ATRIUM HEALTH UNIVERSITY CITY· CHARLOTTE, NC
HospitalCMS 3/5
8800 NORTH TYRON STREET, CHARLOTTE, NC 28262
Procedures offered
933 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Preventive visit established patient infant CPT 99391 • Preventive Care | $67 | $129 | $250 |
| Preventive visit established patient age 1-4 CPT 99392 • Preventive Care | $78 | $151 | $266 |
| Preventive visit established patient age 5-11 CPT 99393 • Preventive Care | $78 | $140 | $266 |
| Preventive visit established patient age 12-17 CPT 99394 • Preventive Care | $85 | $156 | $290 |
| Preventive visit established patient age 18-39 CPT 99395 • Preventive Care | $89 | $169 | $298 |
| Preventive visit established patient age 40-64 CPT 99396 • Preventive Care | $100 | $185 | $317 |
| Preventive visit established patient age 65+ CPT 99397 • Preventive Care | $96 | $185 | $342 |
| Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care | $22 | $59 | $99 |
| Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care | $54 | $270 | $493 |
| Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care | $295 | $550 | $863 |
| Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care | $197 | $618 | $1,413 |
| Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care | $89 | $217 | $421 |
| Annual wellness visit initial HCPCS G0438 • Preventive Care | $158 | $267 | $420 |
| Annual wellness visit subsequent HCPCS G0439 • Preventive Care | $106 | $191 | $331 |
| Bronchoscopy diagnostic CPT 31622 • Pulmonology | $186 | $379 | $641 |
| Bronchoscopy with brushing CPT 31623 • Pulmonology | $190 | $532 | $1,059 |
| Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology | $163 | $381 | $653 |
| Bronchoscopy with biopsy CPT 31625 • Pulmonology | $177 | $578 | $1,074 |
| Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology | $245 | $661 | $1,211 |
| Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology | $357 | $1,061 | $2,293 |
| Ventilation assist and management initiation CPT 94002 • Pulmonology | $75 | $149 | $236 |
| Spirometry CPT 94010 • Pulmonology | $9 | $37 | $71 |
| Spirometry before and after bronchodilator CPT 94060 • Pulmonology | $19 | $45 | $76 |
| Bronchospasm provocation evaluation CPT 94070 • Pulmonology | $42 | $82 | $147 |
| Respiratory flow volume loop CPT 94375 • Pulmonology | $19 | $38 | $65 |
| Cardiopulmonary exercise test CPT 94621 • Pulmonology | $74 | $215 | $399 |
| Nebulizer inhalation treatment CPT 94640 • Pulmonology | $12 | $24 | $43 |
| Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology | $14 | $28 | $47 |
| Plethysmography lung volumes CPT 94726 • Pulmonology | $12 | $58 | $128 |
| Gas dilution lung volumes CPT 94727 • Pulmonology | $38 | $57 | $87 |
| Diffusing capacity (DLCO) CPT 94729 • Pulmonology | $22 | $62 | $107 |
| Pulse oximetry single measurement CPT 94760 • Pulmonology | $1 | $5 | $9 |
| Pulse oximetry continuous overnight CPT 94762 • Pulmonology | $11 | $36 | $64 |
| Radiation therapy planning simple CPT 77261 • Radiation Therapy | $80 | $125 | $193 |
| Radiation therapy planning intermediate CPT 77262 • Radiation Therapy | $120 | $190 | $289 |
| Radiation therapy planning complex CPT 77263 • Radiation Therapy | $178 | $287 | $429 |
| Radiation therapy simulation simple CPT 77280 • Radiation Therapy | $43 | $246 | $580 |
| Radiation therapy simulation complex CPT 77290 • Radiation Therapy | $366 | $668 | $1,051 |
| 3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy | $256 | $837 | $1,445 |
| Radiation therapy dose calculation CPT 77300 • Radiation Therapy | $37 | $72 | $90 |
| IMRT radiation therapy plan CPT 77301 • Radiation Therapy | $498 | $2,744 | $4,877 |
| Radiation treatment device design complex CPT 77334 • Radiation Therapy | $69 | $158 | $326 |
| Radiation physics consultation CPT 77336 • Radiation Therapy | $45 | $138 | $238 |
| Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy | $1,083 | $1,659 | $3,113 |
| Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy | $1,213 | $2,070 | $3,086 |
| IMRT delivery simple CPT 77385 • Radiation Therapy | $392 | $684 | $976 |
| IMRT delivery complex CPT 77386 • Radiation Therapy | $393 | $737 | $978 |
| Radiation treatment delivery superficial CPT 77407 • Radiation Therapy | $88 | $297 | $627 |
| Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy | $98 | $314 | $595 |
| Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy | $193 | $339 | $489 |