COLUMBUS REGIONAL HEALTHCARE SYSTEM· WHITEVILLE, NC
HospitalCMS 1/5
500 JEFFERSON ST, WHITEVILLE, NC 28472
Procedures offered
943 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Pneumococcal vaccine adult CPT 90732 • Preventive Care | $117 | $148 | $234 |
| Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care | $216 | $243 | $311 |
| Genetic counseling 30 minutes CPT 96040 • Preventive Care | $140 | $140 | $140 |
| Preventive visit new patient infant CPT 99381 • Preventive Care | $77 | $87 | $99 |
| Preventive visit new patient age 1-4 CPT 99382 • Preventive Care | $89 | $112 | $145 |
| Preventive visit new patient age 5-11 CPT 99383 • Preventive Care | $87 | $129 | $174 |
| Preventive visit new patient age 12-17 CPT 99384 • Preventive Care | $96 | $112 | $134 |
| Preventive visit new patient age 18-39 CPT 99385 • Preventive Care | $94 | $110 | $130 |
| Preventive visit new patient age 40-64 CPT 99386 • Preventive Care | $105 | $120 | $133 |
| Preventive visit new patient age 65+ CPT 99387 • Preventive Care | $134 | $152 | $165 |
| Preventive visit established patient infant CPT 99391 • Preventive Care | $67 | $83 | $98 |
| Preventive visit established patient age 1-4 CPT 99392 • Preventive Care | $78 | $93 | $104 |
| Preventive visit established patient age 5-11 CPT 99393 • Preventive Care | $77 | $95 | $133 |
| Preventive visit established patient age 12-17 CPT 99394 • Preventive Care | $85 | $97 | $114 |
| Preventive visit established patient age 18-39 CPT 99395 • Preventive Care | $84 | $98 | $117 |
| Preventive visit established patient age 40-64 CPT 99396 • Preventive Care | $97 | $105 | $111 |
| Preventive visit established patient age 65+ CPT 99397 • Preventive Care | $102 | $116 | $132 |
| Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care | $22 | $36 | $49 |
| Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care | $54 | $121 | $169 |
| Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care | $295 | $329 | $388 |
| Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care | $186 | $282 | $384 |
| Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care | $89 | $166 | $236 |
| Annual wellness visit initial HCPCS G0438 • Preventive Care | $149 | $202 | $308 |
| Annual wellness visit subsequent HCPCS G0439 • Preventive Care | $106 | $152 | $244 |
| Bronchoscopy diagnostic CPT 31622 • Pulmonology | $186 | $254 | $379 |
| Bronchoscopy with brushing CPT 31623 • Pulmonology | $190 | $270 | $399 |
| Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology | $115 | $207 | $247 |
| Bronchoscopy with biopsy CPT 31625 • Pulmonology | $157 | $228 | $341 |
| Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology | $157 | $250 | $363 |
| Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology | $231 | $641 | $1,253 |
| Ventilation assist and management initiation CPT 94002 • Pulmonology | $75 | $103 | $162 |
| Spirometry CPT 94010 • Pulmonology | $11 | $28 | $53 |
| Spirometry before and after bronchodilator CPT 94060 • Pulmonology | $13 | $32 | $77 |
| Bronchospasm provocation evaluation CPT 94070 • Pulmonology | $29 | $56 | $122 |
| Respiratory flow volume loop CPT 94375 • Pulmonology | $15 | $36 | $76 |
| Cardiopulmonary exercise test CPT 94621 • Pulmonology | $73 | $156 | $300 |
| Nebulizer inhalation treatment CPT 94640 • Pulmonology | $10 | $17 | $29 |
| Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology | $14 | $21 | $36 |
| Plethysmography lung volumes CPT 94726 • Pulmonology | $12 | $55 | $112 |
| Gas dilution lung volumes CPT 94727 • Pulmonology | $35 | $51 | $88 |
| Diffusing capacity (DLCO) CPT 94729 • Pulmonology | $9 | $58 | $111 |
| Pulse oximetry single measurement CPT 94760 • Pulmonology | $1 | $3 | $7 |
| Pulse oximetry continuous overnight CPT 94762 • Pulmonology | $11 | $26 | $50 |
| Radiation therapy planning simple CPT 77261 • Radiation Therapy | $62 | $93 | $130 |
| Radiation therapy planning intermediate CPT 77262 • Radiation Therapy | $94 | $129 | $201 |
| Radiation therapy planning complex CPT 77263 • Radiation Therapy | $147 | $206 | $311 |
| Radiation therapy simulation simple CPT 77280 • Radiation Therapy | $37 | $224 | $536 |
| Radiation therapy simulation complex CPT 77290 • Radiation Therapy | $83 | $428 | $878 |
| 3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy | $219 | $653 | $1,445 |
| Radiation therapy dose calculation CPT 77300 • Radiation Therapy | $32 | $58 | $130 |