CAPE FEAR VALLEY HOKE HOSPITAL· RAEFORD, NC
HospitalCMS 4/5
210 MEDICAL PAVILION DRIVE, RAEFORD, NC 28376
Procedures offered
936 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Preventive visit new patient age 18-39 CPT 99385 • Preventive Care | $73 | $161 | $226 |
| Preventive visit new patient age 40-64 CPT 99386 • Preventive Care | $88 | $197 | $261 |
| Preventive visit new patient age 65+ CPT 99387 • Preventive Care | $98 | $214 | $283 |
| Preventive visit established patient infant CPT 99391 • Preventive Care | $53 | $128 | $169 |
| Preventive visit established patient age 1-4 CPT 99392 • Preventive Care | $57 | $136 | $181 |
| Preventive visit established patient age 5-11 CPT 99393 • Preventive Care | $57 | $128 | $181 |
| Preventive visit established patient age 12-17 CPT 99394 • Preventive Care | $64 | $127 | $169 |
| Preventive visit established patient age 18-39 CPT 99395 • Preventive Care | $67 | $153 | $204 |
| Preventive visit established patient age 40-64 CPT 99396 • Preventive Care | $73 | $156 | $217 |
| Preventive visit established patient age 65+ CPT 99397 • Preventive Care | $78 | $150 | $200 |
| Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care | $24 | $49 | $67 |
| Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care | $51 | $232 | $310 |
| Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care | $214 | $390 | $578 |
| Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care | $213 | $326 | $579 |
| Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care | $100 | $220 | $288 |
| Annual wellness visit initial HCPCS G0438 • Preventive Care | $155 | $233 | $288 |
| Annual wellness visit subsequent HCPCS G0439 • Preventive Care | $113 | $174 | $226 |
| Bronchoscopy diagnostic CPT 31622 • Pulmonology | $107 | $337 | $690 |
| Bronchoscopy with brushing CPT 31623 • Pulmonology | $140 | $417 | $777 |
| Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology | $142 | $310 | $436 |
| Bronchoscopy with biopsy CPT 31625 • Pulmonology | $165 | $564 | $952 |
| Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology | $185 | $524 | $694 |
| Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology | $233 | $1,312 | $2,118 |
| Ventilation assist and management initiation CPT 94002 • Pulmonology | $103 | $149 | $252 |
| Spirometry CPT 94010 • Pulmonology | $11 | $26 | $48 |
| Spirometry before and after bronchodilator CPT 94060 • Pulmonology | $10 | $36 | $65 |
| Bronchospasm provocation evaluation CPT 94070 • Pulmonology | $36 | $66 | $108 |
| Respiratory flow volume loop CPT 94375 • Pulmonology | $18 | $47 | $109 |
| Cardiopulmonary exercise test CPT 94621 • Pulmonology | $66 | $140 | $321 |
| Nebulizer inhalation treatment CPT 94640 • Pulmonology | $9 | $19 | $48 |
| Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology | $19 | $28 | $48 |
| Plethysmography lung volumes CPT 94726 • Pulmonology | $13 | $33 | $63 |
| Gas dilution lung volumes CPT 94727 • Pulmonology | $13 | $38 | $68 |
| Diffusing capacity (DLCO) CPT 94729 • Pulmonology | $10 | $40 | $93 |
| Pulse oximetry single measurement CPT 94760 • Pulmonology | $3 | $5 | $9 |
| Pulse oximetry continuous overnight CPT 94762 • Pulmonology | $30 | $41 | $68 |
| Radiation therapy planning simple CPT 77261 • Radiation Therapy | $70 | $110 | $177 |
| Radiation therapy planning intermediate CPT 77262 • Radiation Therapy | $109 | $180 | $262 |
| Radiation therapy planning complex CPT 77263 • Radiation Therapy | $169 | $259 | $326 |
| Radiation therapy simulation simple CPT 77280 • Radiation Therapy | $285 | $369 | $488 |
| Radiation therapy simulation complex CPT 77290 • Radiation Therapy | $122 | $359 | $732 |
| 3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy | $371 | $538 | $825 |
| Radiation therapy dose calculation CPT 77300 • Radiation Therapy | $33 | $76 | $114 |
| IMRT radiation therapy plan CPT 77301 • Radiation Therapy | $1,532 | $2,453 | $3,374 |
| Radiation treatment device design complex CPT 77334 • Radiation Therapy | $95 | $145 | $190 |
| Radiation physics consultation CPT 77336 • Radiation Therapy | $98 | $130 | $186 |
| Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy | $824 | $1,331 | $1,677 |
| Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy | $1,049 | $1,812 | $3,227 |
| IMRT delivery simple CPT 77385 • Radiation Therapy | $379 | $461 | $544 |
| IMRT delivery complex CPT 77386 • Radiation Therapy | $485 | $516 | $546 |