JOHNSTON HEALTH· SMITHFIELD, NC
HospitalCMS 3/5
509 BRIGHT LEAF BLVD, SMITHFIELD, NC 27577
Procedures offered
959 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Respiratory flow volume loop CPT 94375 • Pulmonology | $19 | $46 | $71 |
| Cardiopulmonary exercise test CPT 94621 • Pulmonology | $70 | $170 | $284 |
| Nebulizer inhalation treatment CPT 94640 • Pulmonology | $11 | $17 | $33 |
| Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology | $12 | $22 | $33 |
| Plethysmography lung volumes CPT 94726 • Pulmonology | $13 | $49 | $83 |
| Gas dilution lung volumes CPT 94727 • Pulmonology | $30 | $53 | $80 |
| Diffusing capacity (DLCO) CPT 94729 • Pulmonology | $9 | $62 | $100 |
| Pulse oximetry single measurement CPT 94760 • Pulmonology | $2 | $4 | $6 |
| Pulse oximetry continuous overnight CPT 94762 • Pulmonology | $21 | $32 | $49 |
| Radiation therapy planning simple CPT 77261 • Radiation Therapy | $1 | $72 | $123 |
| Radiation therapy planning intermediate CPT 77262 • Radiation Therapy | $1 | $112 | $190 |
| Radiation therapy planning complex CPT 77263 • Radiation Therapy | $1 | $163 | $295 |
| Radiation therapy simulation simple CPT 77280 • Radiation Therapy | $1 | $147 | $353 |
| Radiation therapy simulation complex CPT 77290 • Radiation Therapy | $1 | $387 | $787 |
| 3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy | $1 | $687 | $916 |
| Radiation therapy dose calculation CPT 77300 • Radiation Therapy | $1 | $64 | $84 |
| IMRT radiation therapy plan CPT 77301 • Radiation Therapy | $1 | $1,346 | $2,523 |
| Radiation treatment device design complex CPT 77334 • Radiation Therapy | $1 | $121 | $224 |
| Radiation physics consultation CPT 77336 • Radiation Therapy | $1 | $94 | $163 |
| Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy | $1 | $998 | $1,571 |
| Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy | $1 | $1,396 | $1,781 |
| IMRT delivery simple CPT 77385 • Radiation Therapy | $250 | $365 | $409 |
| IMRT delivery complex CPT 77386 • Radiation Therapy | $252 | $366 | $410 |
| Radiation treatment delivery superficial CPT 77407 • Radiation Therapy | $1 | $119 | $258 |
| Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy | $1 | $152 | $361 |
| Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy | $1 | $186 | $336 |
| Radiation therapy management complete course CPT 77431 • Radiation Therapy | $1 | $97 | $190 |
| Proton beam treatment simple CPT 77520 • Radiation Therapy | $1 | $854 | $1,956 |
| Proton beam treatment complex CPT 77523 • Radiation Therapy | $1 | $824 | $1,963 |
| Polysomnography under age 6 CPT 95782 • Sleep Medicine | $209 | $879 | $1,446 |
| Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine | $94 | $426 | $970 |
| Sleep study unattended CPT 95800 • Sleep Medicine | $61 | $144 | $387 |
| Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine | $30 | $114 | $387 |
| Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine | $97 | $468 | $658 |
| Polysomnography age 6 or older CPT 95810 • Sleep Medicine | $305 | $713 | $927 |
| Polysomnography with CPAP titration CPT 95811 • Sleep Medicine | $87 | $754 | $971 |
| CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine | $88 | $145 | $262 |
| Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine | $106 | $937 | $2,124 |
| CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine | $41 | $402 | $925 |
| Laparoscopic partial nephrectomy CPT 50543 • Urology | $1,504 | $2,091 | $3,436 |
| Laparoscopic radical nephrectomy CPT 50545 • Urology | $1,368 | $2,315 | $4,641 |
| Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology | $911 | $1,339 | $2,481 |
| Complex uroflowmetry CPT 51741 • Urology | $12 | $51 | $87 |
| Post-void residual urine measurement CPT 51798 • Urology | $17 | $21 | $32 |
| Cystourethroscopy diagnostic CPT 52000 • Urology | $118 | $253 | $389 |
| Cystourethroscopy with tumor fulguration small CPT 52234 • Urology | $253 | $425 | $850 |
| Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology | $297 | $469 | $998 |
| Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology | $215 | $323 | $486 |
| Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology | $224 | $532 | $859 |
| Cystourethroscopy with lithotripsy CPT 52353 • Urology | $435 | $651 | $907 |