STANLY REGIONAL MEDICAL CENTER· ALBEMARLE, NC
HospitalCMS 3/5
301 YADKIN ST, ALBEMARLE, NC 28001
Procedures offered
943 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Pneumococcal vaccine adult CPT 90732 • Preventive Care | $120 | $139 | $174 |
| Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care | $220 | $260 | $339 |
| Genetic counseling 30 minutes CPT 96040 • Preventive Care | $69 | $69 | $69 |
| Preventive visit new patient infant CPT 99381 • Preventive Care | $67 | $104 | $154 |
| Preventive visit new patient age 1-4 CPT 99382 • Preventive Care | $89 | $132 | $177 |
| Preventive visit new patient age 5-11 CPT 99383 • Preventive Care | $89 | $150 | $187 |
| Preventive visit new patient age 12-17 CPT 99384 • Preventive Care | $100 | $141 | $177 |
| Preventive visit new patient age 18-39 CPT 99385 • Preventive Care | $100 | $142 | $172 |
| Preventive visit new patient age 40-64 CPT 99386 • Preventive Care | $123 | $170 | $211 |
| Preventive visit new patient age 65+ CPT 99387 • Preventive Care | $124 | $158 | $216 |
| Preventive visit established patient infant CPT 99391 • Preventive Care | $67 | $106 | $141 |
| Preventive visit established patient age 1-4 CPT 99392 • Preventive Care | $67 | $102 | $158 |
| Preventive visit established patient age 5-11 CPT 99393 • Preventive Care | $67 | $103 | $163 |
| Preventive visit established patient age 12-17 CPT 99394 • Preventive Care | $89 | $110 | $123 |
| Preventive visit established patient age 18-39 CPT 99395 • Preventive Care | $89 | $122 | $182 |
| Preventive visit established patient age 40-64 CPT 99396 • Preventive Care | $92 | $116 | $164 |
| Preventive visit established patient age 65+ CPT 99397 • Preventive Care | $112 | $136 | $151 |
| Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care | $22 | $47 | $69 |
| Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care | $54 | $172 | $242 |
| Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care | $282 | $352 | $516 |
| Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care | $197 | $432 | $713 |
| Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care | $89 | $197 | $289 |
| Annual wellness visit initial HCPCS G0438 • Preventive Care | $158 | $198 | $251 |
| Annual wellness visit subsequent HCPCS G0439 • Preventive Care | $104 | $152 | $203 |
| Bronchoscopy diagnostic CPT 31622 • Pulmonology | $186 | $280 | $367 |
| Bronchoscopy with brushing CPT 31623 • Pulmonology | $190 | $308 | $406 |
| Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology | $106 | $270 | $406 |
| Bronchoscopy with biopsy CPT 31625 • Pulmonology | $123 | $451 | $969 |
| Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology | $245 | $382 | $551 |
| Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology | $274 | $1,106 | $1,931 |
| Ventilation assist and management initiation CPT 94002 • Pulmonology | $91 | $121 | $170 |
| Spirometry CPT 94010 • Pulmonology | $11 | $24 | $39 |
| Spirometry before and after bronchodilator CPT 94060 • Pulmonology | $15 | $33 | $82 |
| Bronchospasm provocation evaluation CPT 94070 • Pulmonology | $28 | $55 | $90 |
| Respiratory flow volume loop CPT 94375 • Pulmonology | $17 | $27 | $37 |
| Cardiopulmonary exercise test CPT 94621 • Pulmonology | $102 | $124 | $150 |
| Nebulizer inhalation treatment CPT 94640 • Pulmonology | $13 | $23 | $29 |
| Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology | $21 | $23 | $25 |
| Plethysmography lung volumes CPT 94726 • Pulmonology | $48 | $59 | $77 |
| Gas dilution lung volumes CPT 94727 • Pulmonology | $34 | $50 | $68 |
| Diffusing capacity (DLCO) CPT 94729 • Pulmonology | $9 | $54 | $85 |
| Pulse oximetry single measurement CPT 94760 • Pulmonology | $1 | $3 | $4 |
| Pulse oximetry continuous overnight CPT 94762 • Pulmonology | $11 | $29 | $37 |
| Radiation therapy planning simple CPT 77261 • Radiation Therapy | $69 | $96 | $130 |
| Radiation therapy planning intermediate CPT 77262 • Radiation Therapy | $105 | $164 | $294 |
| Radiation therapy planning complex CPT 77263 • Radiation Therapy | $188 | $274 | $462 |
| Radiation therapy simulation simple CPT 77280 • Radiation Therapy | $43 | $136 | $384 |
| Radiation therapy simulation complex CPT 77290 • Radiation Therapy | $366 | $648 | $1,048 |
| 3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy | $335 | $1,000 | $1,531 |
| Radiation therapy dose calculation CPT 77300 • Radiation Therapy | $37 | $67 | $95 |