THE CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY· CHARLOTTE, NC

ProviderCMS 3/5

8800 N TRYON ST, CHARLOTTE, NC 28262

Procedures offered

966 total

ProcedureMinAvgMax
Bronchoscopy with biopsy
CPT 31625 • Pulmonology
$177$661$1,074
Bronchoscopy with transbronchial lung biopsy
CPT 31628 • Pulmonology
$245$753$1,211
Bronchoscopy with endobronchial ultrasound biopsy
CPT 31652 • Pulmonology
$357$1,568$2,893
Ventilation assist and management initiation
CPT 94002 • Pulmonology
$75$163$236
Spirometry
CPT 94010 • Pulmonology
$9$42$71
Spirometry before and after bronchodilator
CPT 94060 • Pulmonology
$19$43$76
Bronchospasm provocation evaluation
CPT 94070 • Pulmonology
$42$93$147
Respiratory flow volume loop
CPT 94375 • Pulmonology
$19$47$96
Cardiopulmonary exercise test
CPT 94621 • Pulmonology
$74$208$399
Nebulizer inhalation treatment
CPT 94640 • Pulmonology
$12$27$43
Aerosol or vapor inhalation initial demonstration
CPT 94664 • Pulmonology
$14$30$47
Plethysmography lung volumes
CPT 94726 • Pulmonology
$12$70$128
Gas dilution lung volumes
CPT 94727 • Pulmonology
$31$53$87
Diffusing capacity (DLCO)
CPT 94729 • Pulmonology
$22$69$107
Pulse oximetry single measurement
CPT 94760 • Pulmonology
$1$5$9
Pulse oximetry continuous overnight
CPT 94762 • Pulmonology
$11$40$64
Radiation therapy planning simple
CPT 77261 • Radiation Therapy
$80$137$193
Radiation therapy planning intermediate
CPT 77262 • Radiation Therapy
$120$206$289
Radiation therapy planning complex
CPT 77263 • Radiation Therapy
$178$311$429
Radiation therapy simulation simple
CPT 77280 • Radiation Therapy
$43$220$580
Radiation therapy simulation complex
CPT 77290 • Radiation Therapy
$366$767$1,260
3-dimensional radiation therapy plan
CPT 77295 • Radiation Therapy
$256$793$1,445
Radiation therapy dose calculation
CPT 77300 • Radiation Therapy
$37$74$90
IMRT radiation therapy plan
CPT 77301 • Radiation Therapy
$498$2,465$4,877
Radiation treatment device design complex
CPT 77334 • Radiation Therapy
$69$194$378
Radiation physics consultation
CPT 77336 • Radiation Therapy
$45$146$238
Stereotactic radiosurgery (SRS) cranial
CPT 77371 • Radiation Therapy
$1,083$1,950$3,113
Stereotactic body radiation therapy (SBRT)
CPT 77373 • Radiation Therapy
$1,213$2,239$3,086
IMRT delivery simple
CPT 77385 • Radiation Therapy
$392$782$976
IMRT delivery complex
CPT 77386 • Radiation Therapy
$393$797$978
Radiation treatment delivery superficial
CPT 77407 • Radiation Therapy
$88$363$627
Radiation treatment delivery 3 or more MeV
CPT 77412 • Radiation Therapy
$98$370$595
Radiation treatment management 5 treatments
CPT 77427 • Radiation Therapy
$193$362$489
Radiation therapy management complete course
CPT 77431 • Radiation Therapy
$89$193$276
Proton beam treatment simple
CPT 77520 • Radiation Therapy
$89$1,625$2,297
Proton beam treatment complex
CPT 77523 • Radiation Therapy
$157$1,775$2,638
Polysomnography under age 6
CPT 95782 • Sleep Medicine
$304$1,405$2,458
Polysomnography under age 6 with CPAP
CPT 95783 • Sleep Medicine
$133$1,076$2,260
Sleep study unattended
CPT 95800 • Sleep Medicine
$93$211$434
Sleep study unattended minimum 3 channels
CPT 95801 • Sleep Medicine
$122$198$251
Multiple sleep latency test (MSLT)
CPT 95805 • Sleep Medicine
$151$456$999
Polysomnography age 6 or older
CPT 95810 • Sleep Medicine
$119$753$1,493
Polysomnography with CPAP titration
CPT 95811 • Sleep Medicine
$304$710$1,566
CPAP combination oral/nasal mask
HCPCS A7027 • Sleep Medicine
$121$242$381
Respiratory assist device BiPAP without backup
HCPCS E0470 • Sleep Medicine
$128$806$1,525
CPAP device continuous positive airway pressure
HCPCS E0601 • Sleep Medicine
$55$296$886
Laparoscopic partial nephrectomy
CPT 50543 • Urology
$1,310$3,148$4,878
Laparoscopic radical nephrectomy
CPT 50545 • Urology
$1,461$2,807$4,399
Lithotripsy extracorporeal shock wave (ESWL)
CPT 50590 • Urology
$535$1,437$2,315
Complex uroflowmetry
CPT 51741 • Urology
$17$33$72