NOVANT HEALTH ROWAN MEDICAL CENTER· SALISBURY, NC

HospitalCMS 2/5

612 MOCKSVILLE AVE, SALISBURY, NC 28144

Procedures offered

962 total

ProcedureMinAvgMax
Spirometry before and after bronchodilator
CPT 94060 • Pulmonology
$19$59$124
Bronchospasm provocation evaluation
CPT 94070 • Pulmonology
$27$47$83
Respiratory flow volume loop
CPT 94375 • Pulmonology
$23$71$116
Pulmonary stress test simple
CPT 94620 • Pulmonology
$139$139$139
Cardiopulmonary exercise test
CPT 94621 • Pulmonology
$61$113$203
Nebulizer inhalation treatment
CPT 94640 • Pulmonology
$17$36$49
Aerosol or vapor inhalation initial demonstration
CPT 94664 • Pulmonology
$15$26$49
Plethysmography lung volumes
CPT 94726 • Pulmonology
$10$36$60
Gas dilution lung volumes
CPT 94727 • Pulmonology
$10$49$77
Diffusing capacity (DLCO)
CPT 94729 • Pulmonology
$42$69$104
Pulse oximetry single measurement
CPT 94760 • Pulmonology
$1$6$15
Pulse oximetry continuous overnight
CPT 94762 • Pulmonology
$11$29$47
Radiation therapy planning simple
CPT 77261 • Radiation Therapy
$84$124$211
Radiation therapy planning intermediate
CPT 77262 • Radiation Therapy
$95$130$156
Radiation therapy planning complex
CPT 77263 • Radiation Therapy
$188$271$466
Radiation therapy simulation simple
CPT 77280 • Radiation Therapy
$34$163$351
Radiation therapy simulation complex
CPT 77290 • Radiation Therapy
$366$818$1,531
3-dimensional radiation therapy plan
CPT 77295 • Radiation Therapy
$253$1,468$3,542
Radiation therapy dose calculation
CPT 77300 • Radiation Therapy
$37$78$96
IMRT radiation therapy plan
CPT 77301 • Radiation Therapy
$498$1,490$2,408
Radiation treatment device design complex
CPT 77334 • Radiation Therapy
$62$200$499
Radiation physics consultation
CPT 77336 • Radiation Therapy
$115$187$280
Stereotactic radiosurgery (SRS) cranial
CPT 77371 • Radiation Therapy
$890$1,072$1,306
Stereotactic body radiation therapy (SBRT)
CPT 77373 • Radiation Therapy
$1,289$1,384$1,533
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$273$661
Radiation treatment delivery 3 or more MeV
CPT 77412 • Radiation Therapy
$98$189$241
Radiation treatment management 5 treatments
CPT 77427 • Radiation Therapy
$193$301$523
Radiation therapy management complete course
CPT 77431 • Radiation Therapy
$110$118$142
Proton beam treatment simple
CPT 77520 • Radiation Therapy
$184$642$900
Proton beam treatment complex
CPT 77523 • Radiation Therapy
$816$1,355$2,522
Polysomnography under age 6
CPT 95782 • Sleep Medicine
$1,355$1,780$2,323
Polysomnography under age 6 with CPAP
CPT 95783 • Sleep Medicine
$113$651$1,351
Sleep study unattended
CPT 95800 • Sleep Medicine
$98$239$330
Sleep study unattended minimum 3 channels
CPT 95801 • Sleep Medicine
$63$115$138
Multiple sleep latency test (MSLT)
CPT 95805 • Sleep Medicine
$58$445$589
Polysomnography age 6 or older
CPT 95810 • Sleep Medicine
$118$689$1,080
Polysomnography with CPAP titration
CPT 95811 • Sleep Medicine
$554$913$1,322
CPAP combination oral/nasal mask
HCPCS A7027 • Sleep Medicine
$110$143$179
Respiratory assist device BiPAP without backup
HCPCS E0470 • Sleep Medicine
$115$769$1,648
CPAP device continuous positive airway pressure
HCPCS E0601 • Sleep Medicine
$44$216$673
Laparoscopic partial nephrectomy
CPT 50543 • Urology
$1,310$2,186$3,500
Laparoscopic radical nephrectomy
CPT 50545 • Urology
$1,185$1,612$2,343
Lithotripsy extracorporeal shock wave (ESWL)
CPT 50590 • Urology
$625$814$1,307
Complex uroflowmetry
CPT 51741 • Urology
$11$32$72
Post-void residual urine measurement
CPT 51798 • Urology
$9$23$49
Cystourethroscopy diagnostic
CPT 52000 • Urology
$132$418$590
Cystourethroscopy with tumor fulguration small
CPT 52234 • Urology
$299$408$595
Cystourethroscopy with tumor fulguration medium
CPT 52235 • Urology
$255$433$625