NOVANT HEALTH ROWAN MEDICAL CENTER LLC· SALISBURY, NC
HospitalCMS 2/5
612 MOCKSVILLE AVE, SALISBURY, NC 28144
Procedures offered
984 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Preventive visit established patient infant CPT 99391 • Preventive Care | $67 | $135 | $203 |
| Preventive visit established patient age 1-4 CPT 99392 • Preventive Care | $74 | $152 | $260 |
| Preventive visit established patient age 5-11 CPT 99393 • Preventive Care | $78 | $141 | $240 |
| Preventive visit established patient age 12-17 CPT 99394 • Preventive Care | $89 | $177 | $283 |
| Preventive visit established patient age 18-39 CPT 99395 • Preventive Care | $89 | $185 | $289 |
| Preventive visit established patient age 40-64 CPT 99396 • Preventive Care | $100 | $217 | $362 |
| Preventive visit established patient age 65+ CPT 99397 • Preventive Care | $99 | $180 | $291 |
| Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care | $22 | $45 | $89 |
| Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care | $54 | $225 | $394 |
| Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care | $236 | $376 | $647 |
| Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care | $197 | $375 | $647 |
| Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care | $89 | $218 | $375 |
| Annual wellness visit initial HCPCS G0438 • Preventive Care | $130 | $206 | $384 |
| Annual wellness visit subsequent HCPCS G0439 • Preventive Care | $87 | $144 | $244 |
| Bronchoscopy diagnostic CPT 31622 • Pulmonology | $101 | $241 | $438 |
| Bronchoscopy with brushing CPT 31623 • Pulmonology | $49 | $230 | $610 |
| Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology | $49 | $324 | $784 |
| Bronchoscopy with biopsy CPT 31625 • Pulmonology | $195 | $559 | $988 |
| Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology | $49 | $484 | $1,113 |
| Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology | $226 | $1,296 | $2,474 |
| Ventilation assist and management initiation CPT 94002 • Pulmonology | $75 | $118 | $223 |
| Spirometry CPT 94010 • Pulmonology | $8 | $31 | $62 |
| Spirometry before and after bronchodilator CPT 94060 • Pulmonology | $14 | $64 | $137 |
| Bronchospasm provocation evaluation CPT 94070 • Pulmonology | $27 | $49 | $83 |
| Respiratory flow volume loop CPT 94375 • Pulmonology | $23 | $74 | $116 |
| Pulmonary stress test simple CPT 94620 • Pulmonology | $139 | $139 | $139 |
| Cardiopulmonary exercise test CPT 94621 • Pulmonology | $30 | $134 | $372 |
| Nebulizer inhalation treatment CPT 94640 • Pulmonology | $17 | $34 | $49 |
| Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology | $15 | $26 | $49 |
| Plethysmography lung volumes CPT 94726 • Pulmonology | $10 | $35 | $60 |
| Gas dilution lung volumes CPT 94727 • Pulmonology | $10 | $49 | $98 |
| Diffusing capacity (DLCO) CPT 94729 • Pulmonology | $12 | $69 | $126 |
| Pulse oximetry single measurement CPT 94760 • Pulmonology | $1 | $6 | $15 |
| Pulse oximetry continuous overnight CPT 94762 • Pulmonology | $5 | $28 | $58 |
| Radiation therapy planning simple CPT 77261 • Radiation Therapy | $84 | $132 | $211 |
| Radiation therapy planning intermediate CPT 77262 • Radiation Therapy | $95 | $154 | $249 |
| Radiation therapy planning complex CPT 77263 • Radiation Therapy | $188 | $281 | $466 |
| Radiation therapy simulation simple CPT 77280 • Radiation Therapy | $34 | $220 | $621 |
| Radiation therapy simulation complex CPT 77290 • Radiation Therapy | $103 | $717 | $1,531 |
| 3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy | $253 | $1,113 | $3,542 |
| Radiation therapy dose calculation CPT 77300 • Radiation Therapy | $37 | $71 | $96 |
| IMRT radiation therapy plan CPT 77301 • Radiation Therapy | $498 | $1,315 | $2,408 |
| Radiation treatment device design complex CPT 77334 • Radiation Therapy | $62 | $171 | $499 |
| Radiation physics consultation CPT 77336 • Radiation Therapy | $78 | $167 | $280 |
| Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy | $890 | $1,637 | $4,476 |
| Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy | $1,289 | $1,545 | $2,186 |
| IMRT delivery simple CPT 77385 • Radiation Therapy | $392 | $1,060 | $1,564 |
| IMRT delivery complex CPT 77386 • Radiation Therapy | $393 | $1,006 | $1,564 |
| Radiation treatment delivery superficial CPT 77407 • Radiation Therapy | $88 | $304 | $661 |
| Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy | $98 | $266 | $576 |