RUTHERFORD REGIONAL MEDICAL CENTER· RUTHERFORDTON, NC
HospitalCMS 3/5
288 SOUTH RIDGECREST AVE, RUTHERFORDTON, NC 28139
Procedures offered
932 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Preventive visit established patient age 1-4 CPT 99392 • Preventive Care | $78 | $118 | $174 |
| Preventive visit established patient age 5-11 CPT 99393 • Preventive Care | $78 | $117 | $173 |
| Preventive visit established patient age 12-17 CPT 99394 • Preventive Care | $89 | $137 | $188 |
| Preventive visit established patient age 18-39 CPT 99395 • Preventive Care | $89 | $128 | $194 |
| Preventive visit established patient age 40-64 CPT 99396 • Preventive Care | $100 | $143 | $207 |
| Preventive visit established patient age 65+ CPT 99397 • Preventive Care | $112 | $150 | $220 |
| Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care | $0 | $28 | $60 |
| Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care | $54 | $154 | $223 |
| Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care | $90 | $240 | $336 |
| Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care | $197 | $306 | $505 |
| Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care | $89 | $179 | $256 |
| Annual wellness visit initial HCPCS G0438 • Preventive Care | $158 | $239 | $298 |
| Annual wellness visit subsequent HCPCS G0439 • Preventive Care | $106 | $137 | $177 |
| Bronchoscopy diagnostic CPT 31622 • Pulmonology | $155 | $248 | $402 |
| Bronchoscopy with brushing CPT 31623 • Pulmonology | $154 | $262 | $441 |
| Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology | $190 | $281 | $418 |
| Bronchoscopy with biopsy CPT 31625 • Pulmonology | $115 | $291 | $563 |
| Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology | $170 | $338 | $599 |
| Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology | $212 | $694 | $1,595 |
| Ventilation assist and management initiation CPT 94002 • Pulmonology | $97 | $119 | $154 |
| Spirometry CPT 94010 • Pulmonology | $10 | $26 | $56 |
| Spirometry before and after bronchodilator CPT 94060 • Pulmonology | $19 | $50 | $95 |
| Bronchospasm provocation evaluation CPT 94070 • Pulmonology | $36 | $58 | $97 |
| Respiratory flow volume loop CPT 94375 • Pulmonology | $23 | $37 | $64 |
| Cardiopulmonary exercise test CPT 94621 • Pulmonology | $87 | $152 | $259 |
| Nebulizer inhalation treatment CPT 94640 • Pulmonology | $8 | $22 | $29 |
| Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology | $22 | $23 | $27 |
| Plethysmography lung volumes CPT 94726 • Pulmonology | $12 | $53 | $86 |
| Gas dilution lung volumes CPT 94727 • Pulmonology | $33 | $50 | $70 |
| Diffusing capacity (DLCO) CPT 94729 • Pulmonology | $10 | $53 | $88 |
| Pulse oximetry single measurement CPT 94760 • Pulmonology | $0 | $2 | $4 |
| Pulse oximetry continuous overnight CPT 94762 • Pulmonology | $11 | $27 | $40 |
| Radiation therapy planning simple CPT 77261 • Radiation Therapy | $84 | $108 | $126 |
| Radiation therapy planning intermediate CPT 77262 • Radiation Therapy | $127 | $160 | $193 |
| Radiation therapy planning complex CPT 77263 • Radiation Therapy | $188 | $284 | $416 |
| Radiation therapy simulation simple CPT 77280 • Radiation Therapy | $43 | $285 | $414 |
| Radiation therapy simulation complex CPT 77290 • Radiation Therapy | $366 | $516 | $744 |
| 3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy | $712 | $967 | $1,445 |
| Radiation therapy dose calculation CPT 77300 • Radiation Therapy | $29 | $36 | $40 |
| IMRT radiation therapy plan CPT 77301 • Radiation Therapy | $498 | $1,690 | $2,862 |
| Radiation treatment device design complex CPT 77334 • Radiation Therapy | $75 | $116 | $194 |
| Radiation physics consultation CPT 77336 • Radiation Therapy | $117 | $125 | $132 |
| Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy | $1,058 | $1,231 | $1,553 |
| Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy | $964 | $1,230 | $1,533 |
| 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 | $137 | $185 |
| Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy | $98 | $206 | $328 |
| Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy | $193 | $307 | $500 |
| Radiation therapy management complete course CPT 77431 • Radiation Therapy | $104 | $114 | $129 |