FIRSTHEALTH MOORE REGIONAL HOSPITAL· PINEHURST, NC
HospitalCMS 4/5
155 MEMORIAL DRIVE, PINEHURST, NC 28374
Procedures offered
936 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Preventive visit new patient age 18-39 CPT 99385 • Preventive Care | $71 | $148 | $284 |
| Preventive visit new patient age 40-64 CPT 99386 • Preventive Care | $86 | $170 | $327 |
| Preventive visit new patient age 65+ CPT 99387 • Preventive Care | $78 | $174 | $355 |
| Preventive visit established patient infant CPT 99391 • Preventive Care | $45 | $103 | $215 |
| Preventive visit established patient age 1-4 CPT 99392 • Preventive Care | $50 | $114 | $228 |
| Preventive visit established patient age 5-11 CPT 99393 • Preventive Care | $50 | $111 | $228 |
| Preventive visit established patient age 12-17 CPT 99394 • Preventive Care | $63 | $134 | $249 |
| Preventive visit established patient age 18-39 CPT 99395 • Preventive Care | $65 | $141 | $256 |
| Preventive visit established patient age 40-64 CPT 99396 • Preventive Care | $70 | $152 | $272 |
| Preventive visit established patient age 65+ CPT 99397 • Preventive Care | $75 | $163 | $293 |
| Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care | $23 | $54 | $85 |
| Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care | $111 | $262 | $412 |
| Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care | $214 | $412 | $742 |
| Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care | $213 | $412 | $742 |
| Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care | $195 | $253 | $362 |
| Annual wellness visit initial HCPCS G0438 • Preventive Care | $150 | $239 | $361 |
| Annual wellness visit subsequent HCPCS G0439 • Preventive Care | $109 | $186 | $285 |
| Bronchoscopy diagnostic CPT 31622 • Pulmonology | $137 | $307 | $551 |
| Bronchoscopy with brushing CPT 31623 • Pulmonology | $78 | $314 | $601 |
| Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology | $138 | $319 | $561 |
| Bronchoscopy with biopsy CPT 31625 • Pulmonology | $160 | $412 | $759 |
| Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology | $160 | $434 | $807 |
| Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology | $226 | $1,059 | $1,779 |
| Ventilation assist and management initiation CPT 94002 • Pulmonology | $75 | $117 | $195 |
| Spirometry CPT 94010 • Pulmonology | $11 | $36 | $61 |
| Spirometry before and after bronchodilator CPT 94060 • Pulmonology | $40 | $57 | $87 |
| Bronchospasm provocation evaluation CPT 94070 • Pulmonology | $26 | $53 | $84 |
| Respiratory flow volume loop CPT 94375 • Pulmonology | $19 | $42 | $86 |
| Cardiopulmonary exercise test CPT 94621 • Pulmonology | $92 | $204 | $343 |
| Nebulizer inhalation treatment CPT 94640 • Pulmonology | $9 | $18 | $30 |
| Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology | $14 | $25 | $40 |
| Plethysmography lung volumes CPT 94726 • Pulmonology | $13 | $40 | $68 |
| Gas dilution lung volumes CPT 94727 • Pulmonology | $13 | $39 | $75 |
| Diffusing capacity (DLCO) CPT 94729 • Pulmonology | $12 | $48 | $74 |
| Pulse oximetry single measurement CPT 94760 • Pulmonology | $2 | $4 | $8 |
| Pulse oximetry continuous overnight CPT 94762 • Pulmonology | $19 | $33 | $55 |
| Radiation therapy planning simple CPT 77261 • Radiation Therapy | $68 | $106 | $154 |
| Radiation therapy planning intermediate CPT 77262 • Radiation Therapy | $106 | $144 | $237 |
| Radiation therapy planning complex CPT 77263 • Radiation Therapy | $164 | $272 | $416 |
| Radiation therapy simulation simple CPT 77280 • Radiation Therapy | $36 | $227 | $353 |
| Radiation therapy simulation complex CPT 77290 • Radiation Therapy | $434 | $606 | $984 |
| 3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy | $219 | $405 | $639 |
| Radiation therapy dose calculation CPT 77300 • Radiation Therapy | $32 | $60 | $88 |
| IMRT radiation therapy plan CPT 77301 • Radiation Therapy | $409 | $1,714 | $2,862 |
| Radiation treatment device design complex CPT 77334 • Radiation Therapy | $69 | $135 | $280 |
| Radiation physics consultation CPT 77336 • Radiation Therapy | $45 | $114 | $204 |
| Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy | $1,105 | $1,355 | $1,633 |
| Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy | $1,018 | $1,696 | $2,371 |
| IMRT delivery simple CPT 77385 • Radiation Therapy | $368 | $503 | $617 |
| IMRT delivery complex CPT 77386 • Radiation Therapy | $471 | $539 | $619 |