation CPT 94002 • Pulmonology | $97 | $140 | $175 |
| Spirometry CPT 94010 • Pulmonology | $24 | $37 | $57 |
| Spirometry before and after bronchodilator CPT 94060 • Pulmonology | $10 | $36 | $56 |
| Bronchospasm provocation evaluation CPT 94070 • Pulmonology | $31 | $55 | $97 |
| Respiratory flow volume loop CPT 94375 • Pulmonology | $24 | $54 | $77 |
| Cardiopulmonary exercise test CPT 94621 • Pulmonology | $84 | $160 | $261 |
| Nebulizer inhalation treatment CPT 94640 • Pulmonology | $14 | $25 | $30 |
| Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology | $22 | $26 | $30 |
| Plethysmography lung volumes CPT 94726 • Pulmonology | $12 | $53 | $87 |
| Gas dilution lung volumes CPT 94727 • Pulmonology | $44 | $59 | $71 |
| Diffusing capacity (DLCO) CPT 94729 • Pulmonology | $39 | $62 | $91 |
| Pulse oximetry single measurement CPT 94760 • Pulmonology | $1 | $3 | $6 |
| Pulse oximetry continuous overnight CPT 94762 • Pulmonology | $24 | $34 | $42 |
| Radiation therapy planning simple CPT 77261 • Radiation Therapy | $61 | $87 | $116 |
| Radiation therapy planning intermediate CPT 77262 • Radiation Therapy | $94 | $132 | $174 |
| Radiation therapy planning complex CPT 77263 • Radiation Therapy | $188 | $245 | $287 |
| Radiation therapy simulation simple CPT 77280 • Radiation Therapy | $142 | $252 | $449 |
| Radiation therapy simulation complex CPT 77290 • Radiation Therapy | $101 | $555 | $806 |
| 3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy | $249 | $789 | $1,319 |
| Radiation therapy dose calculation CPT 77300 • Radiation Therapy | $36 | $69 | $109 |
| IMRT radiation therapy plan CPT 77301 • Radiation Therapy | $1,319 | $2,433 | $3,100 |
| Radiation treatment device design complex CPT 77334 • Radiation Therapy | $80 | $174 | $232 |