NOVANT HEALTH MINT HILL MEDICAL CENTER· CHARLOTTE, NC
HospitalCMS 4/5
8201 HEALTHCARE LOOP, CHARLOTTE, NC 28215
Procedures offered
932 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Surgical pathology gross and micro exam level VI CPT 88309 • Pathology | $131 | $512 | $1,018 |
| Special stain group I for microorganisms CPT 88312 • Pathology | $27 | $98 | $212 |
| Special stain group II CPT 88313 • Pathology | $12 | $61 | $148 |
| Frozen section pathology first specimen CPT 88331 • Pathology | $55 | $113 | $209 |
| Frozen section pathology each additional CPT 88332 • Pathology | $8 | $22 | $36 |
| Immunohistochemistry each antibody CPT 88341 • Pathology | $36 | $108 | $194 |
| Immunohistochemistry first antibody CPT 88342 • Pathology | $40 | $104 | $231 |
| Morphometric analysis tumor quantitative CPT 88360 • Pathology | $19 | $116 | $262 |
| Microdissection manual CPT 88381 • Pathology | $42 | $76 | $133 |
| Hot or cold packs application CPT 97010 • Physical Therapy | $0 | $2 | $4 |
| Electrical stimulation unattended CPT 97014 • Physical Therapy | $9 | $11 | $13 |
| Vasopneumatic device therapy CPT 97016 • Physical Therapy | $10 | $13 | $16 |
| Electrical stimulation attended each 15 minutes CPT 97032 • Physical Therapy | $10 | $12 | $15 |
| Ultrasound therapy each 15 minutes CPT 97035 • Physical Therapy | $10 | $14 | $19 |
| Therapeutic exercises each 15 minutes CPT 97110 • Physical Therapy | $26 | $31 | $40 |
| Neuromuscular reeducation each 15 minutes CPT 97112 • Physical Therapy | $27 | $33 | $46 |
| Gait training each 15 minutes CPT 97116 • Physical Therapy | $23 | $29 | $40 |
| Manual therapy one or more regions each 15 min CPT 97140 • Physical Therapy | $16 | $26 | $37 |
| Group therapeutic procedures CPT 97150 • Physical Therapy | $9 | $17 | $24 |
| Physical therapy evaluation low complexity CPT 97161 • Physical Therapy | $85 | $110 | $136 |
| Physical therapy evaluation moderate complexity CPT 97162 • Physical Therapy | $74 | $98 | $136 |
| Physical therapy evaluation high complexity CPT 97163 • Physical Therapy | $74 | $98 | $136 |
| Physical therapy re-evaluation CPT 97164 • Physical Therapy | $41 | $58 | $75 |
| Therapeutic activities each 15 minutes CPT 97530 • Physical Therapy | $26 | $34 | $49 |
| Self-care/home management training each 15 min CPT 97535 • Physical Therapy | $29 | $34 | $44 |
| Wheelchair management training each 15 minutes CPT 97542 • Physical Therapy | $17 | $21 | $26 |
| Physical performance test each 15 minutes CPT 97750 • Physical Therapy | $18 | $22 | $27 |
| Orthotic management and training each 15 min CPT 97760 • Physical Therapy | $23 | $26 | $31 |
| Prosthetic training each 15 minutes CPT 97761 • Physical Therapy | $20 | $23 | $27 |
| Immunization admin first vaccine component CPT 90460 • Preventive Care | $7 | $20 | $31 |
| Immunization admin each additional component CPT 90461 • Preventive Care | $5 | $9 | $12 |
| Immunization admin injection single CPT 90471 • Preventive Care | $7 | $20 | $27 |
| Immunization admin injection each additional CPT 90472 • Preventive Care | $5 | $14 | $20 |
| HPV vaccine 9-valent CPT 90651 • Preventive Care | $298 | $434 | $690 |
| Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care | $221 | $275 | $364 |
| Rotavirus vaccine pentavalent CPT 90680 • Preventive Care | $115 | $146 | $215 |
| Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care | $20 | $26 | $41 |
| MMR vaccine CPT 90707 • Preventive Care | $92 | $129 | $206 |
| Tdap vaccine age 7 years or older CPT 90715 • Preventive Care | $54 | $58 | $66 |
| Varicella vaccine CPT 90716 • Preventive Care | $177 | $254 | $403 |
| Pneumococcal vaccine adult CPT 90732 • Preventive Care | $131 | $153 | $188 |
| Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care | $209 | $287 | $452 |
| Preventive visit new patient infant CPT 99381 • Preventive Care | $78 | $112 | $146 |
| Preventive visit new patient age 1-4 CPT 99382 • Preventive Care | $81 | $108 | $153 |
| Preventive visit new patient age 5-11 CPT 99383 • Preventive Care | $89 | $127 | $181 |
| Preventive visit new patient age 12-17 CPT 99384 • Preventive Care | $100 | $144 | $178 |
| Preventive visit new patient age 18-39 CPT 99385 • Preventive Care | $100 | $158 | $200 |
| Preventive visit new patient age 40-64 CPT 99386 • Preventive Care | $123 | $185 | $231 |
| Preventive visit new patient age 65+ CPT 99387 • Preventive Care | $128 | $160 | $217 |
| Preventive visit established patient infant CPT 99391 • Preventive Care | $67 | $101 | $132 |