ATRIUM HEALTH UNIVERSITY CITY· CHARLOTTE, NC
HospitalCMS 3/5
8800 NORTH TYRON STREET, CHARLOTTE, NC 28262
Procedures offered
933 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Surgical pathology gross and micro exam level V CPT 88307 • Pathology | $94 | $303 | $743 |
| Surgical pathology gross and micro exam level VI CPT 88309 • Pathology | $131 | $333 | $754 |
| Special stain group I for microorganisms CPT 88312 • Pathology | $11 | $56 | $125 |
| Special stain group II CPT 88313 • Pathology | $8 | $38 | $89 |
| Frozen section pathology first specimen CPT 88331 • Pathology | $27 | $102 | $258 |
| Frozen section pathology each additional CPT 88332 • Pathology | $8 | $38 | $75 |
| Immunohistochemistry each antibody CPT 88341 • Pathology | $26 | $71 | $98 |
| Immunohistochemistry first antibody CPT 88342 • Pathology | $16 | $57 | $113 |
| Morphometric analysis tumor quantitative CPT 88360 • Pathology | $51 | $126 | $308 |
| Microdissection manual CPT 88381 • Pathology | $52 | $121 | $232 |
| Hot or cold packs application CPT 97010 • Physical Therapy | $4 | $9 | $17 |
| Electrical stimulation unattended CPT 97014 • Physical Therapy | $10 | $21 | $35 |
| Vasopneumatic device therapy CPT 97016 • Physical Therapy | $11 | $22 | $42 |
| Electrical stimulation attended each 15 minutes CPT 97032 • Physical Therapy | $10 | $24 | $43 |
| Ultrasound therapy each 15 minutes CPT 97035 • Physical Therapy | $9 | $20 | $37 |
| Therapeutic exercises each 15 minutes CPT 97110 • Physical Therapy | $22 | $46 | $76 |
| Neuromuscular reeducation each 15 minutes CPT 97112 • Physical Therapy | $22 | $49 | $84 |
| Gait training each 15 minutes CPT 97116 • Physical Therapy | $22 | $43 | $76 |
| Manual therapy one or more regions each 15 min CPT 97140 • Physical Therapy | $21 | $43 | $71 |
| Group therapeutic procedures CPT 97150 • Physical Therapy | $13 | $27 | $46 |
| Physical therapy evaluation low complexity CPT 97161 • Physical Therapy | $58 | $146 | $258 |
| Physical therapy evaluation moderate complexity CPT 97162 • Physical Therapy | $58 | $146 | $258 |
| Physical therapy evaluation high complexity CPT 97163 • Physical Therapy | $58 | $146 | $258 |
| Physical therapy re-evaluation CPT 97164 • Physical Therapy | $28 | $105 | $178 |
| Therapeutic activities each 15 minutes CPT 97530 • Physical Therapy | $18 | $51 | $91 |
| Self-care/home management training each 15 min CPT 97535 • Physical Therapy | $24 | $50 | $84 |
| Wheelchair management training each 15 minutes CPT 97542 • Physical Therapy | $22 | $47 | $81 |
| Physical performance test each 15 minutes CPT 97750 • Physical Therapy | $23 | $50 | $88 |
| Orthotic management and training each 15 min CPT 97760 • Physical Therapy | $24 | $62 | $122 |
| Prosthetic training each 15 minutes CPT 97761 • Physical Therapy | $23 | $55 | $107 |
| Immunization admin first vaccine component CPT 90460 • Preventive Care | $7 | $33 | $59 |
| Immunization admin each additional component CPT 90461 • Preventive Care | $5 | $15 | $27 |
| Immunization admin injection single CPT 90471 • Preventive Care | $7 | $32 | $54 |
| Immunization admin injection each additional CPT 90472 • Preventive Care | $5 | $18 | $38 |
| HPV vaccine 9-valent CPT 90651 • Preventive Care | $314 | $430 | $668 |
| Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care | $232 | $317 | $560 |
| Rotavirus vaccine pentavalent CPT 90680 • Preventive Care | $101 | $136 | $214 |
| Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care | $21 | $28 | $49 |
| MMR vaccine CPT 90707 • Preventive Care | $97 | $130 | $207 |
| Tdap vaccine age 7 years or older CPT 90715 • Preventive Care | $40 | $59 | $106 |
| Varicella vaccine CPT 90716 • Preventive Care | $187 | $253 | $397 |
| Pneumococcal vaccine adult CPT 90732 • Preventive Care | $120 | $157 | $254 |
| Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care | $220 | $293 | $468 |
| Preventive visit new patient infant CPT 99381 • Preventive Care | $75 | $153 | $279 |
| Preventive visit new patient age 1-4 CPT 99382 • Preventive Care | $89 | $169 | $292 |
| Preventive visit new patient age 5-11 CPT 99383 • Preventive Care | $89 | $161 | $303 |
| Preventive visit new patient age 12-17 CPT 99384 • Preventive Care | $100 | $195 | $340 |
| Preventive visit new patient age 18-39 CPT 99385 • Preventive Care | $100 | $190 | $330 |
| Preventive visit new patient age 40-64 CPT 99386 • Preventive Care | $123 | $209 | $380 |
| Preventive visit new patient age 65+ CPT 99387 • Preventive Care | $114 | $219 | $413 |