SENTARA ALBEMARLE REGIONAL MEDICAL CENTER· ELIZABETH CITY, NC
HospitalCMS 3/5
3050 HALSTEAD BLVD, ELIZABETH CITY, NC 27909
Procedures offered
938 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| IMRT delivery simple CPT 77385 • Radiation Therapy | $364 | $445 | $525 |
| IMRT delivery complex CPT 77386 • Radiation Therapy | $471 | $499 | $527 |
| Radiation treatment delivery superficial CPT 77407 • Radiation Therapy | $135 | $224 | $280 |
| Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy | $150 | $256 | $363 |
| Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy | $188 | $287 | $424 |
| Radiation therapy management complete course CPT 77431 • Radiation Therapy | $107 | $134 | $162 |
| Proton beam treatment simple CPT 77520 • Radiation Therapy | $129 | $804 | $1,296 |
| Proton beam treatment complex CPT 77523 • Radiation Therapy | $228 | $952 | $1,501 |
| Polysomnography under age 6 CPT 95782 • Sleep Medicine | $122 | $901 | $1,274 |
| Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine | $133 | $956 | $1,359 |
| Sleep study unattended CPT 95800 • Sleep Medicine | $0 | $100 | $179 |
| Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine | $0 | $59 | $126 |
| Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine | $144 | $417 | $600 |
| Polysomnography age 6 or older CPT 95810 • Sleep Medicine | $116 | $694 | $1,095 |
| Polysomnography with CPAP titration CPT 95811 • Sleep Medicine | $586 | $839 | $1,131 |
| CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine | $129 | $156 | $198 |
| Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine | $115 | $544 | $1,549 |
| CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine | $133 | $533 | $782 |
| Laparoscopic partial nephrectomy CPT 50543 • Urology | $1,507 | $2,025 | $2,287 |
| Laparoscopic radical nephrectomy CPT 50545 • Urology | $1,346 | $1,865 | $2,156 |
| Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology | $558 | $1,045 | $1,380 |
| Complex uroflowmetry CPT 51741 • Urology | $8 | $80 | $247 |
| Post-void residual urine measurement CPT 51798 • Urology | $14 | $31 | $78 |
| Cystourethroscopy diagnostic CPT 52000 • Urology | $77 | $310 | $602 |
| Cystourethroscopy with tumor fulguration small CPT 52234 • Urology | $274 | $406 | $686 |
| Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology | $321 | $413 | $488 |
| Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology | $201 | $267 | $323 |
| Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology | $175 | $634 | $963 |
| Cystourethroscopy with lithotripsy CPT 52353 • Urology | $435 | $672 | $1,175 |
| TURP transurethral resection of prostate CPT 52601 • Urology | $824 | $1,099 | $1,350 |
| Laser vaporization of prostate CPT 52648 • Urology | $673 | $2,013 | $3,147 |
| Circumcision CPT 54150 • Urology | $112 | $309 | $718 |
| Orchiectomy simple CPT 54520 • Urology | $323 | $465 | $590 |
| Orchiectomy radical inguinal CPT 54530 • Urology | $576 | $672 | $772 |
| Vasectomy CPT 55250 • Urology | $228 | $593 | $1,070 |
| Prostate biopsy needle or punch CPT 55700 • Urology | $145 | $282 | $350 |
| Radical prostatectomy retropubic CPT 55840 • Urology | $365 | $1,420 | $2,056 |
| Laparoscopic radical prostatectomy CPT 55866 • Urology | $312 | $1,773 | $2,677 |