NOVANT HEALTH THOMASVILLE MEDICAL CENTER· THOMASVILLE, NC
HospitalCMS 3/5
207 OLD LEXINGTON RD BOX 789, THOMASVILLE, NC 27360
Procedures offered
939 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Preventive visit new patient age 1-4 CPT 99382 • Preventive Care | $89 | $146 | $260 |
| Preventive visit new patient age 5-11 CPT 99383 • Preventive Care | $89 | $154 | $270 |
| Preventive visit new patient age 12-17 CPT 99384 • Preventive Care | $96 | $165 | $308 |
| Preventive visit new patient age 18-39 CPT 99385 • Preventive Care | $100 | $254 | $628 |
| Preventive visit new patient age 40-64 CPT 99386 • Preventive Care | $123 | $205 | $345 |
| Preventive visit new patient age 65+ CPT 99387 • Preventive Care | $114 | $219 | $373 |
| Preventive visit established patient infant CPT 99391 • Preventive Care | $64 | $121 | $225 |
| Preventive visit established patient age 1-4 CPT 99392 • Preventive Care | $75 | $139 | $239 |
| Preventive visit established patient age 5-11 CPT 99393 • Preventive Care | $75 | $131 | $238 |
| Preventive visit established patient age 12-17 CPT 99394 • Preventive Care | $85 | $145 | $261 |
| Preventive visit established patient age 18-39 CPT 99395 • Preventive Care | $89 | $161 | $267 |
| Preventive visit established patient age 40-64 CPT 99396 • Preventive Care | $100 | $173 | $287 |
| Preventive visit established patient age 65+ CPT 99397 • Preventive Care | $112 | $189 | $308 |
| Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care | $22 | $38 | $59 |
| Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care | $54 | $138 | $285 |
| Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care | $295 | $386 | $524 |
| Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care | $197 | $346 | $524 |
| Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care | $89 | $150 | $253 |
| Annual wellness visit initial HCPCS G0438 • Preventive Care | $158 | $212 | $253 |
| Annual wellness visit subsequent HCPCS G0439 • Preventive Care | $106 | $153 | $197 |
| Bronchoscopy diagnostic CPT 31622 • Pulmonology | $120 | $341 | $606 |
| Bronchoscopy with brushing CPT 31623 • Pulmonology | $124 | $336 | $680 |
| Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology | $115 | $326 | $628 |
| Bronchoscopy with biopsy CPT 31625 • Pulmonology | $177 | $496 | $868 |
| Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology | $240 | $529 | $924 |
| Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology | $260 | $1,323 | $3,182 |
| Ventilation assist and management initiation CPT 94002 • Pulmonology | $75 | $118 | $209 |
| Spirometry CPT 94010 • Pulmonology | $11 | $36 | $65 |
| Spirometry before and after bronchodilator CPT 94060 • Pulmonology | $19 | $36 | $56 |
| Bronchospasm provocation evaluation CPT 94070 • Pulmonology | $28 | $67 | $139 |
| Respiratory flow volume loop CPT 94375 • Pulmonology | $23 | $70 | $189 |
| Cardiopulmonary exercise test CPT 94621 • Pulmonology | $108 | $150 | $195 |
| Nebulizer inhalation treatment CPT 94640 • Pulmonology | $11 | $22 | $31 |
| Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology | $14 | $24 | $37 |
| Plethysmography lung volumes CPT 94726 • Pulmonology | $12 | $65 | $120 |
| Gas dilution lung volumes CPT 94727 • Pulmonology | $12 | $24 | $46 |
| Diffusing capacity (DLCO) CPT 94729 • Pulmonology | $39 | $74 | $130 |
| Pulse oximetry single measurement CPT 94760 • Pulmonology | $1 | $3 | $5 |
| Pulse oximetry continuous overnight CPT 94762 • Pulmonology | $11 | $27 | $59 |
| Radiation therapy planning simple CPT 77261 • Radiation Therapy | $69 | $104 | $146 |
| Radiation therapy planning intermediate CPT 77262 • Radiation Therapy | $105 | $143 | $221 |
| Radiation therapy planning complex CPT 77263 • Radiation Therapy | $164 | $219 | $344 |
| Radiation therapy simulation simple CPT 77280 • Radiation Therapy | $43 | $142 | $271 |
| Radiation therapy simulation complex CPT 77290 • Radiation Therapy | $347 | $491 | $813 |
| 3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy | $249 | $743 | $1,445 |
| Radiation therapy dose calculation CPT 77300 • Radiation Therapy | $37 | $76 | $134 |
| IMRT radiation therapy plan CPT 77301 • Radiation Therapy | $498 | $1,822 | $2,932 |
| Radiation treatment device design complex CPT 77334 • Radiation Therapy | $69 | $129 | $254 |
| Radiation physics consultation CPT 77336 • Radiation Therapy | $44 | $102 | $160 |
| Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy | $733 | $1,309 | $2,317 |