UNC ROCKINGHAM· EDEN, NC

HospitalCMS 2/5

117 E KINGS HIGHWAY, EDEN, NC 27288

Procedures offered

936 total

ProcedureMinAvgMax
Preventive visit new patient age 18-39
CPT 99385 • Preventive Care
$71$97$121
Preventive visit new patient age 40-64
CPT 99386 • Preventive Care
$86$116$141
Preventive visit new patient age 65+
CPT 99387 • Preventive Care
$95$117$134
Preventive visit established patient infant
CPT 99391 • Preventive Care
$52$71$85
Preventive visit established patient age 1-4
CPT 99392 • Preventive Care
$55$80$94
Preventive visit established patient age 5-11
CPT 99393 • Preventive Care
$55$79$91
Preventive visit established patient age 12-17
CPT 99394 • Preventive Care
$63$129$271
Preventive visit established patient age 18-39
CPT 99395 • Preventive Care
$65$86$101
Preventive visit established patient age 40-64
CPT 99396 • Preventive Care
$70$94$111
Preventive visit established patient age 65+
CPT 99397 • Preventive Care
$75$157$318
Cervical or vaginal cancer screening pelvic exam
HCPCS G0101 • Preventive Care
$22$26$37
Colorectal cancer screening flexible sigmoidoscopy
HCPCS G0104 • Preventive Care
$51$503$1,801
Colorectal cancer screening colonoscopy high risk
HCPCS G0105 • Preventive Care
$214$637$1,801
Colorectal cancer screening colonoscopy not high risk
HCPCS G0121 • Preventive Care
$197$708$1,801
Initial preventive physical exam (Welcome to Medicare)
HCPCS G0402 • Preventive Care
$89$128$195
Annual wellness visit initial
HCPCS G0438 • Preventive Care
$103$136$158
Annual wellness visit subsequent
HCPCS G0439 • Preventive Care
$106$130$179
Bronchoscopy diagnostic
CPT 31622 • Pulmonology
$137$565$1,793
Bronchoscopy with brushing
CPT 31623 • Pulmonology
$78$508$1,793
Bronchoscopy with bronchial alveolar lavage
CPT 31624 • Pulmonology
$124$514$1,793
Bronchoscopy with biopsy
CPT 31625 • Pulmonology
$160$569$1,793
Bronchoscopy with transbronchial lung biopsy
CPT 31628 • Pulmonology
$180$578$1,793
Bronchoscopy with endobronchial ultrasound biopsy
CPT 31652 • Pulmonology
$226$1,732$4,928
Ventilation assist and management initiation
CPT 94002 • Pulmonology
$75$91$100
Spirometry
CPT 94010 • Pulmonology
$8$15$32
Spirometry before and after bronchodilator
CPT 94060 • Pulmonology
$19$36$56
Bronchospasm provocation evaluation
CPT 94070 • Pulmonology
$28$48$64
Respiratory flow volume loop
CPT 94375 • Pulmonology
$13$23$36
Cardiopulmonary exercise test
CPT 94621 • Pulmonology
$73$122$156
Nebulizer inhalation treatment
CPT 94640 • Pulmonology
$9$17$29
Aerosol or vapor inhalation initial demonstration
CPT 94664 • Pulmonology
$14$17$22
Plethysmography lung volumes
CPT 94726 • Pulmonology
$13$40$60
Gas dilution lung volumes
CPT 94727 • Pulmonology
$38$43$53
Diffusing capacity (DLCO)
CPT 94729 • Pulmonology
$8$33$60
Pulse oximetry single measurement
CPT 94760 • Pulmonology
$1$3$4
Pulse oximetry continuous overnight
CPT 94762 • Pulmonology
$11$20$30
Radiation therapy planning simple
CPT 77261 • Radiation Therapy
$68$85$119
Radiation therapy planning intermediate
CPT 77262 • Radiation Therapy
$105$114$127
Radiation therapy planning complex
CPT 77263 • Radiation Therapy
$164$174$188
Radiation therapy simulation simple
CPT 77280 • Radiation Therapy
$43$196$353
Radiation therapy simulation complex
CPT 77290 • Radiation Therapy
$366$457$651
3-dimensional radiation therapy plan
CPT 77295 • Radiation Therapy
$267$765$1,445
Radiation therapy dose calculation
CPT 77300 • Radiation Therapy
$35$53$72
IMRT radiation therapy plan
CPT 77301 • Radiation Therapy
$409$1,522$2,659
Radiation treatment device design complex
CPT 77334 • Radiation Therapy
$58$86$119
Radiation physics consultation
CPT 77336 • Radiation Therapy
$45$86$126
Stereotactic radiosurgery (SRS) cranial
CPT 77371 • Radiation Therapy
$1,083$1,357$1,658
Stereotactic body radiation therapy (SBRT)
CPT 77373 • Radiation Therapy
$1,018$1,574$1,963
IMRT delivery simple
CPT 77385 • Radiation Therapy
$368$380$392
IMRT delivery complex
CPT 77386 • Radiation Therapy
$393$430$466