MOORESVILLE HOSPITAL MANAGEMENT ASSOCIATES LLC· MOORESVILLE, NC
ProviderCMS 2/5
171 FAIRVIEW RD, MOORESVILLE, NC 28117
Procedures offered
948 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Radiation therapy planning complex CPT 77263 • Radiation Therapy | $164 | $231 | $342 |
| Radiation therapy simulation simple CPT 77280 • Radiation Therapy | $43 | $284 | $552 |
| Radiation therapy simulation complex CPT 77290 • Radiation Therapy | $366 | $574 | $917 |
| 3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy | $457 | $787 | $1,445 |
| Radiation therapy dose calculation CPT 77300 • Radiation Therapy | $62 | $65 | $69 |
| IMRT radiation therapy plan CPT 77301 • Radiation Therapy | $498 | $2,639 | $5,672 |
| Radiation treatment device design complex CPT 77334 • Radiation Therapy | $75 | $194 | $386 |
| Radiation physics consultation CPT 77336 • Radiation Therapy | $77 | $159 | $274 |
| Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy | $1,058 | $1,429 | $2,147 |
| Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy | $964 | $1,852 | $3,058 |
| IMRT delivery simple CPT 77385 • Radiation Therapy | $392 | $392 | $392 |
| IMRT delivery complex CPT 77386 • Radiation Therapy | $393 | $616 | $839 |
| Radiation treatment delivery superficial CPT 77407 • Radiation Therapy | $88 | $215 | $384 |
| Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy | $98 | $260 | $454 |
| Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy | $186 | $256 | $389 |
| Radiation therapy management complete course CPT 77431 • Radiation Therapy | $104 | $145 | $220 |
| Proton beam treatment simple CPT 77520 • Radiation Therapy | $831 | $886 | $920 |
| Proton beam treatment complex CPT 77523 • Radiation Therapy | $968 | $1,449 | $2,405 |
| Polysomnography under age 6 CPT 95782 • Sleep Medicine | $1,174 | $1,402 | $1,759 |
| Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine | $158 | $588 | $1,335 |
| Sleep study unattended CPT 95800 • Sleep Medicine | $40 | $102 | $223 |
| Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine | $58 | $85 | $114 |
| Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine | $530 | $662 | $885 |
| Polysomnography age 6 or older CPT 95810 • Sleep Medicine | $237 | $538 | $776 |
| Polysomnography with CPAP titration CPT 95811 • Sleep Medicine | $474 | $757 | $1,090 |
| CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine | $122 | $165 | $207 |
| Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine | $227 | $883 | $1,829 |
| CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine | $70 | $191 | $498 |
| Laparoscopic partial nephrectomy CPT 50543 • Urology | $1,310 | $8,505 | $17,644 |
| Laparoscopic radical nephrectomy CPT 50545 • Urology | $1,576 | $3,730 | $6,280 |
| Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology | $662 | $7,672 | $17,644 |
| Complex uroflowmetry CPT 51741 • Urology | $23 | $259 | $723 |
| Post-void residual urine measurement CPT 51798 • Urology | $18 | $251 | $723 |
| Cystourethroscopy diagnostic CPT 52000 • Urology | $85 | $871 | $2,329 |
| Cystourethroscopy with tumor fulguration small CPT 52234 • Urology | $299 | $3,469 | $8,409 |
| Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology | $352 | $3,547 | $8,409 |
| Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology | $255 | $2,686 | $6,280 |
| Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology | $148 | $2,983 | $8,409 |
| Cystourethroscopy with lithotripsy CPT 52353 • Urology | $497 | $6,436 | $15,715 |
| TURP transurethral resection of prostate CPT 52601 • Urology | $834 | $6,842 | $15,715 |
| Laser vaporization of prostate CPT 52648 • Urology | $595 | $7,209 | $15,715 |
| Circumcision CPT 54150 • Urology | $104 | $2,858 | $8,409 |
| Orchiectomy simple CPT 54520 • Urology | $399 | $4,171 | $11,943 |
| Orchiectomy radical inguinal CPT 54530 • Urology | $167 | $4,963 | $11,943 |
| Vasectomy CPT 55250 • Urology | $208 | $2,978 | $8,409 |
| Prostate biopsy needle or punch CPT 55700 • Urology | $109 | $226 | $344 |
| Radical prostatectomy retropubic CPT 55840 • Urology | $1,606 | $3,616 | $6,280 |
| Laparoscopic radical prostatectomy CPT 55866 • Urology | $388 | $7,729 | $21,179 |