RUTHERFORD REGIONAL MEDICAL CENTER· RUTHERFORDTON, NC

HospitalCMS 3/5

288 SOUTH RIDGECREST AVE, RUTHERFORDTON, NC 28139

Procedures offered

932 total

ProcedureMinAvgMax
Proton beam treatment simple
CPT 77520 • Radiation Therapy
$538$538$538
Proton beam treatment complex
CPT 77523 • Radiation Therapy
$974$1,067$1,160
Polysomnography under age 6
CPT 95782 • Sleep Medicine
$1,028$1,215$1,444
Polysomnography under age 6 with CPAP
CPT 95783 • Sleep Medicine
$158$927$1,538
Sleep study unattended
CPT 95800 • Sleep Medicine
$38$125$271
Sleep study unattended minimum 3 channels
CPT 95801 • Sleep Medicine
$58$91$147
Multiple sleep latency test (MSLT)
CPT 95805 • Sleep Medicine
$427$556$668
Polysomnography age 6 or older
CPT 95810 • Sleep Medicine
$139$583$980
Polysomnography with CPAP titration
CPT 95811 • Sleep Medicine
$637$772$1,027
CPAP combination oral/nasal mask
HCPCS A7027 • Sleep Medicine
$119$151$179
Respiratory assist device BiPAP without backup
HCPCS E0470 • Sleep Medicine
$105$527$1,219
CPAP device continuous positive airway pressure
HCPCS E0601 • Sleep Medicine
$103$334$498
Laparoscopic partial nephrectomy
CPT 50543 • Urology
$1,310$1,775$2,558
Laparoscopic radical nephrectomy
CPT 50545 • Urology
$996$1,625$2,303
Lithotripsy extracorporeal shock wave (ESWL)
CPT 50590 • Urology
$662$1,078$1,333
Complex uroflowmetry
CPT 51741 • Urology
$11$35$72
Post-void residual urine measurement
CPT 51798 • Urology
$18$20$21
Cystourethroscopy diagnostic
CPT 52000 • Urology
$132$209$315
Cystourethroscopy with tumor fulguration small
CPT 52234 • Urology
$289$337$423
Cystourethroscopy with tumor fulguration medium
CPT 52235 • Urology
$352$452$510
Cystourethroscopy with dilation of ureteral stricture
CPT 52260 • Urology
$129$248$361
Cystourethroscopy with ureteral stent insertion
CPT 52332 • Urology
$185$564$788
Cystourethroscopy with lithotripsy
CPT 52353 • Urology
$239$477$675
TURP transurethral resection of prostate
CPT 52601 • Urology
$546$878$1,252
Laser vaporization of prostate
CPT 52648 • Urology
$595$1,355$2,787
Circumcision
CPT 54150 • Urology
$59$164$260
Orchiectomy simple
CPT 54520 • Urology
$205$388$558
Orchiectomy radical inguinal
CPT 54530 • Urology
$86$529$866
Vasectomy
CPT 55250 • Urology
$291$419$624
Prostate biopsy needle or punch
CPT 55700 • Urology
$109$263$418
Radical prostatectomy retropubic
CPT 55840 • Urology
$1,606$1,902$2,085
Laparoscopic radical prostatectomy
CPT 55866 • Urology
$1,576$1,938$2,482