DLP HARRIS REGIONAL HOSPITAL LLC· SYLVA, NC
HospitalCMS 3/5
68 HOSPITAL RD, SYLVA, NC 28779
Procedures offered
946 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care | $20 | $22 | $26 |
| MMR vaccine CPT 90707 • Preventive Care | $97 | $111 | $123 |
| Tdap vaccine age 7 years or older CPT 90715 • Preventive Care | $45 | $49 | $55 |
| Varicella vaccine CPT 90716 • Preventive Care | $187 | $212 | $241 |
| Pneumococcal vaccine adult CPT 90732 • Preventive Care | $119 | $123 | $133 |
| Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care | $224 | $247 | $270 |
| Preventive visit new patient infant CPT 99381 • Preventive Care | $78 | $119 | $159 |
| Preventive visit new patient age 1-4 CPT 99382 • Preventive Care | $85 | $126 | $167 |
| Preventive visit new patient age 5-11 CPT 99383 • Preventive Care | $63 | $124 | $174 |
| Preventive visit new patient age 12-17 CPT 99384 • Preventive Care | $100 | $154 | $197 |
| Preventive visit new patient age 18-39 CPT 99385 • Preventive Care | $100 | $151 | $191 |
| Preventive visit new patient age 40-64 CPT 99386 • Preventive Care | $123 | $236 | $380 |
| Preventive visit new patient age 65+ CPT 99387 • Preventive Care | $134 | $195 | $240 |
| Preventive visit established patient infant CPT 99391 • Preventive Care | $52 | $111 | $152 |
| Preventive visit established patient age 1-4 CPT 99392 • Preventive Care | $55 | $120 | $166 |
| Preventive visit established patient age 5-11 CPT 99393 • Preventive Care | $55 | $108 | $153 |
| Preventive visit established patient age 12-17 CPT 99394 • Preventive Care | $83 | $113 | $165 |
| Preventive visit established patient age 18-39 CPT 99395 • Preventive Care | $89 | $175 | $271 |
| Preventive visit established patient age 40-64 CPT 99396 • Preventive Care | $70 | $132 | $184 |
| Preventive visit established patient age 65+ CPT 99397 • Preventive Care | $112 | $143 | $194 |
| Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care | $22 | $32 | $52 |
| Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care | $54 | $756 | $2,723 |
| Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care | $252 | $841 | $2,723 |
| Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care | $197 | $818 | $2,723 |
| Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care | $89 | $149 | $227 |
| Annual wellness visit initial HCPCS G0438 • Preventive Care | $158 | $293 | $585 |
| Annual wellness visit subsequent HCPCS G0439 • Preventive Care | $106 | $148 | $174 |
| Bronchoscopy diagnostic CPT 31622 • Pulmonology | $137 | $1,041 | $4,824 |
| Bronchoscopy with brushing CPT 31623 • Pulmonology | $190 | $1,307 | $4,824 |
| Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology | $138 | $1,103 | $4,824 |
| Bronchoscopy with biopsy CPT 31625 • Pulmonology | $160 | $1,076 | $4,824 |
| Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology | $245 | $1,381 | $4,824 |
| Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology | $274 | $2,911 | $10,502 |
| Ventilation assist and management initiation CPT 94002 • Pulmonology | $96 | $107 | $134 |
| Spirometry CPT 94010 • Pulmonology | $11 | $29 | $49 |
| Spirometry before and after bronchodilator CPT 94060 • Pulmonology | $10 | $44 | $82 |
| Bronchospasm provocation evaluation CPT 94070 • Pulmonology | $38 | $61 | $82 |
| Respiratory flow volume loop CPT 94375 • Pulmonology | $13 | $41 | $64 |
| Cardiopulmonary exercise test CPT 94621 • Pulmonology | $98 | $144 | $224 |
| Nebulizer inhalation treatment CPT 94640 • Pulmonology | $9 | $24 | $36 |
| Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology | $19 | $24 | $36 |
| Plethysmography lung volumes CPT 94726 • Pulmonology | $47 | $60 | $71 |
| Gas dilution lung volumes CPT 94727 • Pulmonology | $35 | $47 | $57 |
| Diffusing capacity (DLCO) CPT 94729 • Pulmonology | $52 | $63 | $73 |
| Pulse oximetry single measurement CPT 94760 • Pulmonology | $1 | $3 | $4 |
| Pulse oximetry continuous overnight CPT 94762 • Pulmonology | $11 | $26 | $32 |
| Radiation therapy planning simple CPT 77261 • Radiation Therapy | $68 | $96 | $120 |
| Radiation therapy planning intermediate CPT 77262 • Radiation Therapy | $106 | $146 | $178 |
| Radiation therapy planning complex CPT 77263 • Radiation Therapy | $164 | $273 | $479 |
| Radiation therapy simulation simple CPT 77280 • Radiation Therapy | $43 | $332 | $671 |