ONSLOW MEMORIAL HOSPITAL INC· JACKSONVILLE, NC
HospitalCMS 1/5
317 WESTERN BLVD, JACKSONVILLE, NC 28546
Procedures offered
954 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Gas dilution lung volumes CPT 94727 • Pulmonology | $16 | $38 | $47 |
| Diffusing capacity (DLCO) CPT 94729 • Pulmonology | $9 | $40 | $60 |
| Pulse oximetry single measurement CPT 94760 • Pulmonology | $1 | $3 | $3 |
| Pulse oximetry continuous overnight CPT 94762 • Pulmonology | $11 | $23 | $27 |
| Radiation therapy planning simple CPT 77261 • Radiation Therapy | $73 | $76 | $84 |
| Radiation therapy planning intermediate CPT 77262 • Radiation Therapy | $105 | $125 | $165 |
| Radiation therapy planning complex CPT 77263 • Radiation Therapy | $162 | $175 | $188 |
| Radiation therapy simulation simple CPT 77280 • Radiation Therapy | $43 | $233 | $428 |
| Radiation therapy simulation complex CPT 77290 • Radiation Therapy | $88 | $305 | $594 |
| 3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy | $242 | $576 | $1,445 |
| Radiation therapy dose calculation CPT 77300 • Radiation Therapy | $31 | $59 | $76 |
| IMRT radiation therapy plan CPT 77301 • Radiation Therapy | $411 | $1,343 | $2,326 |
| Radiation treatment device design complex CPT 77334 • Radiation Therapy | $65 | $105 | $167 |
| Radiation physics consultation CPT 77336 • Radiation Therapy | $60 | $83 | $126 |
| Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy | $900 | $1,398 | $2,192 |
| Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy | $819 | $1,458 | $1,813 |
| IMRT delivery simple CPT 77385 • Radiation Therapy | $363 | $373 | $392 |
| IMRT delivery complex CPT 77386 • Radiation Therapy | $364 | $374 | $393 |
| Radiation treatment delivery superficial CPT 77407 • Radiation Therapy | $88 | $213 | $291 |
| Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy | $98 | $235 | $270 |
| Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy | $182 | $211 | $304 |
| Radiation therapy management complete course CPT 77431 • Radiation Therapy | $100 | $117 | $172 |
| Proton beam treatment simple CPT 77520 • Radiation Therapy | $831 | $981 | $1,414 |
| Proton beam treatment complex CPT 77523 • Radiation Therapy | $923 | $1,502 | $2,616 |
| Polysomnography under age 6 CPT 95782 • Sleep Medicine | $136 | $825 | $1,174 |
| Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine | $114 | $531 | $847 |
| Sleep study unattended CPT 95800 • Sleep Medicine | $34 | $117 | $233 |
| Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine | $34 | $67 | $106 |
| Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine | $64 | $386 | $572 |
| Polysomnography age 6 or older CPT 95810 • Sleep Medicine | $123 | $428 | $792 |
| Polysomnography with CPAP titration CPT 95811 • Sleep Medicine | $136 | $479 | $856 |
| CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine | $78 | $124 | $179 |
| Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine | $111 | $621 | $1,219 |
| CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine | $35 | $288 | $498 |
| Laparoscopic partial nephrectomy CPT 50543 • Urology | $30 | $1,100 | $1,759 |
| Laparoscopic radical nephrectomy CPT 50545 • Urology | $257 | $1,315 | $1,584 |
| Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology | $662 | $916 | $1,163 |
| Complex uroflowmetry CPT 51741 • Urology | $9 | $35 | $72 |
| Post-void residual urine measurement CPT 51798 • Urology | $13 | $18 | $25 |
| Cystourethroscopy diagnostic CPT 52000 • Urology | $132 | $201 | $257 |
| Cystourethroscopy with tumor fulguration small CPT 52234 • Urology | $266 | $292 | $337 |
| Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology | $311 | $375 | $591 |
| Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology | $45 | $239 | $433 |
| Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology | $174 | $382 | $624 |
| Cystourethroscopy with lithotripsy CPT 52353 • Urology | $424 | $528 | $801 |
| TURP transurethral resection of prostate CPT 52601 • Urology | $628 | $835 | $988 |
| Laser vaporization of prostate CPT 52648 • Urology | $595 | $1,798 | $2,638 |
| Circumcision CPT 54150 • Urology | $163 | $181 | $204 |
| Orchiectomy simple CPT 54520 • Urology | $351 | $385 | $457 |
| Orchiectomy radical inguinal CPT 54530 • Urology | $434 | $550 | $634 |