BETSY JOHNSON REGIONAL HOSPITAL· DUNN, NC

HospitalCMS 3/5

800 TILGHMAN DR, DUNN, NC 28334

Procedures offered

962 total

ProcedureMinAvgMax
Spirometry before and after bronchodilator
CPT 94060 • Pulmonology
$9$51$124
Bronchospasm provocation evaluation
CPT 94070 • Pulmonology
$36$84$176
Respiratory flow volume loop
CPT 94375 • Pulmonology
$23$49$116
Pulmonary stress test simple
CPT 94620 • Pulmonology
$139$139$139
Cardiopulmonary exercise test
CPT 94621 • Pulmonology
$87$207$293
Nebulizer inhalation treatment
CPT 94640 • Pulmonology
$8$29$47
Aerosol or vapor inhalation initial demonstration
CPT 94664 • Pulmonology
$18$29$45
Plethysmography lung volumes
CPT 94726 • Pulmonology
$12$45$74
Gas dilution lung volumes
CPT 94727 • Pulmonology
$33$71$126
Diffusing capacity (DLCO)
CPT 94729 • Pulmonology
$8$42$74
Pulse oximetry single measurement
CPT 94760 • Pulmonology
$0$4$10
Pulse oximetry continuous overnight
CPT 94762 • Pulmonology
$11$37$64
Radiation therapy planning simple
CPT 77261 • Radiation Therapy
$69$116$211
Radiation therapy planning intermediate
CPT 77262 • Radiation Therapy
$101$150$268
Radiation therapy planning complex
CPT 77263 • Radiation Therapy
$165$266$466
Radiation therapy simulation simple
CPT 77280 • Radiation Therapy
$43$220$399
Radiation therapy simulation complex
CPT 77290 • Radiation Therapy
$366$726$1,531
3-dimensional radiation therapy plan
CPT 77295 • Radiation Therapy
$441$809$1,445
Radiation therapy dose calculation
CPT 77300 • Radiation Therapy
$32$62$91
IMRT radiation therapy plan
CPT 77301 • Radiation Therapy
$498$1,155$1,800
Radiation treatment device design complex
CPT 77334 • Radiation Therapy
$56$119$179
Radiation physics consultation
CPT 77336 • Radiation Therapy
$115$149$229
Stereotactic radiosurgery (SRS) cranial
CPT 77371 • Radiation Therapy
$1,083$1,736$3,216
Stereotactic body radiation therapy (SBRT)
CPT 77373 • Radiation Therapy
$1,294$2,013$3,829
IMRT delivery simple
CPT 77385 • Radiation Therapy
$392$809$1,225
IMRT delivery complex
CPT 77386 • Radiation Therapy
$393$810$1,228
Radiation treatment delivery superficial
CPT 77407 • Radiation Therapy
$88$277$661
Radiation treatment delivery 3 or more MeV
CPT 77412 • Radiation Therapy
$30$299$739
Radiation treatment management 5 treatments
CPT 77427 • Radiation Therapy
$185$272$523
Radiation therapy management complete course
CPT 77431 • Radiation Therapy
$100$140$244
Proton beam treatment simple
CPT 77520 • Radiation Therapy
$444$1,078$2,197
Proton beam treatment complex
CPT 77523 • Radiation Therapy
$733$1,295$2,522
Polysomnography under age 6
CPT 95782 • Sleep Medicine
$120$1,313$2,323
Polysomnography under age 6 with CPAP
CPT 95783 • Sleep Medicine
$158$1,541$3,307
Sleep study unattended
CPT 95800 • Sleep Medicine
$38$218$330
Sleep study unattended minimum 3 channels
CPT 95801 • Sleep Medicine
$54$116$168
Multiple sleep latency test (MSLT)
CPT 95805 • Sleep Medicine
$168$433$572
Polysomnography age 6 or older
CPT 95810 • Sleep Medicine
$108$463$819
Polysomnography with CPAP titration
CPT 95811 • Sleep Medicine
$611$869$1,358
CPAP combination oral/nasal mask
HCPCS A7027 • Sleep Medicine
$110$133$179
Respiratory assist device BiPAP without backup
HCPCS E0470 • Sleep Medicine
$105$575$1,057
CPAP device continuous positive airway pressure
HCPCS E0601 • Sleep Medicine
$44$227$401
Laparoscopic partial nephrectomy
CPT 50543 • Urology
$1,310$2,057$3,606
Laparoscopic radical nephrectomy
CPT 50545 • Urology
$173$1,835$3,820
Lithotripsy extracorporeal shock wave (ESWL)
CPT 50590 • Urology
$438$958$1,767
Complex uroflowmetry
CPT 51741 • Urology
$13$34$72
Post-void residual urine measurement
CPT 51798 • Urology
$7$22$49
Cystourethroscopy diagnostic
CPT 52000 • Urology
$132$278$355
Cystourethroscopy with tumor fulguration small
CPT 52234 • Urology
$226$361$595
Cystourethroscopy with tumor fulguration medium
CPT 52235 • Urology
$280$428$699