NOVANT HEALTH THOMASVILLE MEDICAL CENTER· THOMASVILLE, NC
HospitalCMS 3/5
207 OLD LEXINGTON RD BOX 789, THOMASVILLE, NC 27360
Procedures offered
937 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| IMRT delivery complex CPT 77386 • Radiation Therapy | $393 | $616 | $839 |
| Radiation treatment delivery superficial CPT 77407 • Radiation Therapy | $88 | $212 | $386 |
| Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy | $37 | $231 | $515 |
| Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy | $193 | $255 | $388 |
| Radiation therapy management complete course CPT 77431 • Radiation Therapy | $110 | $182 | $242 |
| Proton beam treatment simple CPT 77520 • Radiation Therapy | $87 | $832 | $1,839 |
| Proton beam treatment complex CPT 77523 • Radiation Therapy | $153 | $974 | $2,130 |
| Polysomnography under age 6 CPT 95782 • Sleep Medicine | $122 | $964 | $1,757 |
| Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine | $133 | $768 | $1,856 |
| Sleep study unattended CPT 95800 • Sleep Medicine | $0 | $111 | $195 |
| Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine | $74 | $118 | $200 |
| Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine | $333 | $522 | $794 |
| Polysomnography age 6 or older CPT 95810 • Sleep Medicine | $119 | $445 | $755 |
| Polysomnography with CPAP titration CPT 95811 • Sleep Medicine | $579 | $860 | $1,420 |
| CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine | $112 | $148 | $179 |
| Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine | $128 | $333 | $616 |
| CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine | $55 | $196 | $429 |
| Laparoscopic partial nephrectomy CPT 50543 • Urology | $1,310 | $2,043 | $3,126 |
| Laparoscopic radical nephrectomy CPT 50545 • Urology | $894 | $1,836 | $2,805 |
| Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology | $493 | $861 | $1,196 |
| Complex uroflowmetry CPT 51741 • Urology | $29 | $70 | $123 |
| Post-void residual urine measurement CPT 51798 • Urology | $18 | $24 | $33 |
| Cystourethroscopy diagnostic CPT 52000 • Urology | $132 | $274 | $486 |
| Cystourethroscopy with tumor fulguration small CPT 52234 • Urology | $166 | $340 | $513 |
| Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology | $309 | $427 | $603 |
| Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology | $255 | $339 | $440 |
| Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology | $185 | $547 | $920 |
| Cystourethroscopy with lithotripsy CPT 52353 • Urology | $453 | $599 | $819 |
| TURP transurethral resection of prostate CPT 52601 • Urology | $834 | $1,242 | $1,530 |
| Laser vaporization of prostate CPT 52648 • Urology | $595 | $1,685 | $2,730 |
| Circumcision CPT 54150 • Urology | $100 | $324 | $818 |
| Orchiectomy simple CPT 54520 • Urology | $221 | $452 | $688 |
| Orchiectomy radical inguinal CPT 54530 • Urology | $549 | $756 | $1,066 |
| Vasectomy CPT 55250 • Urology | $177 | $446 | $737 |
| Prostate biopsy needle or punch CPT 55700 • Urology | $109 | $240 | $372 |
| Radical prostatectomy retropubic CPT 55840 • Urology | $203 | $1,518 | $2,455 |
| Laparoscopic radical prostatectomy CPT 55866 • Urology | $246 | $2,080 | $3,472 |