FLETCHER HOSPITAL INC.· HENDERSONVILLE, NC
HospitalCMS 4/5
100 HOSPITAL DR, HENDERSONVILLE, NC 28792
Procedures offered
968 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Neuromuscular reeducation each 15 minutes CPT 97112 • Physical Therapy | $22 | $52 | $195 |
| Gait training each 15 minutes CPT 97116 • Physical Therapy | $22 | $55 | $248 |
| Manual therapy one or more regions each 15 min CPT 97140 • Physical Therapy | $21 | $29 | $44 |
| Group therapeutic procedures CPT 97150 • Physical Therapy | $16 | $22 | $29 |
| Physical therapy evaluation low complexity CPT 97161 • Physical Therapy | $71 | $108 | $270 |
| Physical therapy evaluation moderate complexity CPT 97162 • Physical Therapy | $71 | $128 | $492 |
| Physical therapy evaluation high complexity CPT 97163 • Physical Therapy | $57 | $82 | $103 |
| Physical therapy re-evaluation CPT 97164 • Physical Therapy | $28 | $57 | $73 |
| Therapeutic activities each 15 minutes CPT 97530 • Physical Therapy | $18 | $35 | $49 |
| Self-care/home management training each 15 min CPT 97535 • Physical Therapy | $25 | $34 | $53 |
| Wheelchair management training each 15 minutes CPT 97542 • Physical Therapy | $19 | $27 | $32 |
| Physical performance test each 15 minutes CPT 97750 • Physical Therapy | $23 | $36 | $54 |
| Orthotic management and training each 15 min CPT 97760 • Physical Therapy | $24 | $43 | $61 |
| Prosthetic training each 15 minutes CPT 97761 • Physical Therapy | $20 | $33 | $52 |
| Immunization admin first vaccine component CPT 90460 • Preventive Care | $7 | $23 | $33 |
| Immunization admin each additional component CPT 90461 • Preventive Care | $5 | $12 | $21 |
| Immunization admin injection single CPT 90471 • Preventive Care | $7 | $113 | $935 |
| Immunization admin injection each additional CPT 90472 • Preventive Care | $5 | $14 | $21 |
| HPV vaccine 9-valent CPT 90651 • Preventive Care | $302 | $357 | $395 |
| Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care | $232 | $274 | $353 |
| Rotavirus vaccine pentavalent CPT 90680 • Preventive Care | $101 | $115 | $123 |
| Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care | $22 | $65 | $355 |
| MMR vaccine CPT 90707 • Preventive Care | $97 | $109 | $117 |
| Tdap vaccine age 7 years or older CPT 90715 • Preventive Care | $38 | $119 | $665 |
| Varicella vaccine CPT 90716 • Preventive Care | $180 | $210 | $230 |
| Pneumococcal vaccine adult CPT 90732 • Preventive Care | $54 | $122 | $185 |
| Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care | $201 | $242 | $282 |
| Genetic counseling 30 minutes CPT 96040 • Preventive Care | $41 | $41 | $41 |
| Preventive visit new patient infant CPT 99381 • Preventive Care | $78 | $127 | $185 |
| Preventive visit new patient age 1-4 CPT 99382 • Preventive Care | $89 | $128 | $193 |
| Preventive visit new patient age 5-11 CPT 99383 • Preventive Care | $89 | $120 | $149 |
| Preventive visit new patient age 12-17 CPT 99384 • Preventive Care | $96 | $139 | $228 |
| Preventive visit new patient age 18-39 CPT 99385 • Preventive Care | $94 | $122 | $199 |
| Preventive visit new patient age 40-64 CPT 99386 • Preventive Care | $105 | $198 | $469 |
| Preventive visit new patient age 65+ CPT 99387 • Preventive Care | $129 | $174 | $278 |
| Preventive visit established patient infant CPT 99391 • Preventive Care | $67 | $104 | $166 |
| Preventive visit established patient age 1-4 CPT 99392 • Preventive Care | $75 | $112 | $177 |
| Preventive visit established patient age 5-11 CPT 99393 • Preventive Care | $78 | $119 | $177 |
| Preventive visit established patient age 12-17 CPT 99394 • Preventive Care | $85 | $101 | $112 |
| Preventive visit established patient age 18-39 CPT 99395 • Preventive Care | $84 | $118 | $199 |
| Preventive visit established patient age 40-64 CPT 99396 • Preventive Care | $100 | $146 | $212 |
| Preventive visit established patient age 65+ CPT 99397 • Preventive Care | $96 | $122 | $136 |
| Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care | $22 | $41 | $63 |
| Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care | $54 | $116 | $210 |
| Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care | $214 | $520 | $1,279 |
| Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care | $197 | $503 | $1,279 |
| Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care | $89 | $147 | $256 |
| Annual wellness visit initial HCPCS G0438 • Preventive Care | $158 | $209 | $288 |
| Annual wellness visit subsequent HCPCS G0439 • Preventive Care | $106 | $138 | $195 |
| Bronchoscopy diagnostic CPT 31622 • Pulmonology | $120 | $254 | $415 |