NOVANT HEALTH ROWAN MEDICAL CENTER· SALISBURY, NC
HospitalCMS 2/5
612 MOCKSVILLE AVE, SALISBURY, NC 28144
Procedures offered
962 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Physical therapy re-evaluation CPT 97164 • Physical Therapy | $52 | $61 | $81 |
| Therapeutic activities each 15 minutes CPT 97530 • Physical Therapy | $27 | $37 | $55 |
| Self-care/home management training each 15 min CPT 97535 • Physical Therapy | $19 | $29 | $38 |
| Wheelchair management training each 15 minutes CPT 97542 • Physical Therapy | $16 | $27 | $37 |
| Physical performance test each 15 minutes CPT 97750 • Physical Therapy | $27 | $32 | $39 |
| Orthotic management and training each 15 min CPT 97760 • Physical Therapy | $20 | $34 | $55 |
| Prosthetic training each 15 minutes CPT 97761 • Physical Therapy | $22 | $32 | $48 |
| Immunization admin first vaccine component CPT 90460 • Preventive Care | $7 | $14 | $18 |
| Immunization admin each additional component CPT 90461 • Preventive Care | $5 | $7 | $8 |
| Immunization admin injection single CPT 90471 • Preventive Care | $7 | $22 | $44 |
| Immunization admin injection each additional CPT 90472 • Preventive Care | $5 | $11 | $16 |
| HPV vaccine 9-valent CPT 90651 • Preventive Care | $332 | $392 | $547 |
| Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care | $244 | $290 | $421 |
| Rotavirus vaccine pentavalent CPT 90680 • Preventive Care | $92 | $110 | $118 |
| Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care | $20 | $24 | $33 |
| MMR vaccine CPT 90707 • Preventive Care | $102 | $119 | $163 |
| Tdap vaccine age 7 years or older CPT 90715 • Preventive Care | $39 | $53 | $65 |
| Varicella vaccine CPT 90716 • Preventive Care | $198 | $237 | $319 |
| Pneumococcal vaccine adult CPT 90732 • Preventive Care | $119 | $146 | $218 |
| Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care | $220 | $260 | $358 |
| Genetic counseling 30 minutes CPT 96040 • Preventive Care | $143 | $143 | $143 |
| Preventive visit new patient infant CPT 99381 • Preventive Care | $78 | $150 | $238 |
| Preventive visit new patient age 1-4 CPT 99382 • Preventive Care | $89 | $203 | $282 |
| Preventive visit new patient age 5-11 CPT 99383 • Preventive Care | $89 | $202 | $294 |
| Preventive visit new patient age 12-17 CPT 99384 • Preventive Care | $100 | $168 | $272 |
| Preventive visit new patient age 18-39 CPT 99385 • Preventive Care | $100 | $219 | $322 |
| Preventive visit new patient age 40-64 CPT 99386 • Preventive Care | $123 | $263 | $371 |
| Preventive visit new patient age 65+ CPT 99387 • Preventive Care | $134 | $229 | $375 |
| Preventive visit established patient infant CPT 99391 • Preventive Care | $67 | $127 | $203 |
| Preventive visit established patient age 1-4 CPT 99392 • Preventive Care | $78 | $167 | $260 |
| Preventive visit established patient age 5-11 CPT 99393 • Preventive Care | $78 | $122 | $206 |
| Preventive visit established patient age 12-17 CPT 99394 • Preventive Care | $89 | $188 | $283 |
| Preventive visit established patient age 18-39 CPT 99395 • Preventive Care | $89 | $191 | $289 |
| Preventive visit established patient age 40-64 CPT 99396 • Preventive Care | $100 | $228 | $362 |
| Preventive visit established patient age 65+ CPT 99397 • Preventive Care | $112 | $185 | $291 |
| Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care | $22 | $34 | $51 |
| Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care | $54 | $168 | $243 |
| Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care | $295 | $419 | $647 |
| Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care | $197 | $405 | $647 |
| Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care | $89 | $184 | $303 |
| Annual wellness visit initial HCPCS G0438 • Preventive Care | $150 | $198 | $303 |
| Annual wellness visit subsequent HCPCS G0439 • Preventive Care | $104 | $139 | $237 |
| Bronchoscopy diagnostic CPT 31622 • Pulmonology | $101 | $225 | $438 |
| Bronchoscopy with brushing CPT 31623 • Pulmonology | $49 | $135 | $190 |
| Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology | $49 | $301 | $784 |
| Bronchoscopy with biopsy CPT 31625 • Pulmonology | $195 | $504 | $988 |
| Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology | $49 | $491 | $1,113 |
| Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology | $226 | $1,255 | $2,352 |
| Ventilation assist and management initiation CPT 94002 • Pulmonology | $75 | $92 | $120 |
| Spirometry CPT 94010 • Pulmonology | $8 | $23 | $49 |