THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY· MONROE, NC

ProviderCMS 3/5

600 HOSPITAL DR, MONROE, NC 28112

Procedures offered

968 total

ProcedureMinAvgMax
Bronchoscopy with brushing
CPT 31623 • Pulmonology
$167$420$1,059
Bronchoscopy with bronchial alveolar lavage
CPT 31624 • Pulmonology
$58$307$493
Bronchoscopy with biopsy
CPT 31625 • Pulmonology
$89$506$1,074
Bronchoscopy with transbronchial lung biopsy
CPT 31628 • Pulmonology
$123$578$1,211
Bronchoscopy with endobronchial ultrasound biopsy
CPT 31652 • Pulmonology
$202$1,067$2,012
Ventilation assist and management initiation
CPT 94002 • Pulmonology
$72$135$236
Spirometry
CPT 94010 • Pulmonology
$11$41$66
Spirometry before and after bronchodilator
CPT 94060 • Pulmonology
$10$65$147
Bronchospasm provocation evaluation
CPT 94070 • Pulmonology
$20$69$147
Respiratory flow volume loop
CPT 94375 • Pulmonology
$15$34$52
Cardiopulmonary exercise test
CPT 94621 • Pulmonology
$54$141$225
Nebulizer inhalation treatment
CPT 94640 • Pulmonology
$8$29$58
Aerosol or vapor inhalation initial demonstration
CPT 94664 • Pulmonology
$14$32$58
Plethysmography lung volumes
CPT 94726 • Pulmonology
$9$60$128
Gas dilution lung volumes
CPT 94727 • Pulmonology
$9$42$71
Diffusing capacity (DLCO)
CPT 94729 • Pulmonology
$8$61$107
Pulse oximetry single measurement
CPT 94760 • Pulmonology
$1$4$7
Pulse oximetry continuous overnight
CPT 94762 • Pulmonology
$11$34$59
Radiation therapy planning simple
CPT 77261 • Radiation Therapy
$54$113$193
Radiation therapy planning intermediate
CPT 77262 • Radiation Therapy
$88$193$289
Radiation therapy planning complex
CPT 77263 • Radiation Therapy
$129$284$427
Radiation therapy simulation simple
CPT 77280 • Radiation Therapy
$43$230$580
Radiation therapy simulation complex
CPT 77290 • Radiation Therapy
$76$448$1,051
3-dimensional radiation therapy plan
CPT 77295 • Radiation Therapy
$249$756$1,445
Radiation therapy dose calculation
CPT 77300 • Radiation Therapy
$37$91$170
IMRT radiation therapy plan
CPT 77301 • Radiation Therapy
$498$2,561$4,877
Radiation treatment device design complex
CPT 77334 • Radiation Therapy
$67$128$226
Radiation physics consultation
CPT 77336 • Radiation Therapy
$64$116$184
Stereotactic radiosurgery (SRS) cranial
CPT 77371 • Radiation Therapy
$890$1,709$3,113
Stereotactic body radiation therapy (SBRT)
CPT 77373 • Radiation Therapy
$1,025$1,940$3,086
IMRT delivery simple
CPT 77385 • Radiation Therapy
$304$662$976
IMRT delivery complex
CPT 77386 • Radiation Therapy
$305$699$978
Radiation treatment delivery superficial
CPT 77407 • Radiation Therapy
$88$314$627
Radiation treatment delivery 3 or more MeV
CPT 77412 • Radiation Therapy
$98$299$595
Radiation treatment management 5 treatments
CPT 77427 • Radiation Therapy
$145$320$500
Radiation therapy management complete course
CPT 77431 • Radiation Therapy
$80$167$262
Proton beam treatment simple
CPT 77520 • Radiation Therapy
$130$1,204$2,062
Proton beam treatment complex
CPT 77523 • Radiation Therapy
$153$1,520$2,227
Polysomnography under age 6
CPT 95782 • Sleep Medicine
$122$1,271$2,458
Polysomnography under age 6 with CPAP
CPT 95783 • Sleep Medicine
$158$1,115$2,260
Sleep study unattended
CPT 95800 • Sleep Medicine
$39$185$434
Sleep study unattended minimum 3 channels
CPT 95801 • Sleep Medicine
$75$138$233
Multiple sleep latency test (MSLT)
CPT 95805 • Sleep Medicine
$52$358$864
Polysomnography age 6 or older
CPT 95810 • Sleep Medicine
$516$951$1,493
Polysomnography with CPAP titration
CPT 95811 • Sleep Medicine
$124$710$1,244
CPAP combination oral/nasal mask
HCPCS A7027 • Sleep Medicine
$117$200$323
Respiratory assist device BiPAP without backup
HCPCS E0470 • Sleep Medicine
$128$814$1,525
CPAP device continuous positive airway pressure
HCPCS E0601 • Sleep Medicine
$55$333$1,180
Laparoscopic partial nephrectomy
CPT 50543 • Urology
$1,184$2,474$4,878
Laparoscopic radical nephrectomy
CPT 50545 • Urology
$1,067$2,308$4,399