STANLY REGIONAL MEDICAL CENTER· ALBEMARLE, NC

HospitalCMS 3/5

301 YADKIN ST, ALBEMARLE, NC 28001

Procedures offered

943 total

ProcedureMinAvgMax
IMRT radiation therapy plan
CPT 77301 • Radiation Therapy
$498$1,362$2,624
Radiation treatment device design complex
CPT 77334 • Radiation Therapy
$71$103$180
Radiation physics consultation
CPT 77336 • Radiation Therapy
$90$107$126
Stereotactic radiosurgery (SRS) cranial
CPT 77371 • Radiation Therapy
$890$1,342$2,124
Stereotactic body radiation therapy (SBRT)
CPT 77373 • Radiation Therapy
$1,294$1,454$1,533
IMRT delivery simple
CPT 77385 • Radiation Therapy
$373$382$392
IMRT delivery complex
CPT 77386 • Radiation Therapy
$393$557$839
Radiation treatment delivery superficial
CPT 77407 • Radiation Therapy
$88$227$428
Radiation treatment delivery 3 or more MeV
CPT 77412 • Radiation Therapy
$30$288$632
Radiation treatment management 5 treatments
CPT 77427 • Radiation Therapy
$193$306$538
Radiation therapy management complete course
CPT 77431 • Radiation Therapy
$110$163$242
Proton beam treatment simple
CPT 77520 • Radiation Therapy
$701$1,053$1,371
Proton beam treatment complex
CPT 77523 • Radiation Therapy
$816$1,094$1,588
Polysomnography under age 6
CPT 95782 • Sleep Medicine
$126$875$1,259
Polysomnography under age 6 with CPAP
CPT 95783 • Sleep Medicine
$137$832$2,035
Sleep study unattended
CPT 95800 • Sleep Medicine
$72$129$208
Sleep study unattended minimum 3 channels
CPT 95801 • Sleep Medicine
$44$60$74
Multiple sleep latency test (MSLT)
CPT 95805 • Sleep Medicine
$433$536$601
Polysomnography age 6 or older
CPT 95810 • Sleep Medicine
$143$471$884
Polysomnography with CPAP titration
CPT 95811 • Sleep Medicine
$150$624$925
CPAP combination oral/nasal mask
HCPCS A7027 • Sleep Medicine
$110$143$179
Respiratory assist device BiPAP without backup
HCPCS E0470 • Sleep Medicine
$115$598$1,057
CPAP device continuous positive airway pressure
HCPCS E0601 • Sleep Medicine
$44$164$393
Laparoscopic partial nephrectomy
CPT 50543 • Urology
$1,310$1,713$2,295
Laparoscopic radical nephrectomy
CPT 50545 • Urology
$311$1,234$1,770
Lithotripsy extracorporeal shock wave (ESWL)
CPT 50590 • Urology
$587$757$1,094
Complex uroflowmetry
CPT 51741 • Urology
$17$88$240
Post-void residual urine measurement
CPT 51798 • Urology
$11$20$36
Cystourethroscopy diagnostic
CPT 52000 • Urology
$132$319$617
Cystourethroscopy with tumor fulguration small
CPT 52234 • Urology
$299$424$730
Cystourethroscopy with tumor fulguration medium
CPT 52235 • Urology
$275$326$381
Cystourethroscopy with dilation of ureteral stricture
CPT 52260 • Urology
$236$290$344
Cystourethroscopy with ureteral stent insertion
CPT 52332 • Urology
$148$594$1,358
Cystourethroscopy with lithotripsy
CPT 52353 • Urology
$466$500$518
TURP transurethral resection of prostate
CPT 52601 • Urology
$834$967$1,191
Laser vaporization of prostate
CPT 52648 • Urology
$595$2,411$4,341
Circumcision
CPT 54150 • Urology
$79$192$274
Orchiectomy simple
CPT 54520 • Urology
$399$492$607
Orchiectomy radical inguinal
CPT 54530 • Urology
$489$787$1,249
Vasectomy
CPT 55250 • Urology
$291$564$929
Prostate biopsy needle or punch
CPT 55700 • Urology
$109$281$372
Radical prostatectomy retropubic
CPT 55840 • Urology
$272$1,272$1,807
Laparoscopic radical prostatectomy
CPT 55866 • Urology
$1,576$2,368$3,472