BETSY JOHNSON REGIONAL HOSPITAL· DUNN, NC
HospitalCMS 3/5
800 TILGHMAN DR, DUNN, NC 28334
Procedures offered
975 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Hot or cold packs application CPT 97010 • Physical Therapy | $0 | $3 | $6 |
| Electrical stimulation unattended CPT 97014 • Physical Therapy | $6 | $10 | $13 |
| Vasopneumatic device therapy CPT 97016 • Physical Therapy | $9 | $13 | $16 |
| Electrical stimulation attended each 15 minutes CPT 97032 • Physical Therapy | $9 | $12 | $15 |
| Ultrasound therapy each 15 minutes CPT 97035 • Physical Therapy | $6 | $15 | $19 |
| Therapeutic exercises each 15 minutes CPT 97110 • Physical Therapy | $17 | $32 | $40 |
| Neuromuscular reeducation each 15 minutes CPT 97112 • Physical Therapy | $16 | $34 | $46 |
| Gait training each 15 minutes CPT 97116 • Physical Therapy | $15 | $31 | $40 |
| Manual therapy one or more regions each 15 min CPT 97140 • Physical Therapy | $15 | $29 | $37 |
| Group therapeutic procedures CPT 97150 • Physical Therapy | $9 | $19 | $24 |
| Physical therapy evaluation low complexity CPT 97161 • Physical Therapy | $67 | $202 | $500 |
| Physical therapy evaluation moderate complexity CPT 97162 • Physical Therapy | $67 | $123 | $235 |
| Physical therapy evaluation high complexity CPT 97163 • Physical Therapy | $66 | $129 | $235 |
| Physical therapy re-evaluation CPT 97164 • Physical Therapy | $44 | $68 | $94 |
| Therapeutic activities each 15 minutes CPT 97530 • Physical Therapy | $17 | $37 | $49 |
| Self-care/home management training each 15 min CPT 97535 • Physical Therapy | $18 | $34 | $44 |
| Wheelchair management training each 15 minutes CPT 97542 • Physical Therapy | $16 | $23 | $29 |
| Physical performance test each 15 minutes CPT 97750 • Physical Therapy | $16 | $23 | $27 |
| Orthotic management and training each 15 min CPT 97760 • Physical Therapy | $19 | $32 | $49 |
| Prosthetic training each 15 minutes CPT 97761 • Physical Therapy | $17 | $26 | $37 |
| Immunization admin first vaccine component CPT 90460 • Preventive Care | $7 | $21 | $31 |
| Immunization admin each additional component CPT 90461 • Preventive Care | $5 | $9 | $12 |
| Immunization admin injection single CPT 90471 • Preventive Care | $7 | $22 | $27 |
| Immunization admin injection each additional CPT 90472 • Preventive Care | $5 | $14 | $20 |
| HPV vaccine 9-valent CPT 90651 • Preventive Care | $274 | $318 | $378 |
| Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care | $232 | $298 | $364 |
| Rotavirus vaccine pentavalent CPT 90680 • Preventive Care | $92 | $101 | $118 |
| Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care | $20 | $21 | $23 |
| MMR vaccine CPT 90707 • Preventive Care | $93 | $98 | $109 |
| Tdap vaccine age 7 years or older CPT 90715 • Preventive Care | $39 | $51 | $56 |
| Varicella vaccine CPT 90716 • Preventive Care | $163 | $184 | $221 |
| Pneumococcal vaccine adult CPT 90732 • Preventive Care | $120 | $154 | $188 |
| Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care | $219 | $230 | $248 |
| Genetic counseling 30 minutes CPT 96040 • Preventive Care | $143 | $143 | $143 |
| Preventive visit new patient infant CPT 99381 • Preventive Care | $72 | $144 | $271 |
| Preventive visit new patient age 1-4 CPT 99382 • Preventive Care | $77 | $145 | $282 |
| Preventive visit new patient age 5-11 CPT 99383 • Preventive Care | $82 | $156 | $294 |
| Preventive visit new patient age 12-17 CPT 99384 • Preventive Care | $100 | $175 | $332 |
| Preventive visit new patient age 18-39 CPT 99385 • Preventive Care | $100 | $178 | $322 |
| Preventive visit new patient age 40-64 CPT 99386 • Preventive Care | $123 | $190 | $371 |
| Preventive visit new patient age 65+ CPT 99387 • Preventive Care | $115 | $217 | $403 |
| Preventive visit established patient infant CPT 99391 • Preventive Care | $67 | $128 | $244 |
| Preventive visit established patient age 1-4 CPT 99392 • Preventive Care | $68 | $127 | $260 |
| Preventive visit established patient age 5-11 CPT 99393 • Preventive Care | $78 | $132 | $259 |
| Preventive visit established patient age 12-17 CPT 99394 • Preventive Care | $83 | $132 | $283 |
| Preventive visit established patient age 18-39 CPT 99395 • Preventive Care | $84 | $155 | $289 |
| Preventive visit established patient age 40-64 CPT 99396 • Preventive Care | $100 | $173 | $362 |
| Preventive visit established patient age 65+ CPT 99397 • Preventive Care | $112 | $178 | $332 |
| Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care | $0 | $34 | $52 |
| Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care | $53 | $119 | $200 |