CENTRAL CAROLINA HOSPITAL· SANFORD, NC
HospitalCMS 1/5
1135 CARTHAGE ST, ATTN ALEX SPICER, FANS, SANFORD, NC 27330
Procedures offered
944 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Varicella vaccine CPT 90716 • Preventive Care | $187 | $206 | $230 |
| Pneumococcal vaccine adult CPT 90732 • Preventive Care | $119 | $138 | $188 |
| Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care | $219 | $228 | $248 |
| Genetic counseling 30 minutes CPT 96040 • Preventive Care | $52 | $52 | $52 |
| Preventive visit new patient infant CPT 99381 • Preventive Care | $57 | $111 | $169 |
| Preventive visit new patient age 1-4 CPT 99382 • Preventive Care | $60 | $119 | $183 |
| Preventive visit new patient age 5-11 CPT 99383 • Preventive Care | $63 | $112 | $183 |
| Preventive visit new patient age 12-17 CPT 99384 • Preventive Care | $74 | $136 | $199 |
| Preventive visit new patient age 18-39 CPT 99385 • Preventive Care | $71 | $137 | $199 |
| Preventive visit new patient age 40-64 CPT 99386 • Preventive Care | $86 | $161 | $231 |
| Preventive visit new patient age 65+ CPT 99387 • Preventive Care | $95 | $176 | $255 |
| Preventive visit established patient infant CPT 99391 • Preventive Care | $52 | $98 | $143 |
| Preventive visit established patient age 1-4 CPT 99392 • Preventive Care | $55 | $107 | $159 |
| Preventive visit established patient age 5-11 CPT 99393 • Preventive Care | $55 | $107 | $158 |
| Preventive visit established patient age 12-17 CPT 99394 • Preventive Care | $63 | $110 | $173 |
| Preventive visit established patient age 18-39 CPT 99395 • Preventive Care | $65 | $120 | $174 |
| Preventive visit established patient age 40-64 CPT 99396 • Preventive Care | $70 | $130 | $189 |
| Preventive visit established patient age 65+ CPT 99397 • Preventive Care | $75 | $136 | $213 |
| Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care | $22 | $39 | $66 |
| Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care | $54 | $658 | $2,619 |
| Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care | $295 | $889 | $2,619 |
| Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care | $197 | $870 | $2,619 |
| Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care | $89 | $190 | $267 |
| Annual wellness visit initial HCPCS G0438 • Preventive Care | $150 | $230 | $436 |
| Annual wellness visit subsequent HCPCS G0439 • Preventive Care | $106 | $161 | $291 |
| Bronchoscopy diagnostic CPT 31622 • Pulmonology | $119 | $704 | $2,601 |
| Bronchoscopy with brushing CPT 31623 • Pulmonology | $120 | $670 | $2,601 |
| Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology | $122 | $624 | $2,601 |
| Bronchoscopy with biopsy CPT 31625 • Pulmonology | $142 | $746 | $2,601 |
| Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology | $180 | $770 | $2,601 |
| Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology | $226 | $1,845 | $6,331 |
| Ventilation assist and management initiation CPT 94002 • Pulmonology | $89 | $111 | $163 |
| Spirometry CPT 94010 • Pulmonology | $8 | $20 | $36 |
| Spirometry before and after bronchodilator CPT 94060 • Pulmonology | $10 | $33 | $60 |
| Bronchospasm provocation evaluation CPT 94070 • Pulmonology | $42 | $60 | $84 |
| Respiratory flow volume loop CPT 94375 • Pulmonology | $13 | $29 | $43 |
| Cardiopulmonary exercise test CPT 94621 • Pulmonology | $64 | $162 | $294 |
| Nebulizer inhalation treatment CPT 94640 • Pulmonology | $9 | $23 | $30 |
| Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology | $18 | $24 | $30 |
| Plethysmography lung volumes CPT 94726 • Pulmonology | $12 | $55 | $76 |
| Gas dilution lung volumes CPT 94727 • Pulmonology | $36 | $52 | $77 |
| Diffusing capacity (DLCO) CPT 94729 • Pulmonology | $10 | $43 | $74 |
| Pulse oximetry single measurement CPT 94760 • Pulmonology | $1 | $3 | $5 |
| Pulse oximetry continuous overnight CPT 94762 • Pulmonology | $11 | $26 | $36 |
| Radiation therapy planning simple CPT 77261 • Radiation Therapy | $53 | $81 | $130 |
| Radiation therapy planning intermediate CPT 77262 • Radiation Therapy | $81 | $143 | $294 |
| Radiation therapy planning complex CPT 77263 • Radiation Therapy | $127 | $189 | $291 |
| Radiation therapy simulation simple CPT 77280 • Radiation Therapy | $43 | $279 | $513 |
| Radiation therapy simulation complex CPT 77290 • Radiation Therapy | $366 | $565 | $959 |
| 3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy | $254 | $877 | $1,531 |