ATRIUM HEALTH PINEVILLE· CHARLOTTE, NC

HospitalCMS 3/5

10628 PARK RD, CHARLOTTE, NC 28210

Procedures offered

966 total

ProcedureMinAvgMax
Bronchoscopy with transbronchial lung biopsy
CPT 31628 • Pulmonology
$198$531$939
Bronchoscopy with endobronchial ultrasound biopsy
CPT 31652 • Pulmonology
$174$1,479$3,683
Ventilation assist and management initiation
CPT 94002 • Pulmonology
$75$116$227
Spirometry
CPT 94010 • Pulmonology
$9$27$71
Spirometry before and after bronchodilator
CPT 94060 • Pulmonology
$14$55$82
Bronchospasm provocation evaluation
CPT 94070 • Pulmonology
$24$64$130
Respiratory flow volume loop
CPT 94375 • Pulmonology
$19$35$65
Pulmonary stress test simple
CPT 94620 • Pulmonology
$42$42$42
Cardiopulmonary exercise test
CPT 94621 • Pulmonology
$70$201$399
Nebulizer inhalation treatment
CPT 94640 • Pulmonology
$14$23$38
Aerosol or vapor inhalation initial demonstration
CPT 94664 • Pulmonology
$14$28$47
Plethysmography lung volumes
CPT 94726 • Pulmonology
$29$51$71
Gas dilution lung volumes
CPT 94727 • Pulmonology
$18$41$87
Diffusing capacity (DLCO)
CPT 94729 • Pulmonology
$9$43$73
Pulse oximetry single measurement
CPT 94760 • Pulmonology
$2$4$9
Pulse oximetry continuous overnight
CPT 94762 • Pulmonology
$11$29$64
Radiation therapy planning simple
CPT 77261 • Radiation Therapy
$68$103$179
Radiation therapy planning intermediate
CPT 77262 • Radiation Therapy
$103$153$276
Radiation therapy planning complex
CPT 77263 • Radiation Therapy
$161$281$429
Radiation therapy simulation simple
CPT 77280 • Radiation Therapy
$43$219$446
Radiation therapy simulation complex
CPT 77290 • Radiation Therapy
$366$628$936
3-dimensional radiation therapy plan
CPT 77295 • Radiation Therapy
$253$657$1,445
Radiation therapy dose calculation
CPT 77300 • Radiation Therapy
$37$77$108
IMRT radiation therapy plan
CPT 77301 • Radiation Therapy
$498$2,648$4,803
Radiation treatment device design complex
CPT 77334 • Radiation Therapy
$58$180$326
Radiation physics consultation
CPT 77336 • Radiation Therapy
$68$129$238
Stereotactic radiosurgery (SRS) cranial
CPT 77371 • Radiation Therapy
$1,083$1,450$2,417
Stereotactic body radiation therapy (SBRT)
CPT 77373 • Radiation Therapy
$1,309$1,750$2,554
IMRT delivery simple
CPT 77385 • Radiation Therapy
$373$382$392
IMRT delivery complex
CPT 77386 • Radiation Therapy
$393$557$839
Radiation treatment delivery superficial
CPT 77407 • Radiation Therapy
$60$264$650
Radiation treatment delivery 3 or more MeV
CPT 77412 • Radiation Therapy
$98$231$314
Radiation treatment management 5 treatments
CPT 77427 • Radiation Therapy
$193$323$489
Radiation therapy management complete course
CPT 77431 • Radiation Therapy
$110$219$282
Proton beam treatment simple
CPT 77520 • Radiation Therapy
$89$1,183$2,297
Proton beam treatment complex
CPT 77523 • Radiation Therapy
$157$1,185$2,638
Polysomnography under age 6
CPT 95782 • Sleep Medicine
$126$928$2,228
Polysomnography under age 6 with CPAP
CPT 95783 • Sleep Medicine
$133$619$2,336
Sleep study unattended
CPT 95800 • Sleep Medicine
$97$169$249
Sleep study unattended minimum 3 channels
CPT 95801 • Sleep Medicine
$44$129$251
Multiple sleep latency test (MSLT)
CPT 95805 • Sleep Medicine
$329$567$999
Polysomnography age 6 or older
CPT 95810 • Sleep Medicine
$103$433$1,022
Polysomnography with CPAP titration
CPT 95811 • Sleep Medicine
$124$486$877
CPAP combination oral/nasal mask
HCPCS A7027 • Sleep Medicine
$63$171$381
Respiratory assist device BiPAP without backup
HCPCS E0470 • Sleep Medicine
$128$423$1,057
CPAP device continuous positive airway pressure
HCPCS E0601 • Sleep Medicine
$44$92$133
Laparoscopic partial nephrectomy
CPT 50543 • Urology
$936$2,172$3,718
Laparoscopic radical nephrectomy
CPT 50545 • Urology
$920$2,045$3,324
Lithotripsy extracorporeal shock wave (ESWL)
CPT 50590 • Urology
$535$979$1,874
Complex uroflowmetry
CPT 51741 • Urology
$7$34$72