CAPE FEAR VALLEY HOKE HOSPITAL· RAEFORD, NC

HospitalCMS 4/5

210 MEDICAL PAVILION DRIVE, RAEFORD, NC 28376

Procedures offered

936 total

ProcedureMinAvgMax
Radiation treatment delivery superficial
CPT 77407 • Radiation Therapy
$133$285$454
Radiation treatment delivery 3 or more MeV
CPT 77412 • Radiation Therapy
$30$273$431
Radiation treatment management 5 treatments
CPT 77427 • Radiation Therapy
$194$270$340
Radiation therapy management complete course
CPT 77431 • Radiation Therapy
$110$198$355
Proton beam treatment simple
CPT 77520 • Radiation Therapy
$118$766$1,305
Proton beam treatment complex
CPT 77523 • Radiation Therapy
$139$888$1,520
Polysomnography under age 6
CPT 95782 • Sleep Medicine
$176$1,031$1,612
Polysomnography under age 6 with CPAP
CPT 95783 • Sleep Medicine
$1,083$1,659$3,218
Sleep study unattended
CPT 95800 • Sleep Medicine
$56$199$493
Sleep study unattended minimum 3 channels
CPT 95801 • Sleep Medicine
$53$100$250
Multiple sleep latency test (MSLT)
CPT 95805 • Sleep Medicine
$82$549$1,186
Polysomnography age 6 or older
CPT 95810 • Sleep Medicine
$170$656$1,045
Polysomnography with CPAP titration
CPT 95811 • Sleep Medicine
$177$680$1,095
CPAP combination oral/nasal mask
HCPCS A7027 • Sleep Medicine
$125$164$224
Respiratory assist device BiPAP without backup
HCPCS E0470 • Sleep Medicine
$115$410$1,140
CPAP device continuous positive airway pressure
HCPCS E0601 • Sleep Medicine
$44$166$462
Laparoscopic partial nephrectomy
CPT 50543 • Urology
$307$1,778$2,637
Laparoscopic radical nephrectomy
CPT 50545 • Urology
$1,387$1,881$2,365
Lithotripsy extracorporeal shock wave (ESWL)
CPT 50590 • Urology
$575$1,097$1,414
Complex uroflowmetry
CPT 51741 • Urology
$9$20$48
Post-void residual urine measurement
CPT 51798 • Urology
$13$17$20
Cystourethroscopy diagnostic
CPT 52000 • Urology
$79$261$371
Cystourethroscopy with tumor fulguration small
CPT 52234 • Urology
$241$374$473
Cystourethroscopy with tumor fulguration medium
CPT 52235 • Urology
$282$401$508
Cystourethroscopy with dilation of ureteral stricture
CPT 52260 • Urology
$207$320$405
Cystourethroscopy with ureteral stent insertion
CPT 52332 • Urology
$154$541$740
Cystourethroscopy with lithotripsy
CPT 52353 • Urology
$383$544$689
TURP transurethral resection of prostate
CPT 52601 • Urology
$725$1,117$1,412
Laser vaporization of prostate
CPT 52648 • Urology
$694$2,026$3,372
Circumcision
CPT 54150 • Urology
$99$185$257
Orchiectomy simple
CPT 54520 • Urology
$333$507$637
Orchiectomy radical inguinal
CPT 54530 • Urology
$514$744$1,033
Vasectomy
CPT 55250 • Urology
$235$415$572
Prostate biopsy needle or punch
CPT 55700 • Urology
$127$390$710
Radical prostatectomy retropubic
CPT 55840 • Urology
$951$1,541$2,075
Laparoscopic radical prostatectomy
CPT 55866 • Urology
$45$1,230$2,109