FIRSTHEALTH MOORE REGIONAL HOSPITAL· PINEHURST, NC

HospitalCMS 4/5

155 MEMORIAL DRIVE, PINEHURST, NC 28374

Procedures offered

936 total

ProcedureMinAvgMax
Radiation treatment delivery superficial
CPT 77407 • Radiation Therapy
$260$274$289
Radiation treatment delivery 3 or more MeV
CPT 77412 • Radiation Therapy
$30$233$363
Radiation treatment management 5 treatments
CPT 77427 • Radiation Therapy
$188$321$500
Radiation therapy management complete course
CPT 77431 • Radiation Therapy
$107$162$237
Proton beam treatment simple
CPT 77520 • Radiation Therapy
$113$1,102$1,974
Proton beam treatment complex
CPT 77523 • Radiation Therapy
$199$1,286$2,267
Polysomnography under age 6
CPT 95782 • Sleep Medicine
$261$920$1,256
Polysomnography under age 6 with CPAP
CPT 95783 • Sleep Medicine
$133$809$1,332
Sleep study unattended
CPT 95800 • Sleep Medicine
$38$133$249
Sleep study unattended minimum 3 channels
CPT 95801 • Sleep Medicine
$63$109$211
Multiple sleep latency test (MSLT)
CPT 95805 • Sleep Medicine
$76$509$980
Polysomnography age 6 or older
CPT 95810 • Sleep Medicine
$119$488$819
Polysomnography with CPAP titration
CPT 95811 • Sleep Medicine
$121$484$856
CPAP combination oral/nasal mask
HCPCS A7027 • Sleep Medicine
$125$183$327
Respiratory assist device BiPAP without backup
HCPCS E0470 • Sleep Medicine
$117$447$1,500
CPAP device continuous positive airway pressure
HCPCS E0601 • Sleep Medicine
$44$302$782
Laparoscopic partial nephrectomy
CPT 50543 • Urology
$1,486$2,120$3,195
Laparoscopic radical nephrectomy
CPT 50545 • Urology
$1,346$2,002$2,856
Lithotripsy extracorporeal shock wave (ESWL)
CPT 50590 • Urology
$558$1,408$3,045
Complex uroflowmetry
CPT 51741 • Urology
$7$20$31
Post-void residual urine measurement
CPT 51798 • Urology
$12$16$26
Cystourethroscopy diagnostic
CPT 52000 • Urology
$77$288$486
Cystourethroscopy with tumor fulguration small
CPT 52234 • Urology
$234$347$523
Cystourethroscopy with tumor fulguration medium
CPT 52235 • Urology
$274$444$613
Cystourethroscopy with dilation of ureteral stricture
CPT 52260 • Urology
$144$283$449
Cystourethroscopy with ureteral stent insertion
CPT 52332 • Urology
$149$499$825
Cystourethroscopy with lithotripsy
CPT 52353 • Urology
$372$584$831
TURP transurethral resection of prostate
CPT 52601 • Urology
$562$963$1,570
Laser vaporization of prostate
CPT 52648 • Urology
$673$2,048$3,438
Circumcision
CPT 54150 • Urology
$96$204$324
Orchiectomy simple
CPT 54520 • Urology
$261$445$717
Orchiectomy radical inguinal
CPT 54530 • Urology
$500$764$1,110
Vasectomy
CPT 55250 • Urology
$177$416$733
Prostate biopsy needle or punch
CPT 55700 • Urology
$124$354$528
Radical prostatectomy retropubic
CPT 55840 • Urology
$203$1,435$2,516
Laparoscopic radical prostatectomy
CPT 55866 • Urology
$246$1,458$2,564