DAVIE MEDICAL CENTER· BERMUDA RUN, NC

Hospital

329 NC HIGHWAY 801 N, BERMUDA RUN, NC 27006

Procedures offered

296 total

Procedure	Min	Avg	Max
MMR vaccine CPT 90707 • Preventive Care	$92	$92	$92
Tdap vaccine age 7 years or older CPT 90715 • Preventive Care	$34	$34	$34
Varicella vaccine CPT 90716 • Preventive Care	$159	$159	$159
Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care	$220	$220	$220
Preventive visit new patient infant CPT 99381 • Preventive Care	$136	$136	$136
Preventive visit new patient age 1-4 CPT 99382 • Preventive Care	$130	$130	$130
Preventive visit new patient age 5-11 CPT 99383 • Preventive Care	$90	$90	$90
Preventive visit new patient age 12-17 CPT 99384 • Preventive Care	$102	$102	$102
Preventive visit new patient age 18-39 CPT 99385 • Preventive Care	$169	$169	$169
Preventive visit new patient age 40-64 CPT 99386 • Preventive Care	$185	$185	$185
Preventive visit established patient infant CPT 99391 • Preventive Care	$74	$74	$74
Preventive visit established patient age 1-4 CPT 99392 • Preventive Care	$79	$79	$79
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	$94	$94	$94
Preventive visit established patient age 18-39 CPT 99395 • Preventive Care	$130	$130	$130
Preventive visit established patient age 40-64 CPT 99396 • Preventive Care	$145	$145	$145
Preventive visit established patient age 65+ CPT 99397 • Preventive Care	$109	$109	$109
Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care	$166	$166	$166
Annual wellness visit initial HCPCS G0438 • Preventive Care	$155	$155	$155
Annual wellness visit subsequent HCPCS G0439 • Preventive Care	$129	$129	$129
Nebulizer inhalation treatment CPT 94640 • Pulmonology	$9	$9	$9
Radiation therapy planning complex CPT 77263 • Radiation Therapy	$134	$134	$134
Radiation therapy simulation simple CPT 77280 • Radiation Therapy	$30	$30	$30
Radiation therapy simulation complex CPT 77290 • Radiation Therapy	$66	$66	$66
3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy	$180	$180	$180
Radiation therapy dose calculation CPT 77300 • Radiation Therapy	$26	$26	$26
IMRT radiation therapy plan CPT 77301 • Radiation Therapy	$336	$336	$336
Radiation treatment device design complex CPT 77334 • Radiation Therapy	$48	$48	$48
Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy	$155	$155	$155
Radiation therapy management complete course CPT 77431 • Radiation Therapy	$84	$84	$84
Polysomnography age 6 or older CPT 95810 • Sleep Medicine	$588	$588	$588
Polysomnography with CPAP titration CPT 95811 • Sleep Medicine	$620	$620	$620
CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine	$85	$85	$85
Laparoscopic partial nephrectomy CPT 50543 • Urology	$1,754	$1,754	$1,754
Laparoscopic radical nephrectomy CPT 50545 • Urology	$1,459	$1,459	$1,459
Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology	$675	$675	$675
Complex uroflowmetry CPT 51741 • Urology	$14	$14	$14
Post-void residual urine measurement CPT 51798 • Urology	$12	$12	$12
Cystourethroscopy diagnostic CPT 52000 • Urology	$245	$245	$245
Cystourethroscopy with tumor fulguration small CPT 52234 • Urology	$267	$267	$267
Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology	$228	$228	$228
Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology	$183	$183	$183
Cystourethroscopy with lithotripsy CPT 52353 • Urology	$424	$424	$424
TURP transurethral resection of prostate CPT 52601 • Urology	$859	$859	$859
Orchiectomy radical inguinal CPT 54530 • Urology	$569	$569	$569
Vasectomy CPT 55250 • Urology	$378	$378	$378