HUGH CHATHAM MEMORIAL HOSPITAL· ELKIN, NC

HospitalCMS 3/5

180 PARKWOOD DR, ELKIN, NC 28621

Procedures offered

948 total

ProcedureMinAvgMax
Radiation therapy planning complex
CPT 77263 • Radiation Therapy
$147$204$266
Radiation therapy simulation simple
CPT 77280 • Radiation Therapy
$43$107$231
Radiation therapy simulation complex
CPT 77290 • Radiation Therapy
$69$385$649
3-dimensional radiation therapy plan
CPT 77295 • Radiation Therapy
$392$672$1,445
Radiation therapy dose calculation
CPT 77300 • Radiation Therapy
$35$55$98
IMRT radiation therapy plan
CPT 77301 • Radiation Therapy
$368$497$607
Radiation treatment device design complex
CPT 77334 • Radiation Therapy
$75$131$209
Radiation physics consultation
CPT 77336 • Radiation Therapy
$58$94$135
Stereotactic radiosurgery (SRS) cranial
CPT 77371 • Radiation Therapy
$953$1,383$2,120
Stereotactic body radiation therapy (SBRT)
CPT 77373 • Radiation Therapy
$868$1,507$2,071
IMRT delivery simple
CPT 77385 • Radiation Therapy
$373$400$436
IMRT delivery complex
CPT 77386 • Radiation Therapy
$393$483$620
Radiation treatment delivery superficial
CPT 77407 • Radiation Therapy
$88$191$281
Radiation treatment delivery 3 or more MeV
CPT 77412 • Radiation Therapy
$98$243$442
Radiation treatment management 5 treatments
CPT 77427 • Radiation Therapy
$158$202$277
Radiation therapy management complete course
CPT 77431 • Radiation Therapy
$93$124$156
Proton beam treatment simple
CPT 77520 • Radiation Therapy
$749$1,059$1,301
Proton beam treatment complex
CPT 77523 • Radiation Therapy
$872$1,172$1,494
Polysomnography under age 6
CPT 95782 • Sleep Medicine
$172$933$1,329
Polysomnography under age 6 with CPAP
CPT 95783 • Sleep Medicine
$158$768$1,380
Sleep study unattended
CPT 95800 • Sleep Medicine
$55$118$169
Sleep study unattended minimum 3 channels
CPT 95801 • Sleep Medicine
$58$84$124
Multiple sleep latency test (MSLT)
CPT 95805 • Sleep Medicine
$80$429$761
Polysomnography age 6 or older
CPT 95810 • Sleep Medicine
$161$589$921
Polysomnography with CPAP titration
CPT 95811 • Sleep Medicine
$633$771$965
CPAP combination oral/nasal mask
HCPCS A7027 • Sleep Medicine
$101$144$216
Respiratory assist device BiPAP without backup
HCPCS E0470 • Sleep Medicine
$91$636$1,057
CPAP device continuous positive airway pressure
HCPCS E0601 • Sleep Medicine
$35$188$436
Laparoscopic partial nephrectomy
CPT 50543 • Urology
$1,310$1,775$2,451
Laparoscopic radical nephrectomy
CPT 50545 • Urology
$1,181$1,656$2,119
Lithotripsy extracorporeal shock wave (ESWL)
CPT 50590 • Urology
$659$837$1,019
Complex uroflowmetry
CPT 51741 • Urology
$9$22$65
Post-void residual urine measurement
CPT 51798 • Urology
$9$17$20
Cystourethroscopy diagnostic
CPT 52000 • Urology
$100$178$229
Cystourethroscopy with tumor fulguration small
CPT 52234 • Urology
$199$268$345
Cystourethroscopy with tumor fulguration medium
CPT 52235 • Urology
$253$322$404
Cystourethroscopy with dilation of ureteral stricture
CPT 52260 • Urology
$185$264$344
Cystourethroscopy with ureteral stent insertion
CPT 52332 • Urology
$177$305$544
Cystourethroscopy with lithotripsy
CPT 52353 • Urology
$345$502$619
TURP transurethral resection of prostate
CPT 52601 • Urology
$645$865$989
Laser vaporization of prostate
CPT 52648 • Urology
$595$1,292$2,323
Circumcision
CPT 54150 • Urology
$110$176$249
Orchiectomy simple
CPT 54520 • Urology
$300$412$522
Orchiectomy radical inguinal
CPT 54530 • Urology
$465$619$732
Vasectomy
CPT 55250 • Urology
$253$341$483
Prostate biopsy needle or punch
CPT 55700 • Urology
$109$342$792
Radical prostatectomy retropubic
CPT 55840 • Urology
$1,069$1,556$1,930
Laparoscopic radical prostatectomy
CPT 55866 • Urology
$1,317$1,702$1,976