ATRIUM HEALTH PINEVILLE· CHARLOTTE, NC
HospitalCMS 3/5
10628 PARK RD, CHARLOTTE, NC 28210
Procedures offered
966 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Group therapeutic procedures CPT 97150 • Physical Therapy | $13 | $23 | $46 |
| Physical therapy evaluation low complexity CPT 97161 • Physical Therapy | $58 | $118 | $258 |
| Physical therapy evaluation moderate complexity CPT 97162 • Physical Therapy | $58 | $118 | $258 |
| Physical therapy evaluation high complexity CPT 97163 • Physical Therapy | $66 | $128 | $258 |
| Physical therapy re-evaluation CPT 97164 • Physical Therapy | $28 | $108 | $184 |
| Therapeutic activities each 15 minutes CPT 97530 • Physical Therapy | $18 | $44 | $91 |
| Self-care/home management training each 15 min CPT 97535 • Physical Therapy | $24 | $44 | $84 |
| Wheelchair management training each 15 minutes CPT 97542 • Physical Therapy | $21 | $37 | $81 |
| Physical performance test each 15 minutes CPT 97750 • Physical Therapy | $23 | $43 | $88 |
| Orthotic management and training each 15 min CPT 97760 • Physical Therapy | $24 | $53 | $122 |
| Prosthetic training each 15 minutes CPT 97761 • Physical Therapy | $23 | $44 | $107 |
| Immunization admin first vaccine component CPT 90460 • Preventive Care | $7 | $25 | $59 |
| Immunization admin each additional component CPT 90461 • Preventive Care | $5 | $12 | $22 |
| Immunization admin injection single CPT 90471 • Preventive Care | $7 | $25 | $53 |
| Immunization admin injection each additional CPT 90472 • Preventive Care | $5 | $16 | $38 |
| HPV vaccine 9-valent CPT 90651 • Preventive Care | $161 | $339 | $690 |
| Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care | $18 | $208 | $260 |
| Rotavirus vaccine pentavalent CPT 90680 • Preventive Care | $101 | $135 | $215 |
| Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care | $21 | $46 | $93 |
| MMR vaccine CPT 90707 • Preventive Care | $38 | $98 | $206 |
| Tdap vaccine age 7 years or older CPT 90715 • Preventive Care | $39 | $59 | $125 |
| Varicella vaccine CPT 90716 • Preventive Care | $90 | $198 | $403 |
| Pneumococcal vaccine adult CPT 90732 • Preventive Care | $92 | $140 | $274 |
| Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care | $13 | $196 | $452 |
| Genetic counseling 30 minutes CPT 96040 • Preventive Care | $92 | $92 | $92 |
| Preventive visit new patient infant CPT 99381 • Preventive Care | $78 | $141 | $279 |
| Preventive visit new patient age 1-4 CPT 99382 • Preventive Care | $85 | $148 | $292 |
| Preventive visit new patient age 5-11 CPT 99383 • Preventive Care | $85 | $152 | $303 |
| Preventive visit new patient age 12-17 CPT 99384 • Preventive Care | $100 | $192 | $340 |
| Preventive visit new patient age 18-39 CPT 99385 • Preventive Care | $94 | $170 | $330 |
| Preventive visit new patient age 40-64 CPT 99386 • Preventive Care | $123 | $226 | $380 |
| Preventive visit new patient age 65+ CPT 99387 • Preventive Care | $134 | $245 | $413 |
| Preventive visit established patient infant CPT 99391 • Preventive Care | $64 | $120 | $250 |
| Preventive visit established patient age 1-4 CPT 99392 • Preventive Care | $78 | $137 | $266 |
| Preventive visit established patient age 5-11 CPT 99393 • Preventive Care | $78 | $137 | $266 |
| Preventive visit established patient age 12-17 CPT 99394 • Preventive Care | $89 | $176 | $290 |
| Preventive visit established patient age 18-39 CPT 99395 • Preventive Care | $84 | $140 | $298 |
| Preventive visit established patient age 40-64 CPT 99396 • Preventive Care | $100 | $157 | $317 |
| Preventive visit established patient age 65+ CPT 99397 • Preventive Care | $96 | $199 | $342 |
| Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care | $22 | $49 | $99 |
| Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care | $54 | $213 | $479 |
| Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care | $295 | $436 | $863 |
| Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care | $197 | $453 | $864 |
| Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care | $89 | $199 | $421 |
| Annual wellness visit initial HCPCS G0438 • Preventive Care | $153 | $224 | $420 |
| Annual wellness visit subsequent HCPCS G0439 • Preventive Care | $106 | $180 | $331 |
| Bronchoscopy diagnostic CPT 31622 • Pulmonology | $104 | $397 | $665 |
| Bronchoscopy with brushing CPT 31623 • Pulmonology | $185 | $422 | $724 |
| Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology | $78 | $252 | $653 |
| Bronchoscopy with biopsy CPT 31625 • Pulmonology | $92 | $432 | $884 |