CUMBERLAND COUNTY HOSPITAL SYSTEM INC· FAYETTEVILLE, NC
Hospital
1638 OWEN DR, FAYETTEVILLE, NC 28304
Procedures offered
630 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| HPV vaccine 9-valent CPT 90651 • Preventive Care | $250 | $250 | $250 |
| Rotavirus vaccine pentavalent CPT 90680 • Preventive Care | $84 | $84 | $84 |
| Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care | $19 | $21 | $22 |
| MMR vaccine CPT 90707 • Preventive Care | $91 | $91 | $91 |
| Tdap vaccine age 7 years or older CPT 90715 • Preventive Care | $40 | $49 | $54 |
| Varicella vaccine CPT 90716 • Preventive Care | $124 | $124 | $124 |
| Pneumococcal vaccine adult CPT 90732 • Preventive Care | $133 | $152 | $188 |
| Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care | $176 | $176 | $176 |
| Preventive visit new patient infant CPT 99381 • Preventive Care | $103 | $103 | $103 |
| Preventive visit new patient age 1-4 CPT 99382 • Preventive Care | $136 | $136 | $136 |
| Preventive visit new patient age 5-11 CPT 99383 • Preventive Care | $140 | $140 | $140 |
| Preventive visit new patient age 12-17 CPT 99384 • Preventive Care | $150 | $150 | $150 |
| Preventive visit new patient age 18-39 CPT 99385 • Preventive Care | $100 | $100 | $100 |
| Preventive visit new patient age 40-64 CPT 99386 • Preventive Care | $144 | $144 | $144 |
| Preventive visit established patient infant CPT 99391 • Preventive Care | $80 | $80 | $80 |
| Preventive visit established patient age 1-4 CPT 99392 • Preventive Care | $107 | $107 | $107 |
| Preventive visit established patient age 5-11 CPT 99393 • Preventive Care | $85 | $85 | $85 |
| Preventive visit established patient age 12-17 CPT 99394 • Preventive Care | $138 | $138 | $138 |
| Preventive visit established patient age 18-39 CPT 99395 • Preventive Care | $124 | $124 | $124 |
| Preventive visit established patient age 40-64 CPT 99396 • Preventive Care | $140 | $140 | $140 |
| Preventive visit established patient age 65+ CPT 99397 • Preventive Care | $150 | $150 | $150 |
| Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care | $207 | $207 | $207 |
| Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care | $240 | $240 | $240 |
| Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care | $223 | $223 | $223 |
| Annual wellness visit initial HCPCS G0438 • Preventive Care | $186 | $211 | $223 |
| Annual wellness visit subsequent HCPCS G0439 • Preventive Care | $146 | $165 | $175 |
| Bronchoscopy diagnostic CPT 31622 • Pulmonology | $330 | $330 | $330 |
| Bronchoscopy with brushing CPT 31623 • Pulmonology | $65 | $264 | $363 |
| Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology | $131 | $269 | $338 |
| Bronchoscopy with biopsy CPT 31625 • Pulmonology | $152 | $358 | $460 |
| Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology | $180 | $388 | $491 |
| Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology | $1,623 | $1,623 | $1,623 |
| Ventilation assist and management initiation CPT 94002 • Pulmonology | $91 | $107 | $122 |
| Spirometry CPT 94010 • Pulmonology | $21 | $31 | $36 |
| Spirometry before and after bronchodilator CPT 94060 • Pulmonology | $38 | $47 | $51 |
| Bronchospasm provocation evaluation CPT 94070 • Pulmonology | $84 | $84 | $84 |
| Respiratory flow volume loop CPT 94375 • Pulmonology | $34 | $46 | $52 |
| Nebulizer inhalation treatment CPT 94640 • Pulmonology | $7 | $22 | $30 |
| Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology | $14 | $25 | $30 |
| Plethysmography lung volumes CPT 94726 • Pulmonology | $64 | $70 | $74 |
| Diffusing capacity (DLCO) CPT 94729 • Pulmonology | $46 | $65 | $74 |
| Pulse oximetry single measurement CPT 94760 • Pulmonology | $3 | $3 | $3 |
| Pulse oximetry continuous overnight CPT 94762 • Pulmonology | $33 | $33 | $33 |
| Radiation therapy planning complex CPT 77263 • Radiation Therapy | $158 | $158 | $158 |
| Radiation therapy simulation simple CPT 77280 • Radiation Therapy | $35 | $247 | $353 |
| Radiation therapy simulation complex CPT 77290 • Radiation Therapy | $76 | $417 | $588 |
| 3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy | $212 | $496 | $639 |
| Radiation therapy dose calculation CPT 77300 • Radiation Therapy | $31 | $69 | $88 |
| IMRT radiation therapy plan CPT 77301 • Radiation Therapy | $1,721 | $2,191 | $2,425 |
| Radiation treatment device design complex CPT 77334 • Radiation Therapy | $57 | $130 | $167 |