JOHNSTON HEALTH· SMITHFIELD, NC

HospitalCMS 3/5

509 BRIGHT LEAF BLVD, SMITHFIELD, NC 27577

Procedures offered

936 total

ProcedureMinAvgMax
Radiation treatment delivery superficial
CPT 77407 • Radiation Therapy
$1$122$258
Radiation treatment delivery 3 or more MeV
CPT 77412 • Radiation Therapy
$1$158$361
Radiation treatment management 5 treatments
CPT 77427 • Radiation Therapy
$1$187$336
Radiation therapy management complete course
CPT 77431 • Radiation Therapy
$1$98$190
Proton beam treatment simple
CPT 77520 • Radiation Therapy
$1$1,007$1,956
Proton beam treatment complex
CPT 77523 • Radiation Therapy
$1$970$1,963
Polysomnography under age 6
CPT 95782 • Sleep Medicine
$209$845$1,446
Polysomnography under age 6 with CPAP
CPT 95783 • Sleep Medicine
$94$482$970
Sleep study unattended
CPT 95800 • Sleep Medicine
$61$131$387
Sleep study unattended minimum 3 channels
CPT 95801 • Sleep Medicine
$30$128$387
Multiple sleep latency test (MSLT)
CPT 95805 • Sleep Medicine
$97$448$658
Polysomnography age 6 or older
CPT 95810 • Sleep Medicine
$305$710$927
Polysomnography with CPAP titration
CPT 95811 • Sleep Medicine
$87$746$971
CPAP combination oral/nasal mask
HCPCS A7027 • Sleep Medicine
$88$154$262
Respiratory assist device BiPAP without backup
HCPCS E0470 • Sleep Medicine
$106$916$2,124
CPAP device continuous positive airway pressure
HCPCS E0601 • Sleep Medicine
$41$392$925
Laparoscopic partial nephrectomy
CPT 50543 • Urology
$1,504$2,185$3,436
Laparoscopic radical nephrectomy
CPT 50545 • Urology
$1,368$2,483$4,641
Lithotripsy extracorporeal shock wave (ESWL)
CPT 50590 • Urology
$911$1,412$2,481
Complex uroflowmetry
CPT 51741 • Urology
$12$48$87
Post-void residual urine measurement
CPT 51798 • Urology
$17$21$32
Cystourethroscopy diagnostic
CPT 52000 • Urology
$118$257$389
Cystourethroscopy with tumor fulguration small
CPT 52234 • Urology
$253$456$850
Cystourethroscopy with tumor fulguration medium
CPT 52235 • Urology
$297$498$998
Cystourethroscopy with dilation of ureteral stricture
CPT 52260 • Urology
$215$342$486
Cystourethroscopy with ureteral stent insertion
CPT 52332 • Urology
$224$553$859
Cystourethroscopy with lithotripsy
CPT 52353 • Urology
$435$687$907
TURP transurethral resection of prostate
CPT 52601 • Urology
$823$1,296$2,519
Laser vaporization of prostate
CPT 52648 • Urology
$735$1,910$3,064
Circumcision
CPT 54150 • Urology
$1$139$259
Orchiectomy simple
CPT 54520 • Urology
$1$317$574
Orchiectomy radical inguinal
CPT 54530 • Urology
$1$529$888
Vasectomy
CPT 55250 • Urology
$0$419$586
Prostate biopsy needle or punch
CPT 55700 • Urology
$119$307$542
Radical prostatectomy retropubic
CPT 55840 • Urology
$0$1,195$2,013
Laparoscopic radical prostatectomy
CPT 55866 • Urology
$0$1,297$2,051