THE PRESBYTERIAN HOSPITAL· HUNTERSVILLE, NC

HospitalCMS 4/5

10030 GILEAD RD, HUNTERSVILLE, NC 28078

Procedures offered

937 total

ProcedureMinAvgMax
Preventive visit new patient age 12-17
CPT 99384 • Preventive Care
$141$227$308
Preventive visit new patient age 18-39
CPT 99385 • Preventive Care
$150$236$298
Preventive visit new patient age 40-64
CPT 99386 • Preventive Care
$164$271$345
Preventive visit new patient age 65+
CPT 99387 • Preventive Care
$229$304$373
Preventive visit established patient infant
CPT 99391 • Preventive Care
$96$175$225
Preventive visit established patient age 1-4
CPT 99392 • Preventive Care
$147$195$239
Preventive visit established patient age 5-11
CPT 99393 • Preventive Care
$74$171$238
Preventive visit established patient age 12-17
CPT 99394 • Preventive Care
$161$223$271
Preventive visit established patient age 18-39
CPT 99395 • Preventive Care
$135$212$267
Preventive visit established patient age 40-64
CPT 99396 • Preventive Care
$134$218$287
Preventive visit established patient age 65+
CPT 99397 • Preventive Care
$190$263$318
Cervical or vaginal cancer screening pelvic exam
HCPCS G0101 • Preventive Care
$0$52$93
Colorectal cancer screening flexible sigmoidoscopy
HCPCS G0104 • Preventive Care
$81$292$493
Colorectal cancer screening colonoscopy high risk
HCPCS G0105 • Preventive Care
$170$482$791
Colorectal cancer screening colonoscopy not high risk
HCPCS G0121 • Preventive Care
$439$539$793
Initial preventive physical exam (Welcome to Medicare)
HCPCS G0402 • Preventive Care
$168$244$338
Annual wellness visit initial
HCPCS G0438 • Preventive Care
$193$285$381
Annual wellness visit subsequent
HCPCS G0439 • Preventive Care
$154$235$299
Bronchoscopy diagnostic
CPT 31622 • Pulmonology
$361$542$626
Bronchoscopy with brushing
CPT 31623 • Pulmonology
$329$542$706
Bronchoscopy with bronchial alveolar lavage
CPT 31624 • Pulmonology
$281$454$648
Bronchoscopy with biopsy
CPT 31625 • Pulmonology
$138$647$906
Bronchoscopy with transbronchial lung biopsy
CPT 31628 • Pulmonology
$436$729$959
Bronchoscopy with endobronchial ultrasound biopsy
CPT 31652 • Pulmonology
$308$2,291$3,451
Ventilation assist and management initiation
CPT 94002 • Pulmonology
$91$162$223
Spirometry
CPT 94010 • Pulmonology
$26$48$82
Spirometry before and after bronchodilator
CPT 94060 • Pulmonology
$37$72$137
Bronchospasm provocation evaluation
CPT 94070 • Pulmonology
$39$57$70
Respiratory flow volume loop
CPT 94375 • Pulmonology
$28$59$91
Cardiopulmonary exercise test
CPT 94621 • Pulmonology
$127$150$169
Nebulizer inhalation treatment
CPT 94640 • Pulmonology
$8$22$40
Aerosol or vapor inhalation initial demonstration
CPT 94664 • Pulmonology
$16$30$42
Plethysmography lung volumes
CPT 94726 • Pulmonology
$52$79$106
Gas dilution lung volumes
CPT 94727 • Pulmonology
$17$60$101
Diffusing capacity (DLCO)
CPT 94729 • Pulmonology
$12$80$130
Pulse oximetry single measurement
CPT 94760 • Pulmonology
$0$3$6
Pulse oximetry continuous overnight
CPT 94762 • Pulmonology
$24$46$66
Radiation therapy planning simple
CPT 77261 • Radiation Therapy
$80$118$136
Radiation therapy planning intermediate
CPT 77262 • Radiation Therapy
$183$193$206
Radiation therapy planning complex
CPT 77263 • Radiation Therapy
$273$298$322
Radiation therapy simulation simple
CPT 77280 • Radiation Therapy
$42$217$480
Radiation therapy simulation complex
CPT 77290 • Radiation Therapy
$415$620$782
3-dimensional radiation therapy plan
CPT 77295 • Radiation Therapy
$517$1,087$2,111
Radiation therapy dose calculation
CPT 77300 • Radiation Therapy
$67$100$136
IMRT radiation therapy plan
CPT 77301 • Radiation Therapy
$1,618$2,608$3,498
Radiation treatment device design complex
CPT 77334 • Radiation Therapy
$68$156$305
Radiation physics consultation
CPT 77336 • Radiation Therapy
$144$162$184
Stereotactic radiosurgery (SRS) cranial
CPT 77371 • Radiation Therapy
$1,060$2,415$4,476
Stereotactic body radiation therapy (SBRT)
CPT 77373 • Radiation Therapy
$1,649$1,908$2,186
IMRT delivery simple
CPT 77385 • Radiation Therapy
$593$668$757