NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER· HUNTERSVILLE, NC
HospitalCMS 4/5
10030 GILEAD ROAD, HUNTERSVILLE, NC 28078
Procedures offered
935 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Preventive visit new patient age 40-64 CPT 99386 • Preventive Care | $164 | $253 | $327 |
| Preventive visit new patient age 65+ CPT 99387 • Preventive Care | $229 | $287 | $355 |
| Preventive visit established patient infant CPT 99391 • Preventive Care | $96 | $162 | $213 |
| Preventive visit established patient age 1-4 CPT 99392 • Preventive Care | $147 | $184 | $226 |
| Preventive visit established patient age 5-11 CPT 99393 • Preventive Care | $74 | $154 | $226 |
| Preventive visit established patient age 12-17 CPT 99394 • Preventive Care | $161 | $213 | $271 |
| Preventive visit established patient age 18-39 CPT 99395 • Preventive Care | $135 | $198 | $255 |
| Preventive visit established patient age 40-64 CPT 99396 • Preventive Care | $134 | $201 | $271 |
| Preventive visit established patient age 65+ CPT 99397 • Preventive Care | $190 | $251 | $318 |
| Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care | $0 | $50 | $93 |
| Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care | $81 | $293 | $493 |
| Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care | $170 | $472 | $791 |
| Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care | $439 | $542 | $793 |
| Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care | $168 | $241 | $338 |
| Annual wellness visit initial HCPCS G0438 • Preventive Care | $193 | $293 | $381 |
| Annual wellness visit subsequent HCPCS G0439 • Preventive Care | $154 | $244 | $299 |
| Bronchoscopy diagnostic CPT 31622 • Pulmonology | $361 | $526 | $626 |
| Bronchoscopy with brushing CPT 31623 • Pulmonology | $329 | $507 | $706 |
| Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology | $281 | $411 | $648 |
| Bronchoscopy with biopsy CPT 31625 • Pulmonology | $138 | $591 | $906 |
| Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology | $436 | $680 | $959 |
| Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology | $308 | $2,069 | $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 |
| IMRT delivery complex CPT 77386 • Radiation Therapy | $595 | $671 | $760 |
| Radiation treatment delivery superficial CPT 77407 • Radiation Therapy | $129 | $261 | $376 |