REX HOSPITAL· RALEIGH, NC
HospitalCMS 5/5
4420 LAKE BOONE TRAIL, RALEIGH, NC 27607
Procedures offered
969 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Neuromuscular reeducation each 15 minutes CPT 97112 • Physical Therapy | $22 | $43 | $81 |
| Gait training each 15 minutes CPT 97116 • Physical Therapy | $20 | $39 | $73 |
| Manual therapy one or more regions each 15 min CPT 97140 • Physical Therapy | $21 | $37 | $68 |
| Group therapeutic procedures CPT 97150 • Physical Therapy | $14 | $27 | $68 |
| Physical therapy evaluation low complexity CPT 97161 • Physical Therapy | $58 | $167 | $380 |
| Physical therapy evaluation moderate complexity CPT 97162 • Physical Therapy | $58 | $167 | $380 |
| Physical therapy evaluation high complexity CPT 97163 • Physical Therapy | $63 | $170 | $380 |
| Physical therapy re-evaluation CPT 97164 • Physical Therapy | $51 | $120 | $264 |
| Therapeutic activities each 15 minutes CPT 97530 • Physical Therapy | $18 | $47 | $88 |
| Self-care/home management training each 15 min CPT 97535 • Physical Therapy | $25 | $45 | $81 |
| Wheelchair management training each 15 minutes CPT 97542 • Physical Therapy | $18 | $42 | $77 |
| Physical performance test each 15 minutes CPT 97750 • Physical Therapy | $24 | $45 | $84 |
| Orthotic management and training each 15 min CPT 97760 • Physical Therapy | $26 | $57 | $115 |
| Prosthetic training each 15 minutes CPT 97761 • Physical Therapy | $23 | $49 | $98 |
| Immunization admin first vaccine component CPT 90460 • Preventive Care | $10 | $32 | $87 |
| Immunization admin each additional component CPT 90461 • Preventive Care | $5 | $14 | $32 |
| Immunization admin injection single CPT 90471 • Preventive Care | $10 | $30 | $79 |
| Immunization admin injection each additional CPT 90472 • Preventive Care | $10 | $21 | $56 |
| HPV vaccine 9-valent CPT 90651 • Preventive Care | $144 | $346 | $557 |
| Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care | $232 | $317 | $632 |
| Rotavirus vaccine pentavalent CPT 90680 • Preventive Care | $101 | $115 | $135 |
| Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care | $20 | $23 | $30 |
| MMR vaccine CPT 90707 • Preventive Care | $80 | $101 | $114 |
| Tdap vaccine age 7 years or older CPT 90715 • Preventive Care | $39 | $55 | $98 |
| Varicella vaccine CPT 90716 • Preventive Care | $120 | $193 | $230 |
| Pneumococcal vaccine adult CPT 90732 • Preventive Care | $119 | $161 | $327 |
| Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care | $158 | $218 | $259 |
| Genetic counseling 30 minutes CPT 96040 • Preventive Care | $89 | $116 | $143 |
| Preventive visit new patient infant CPT 99381 • Preventive Care | $74 | $183 | $321 |
| Preventive visit new patient age 1-4 CPT 99382 • Preventive Care | $78 | $176 | $326 |
| Preventive visit new patient age 5-11 CPT 99383 • Preventive Care | $81 | $185 | $339 |
| Preventive visit new patient age 12-17 CPT 99384 • Preventive Care | $96 | $207 | $379 |
| Preventive visit new patient age 18-39 CPT 99385 • Preventive Care | $92 | $202 | $369 |
| Preventive visit new patient age 40-64 CPT 99386 • Preventive Care | $112 | $233 | $424 |
| Preventive visit new patient age 65+ CPT 99387 • Preventive Care | $124 | $254 | $461 |
| Preventive visit established patient infant CPT 99391 • Preventive Care | $64 | $162 | $289 |
| Preventive visit established patient age 1-4 CPT 99392 • Preventive Care | $71 | $147 | $298 |
| Preventive visit established patient age 5-11 CPT 99393 • Preventive Care | $71 | $172 | $307 |
| Preventive visit established patient age 12-17 CPT 99394 • Preventive Care | $81 | $180 | $325 |
| Preventive visit established patient age 18-39 CPT 99395 • Preventive Care | $84 | $163 | $332 |
| Preventive visit established patient age 40-64 CPT 99396 • Preventive Care | $92 | $177 | $353 |
| Preventive visit established patient age 65+ CPT 99397 • Preventive Care | $98 | $212 | $380 |
| Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care | $30 | $50 | $95 |
| Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care | $59 | $196 | $493 |
| Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care | $314 | $458 | $826 |
| Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care | $213 | $406 | $827 |
| Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care | $130 | $259 | $625 |
| Annual wellness visit initial HCPCS G0438 • Preventive Care | $154 | $278 | $624 |
| Annual wellness visit subsequent HCPCS G0439 • Preventive Care | $104 | $201 | $492 |
| Bronchoscopy diagnostic CPT 31622 • Pulmonology | $178 | $419 | $945 |