WILKES REGIONAL MEDICAL CENTER· NORTH WILKESBORO, NC

HospitalCMS 3/5

1370 WEST D ST, NORTH WILKESBORO, NC 28659

Procedures offered

932 total

ProcedureMinAvgMax
Proton beam treatment simple
CPT 77520 • Radiation Therapy
$702$1,252$1,956
Proton beam treatment complex
CPT 77523 • Radiation Therapy
$974$1,622$1,963
Polysomnography under age 6
CPT 95782 • Sleep Medicine
$919$1,228$1,442
Polysomnography under age 6 with CPAP
CPT 95783 • Sleep Medicine
$162$764$1,726
Sleep study unattended
CPT 95800 • Sleep Medicine
$59$141$195
Sleep study unattended minimum 3 channels
CPT 95801 • Sleep Medicine
$60$73$90
Multiple sleep latency test (MSLT)
CPT 95805 • Sleep Medicine
$87$536$966
Polysomnography age 6 or older
CPT 95810 • Sleep Medicine
$180$784$1,407
Polysomnography with CPAP titration
CPT 95811 • Sleep Medicine
$188$832$1,469
CPAP combination oral/nasal mask
HCPCS A7027 • Sleep Medicine
$88$157$254
Respiratory assist device BiPAP without backup
HCPCS E0470 • Sleep Medicine
$115$1,182$3,135
CPAP device continuous positive airway pressure
HCPCS E0601 • Sleep Medicine
$53$684$1,255
Laparoscopic partial nephrectomy
CPT 50543 • Urology
$369$2,007$3,309
Laparoscopic radical nephrectomy
CPT 50545 • Urology
$289$1,789$2,959
Lithotripsy extracorporeal shock wave (ESWL)
CPT 50590 • Urology
$865$1,391$1,741
Complex uroflowmetry
CPT 51741 • Urology
$10$41$88
Post-void residual urine measurement
CPT 51798 • Urology
$11$21$26
Cystourethroscopy diagnostic
CPT 52000 • Urology
$119$355$570
Cystourethroscopy with tumor fulguration small
CPT 52234 • Urology
$238$370$541
Cystourethroscopy with tumor fulguration medium
CPT 52235 • Urology
$279$434$635
Cystourethroscopy with dilation of ureteral stricture
CPT 52260 • Urology
$286$347$464
Cystourethroscopy with ureteral stent insertion
CPT 52332 • Urology
$151$524$1,080
Cystourethroscopy with lithotripsy
CPT 52353 • Urology
$576$655$861
TURP transurethral resection of prostate
CPT 52601 • Urology
$1,091$1,241$1,625
Laser vaporization of prostate
CPT 52648 • Urology
$1,044$2,291$4,130
Circumcision
CPT 54150 • Urology
$149$221$365
Orchiectomy simple
CPT 54520 • Urology
$325$506$760
Orchiectomy radical inguinal
CPT 54530 • Urology
$502$783$1,175
Vasectomy
CPT 55250 • Urology
$354$537$864
Prostate biopsy needle or punch
CPT 55700 • Urology
$154$239$372
Radical prostatectomy retropubic
CPT 55840 • Urology
$1,144$1,544$1,840
Laparoscopic radical prostatectomy
CPT 55866 • Urology
$296$1,400$2,363