EAST CAROLINA HEALTH· AHOSKIE, NC
HospitalCMS 2/5
500 ACADEMY ST S, AHOSKIE, NC 27910
Procedures offered
932 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Preventive visit established patient age 1-4 CPT 99392 • Preventive Care | $114 | $134 | $147 |
| Preventive visit established patient age 5-11 CPT 99393 • Preventive Care | $107 | $131 | $147 |
| Preventive visit established patient age 12-17 CPT 99394 • Preventive Care | $129 | $143 | $160 |
| Preventive visit established patient age 18-39 CPT 99395 • Preventive Care | $133 | $151 | $164 |
| Preventive visit established patient age 40-64 CPT 99396 • Preventive Care | $125 | $155 | $174 |
| Preventive visit established patient age 65+ CPT 99397 • Preventive Care | $163 | $186 | $207 |
| Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care | $0 | $48 | $89 |
| Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care | $88 | $231 | $339 |
| Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care | $243 | $320 | $449 |
| Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care | $244 | $398 | $500 |
| Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care | $223 | $253 | $305 |
| Annual wellness visit initial HCPCS G0438 • Preventive Care | $223 | $281 | $389 |
| Annual wellness visit subsequent HCPCS G0439 • Preventive Care | $175 | $215 | $287 |
| Bronchoscopy diagnostic CPT 31622 • Pulmonology | $330 | $421 | $585 |
| Bronchoscopy with brushing CPT 31623 • Pulmonology | $253 | $336 | $391 |
| Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology | $251 | $317 | $362 |
| Bronchoscopy with biopsy CPT 31625 • Pulmonology | $358 | $440 | $502 |
| Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology | $159 | $394 | $533 |
| Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology | $1,779 | $1,973 | $2,205 |
| Ventilation assist and management initiation CPT 94002 • Pulmonology | $91 | $117 | $132 |
| Spirometry CPT 94010 • Pulmonology | $11 | $25 | $36 |
| Spirometry before and after bronchodilator CPT 94060 • Pulmonology | $50 | $53 | $57 |
| Bronchospasm provocation evaluation CPT 94070 • Pulmonology | $40 | $57 | $84 |
| Respiratory flow volume loop CPT 94375 • Pulmonology | $32 | $35 | $39 |
| Cardiopulmonary exercise test CPT 94621 • Pulmonology | $104 | $194 | $355 |
| Nebulizer inhalation treatment CPT 94640 • Pulmonology | $12 | $20 | $30 |
| Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology | $22 | $26 | $30 |
| Plethysmography lung volumes CPT 94726 • Pulmonology | $59 | $67 | $74 |
| Gas dilution lung volumes CPT 94727 • Pulmonology | $18 | $36 | $45 |
| Diffusing capacity (DLCO) CPT 94729 • Pulmonology | $13 | $52 | $74 |
| Pulse oximetry single measurement CPT 94760 • Pulmonology | $0 | $2 | $3 |
| Pulse oximetry continuous overnight CPT 94762 • Pulmonology | $38 | $42 | $49 |
| Radiation therapy planning simple CPT 77261 • Radiation Therapy | $98 | $122 | $165 |
| Radiation therapy planning intermediate CPT 77262 • Radiation Therapy | $105 | $137 | $158 |
| Radiation therapy planning complex CPT 77263 • Radiation Therapy | $232 | $320 | $368 |
| Radiation therapy simulation simple CPT 77280 • Radiation Therapy | $343 | $373 | $421 |
| Radiation therapy simulation complex CPT 77290 • Radiation Therapy | $572 | $578 | $588 |
| 3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy | $361 | $709 | $1,128 |
| Radiation therapy dose calculation CPT 77300 • Radiation Therapy | $47 | $79 | $103 |
| IMRT radiation therapy plan CPT 77301 • Radiation Therapy | $612 | $2,305 | $4,236 |
| Radiation treatment device design complex CPT 77334 • Radiation Therapy | $88 | $116 | $167 |
| Radiation physics consultation CPT 77336 • Radiation Therapy | $113 | $120 | $131 |
| Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy | $1,058 | $1,410 | $1,633 |
| Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy | $1,294 | $1,743 | $2,334 |
| 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 | $172 | $286 | $413 |
| Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy | $30 | $239 | $363 |
| Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy | $262 | $361 | $419 |
| Radiation therapy management complete course CPT 77431 • Radiation Therapy | $147 | $179 | $222 |