CATAWBA VALLEY MEDICAL CENTER· HICKORY, NC
HospitalCMS 3/5
810 FAIRGROVE CHURCH RD, HICKORY, NC 28602
Procedures offered
944 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Varicella vaccine CPT 90716 • Preventive Care | $187 | $208 | $230 |
| Pneumococcal vaccine adult CPT 90732 • Preventive Care | $119 | $147 | $248 |
| Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care | $220 | $233 | $248 |
| Genetic counseling 30 minutes CPT 96040 • Preventive Care | $52 | $52 | $52 |
| Preventive visit new patient infant CPT 99381 • Preventive Care | $57 | $101 | $189 |
| Preventive visit new patient age 1-4 CPT 99382 • Preventive Care | $60 | $116 | $198 |
| Preventive visit new patient age 5-11 CPT 99383 • Preventive Care | $63 | $111 | $206 |
| Preventive visit new patient age 12-17 CPT 99384 • Preventive Care | $74 | $144 | $232 |
| Preventive visit new patient age 18-39 CPT 99385 • Preventive Care | $71 | $122 | $226 |
| Preventive visit new patient age 40-64 CPT 99386 • Preventive Care | $86 | $162 | $261 |
| Preventive visit new patient age 65+ CPT 99387 • Preventive Care | $95 | $171 | $283 |
| Preventive visit established patient infant CPT 99391 • Preventive Care | $52 | $87 | $169 |
| Preventive visit established patient age 1-4 CPT 99392 • Preventive Care | $55 | $105 | $181 |
| Preventive visit established patient age 5-11 CPT 99393 • Preventive Care | $55 | $101 | $181 |
| Preventive visit established patient age 12-17 CPT 99394 • Preventive Care | $63 | $119 | $198 |
| Preventive visit established patient age 18-39 CPT 99395 • Preventive Care | $65 | $115 | $204 |
| Preventive visit established patient age 40-64 CPT 99396 • Preventive Care | $70 | $129 | $217 |
| Preventive visit established patient age 65+ CPT 99397 • Preventive Care | $75 | $143 | $233 |
| Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care | $22 | $36 | $67 |
| Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care | $54 | $798 | $3,348 |
| Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care | $126 | $932 | $3,348 |
| Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care | $197 | $946 | $3,348 |
| Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care | $89 | $173 | $288 |
| Annual wellness visit initial HCPCS G0438 • Preventive Care | $150 | $206 | $288 |
| Annual wellness visit subsequent HCPCS G0439 • Preventive Care | $104 | $149 | $226 |
| Bronchoscopy diagnostic CPT 31622 • Pulmonology | $101 | $844 | $4,058 |
| Bronchoscopy with brushing CPT 31623 • Pulmonology | $120 | $887 | $4,058 |
| Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology | $114 | $843 | $4,058 |
| Bronchoscopy with biopsy CPT 31625 • Pulmonology | $160 | $1,020 | $4,058 |
| Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology | $180 | $935 | $4,058 |
| Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology | $226 | $2,227 | $9,194 |
| Ventilation assist and management initiation CPT 94002 • Pulmonology | $76 | $104 | $154 |
| Spirometry CPT 94010 • Pulmonology | $8 | $25 | $48 |
| Spirometry before and after bronchodilator CPT 94060 • Pulmonology | $10 | $35 | $65 |
| Bronchospasm provocation evaluation CPT 94070 • Pulmonology | $38 | $54 | $108 |
| Respiratory flow volume loop CPT 94375 • Pulmonology | $13 | $26 | $64 |
| Cardiopulmonary exercise test CPT 94621 • Pulmonology | $92 | $162 | $259 |
| Nebulizer inhalation treatment CPT 94640 • Pulmonology | $9 | $23 | $48 |
| Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology | $19 | $22 | $27 |
| Plethysmography lung volumes CPT 94726 • Pulmonology | $10 | $33 | $60 |
| Gas dilution lung volumes CPT 94727 • Pulmonology | $10 | $33 | $53 |
| Diffusing capacity (DLCO) CPT 94729 • Pulmonology | $51 | $65 | $93 |
| Pulse oximetry single measurement CPT 94760 • Pulmonology | $1 | $3 | $4 |
| Pulse oximetry continuous overnight CPT 94762 • Pulmonology | $11 | $27 | $40 |
| Radiation therapy planning simple CPT 77261 • Radiation Therapy | $68 | $99 | $184 |
| Radiation therapy planning intermediate CPT 77262 • Radiation Therapy | $95 | $110 | $127 |
| Radiation therapy planning complex CPT 77263 • Radiation Therapy | $149 | $196 | $300 |
| Radiation therapy simulation simple CPT 77280 • Radiation Therapy | $40 | $192 | $378 |
| Radiation therapy simulation complex CPT 77290 • Radiation Therapy | $80 | $354 | $732 |
| 3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy | $270 | $765 | $1,445 |