NORTHERN HOSPITAL DISTRICT OF SURRY COUNTY· MOUNT AIRY, NC
ProviderCMS 4/5
830 ROCKFORD ST, MOUNT AIRY, NC 27030
Procedures offered
941 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Radiation physics consultation CPT 77336 • Radiation Therapy | $70 | $121 | $153 |
| Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy | $1,050 | $1,073 | $1,085 |
| Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy | $997 | $1,480 | $1,743 |
| IMRT delivery simple CPT 77385 • Radiation Therapy | $392 | $392 | $392 |
| IMRT delivery complex CPT 77386 • Radiation Therapy | $393 | $393 | $393 |
| Radiation treatment delivery superficial CPT 77407 • Radiation Therapy | $88 | $205 | $282 |
| Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy | $98 | $186 | $237 |
| Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy | $190 | $236 | $315 |
| Radiation therapy management complete course CPT 77431 • Radiation Therapy | $108 | $130 | $178 |
| Proton beam treatment simple CPT 77520 • Radiation Therapy | $300 | $833 | $1,481 |
| Proton beam treatment complex CPT 77523 • Radiation Therapy | $842 | $1,173 | $1,700 |
| Polysomnography under age 6 CPT 95782 • Sleep Medicine | $196 | $936 | $1,513 |
| Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine | $132 | $641 | $2,062 |
| Sleep study unattended CPT 95800 • Sleep Medicine | $62 | $132 | $301 |
| Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine | $58 | $102 | $155 |
| Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine | $56 | $304 | $572 |
| Polysomnography age 6 or older CPT 95810 • Sleep Medicine | $116 | $659 | $978 |
| Polysomnography with CPAP titration CPT 95811 • Sleep Medicine | $533 | $778 | $1,002 |
| CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine | $90 | $159 | $245 |
| Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine | $220 | $578 | $1,052 |
| CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine | $82 | $222 | $401 |
| Laparoscopic partial nephrectomy CPT 50543 • Urology | $207 | $1,471 | $2,396 |
| Laparoscopic radical nephrectomy CPT 50545 • Urology | $212 | $1,429 | $2,142 |
| Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology | $662 | $876 | $1,165 |
| Complex uroflowmetry CPT 51741 • Urology | $9 | $50 | $108 |
| Post-void residual urine measurement CPT 51798 • Urology | $17 | $19 | $24 |
| Cystourethroscopy diagnostic CPT 52000 • Urology | $132 | $281 | $365 |
| Cystourethroscopy with tumor fulguration small CPT 52234 • Urology | $153 | $294 | $392 |
| Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology | $179 | $345 | $460 |
| Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology | $255 | $296 | $336 |
| Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology | $154 | $388 | $619 |
| Cystourethroscopy with lithotripsy CPT 52353 • Urology | $385 | $524 | $623 |
| TURP transurethral resection of prostate CPT 52601 • Urology | $457 | $844 | $1,092 |
| Laser vaporization of prostate CPT 52648 • Urology | $436 | $1,175 | $2,722 |
| Circumcision CPT 54150 • Urology | $174 | $213 | $243 |
| Orchiectomy simple CPT 54520 • Urology | $399 | $464 | $538 |
| Orchiectomy radical inguinal CPT 54530 • Urology | $634 | $724 | $833 |
| Vasectomy CPT 55250 • Urology | $146 | $381 | $550 |
| Prostate biopsy needle or punch CPT 55700 • Urology | $109 | $266 | $396 |
| Radical prostatectomy retropubic CPT 55840 • Urology | $1,163 | $1,608 | $1,887 |
| Laparoscopic radical prostatectomy CPT 55866 • Urology | $190 | $1,500 | $2,314 |