ONSLOW MEMORIAL HOSPITAL INC· JACKSONVILLE, NC
HospitalCMS 1/5
317 WESTERN BLVD, JACKSONVILLE, NC 28546
Procedures offered
937 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| IMRT delivery complex CPT 77386 • Radiation Therapy | $364 | $379 | $393 |
| Radiation treatment delivery superficial CPT 77407 • Radiation Therapy | $88 | $197 | $291 |
| Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy | $98 | $218 | $270 |
| Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy | $182 | $220 | $304 |
| Radiation therapy management complete course CPT 77431 • Radiation Therapy | $100 | $123 | $172 |
| Proton beam treatment simple CPT 77520 • Radiation Therapy | $831 | $1,087 | $1,414 |
| Proton beam treatment complex CPT 77523 • Radiation Therapy | $923 | $1,369 | $2,616 |
| Polysomnography under age 6 CPT 95782 • Sleep Medicine | $798 | $1,037 | $1,174 |
| Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine | $158 | $661 | $847 |
| Sleep study unattended CPT 95800 • Sleep Medicine | $45 | $122 | $233 |
| Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine | $40 | $68 | $106 |
| Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine | $356 | $458 | $572 |
| Polysomnography age 6 or older CPT 95810 • Sleep Medicine | $123 | $419 | $792 |
| Polysomnography with CPAP titration CPT 95811 • Sleep Medicine | $136 | $518 | $856 |
| CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine | $78 | $123 | $179 |
| Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine | $111 | $665 | $1,219 |
| CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine | $35 | $207 | $498 |
| Laparoscopic partial nephrectomy CPT 50543 • Urology | $286 | $1,240 | $1,759 |
| Laparoscopic radical nephrectomy CPT 50545 • Urology | $257 | $1,216 | $1,584 |
| Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology | $662 | $915 | $1,163 |
| Complex uroflowmetry CPT 51741 • Urology | $9 | $41 | $72 |
| Post-void residual urine measurement CPT 51798 • Urology | $13 | $18 | $25 |
| Cystourethroscopy diagnostic CPT 52000 • Urology | $132 | $188 | $257 |
| Cystourethroscopy with tumor fulguration small CPT 52234 • Urology | $266 | $298 | $337 |
| Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology | $311 | $399 | $591 |
| Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology | $227 | $291 | $433 |
| Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology | $185 | $406 | $624 |
| Cystourethroscopy with lithotripsy CPT 52353 • Urology | $424 | $561 | $801 |
| TURP transurethral resection of prostate CPT 52601 • Urology | $628 | $809 | $988 |
| Laser vaporization of prostate CPT 52648 • Urology | $595 | $1,599 | $2,638 |
| Circumcision CPT 54150 • Urology | $163 | $183 | $204 |
| Orchiectomy simple CPT 54520 • Urology | $351 | $394 | $457 |
| Orchiectomy radical inguinal CPT 54530 • Urology | $434 | $546 | $634 |
| Vasectomy CPT 55250 • Urology | $291 | $411 | $498 |
| Prostate biopsy needle or punch CPT 55700 • Urology | $109 | $214 | $391 |
| Radical prostatectomy retropubic CPT 55840 • Urology | $1,139 | $1,604 | $2,405 |
| Laparoscopic radical prostatectomy CPT 55866 • Urology | $277 | $1,338 | $1,940 |