RUTHERFORD REGIONAL MEDICAL CENTER· RUTHERFORDTON, NC
HospitalCMS 3/5
288 SOUTH RIDGECREST AVE, RUTHERFORDTON, NC 28139
Procedures offered
932 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Surgical pathology gross and micro exam level VI CPT 88309 • Pathology | $131 | $239 | $333 |
| Special stain group I for microorganisms CPT 88312 • Pathology | $29 | $80 | $158 |
| Special stain group II CPT 88313 • Pathology | $5 | $26 | $62 |
| Frozen section pathology first specimen CPT 88331 • Pathology | $13 | $80 | $152 |
| Frozen section pathology each additional CPT 88332 • Pathology | $22 | $47 | $84 |
| Immunohistochemistry each antibody CPT 88341 • Pathology | $26 | $81 | $140 |
| Immunohistochemistry first antibody CPT 88342 • Pathology | $30 | $49 | $77 |
| Morphometric analysis tumor quantitative CPT 88360 • Pathology | $55 | $103 | $189 |
| Microdissection manual CPT 88381 • Pathology | $20 | $80 | $168 |
| Hot or cold packs application CPT 97010 • Physical Therapy | $0 | $5 | $10 |
| Electrical stimulation unattended CPT 97014 • Physical Therapy | $6 | $14 | $24 |
| Vasopneumatic device therapy CPT 97016 • Physical Therapy | $12 | $15 | $21 |
| Electrical stimulation attended each 15 minutes CPT 97032 • Physical Therapy | $12 | $17 | $24 |
| Ultrasound therapy each 15 minutes CPT 97035 • Physical Therapy | $8 | $14 | $23 |
| Therapeutic exercises each 15 minutes CPT 97110 • Physical Therapy | $20 | $32 | $50 |
| Neuromuscular reeducation each 15 minutes CPT 97112 • Physical Therapy | $17 | $34 | $57 |
| Gait training each 15 minutes CPT 97116 • Physical Therapy | $15 | $29 | $50 |
| Manual therapy one or more regions each 15 min CPT 97140 • Physical Therapy | $19 | $30 | $46 |
| Group therapeutic procedures CPT 97150 • Physical Therapy | $11 | $19 | $30 |
| Physical therapy evaluation low complexity CPT 97161 • Physical Therapy | $70 | $100 | $139 |
| Physical therapy evaluation moderate complexity CPT 97162 • Physical Therapy | $84 | $105 | $139 |
| Physical therapy evaluation high complexity CPT 97163 • Physical Therapy | $84 | $105 | $139 |
| Physical therapy re-evaluation CPT 97164 • Physical Therapy | $57 | $72 | $94 |
| Therapeutic activities each 15 minutes CPT 97530 • Physical Therapy | $17 | $36 | $65 |
| Self-care/home management training each 15 min CPT 97535 • Physical Therapy | $18 | $34 | $56 |
| Wheelchair management training each 15 minutes CPT 97542 • Physical Therapy | $16 | $32 | $54 |
| Physical performance test each 15 minutes CPT 97750 • Physical Therapy | $21 | $35 | $57 |
| Orthotic management and training each 15 min CPT 97760 • Physical Therapy | $24 | $42 | $77 |
| Prosthetic training each 15 minutes CPT 97761 • Physical Therapy | $21 | $37 | $67 |
| Immunization admin first vaccine component CPT 90460 • Preventive Care | $7 | $17 | $22 |
| Immunization admin each additional component CPT 90461 • Preventive Care | $5 | $11 | $20 |
| Immunization admin injection single CPT 90471 • Preventive Care | $7 | $16 | $22 |
| Immunization admin injection each additional CPT 90472 • Preventive Care | $5 | $11 | $14 |
| HPV vaccine 9-valent CPT 90651 • Preventive Care | $302 | $331 | $378 |
| Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care | $230 | $241 | $260 |
| Rotavirus vaccine pentavalent CPT 90680 • Preventive Care | $101 | $110 | $118 |
| Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care | $20 | $21 | $23 |
| MMR vaccine CPT 90707 • Preventive Care | $97 | $103 | $109 |
| Tdap vaccine age 7 years or older CPT 90715 • Preventive Care | $34 | $47 | $56 |
| Varicella vaccine CPT 90716 • Preventive Care | $180 | $196 | $221 |
| Pneumococcal vaccine adult CPT 90732 • Preventive Care | $120 | $125 | $135 |
| Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care | $201 | $223 | $248 |
| Preventive visit new patient infant CPT 99381 • Preventive Care | $78 | $129 | $180 |
| Preventive visit new patient age 1-4 CPT 99382 • Preventive Care | $89 | $124 | $189 |
| Preventive visit new patient age 5-11 CPT 99383 • Preventive Care | $82 | $122 | $197 |
| Preventive visit new patient age 12-17 CPT 99384 • Preventive Care | $100 | $147 | $222 |
| Preventive visit new patient age 18-39 CPT 99385 • Preventive Care | $100 | $147 | $215 |
| Preventive visit new patient age 40-64 CPT 99386 • Preventive Care | $123 | $183 | $250 |
| Preventive visit new patient age 65+ CPT 99387 • Preventive Care | $134 | $184 | $270 |
| Preventive visit established patient infant CPT 99391 • Preventive Care | $67 | $108 | $163 |