SAMPSON REGIONAL MEDICAL CENTER· CLINTON, NC

HospitalCMS 3/5

607 BEAMAN ST, CLINTON, NC 28328

Procedures offered

933 total

ProcedureMinAvgMax
Radiation therapy management complete course
CPT 77431 • Radiation Therapy
$110$139$162
Proton beam treatment simple
CPT 77520 • Radiation Therapy
$89$752$1,414
Proton beam treatment complex
CPT 77523 • Radiation Therapy
$157$565$974
Polysomnography under age 6
CPT 95782 • Sleep Medicine
$679$1,089$1,415
Polysomnography under age 6 with CPAP
CPT 95783 • Sleep Medicine
$158$440$722
Sleep study unattended
CPT 95800 • Sleep Medicine
$66$135$179
Sleep study unattended minimum 3 channels
CPT 95801 • Sleep Medicine
$58$104$179
Multiple sleep latency test (MSLT)
CPT 95805 • Sleep Medicine
$49$373$572
Polysomnography age 6 or older
CPT 95810 • Sleep Medicine
$470$604$712
Polysomnography with CPAP titration
CPT 95811 • Sleep Medicine
$105$501$746
CPAP combination oral/nasal mask
HCPCS A7027 • Sleep Medicine
$102$135$179
Respiratory assist device BiPAP without backup
HCPCS E0470 • Sleep Medicine
$128$284$467
CPAP device continuous positive airway pressure
HCPCS E0601 • Sleep Medicine
$55$120$203
Laparoscopic partial nephrectomy
CPT 50543 • Urology
$202$1,110$1,819
Laparoscopic radical nephrectomy
CPT 50545 • Urology
$1,576$1,690$1,863
Lithotripsy extracorporeal shock wave (ESWL)
CPT 50590 • Urology
$455$670$894
Complex uroflowmetry
CPT 51741 • Urology
$17$37$72
Post-void residual urine measurement
CPT 51798 • Urology
$14$16$18
Cystourethroscopy diagnostic
CPT 52000 • Urology
$132$236$313
Cystourethroscopy with tumor fulguration small
CPT 52234 • Urology
$145$248$299
Cystourethroscopy with tumor fulguration medium
CPT 52235 • Urology
$350$369$405
Cystourethroscopy with dilation of ureteral stricture
CPT 52260 • Urology
$123$211$256
Cystourethroscopy with ureteral stent insertion
CPT 52332 • Urology
$144$258$446
Cystourethroscopy with lithotripsy
CPT 52353 • Urology
$375$456$518
TURP transurethral resection of prostate
CPT 52601 • Urology
$758$828$892
Laser vaporization of prostate
CPT 52648 • Urology
$595$1,652$2,505
Circumcision
CPT 54150 • Urology
$55$136$179
Orchiectomy simple
CPT 54520 • Urology
$298$367$404
Orchiectomy radical inguinal
CPT 54530 • Urology
$66$442$634
Vasectomy
CPT 55250 • Urology
$291$444$639
Prostate biopsy needle or punch
CPT 55700 • Urology
$109$199$289
Radical prostatectomy retropubic
CPT 55840 • Urology
$173$1,070$1,606
Laparoscopic radical prostatectomy
CPT 55866 • Urology
$823$1,287$1,576