HUGH CHATHAM MEMORIAL HOSPITAL· ELKIN, NC
HospitalCMS 3/5
180 PARKWOOD DR, ELKIN, NC 28621
Procedures offered
948 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Rotavirus vaccine pentavalent CPT 90680 • Preventive Care | $103 | $110 | $128 |
| Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care | $20 | $22 | $25 |
| MMR vaccine CPT 90707 • Preventive Care | $97 | $104 | $118 |
| Tdap vaccine age 7 years or older CPT 90715 • Preventive Care | $39 | $47 | $61 |
| Varicella vaccine CPT 90716 • Preventive Care | $192 | $206 | $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 | $110 | $185 |
| Preventive visit new patient age 1-4 CPT 99382 • Preventive Care | $89 | $102 | $116 |
| 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 | $146 | $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 | $178 | $265 |
| Preventive visit established patient infant CPT 99391 • Preventive Care | $67 | $98 | $160 |
| Preventive visit established patient age 1-4 CPT 99392 • Preventive Care | $78 | $92 | $107 |
| Preventive visit established patient age 5-11 CPT 99393 • Preventive Care | $78 | $92 | $106 |
| 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 | $113 | $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 | $132 | $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 | $215 | $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 | $34 | $59 |
| Spirometry before and after bronchodilator CPT 94060 • Pulmonology | $16 | $41 | $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 | $14 | $46 | $83 |
| Gas dilution lung volumes CPT 94727 • Pulmonology | $14 | $37 | $66 |
| Diffusing capacity (DLCO) CPT 94729 • Pulmonology | $9 | $42 | $82 |
| Pulse oximetry single measurement CPT 94760 • Pulmonology | $1 | $3 | $5 |
| Pulse oximetry continuous overnight CPT 94762 • Pulmonology | $11 | $28 | $45 |
| Radiation therapy planning simple CPT 77261 • Radiation Therapy | $62 | $82 | $96 |
| Radiation therapy planning intermediate CPT 77262 • Radiation Therapy | $94 | $134 | $171 |