ATRIUM HEALTH HOSPITALS INC· SHELBY, NC
HospitalCMS 2/5
201 E GROVER ST, SHELBY, NC 28150
Procedures offered
940 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Preventive visit new patient infant CPT 99381 • Preventive Care | $78 | $155 | $238 |
| Preventive visit new patient age 1-4 CPT 99382 • Preventive Care | $85 | $157 | $256 |
| Preventive visit new patient age 5-11 CPT 99383 • Preventive Care | $89 | $176 | $259 |
| Preventive visit new patient age 12-17 CPT 99384 • Preventive Care | $91 | $146 | $272 |
| Preventive visit new patient age 18-39 CPT 99385 • Preventive Care | $94 | $173 | $272 |
| Preventive visit new patient age 40-64 CPT 99386 • Preventive Care | $105 | $202 | $320 |
| Preventive visit new patient age 65+ CPT 99387 • Preventive Care | $134 | $232 | $347 |
| Preventive visit established patient infant CPT 99391 • Preventive Care | $67 | $132 | $186 |
| Preventive visit established patient age 1-4 CPT 99392 • Preventive Care | $78 | $141 | $208 |
| Preventive visit established patient age 5-11 CPT 99393 • Preventive Care | $78 | $149 | $206 |
| Preventive visit established patient age 12-17 CPT 99394 • Preventive Care | $89 | $125 | $219 |
| Preventive visit established patient age 18-39 CPT 99395 • Preventive Care | $84 | $149 | $222 |
| Preventive visit established patient age 40-64 CPT 99396 • Preventive Care | $100 | $172 | $254 |
| Preventive visit established patient age 65+ CPT 99397 • Preventive Care | $96 | $146 | $270 |
| Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care | $22 | $36 | $63 |
| Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care | $54 | $82 | $111 |
| Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care | $295 | $347 | $388 |
| Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care | $197 | $343 | $450 |
| Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care | $89 | $153 | $271 |
| Annual wellness visit initial HCPCS G0438 • Preventive Care | $150 | $183 | $270 |
| Annual wellness visit subsequent HCPCS G0439 • Preventive Care | $106 | $142 | $210 |
| Bronchoscopy diagnostic CPT 31622 • Pulmonology | $177 | $299 | $445 |
| Bronchoscopy with brushing CPT 31623 • Pulmonology | $182 | $318 | $491 |
| Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology | $182 | $270 | $458 |
| Bronchoscopy with biopsy CPT 31625 • Pulmonology | $92 | $279 | $623 |
| Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology | $198 | $407 | $667 |
| Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology | $226 | $727 | $1,272 |
| Ventilation assist and management initiation CPT 94002 • Pulmonology | $75 | $82 | $97 |
| Spirometry CPT 94010 • Pulmonology | $8 | $23 | $50 |
| Spirometry before and after bronchodilator CPT 94060 • Pulmonology | $19 | $47 | $71 |
| Bronchospasm provocation evaluation CPT 94070 • Pulmonology | $36 | $58 | $115 |
| Respiratory flow volume loop CPT 94375 • Pulmonology | $26 | $39 | $71 |
| Cardiopulmonary exercise test CPT 94621 • Pulmonology | $73 | $94 | $122 |
| Nebulizer inhalation treatment CPT 94640 • Pulmonology | $14 | $19 | $29 |
| Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology | $14 | $21 | $31 |
| Plethysmography lung volumes CPT 94726 • Pulmonology | $23 | $46 | $60 |
| Gas dilution lung volumes CPT 94727 • Pulmonology | $23 | $40 | $53 |
| Diffusing capacity (DLCO) CPT 94729 • Pulmonology | $53 | $68 | $103 |
| Pulse oximetry single measurement CPT 94760 • Pulmonology | $2 | $6 | $15 |
| Pulse oximetry continuous overnight CPT 94762 • Pulmonology | $11 | $23 | $29 |
| Radiation therapy planning simple CPT 77261 • Radiation Therapy | $84 | $123 | $184 |
| Radiation therapy planning intermediate CPT 77262 • Radiation Therapy | $99 | $125 | $156 |
| Radiation therapy planning complex CPT 77263 • Radiation Therapy | $188 | $243 | $314 |
| Radiation therapy simulation simple CPT 77280 • Radiation Therapy | $34 | $173 | $469 |
| Radiation therapy simulation complex CPT 77290 • Radiation Therapy | $85 | $508 | $794 |
| 3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy | $532 | $859 | $1,445 |
| Radiation therapy dose calculation CPT 77300 • Radiation Therapy | $37 | $90 | $118 |
| IMRT radiation therapy plan CPT 77301 • Radiation Therapy | $434 | $1,555 | $3,220 |
| Radiation treatment device design complex CPT 77334 • Radiation Therapy | $75 | $245 | $450 |
| Radiation physics consultation CPT 77336 • Radiation Therapy | $54 | $131 | $280 |