DUPLIN GENERAL HOSPITAL INCORPORATED· KENANSVILLE, NC

HospitalCMS 4/5

401 NORTH MAIN ST, KENANSVILLE, NC 28349

Procedures offered

928 total

ProcedureMinAvgMax
Preventive visit established patient age 40-64
CPT 99396 • Preventive Care
$174$198$212
Preventive visit established patient age 65+
CPT 99397 • Preventive Care
$159$218$307
Cervical or vaginal cancer screening pelvic exam
HCPCS G0101 • Preventive Care
$54$64$72
Colorectal cancer screening flexible sigmoidoscopy
HCPCS G0104 • Preventive Care
$139$196$267
Colorectal cancer screening colonoscopy high risk
HCPCS G0105 • Preventive Care
$90$260$447
Colorectal cancer screening colonoscopy not high risk
HCPCS G0121 • Preventive Care
$244$557$823
Initial preventive physical exam (Welcome to Medicare)
HCPCS G0402 • Preventive Care
$232$380$605
Annual wellness visit initial
HCPCS G0438 • Preventive Care
$231$382$603
Annual wellness visit subsequent
HCPCS G0439 • Preventive Care
$183$237$317
Bronchoscopy diagnostic
CPT 31622 • Pulmonology
$348$522$817
Bronchoscopy with brushing
CPT 31623 • Pulmonology
$391$721$1,332
Bronchoscopy with bronchial alveolar lavage
CPT 31624 • Pulmonology
$271$350$418
Bronchoscopy with biopsy
CPT 31625 • Pulmonology
$502$590$706
Bronchoscopy with transbronchial lung biopsy
CPT 31628 • Pulmonology
$533$627$751
Bronchoscopy with endobronchial ultrasound biopsy
CPT 31652 • Pulmonology
$708$1,361$1,779
Ventilation assist and management initiation
CPT 94002 • Pulmonology
$127$176$247
Spirometry
CPT 94010 • Pulmonology
$11$52$88
Spirometry before and after bronchodilator
CPT 94060 • Pulmonology
$50$79$95
Bronchospasm provocation evaluation
CPT 94070 • Pulmonology
$47$77$97
Respiratory flow volume loop
CPT 94375 • Pulmonology
$34$48$64
Cardiopulmonary exercise test
CPT 94621 • Pulmonology
$124$200$259
Nebulizer inhalation treatment
CPT 94640 • Pulmonology
$20$25$28
Aerosol or vapor inhalation initial demonstration
CPT 94664 • Pulmonology
$27$41$58
Plethysmography lung volumes
CPT 94726 • Pulmonology
$59$109$183
Gas dilution lung volumes
CPT 94727 • Pulmonology
$44$74$107
Diffusing capacity (DLCO)
CPT 94729 • Pulmonology
$70$113$180
Pulse oximetry single measurement
CPT 94760 • Pulmonology
$3$6$10
Pulse oximetry continuous overnight
CPT 94762 • Pulmonology
$38$52$79
Radiation therapy planning simple
CPT 77261 • Radiation Therapy
$93$131$201
Radiation therapy planning intermediate
CPT 77262 • Radiation Therapy
$140$201$312
Radiation therapy planning complex
CPT 77263 • Radiation Therapy
$209$309$486
Radiation therapy simulation simple
CPT 77280 • Radiation Therapy
$228$571$1,141
Radiation therapy simulation complex
CPT 77290 • Radiation Therapy
$236$478$625
3-dimensional radiation therapy plan
CPT 77295 • Radiation Therapy
$361$1,065$2,074
Radiation therapy dose calculation
CPT 77300 • Radiation Therapy
$47$141$287
IMRT radiation therapy plan
CPT 77301 • Radiation Therapy
$2,066$4,237$7,894
Radiation treatment device design complex
CPT 77334 • Radiation Therapy
$92$157$193
Radiation physics consultation
CPT 77336 • Radiation Therapy
$68$147$260
Stereotactic radiosurgery (SRS) cranial
CPT 77371 • Radiation Therapy
$1,633$2,400$3,167
Stereotactic body radiation therapy (SBRT)
CPT 77373 • Radiation Therapy
$1,601$2,090$2,777
IMRT delivery simple
CPT 77385 • Radiation Therapy
$525$525$525
IMRT delivery complex
CPT 77386 • Radiation Therapy
$527$527$527
Radiation treatment delivery superficial
CPT 77407 • Radiation Therapy
$272$424$719
Radiation treatment delivery 3 or more MeV
CPT 77412 • Radiation Therapy
$266$420$632
Radiation treatment management 5 treatments
CPT 77427 • Radiation Therapy
$250$355$553
Radiation therapy management complete course
CPT 77431 • Radiation Therapy
$127$195$312
Proton beam treatment simple
CPT 77520 • Radiation Therapy
$1,296$1,296$1,296
Proton beam treatment complex
CPT 77523 • Radiation Therapy
$1,501$1,501$1,501
Polysomnography under age 6
CPT 95782 • Sleep Medicine
$340$968$1,444
Polysomnography under age 6 with CPAP
CPT 95783 • Sleep Medicine
$1,184$1,875$2,904