NORTHERN REGIONAL HOSPITAL· MOUNT AIRY, NC

HospitalCMS 4/5

830 ROCKFORD ST, MOUNT AIRY, NC 27030

Procedures offered

936 total

ProcedureMinAvgMax
Radiation treatment delivery superficial
CPT 77407 • Radiation Therapy
$88$195$251
Radiation treatment delivery 3 or more MeV
CPT 77412 • Radiation Therapy
$98$171$237
Radiation treatment management 5 treatments
CPT 77427 • Radiation Therapy
$189$236$315
Radiation therapy management complete course
CPT 77431 • Radiation Therapy
$110$142$178
Proton beam treatment simple
CPT 77520 • Radiation Therapy
$130$776$1,481
Proton beam treatment complex
CPT 77523 • Radiation Therapy
$153$917$1,700
Polysomnography under age 6
CPT 95782 • Sleep Medicine
$196$951$1,513
Polysomnography under age 6 with CPAP
CPT 95783 • Sleep Medicine
$158$821$2,062
Sleep study unattended
CPT 95800 • Sleep Medicine
$62$137$301
Sleep study unattended minimum 3 channels
CPT 95801 • Sleep Medicine
$58$130$211
Multiple sleep latency test (MSLT)
CPT 95805 • Sleep Medicine
$91$384$572
Polysomnography age 6 or older
CPT 95810 • Sleep Medicine
$433$738$978
Polysomnography with CPAP titration
CPT 95811 • Sleep Medicine
$455$758$1,002
CPAP combination oral/nasal mask
HCPCS A7027 • Sleep Medicine
$90$160$245
Respiratory assist device BiPAP without backup
HCPCS E0470 • Sleep Medicine
$128$347$784
CPAP device continuous positive airway pressure
HCPCS E0601 • Sleep Medicine
$55$136$304
Laparoscopic partial nephrectomy
CPT 50543 • Urology
$909$1,646$2,396
Laparoscopic radical nephrectomy
CPT 50545 • Urology
$199$1,425$2,142
Lithotripsy extracorporeal shock wave (ESWL)
CPT 50590 • Urology
$662$880$1,165
Complex uroflowmetry
CPT 51741 • Urology
$10$51$108
Post-void residual urine measurement
CPT 51798 • Urology
$18$20$24
Cystourethroscopy diagnostic
CPT 52000 • Urology
$61$206$365
Cystourethroscopy with tumor fulguration small
CPT 52234 • Urology
$263$321$392
Cystourethroscopy with tumor fulguration medium
CPT 52235 • Urology
$352$416$463
Cystourethroscopy with dilation of ureteral stricture
CPT 52260 • Urology
$223$274$336
Cystourethroscopy with ureteral stent insertion
CPT 52332 • Urology
$185$411$619
Cystourethroscopy with lithotripsy
CPT 52353 • Urology
$428$535$623
TURP transurethral resection of prostate
CPT 52601 • Urology
$834$946$1,092
Laser vaporization of prostate
CPT 52648 • Urology
$595$1,274$2,722
Circumcision
CPT 54150 • Urology
$174$217$243
Orchiectomy simple
CPT 54520 • Urology
$215$394$538
Orchiectomy radical inguinal
CPT 54530 • Urology
$634$734$833
Vasectomy
CPT 55250 • Urology
$291$432$550
Prostate biopsy needle or punch
CPT 55700 • Urology
$109$266$396
Radical prostatectomy retropubic
CPT 55840 • Urology
$1,606$1,845$2,113
Laparoscopic radical prostatectomy
CPT 55866 • Urology
$1,576$2,012$2,314