ATRIUM HEALTH HOSPITALS INC· SHELBY, NC

HospitalCMS 2/5

201 E GROVER ST, SHELBY, NC 28150

Procedures offered

940 total

ProcedureMinAvgMax
Stereotactic radiosurgery (SRS) cranial
CPT 77371 • Radiation Therapy
$1,009$1,146$1,418
Stereotactic body radiation therapy (SBRT)
CPT 77373 • Radiation Therapy
$1,309$1,471$1,648
IMRT delivery simple
CPT 77385 • Radiation Therapy
$392$882$1,371
IMRT delivery complex
CPT 77386 • Radiation Therapy
$393$868$1,371
Radiation treatment delivery superficial
CPT 77407 • Radiation Therapy
$85$183$296
Radiation treatment delivery 3 or more MeV
CPT 77412 • Radiation Therapy
$98$186$241
Radiation treatment management 5 treatments
CPT 77427 • Radiation Therapy
$193$244$355
Radiation therapy management complete course
CPT 77431 • Radiation Therapy
$102$121$162
Proton beam treatment simple
CPT 77520 • Radiation Therapy
$87$764$1,414
Proton beam treatment complex
CPT 77523 • Radiation Therapy
$157$1,154$2,378
Polysomnography under age 6
CPT 95782 • Sleep Medicine
$429$890$1,174
Polysomnography under age 6 with CPAP
CPT 95783 • Sleep Medicine
$133$596$1,105
Sleep study unattended
CPT 95800 • Sleep Medicine
$66$117$187
Sleep study unattended minimum 3 channels
CPT 95801 • Sleep Medicine
$60$108$211
Multiple sleep latency test (MSLT)
CPT 95805 • Sleep Medicine
$374$565$727
Polysomnography age 6 or older
CPT 95810 • Sleep Medicine
$630$842$1,062
Polysomnography with CPAP titration
CPT 95811 • Sleep Medicine
$124$786$1,259
CPAP combination oral/nasal mask
HCPCS A7027 • Sleep Medicine
$76$127$179
Respiratory assist device BiPAP without backup
HCPCS E0470 • Sleep Medicine
$128$680$1,500
CPAP device continuous positive airway pressure
HCPCS E0601 • Sleep Medicine
$44$142$412
Laparoscopic partial nephrectomy
CPT 50543 • Urology
$1,310$2,757$3,508
Laparoscopic radical nephrectomy
CPT 50545 • Urology
$227$1,049$1,576
Lithotripsy extracorporeal shock wave (ESWL)
CPT 50590 • Urology
$519$882$1,721
Complex uroflowmetry
CPT 51741 • Urology
$17$49$76
Post-void residual urine measurement
CPT 51798 • Urology
$9$21$34
Cystourethroscopy diagnostic
CPT 52000 • Urology
$132$427$552
Cystourethroscopy with tumor fulguration small
CPT 52234 • Urology
$299$417$577
Cystourethroscopy with tumor fulguration medium
CPT 52235 • Urology
$352$508$677
Cystourethroscopy with dilation of ureteral stricture
CPT 52260 • Urology
$255$287$344
Cystourethroscopy with ureteral stent insertion
CPT 52332 • Urology
$185$1,086$2,650
Cystourethroscopy with lithotripsy
CPT 52353 • Urology
$515$624$920
TURP transurethral resection of prostate
CPT 52601 • Urology
$562$1,152$1,717
Laser vaporization of prostate
CPT 52648 • Urology
$595$1,188$1,907
Circumcision
CPT 54150 • Urology
$150$215$271
Orchiectomy simple
CPT 54520 • Urology
$399$443$527
Orchiectomy radical inguinal
CPT 54530 • Urology
$412$561$635
Vasectomy
CPT 55250 • Urology
$291$470$603
Prostate biopsy needle or punch
CPT 55700 • Urology
$154$176$198
Radical prostatectomy retropubic
CPT 55840 • Urology
$963$1,972$3,347
Laparoscopic radical prostatectomy
CPT 55866 • Urology
$1,137$1,676$2,186