HUGH CHATHAM MEMORIAL HOSPITAL· ELKIN, NC

Physician groupCMS 3/5

180 PARKWOOD DR, ELKIN, NC 28621

Procedures offered

950 total

Procedure	Min	Avg	Max
HPV vaccine 9-valent CPT 90651 • Preventive Care	$274	$336	$409
Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care	$159	$247	$284
Rotavirus vaccine pentavalent CPT 90680 • Preventive Care	$92	$107	$128
Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care	$20	$22	$25
MMR vaccine CPT 90707 • Preventive Care	$93	$102	$118
Tdap vaccine age 7 years or older CPT 90715 • Preventive Care	$39	$46	$61
Varicella vaccine CPT 90716 • Preventive Care	$163	$197	$239
Pneumococcal vaccine adult CPT 90732 • Preventive Care	$117	$134	$147
Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care	$216	$234	$268
Genetic counseling 30 minutes CPT 96040 • Preventive Care	$92	$92	$92
Preventive visit new patient infant CPT 99381 • Preventive Care	$78	$111	$185
Preventive visit new patient age 1-4 CPT 99382 • Preventive Care	$89	$106	$125
Preventive visit new patient age 5-11 CPT 99383 • Preventive Care	$75	$127	$194
Preventive visit new patient age 12-17 CPT 99384 • Preventive Care	$100	$143	$192
Preventive visit new patient age 18-39 CPT 99385 • Preventive Care	$100	$145	$211
Preventive visit new patient age 40-64 CPT 99386 • Preventive Care	$105	$164	$243
Preventive visit new patient age 65+ CPT 99387 • Preventive Care	$115	$179	$265
Preventive visit established patient infant CPT 99391 • Preventive Care	$67	$100	$160
Preventive visit established patient age 1-4 CPT 99392 • Preventive Care	$78	$96	$114
Preventive visit established patient age 5-11 CPT 99393 • Preventive Care	$78	$96	$114
Preventive visit established patient age 12-17 CPT 99394 • Preventive Care	$89	$128	$186
Preventive visit established patient age 18-39 CPT 99395 • Preventive Care	$89	$115	$169
Preventive visit established patient age 40-64 CPT 99396 • Preventive Care	$100	$135	$179
Preventive visit established patient age 65+ CPT 99397 • Preventive Care	$112	$147	$193
Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care	$22	$37	$56
Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care	$54	$103	$169
Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care	$232	$330	$489
Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care	$197	$336	$489
Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care	$89	$156	$238
Annual wellness visit initial HCPCS G0438 • Preventive Care	$158	$192	$238
Annual wellness visit subsequent HCPCS G0439 • Preventive Care	$106	$131	$188
Bronchoscopy diagnostic CPT 31622 • Pulmonology	$158	$274	$428
Bronchoscopy with brushing CPT 31623 • Pulmonology	$190	$283	$396
Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology	$106	$237	$370
Bronchoscopy with biopsy CPT 31625 • Pulmonology	$195	$391	$567
Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology	$245	$384	$532
Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology	$265	$792	$1,863
Ventilation assist and management initiation CPT 94002 • Pulmonology	$88	$107	$128
Spirometry CPT 94010 • Pulmonology	$11	$35	$59
Spirometry before and after bronchodilator CPT 94060 • Pulmonology	$16	$46	$78
Bronchospasm provocation evaluation CPT 94070 • Pulmonology	$42	$60	$92
Respiratory flow volume loop CPT 94375 • Pulmonology	$20	$32	$57
Cardiopulmonary exercise test CPT 94621 • Pulmonology	$77	$107	$147
Nebulizer inhalation treatment CPT 94640 • Pulmonology	$10	$16	$29
Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology	$15	$21	$26
Plethysmography lung volumes CPT 94726 • Pulmonology	$12	$40	$83
Gas dilution lung volumes CPT 94727 • Pulmonology	$14	$37	$66
Diffusing capacity (DLCO) CPT 94729 • Pulmonology	$9	$45	$82
Pulse oximetry single measurement CPT 94760 • Pulmonology	$1	$3	$5
Pulse oximetry continuous overnight CPT 94762 • Pulmonology	$11	$28	$45