DLP WILSON MEDICAL CENTER LLC· WILSON, NC
HospitalCMS 2/5
1705 TARBORO ST SW, WILSON, NC 27893
Procedures offered
967 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Bronchoscopy with biopsy CPT 31625 • Pulmonology | $123 | $1,699 | $6,982 |
| Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology | $297 | $1,765 | $6,982 |
| Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology | $274 | $3,526 | $15,352 |
| Ventilation assist and management initiation CPT 94002 • Pulmonology | $90 | $121 | $142 |
| Spirometry CPT 94010 • Pulmonology | $26 | $47 | $69 |
| Spirometry before and after bronchodilator CPT 94060 • Pulmonology | $45 | $64 | $79 |
| Bronchospasm provocation evaluation CPT 94070 • Pulmonology | $24 | $56 | $99 |
| Respiratory flow volume loop CPT 94375 • Pulmonology | $37 | $46 | $60 |
| Pulmonary stress test simple CPT 94620 • Pulmonology | $42 | $42 | $42 |
| Cardiopulmonary exercise test CPT 94621 • Pulmonology | $106 | $162 | $252 |
| Nebulizer inhalation treatment CPT 94640 • Pulmonology | $12 | $32 | $65 |
| Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology | $22 | $37 | $65 |
| Plethysmography lung volumes CPT 94726 • Pulmonology | $48 | $61 | $69 |
| Gas dilution lung volumes CPT 94727 • Pulmonology | $18 | $38 | $53 |
| Diffusing capacity (DLCO) CPT 94729 • Pulmonology | $17 | $64 | $96 |
| Pulse oximetry single measurement CPT 94760 • Pulmonology | $0 | $2 | $4 |
| Pulse oximetry continuous overnight CPT 94762 • Pulmonology | $24 | $34 | $41 |
| Radiation therapy planning simple CPT 77261 • Radiation Therapy | $74 | $103 | $135 |
| Radiation therapy planning intermediate CPT 77262 • Radiation Therapy | $127 | $151 | $171 |
| Radiation therapy planning complex CPT 77263 • Radiation Therapy | $161 | $211 | $260 |
| Radiation therapy simulation simple CPT 77280 • Radiation Therapy | $65 | $333 | $621 |
| Radiation therapy simulation complex CPT 77290 • Radiation Therapy | $407 | $651 | $833 |
| 3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy | $253 | $763 | $1,108 |
| Radiation therapy dose calculation CPT 77300 • Radiation Therapy | $83 | $104 | $126 |
| IMRT radiation therapy plan CPT 77301 • Radiation Therapy | $741 | $1,956 | $3,079 |
| Radiation treatment device design complex CPT 77334 • Radiation Therapy | $101 | $158 | $202 |
| Radiation physics consultation CPT 77336 • Radiation Therapy | $96 | $108 | $137 |
| Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy | $1,191 | $1,905 | $2,416 |
| Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy | $1,294 | $1,684 | $2,293 |
| IMRT delivery simple CPT 77385 • Radiation Therapy | $373 | $382 | $392 |
| IMRT delivery complex CPT 77386 • Radiation Therapy | $393 | $530 | $667 |
| Radiation treatment delivery superficial CPT 77407 • Radiation Therapy | $118 | $299 | $497 |
| Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy | $30 | $270 | $511 |
| Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy | $188 | $284 | $438 |
| Radiation therapy management complete course CPT 77431 • Radiation Therapy | $98 | $156 | $247 |
| Proton beam treatment simple CPT 77520 • Radiation Therapy | $274 | $888 | $1,414 |
| Proton beam treatment complex CPT 77523 • Radiation Therapy | $974 | $1,417 | $2,495 |
| Polysomnography under age 6 CPT 95782 • Sleep Medicine | $718 | $1,148 | $1,546 |
| Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine | $158 | $1,225 | $2,111 |
| Sleep study unattended CPT 95800 • Sleep Medicine | $63 | $163 | $248 |
| Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine | $44 | $72 | $122 |
| Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine | $66 | $379 | $701 |
| Polysomnography age 6 or older CPT 95810 • Sleep Medicine | $136 | $891 | $1,569 |
| Polysomnography with CPAP titration CPT 95811 • Sleep Medicine | $627 | $965 | $1,250 |
| CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine | $103 | $132 | $197 |
| Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine | $1,052 | $1,354 | $2,124 |
| CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine | $40 | $382 | $925 |
| Laparoscopic partial nephrectomy CPT 50543 • Urology | $317 | $9,330 | $39,452 |
| Laparoscopic radical nephrectomy CPT 50545 • Urology | $1,278 | $2,535 | $6,982 |
| Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology | $911 | $8,745 | $39,452 |