NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER· HUNTERSVILLE, NC

HospitalCMS 4/5

10030 GILEAD ROAD, HUNTERSVILLE, NC 28078

Procedures offered

935 total

ProcedureMinAvgMax
Radiation treatment delivery 3 or more MeV
CPT 77412 • Radiation Therapy
$144$334$499
Radiation treatment management 5 treatments
CPT 77427 • Radiation Therapy
$280$331$362
Radiation therapy management complete course
CPT 77431 • Radiation Therapy
$159$186$201
Proton beam treatment simple
CPT 77520 • Radiation Therapy
$303$1,265$1,818
Proton beam treatment complex
CPT 77523 • Radiation Therapy
$791$1,550$2,118
Polysomnography under age 6
CPT 95782 • Sleep Medicine
$941$1,513$1,932
Polysomnography under age 6 with CPAP
CPT 95783 • Sleep Medicine
$998$1,601$2,038
Sleep study unattended
CPT 95800 • Sleep Medicine
$86$160$284
Sleep study unattended minimum 3 channels
CPT 95801 • Sleep Medicine
$74$96$118
Multiple sleep latency test (MSLT)
CPT 95805 • Sleep Medicine
$143$491$847
Polysomnography age 6 or older
CPT 95810 • Sleep Medicine
$604$1,015$1,408
Polysomnography with CPAP titration
CPT 95811 • Sleep Medicine
$746$1,046$1,471
CPAP combination oral/nasal mask
HCPCS A7027 • Sleep Medicine
$87$157$257
Respiratory assist device BiPAP without backup
HCPCS E0470 • Sleep Medicine
$114$574$1,143
CPAP device continuous positive airway pressure
HCPCS E0601 • Sleep Medicine
$43$217$467
Laparoscopic partial nephrectomy
CPT 50543 • Urology
$2,117$2,901$3,674
Laparoscopic radical nephrectomy
CPT 50545 • Urology
$303$2,205$3,304
Lithotripsy extracorporeal shock wave (ESWL)
CPT 50590 • Urology
$517$1,308$1,830
Complex uroflowmetry
CPT 51741 • Urology
$12$16$24
Post-void residual urine measurement
CPT 51798 • Urology
$15$23$28
Cystourethroscopy diagnostic
CPT 52000 • Urology
$114$373$630
Cystourethroscopy with tumor fulguration small
CPT 52234 • Urology
$381$520$605
Cystourethroscopy with tumor fulguration medium
CPT 52235 • Urology
$447$610$711
Cystourethroscopy with dilation of ureteral stricture
CPT 52260 • Urology
$187$382$519
Cystourethroscopy with ureteral stent insertion
CPT 52332 • Urology
$220$595$1,050
Cystourethroscopy with lithotripsy
CPT 52353 • Urology
$348$709$968
TURP transurethral resection of prostate
CPT 52601 • Urology
$655$1,370$1,798
Laser vaporization of prostate
CPT 52648 • Urology
$991$2,982$4,204
Circumcision
CPT 54150 • Urology
$86$230$369
Orchiectomy simple
CPT 54520 • Urology
$298$597$800
Orchiectomy radical inguinal
CPT 54530 • Urology
$102$836$1,246
Vasectomy
CPT 55250 • Urology
$304$649$867
Prostate biopsy needle or punch
CPT 55700 • Urology
$372$526$610
Radical prostatectomy retropubic
CPT 55840 • Urology
$266$1,931$2,888
Laparoscopic radical prostatectomy
CPT 55866 • Urology
$1,070$2,875$3,563