WILKES REGIONAL MEDICAL CENTER· NORTH WILKESBORO, NC
HospitalCMS 3/5
1370 WEST D ST, NORTH WILKESBORO, NC 28659
Procedures offered
932 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Preventive visit established patient age 1-4 CPT 99392 • Preventive Care | $85 | $138 | $244 |
| Preventive visit established patient age 5-11 CPT 99393 • Preventive Care | $85 | $149 | $243 |
| Preventive visit established patient age 12-17 CPT 99394 • Preventive Care | $97 | $121 | $138 |
| Preventive visit established patient age 18-39 CPT 99395 • Preventive Care | $100 | $156 | $271 |
| Preventive visit established patient age 40-64 CPT 99396 • Preventive Care | $109 | $180 | $288 |
| Preventive visit established patient age 65+ CPT 99397 • Preventive Care | $117 | $161 | $207 |
| Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care | $0 | $35 | $57 |
| Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care | $88 | $181 | $293 |
| Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care | $161 | $404 | $531 |
| Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care | $161 | $404 | $532 |
| Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care | $120 | $222 | $305 |
| Annual wellness visit initial HCPCS G0438 • Preventive Care | $214 | $269 | $389 |
| Annual wellness visit subsequent HCPCS G0439 • Preventive Care | $143 | $202 | $306 |
| Bronchoscopy diagnostic CPT 31622 • Pulmonology | $212 | $450 | $620 |
| Bronchoscopy with brushing CPT 31623 • Pulmonology | $210 | $439 | $700 |
| Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology | $214 | $375 | $645 |
| Bronchoscopy with biopsy CPT 31625 • Pulmonology | $248 | $482 | $903 |
| Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology | $279 | $579 | $956 |
| Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology | $351 | $1,222 | $1,934 |
| Ventilation assist and management initiation CPT 94002 • Pulmonology | $80 | $123 | $155 |
| Spirometry CPT 94010 • Pulmonology | $12 | $43 | $88 |
| Spirometry before and after bronchodilator CPT 94060 • Pulmonology | $15 | $60 | $112 |
| Bronchospasm provocation evaluation CPT 94070 • Pulmonology | $39 | $81 | $146 |
| Respiratory flow volume loop CPT 94375 • Pulmonology | $21 | $45 | $92 |
| Cardiopulmonary exercise test CPT 94621 • Pulmonology | $104 | $126 | $143 |
| Nebulizer inhalation treatment CPT 94640 • Pulmonology | $13 | $33 | $88 |
| Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology | $18 | $41 | $88 |
| Plethysmography lung volumes CPT 94726 • Pulmonology | $55 | $85 | $131 |
| Gas dilution lung volumes CPT 94727 • Pulmonology | $18 | $61 | $105 |
| Diffusing capacity (DLCO) CPT 94729 • Pulmonology | $11 | $65 | $144 |
| Pulse oximetry single measurement CPT 94760 • Pulmonology | $0 | $4 | $7 |
| Pulse oximetry continuous overnight CPT 94762 • Pulmonology | $36 | $47 | $67 |
| Radiation therapy planning simple CPT 77261 • Radiation Therapy | $93 | $101 | $110 |
| Radiation therapy planning intermediate CPT 77262 • Radiation Therapy | $140 | $153 | $168 |
| Radiation therapy planning complex CPT 77263 • Radiation Therapy | $208 | $289 | $392 |
| Radiation therapy simulation simple CPT 77280 • Radiation Therapy | $56 | $285 | $477 |
| Radiation therapy simulation complex CPT 77290 • Radiation Therapy | $521 | $645 | $784 |
| 3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy | $300 | $658 | $1,128 |
| Radiation therapy dose calculation CPT 77300 • Radiation Therapy | $49 | $81 | $120 |
| IMRT radiation therapy plan CPT 77301 • Radiation Therapy | $2,213 | $2,511 | $3,289 |
| Radiation treatment device design complex CPT 77334 • Radiation Therapy | $82 | $152 | $225 |
| Radiation physics consultation CPT 77336 • Radiation Therapy | $78 | $135 | $209 |
| Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy | $1,571 | $1,659 | $1,746 |
| Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy | $1,578 | $1,899 | $2,334 |
| IMRT delivery simple CPT 77385 • Radiation Therapy | $310 | $470 | $570 |
| IMRT delivery complex CPT 77386 • Radiation Therapy | $311 | $524 | $730 |
| Radiation treatment delivery superficial CPT 77407 • Radiation Therapy | $258 | $312 | $428 |
| Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy | $260 | $388 | $520 |
| Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy | $248 | $332 | $446 |
| Radiation therapy management complete course CPT 77431 • Radiation Therapy | $104 | $141 | $168 |