JOHNSTON HEALTH· SMITHFIELD, NC
HospitalCMS 3/5
509 BRIGHT LEAF BLVD, SMITHFIELD, NC 27577
Procedures offered
936 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Preventive visit new patient age 18-39 CPT 99385 • Preventive Care | $99 | $150 | $227 |
| Preventive visit new patient age 40-64 CPT 99386 • Preventive Care | $115 | $173 | $261 |
| Preventive visit new patient age 65+ CPT 99387 • Preventive Care | $92 | $184 | $284 |
| Preventive visit established patient infant CPT 99391 • Preventive Care | $46 | $105 | $172 |
| Preventive visit established patient age 1-4 CPT 99392 • Preventive Care | $74 | $125 | $183 |
| Preventive visit established patient age 5-11 CPT 99393 • Preventive Care | $53 | $116 | $183 |
| Preventive visit established patient age 12-17 CPT 99394 • Preventive Care | $81 | $115 | $199 |
| Preventive visit established patient age 18-39 CPT 99395 • Preventive Care | $82 | $140 | $205 |
| Preventive visit established patient age 40-64 CPT 99396 • Preventive Care | $90 | $142 | $218 |
| Preventive visit established patient age 65+ CPT 99397 • Preventive Care | $74 | $140 | $235 |
| Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care | $26 | $44 | $68 |
| Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care | $65 | $150 | $355 |
| Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care | $389 | $460 | $593 |
| Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care | $231 | $477 | $688 |
| Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care | $88 | $212 | $337 |
| Annual wellness visit initial HCPCS G0438 • Preventive Care | $163 | $236 | $336 |
| Annual wellness visit subsequent HCPCS G0439 • Preventive Care | $109 | $167 | $228 |
| Bronchoscopy diagnostic CPT 31622 • Pulmonology | $162 | $311 | $441 |
| Bronchoscopy with brushing CPT 31623 • Pulmonology | $298 | $431 | $631 |
| Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology | $164 | $318 | $449 |
| Bronchoscopy with biopsy CPT 31625 • Pulmonology | $192 | $417 | $608 |
| Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology | $206 | $439 | $829 |
| Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology | $274 | $768 | $1,380 |
| Ventilation assist and management initiation CPT 94002 • Pulmonology | $79 | $106 | $156 |
| Spirometry CPT 94010 • Pulmonology | $11 | $31 | $48 |
| Spirometry before and after bronchodilator CPT 94060 • Pulmonology | $14 | $51 | $69 |
| Bronchospasm provocation evaluation CPT 94070 • Pulmonology | $26 | $63 | $91 |
| Respiratory flow volume loop CPT 94375 • Pulmonology | $32 | $52 | $71 |
| Cardiopulmonary exercise test CPT 94621 • Pulmonology | $70 | $178 | $284 |
| Nebulizer inhalation treatment CPT 94640 • Pulmonology | $11 | $18 | $33 |
| Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology | $12 | $24 | $33 |
| Plethysmography lung volumes CPT 94726 • Pulmonology | $13 | $51 | $83 |
| Gas dilution lung volumes CPT 94727 • Pulmonology | $43 | $58 | $80 |
| Diffusing capacity (DLCO) CPT 94729 • Pulmonology | $53 | $72 | $100 |
| Pulse oximetry single measurement CPT 94760 • Pulmonology | $2 | $4 | $6 |
| Pulse oximetry continuous overnight CPT 94762 • Pulmonology | $21 | $34 | $49 |
| Radiation therapy planning simple CPT 77261 • Radiation Therapy | $1 | $72 | $123 |
| Radiation therapy planning intermediate CPT 77262 • Radiation Therapy | $1 | $113 | $190 |
| Radiation therapy planning complex CPT 77263 • Radiation Therapy | $1 | $165 | $295 |
| Radiation therapy simulation simple CPT 77280 • Radiation Therapy | $1 | $148 | $353 |
| Radiation therapy simulation complex CPT 77290 • Radiation Therapy | $1 | $388 | $787 |
| 3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy | $1 | $653 | $916 |
| Radiation therapy dose calculation CPT 77300 • Radiation Therapy | $1 | $61 | $84 |
| IMRT radiation therapy plan CPT 77301 • Radiation Therapy | $1 | $1,275 | $2,523 |
| Radiation treatment device design complex CPT 77334 • Radiation Therapy | $1 | $133 | $224 |
| Radiation physics consultation CPT 77336 • Radiation Therapy | $1 | $94 | $163 |
| Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy | $1 | $969 | $1,571 |
| Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy | $1 | $1,360 | $1,781 |
| IMRT delivery simple CPT 77385 • Radiation Therapy | $250 | $351 | $409 |
| IMRT delivery complex CPT 77386 • Radiation Therapy | $252 | $352 | $410 |