THE MCDOWELL HOSPITAL· MARION, NC

HospitalCMS 3/5

430 RANKIN DRIVE P O BOX 730, MARION, NC 28752

Procedures offered

929 total

ProcedureMinAvgMax
Preventive visit established patient age 18-39
CPT 99395 • Preventive Care
$131$157$192
Preventive visit established patient age 40-64
CPT 99396 • Preventive Care
$142$169$205
Preventive visit established patient age 65+
CPT 99397 • Preventive Care
$150$197$222
Cervical or vaginal cancer screening pelvic exam
HCPCS G0101 • Preventive Care
$38$47$63
Colorectal cancer screening flexible sigmoidoscopy
HCPCS G0104 • Preventive Care
$184$234$278
Colorectal cancer screening colonoscopy high risk
HCPCS G0105 • Preventive Care
$90$270$460
Colorectal cancer screening colonoscopy not high risk
HCPCS G0121 • Preventive Care
$180$301$460
Initial preventive physical exam (Welcome to Medicare)
HCPCS G0402 • Preventive Care
$163$266$366
Annual wellness visit initial
HCPCS G0438 • Preventive Care
$163$230$276
Annual wellness visit subsequent
HCPCS G0439 • Preventive Care
$127$161$187
Bronchoscopy diagnostic
CPT 31622 • Pulmonology
$200$331$402
Bronchoscopy with brushing
CPT 31623 • Pulmonology
$428$486$589
Bronchoscopy with bronchial alveolar lavage
CPT 31624 • Pulmonology
$405$458$551
Bronchoscopy with biopsy
CPT 31625 • Pulmonology
$358$489$563
Bronchoscopy with transbronchial lung biopsy
CPT 31628 • Pulmonology
$321$500$599
Bronchoscopy with endobronchial ultrasound biopsy
CPT 31652 • Pulmonology
$339$1,165$1,595
Ventilation assist and management initiation
CPT 94002 • Pulmonology
$140$148$154
Spirometry
CPT 94010 • Pulmonology
$14$40$56
Spirometry before and after bronchodilator
CPT 94060 • Pulmonology
$20$63$95
Bronchospasm provocation evaluation
CPT 94070 • Pulmonology
$43$63$97
Respiratory flow volume loop
CPT 94375 • Pulmonology
$22$37$64
Cardiopulmonary exercise test
CPT 94621 • Pulmonology
$103$170$259
Nebulizer inhalation treatment
CPT 94640 • Pulmonology
$26$28$29
Aerosol or vapor inhalation initial demonstration
CPT 94664 • Pulmonology
$24$26$27
Plethysmography lung volumes
CPT 94726 • Pulmonology
$66$77$86
Gas dilution lung volumes
CPT 94727 • Pulmonology
$19$46$70
Diffusing capacity (DLCO)
CPT 94729 • Pulmonology
$63$75$88
Pulse oximetry single measurement
CPT 94760 • Pulmonology
$4$4$4
Pulse oximetry continuous overnight
CPT 94762 • Pulmonology
$34$38$40
Radiation therapy planning simple
CPT 77261 • Radiation Therapy
$69$115$160
Radiation therapy planning intermediate
CPT 77262 • Radiation Therapy
$105$174$241
Radiation therapy planning complex
CPT 77263 • Radiation Therapy
$164$270$374
Radiation therapy simulation simple
CPT 77280 • Radiation Therapy
$61$218$337
Radiation therapy simulation complex
CPT 77290 • Radiation Therapy
$439$743$1,103
3-dimensional radiation therapy plan
CPT 77295 • Radiation Therapy
$428$651$1,068
Radiation therapy dose calculation
CPT 77300 • Radiation Therapy
$48$55$62
IMRT radiation therapy plan
CPT 77301 • Radiation Therapy
$1,747$2,330$2,791
Radiation treatment device design complex
CPT 77334 • Radiation Therapy
$90$106$119
Radiation physics consultation
CPT 77336 • Radiation Therapy
$128$148$168
Stereotactic radiosurgery (SRS) cranial
CPT 77371 • Radiation Therapy
$1,058$1,876$2,618
Stereotactic body radiation therapy (SBRT)
CPT 77373 • Radiation Therapy
$964$1,655$2,081
IMRT delivery simple
CPT 77385 • Radiation Therapy
$570$570$570
IMRT delivery complex
CPT 77386 • Radiation Therapy
$572$572$572
Radiation treatment delivery superficial
CPT 77407 • Radiation Therapy
$172$302$418
Radiation treatment delivery 3 or more MeV
CPT 77412 • Radiation Therapy
$228$405$563
Radiation treatment management 5 treatments
CPT 77427 • Radiation Therapy
$186$257$307
Radiation therapy management complete course
CPT 77431 • Radiation Therapy
$104$142$169
Proton beam treatment simple
CPT 77520 • Radiation Therapy
$831$1,202$1,414
Proton beam treatment complex
CPT 77523 • Radiation Therapy
$968$1,397$1,637
Polysomnography under age 6
CPT 95782 • Sleep Medicine
$189$963$1,444