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 |
|---|---|---|---|
| Preventive visit established patient age 1-4 CPT 99392 • Preventive Care | $78 | $111 | $140 |
| Preventive visit established patient age 5-11 CPT 99393 • Preventive Care | $76 | $98 | $140 |
| Preventive visit established patient age 12-17 CPT 99394 • Preventive Care | $89 | $140 | $214 |
| Preventive visit established patient age 18-39 CPT 99395 • Preventive Care | $89 | $126 | $156 |
| Preventive visit established patient age 40-64 CPT 99396 • Preventive Care | $100 | $153 | $192 |
| Preventive visit established patient age 65+ CPT 99397 • Preventive Care | $112 | $190 | $250 |
| Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care | $0 | $37 | $89 |
| Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care | $54 | $90 | $128 |
| Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care | $295 | $366 | $449 |
| Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care | $197 | $334 | $449 |
| Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care | $89 | $206 | $305 |
| Annual wellness visit initial HCPCS G0438 • Preventive Care | $158 | $214 | $260 |
| Annual wellness visit subsequent HCPCS G0439 • Preventive Care | $106 | $196 | $306 |
| Bronchoscopy diagnostic CPT 31622 • Pulmonology | $186 | $367 | $585 |
| Bronchoscopy with brushing CPT 31623 • Pulmonology | $190 | $327 | $429 |
| Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology | $190 | $260 | $338 |
| Bronchoscopy with biopsy CPT 31625 • Pulmonology | $195 | $338 | $460 |
| Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology | $245 | $439 | $579 |
| Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology | $1,247 | $1,581 | $2,205 |
| Ventilation assist and management initiation CPT 94002 • Pulmonology | $93 | $110 | $141 |
| Spirometry CPT 94010 • Pulmonology | $8 | $18 | $36 |
| Spirometry before and after bronchodilator CPT 94060 • Pulmonology | $19 | $44 | $61 |
| Bronchospasm provocation evaluation CPT 94070 • Pulmonology | $42 | $64 | $84 |
| Respiratory flow volume loop CPT 94375 • Pulmonology | $15 | $23 | $32 |
| Cardiopulmonary exercise test CPT 94621 • Pulmonology | $108 | $208 | $355 |
| Nebulizer inhalation treatment CPT 94640 • Pulmonology | $8 | $23 | $30 |
| Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology | $22 | $27 | $30 |
| Plethysmography lung volumes CPT 94726 • Pulmonology | $58 | $64 | $74 |
| Gas dilution lung volumes CPT 94727 • Pulmonology | $18 | $41 | $58 |
| Diffusing capacity (DLCO) CPT 94729 • Pulmonology | $9 | $53 | $74 |
| Pulse oximetry single measurement CPT 94760 • Pulmonology | $0 | $1 | $2 |
| Pulse oximetry continuous overnight CPT 94762 • Pulmonology | $11 | $29 | $40 |
| Radiation therapy planning simple CPT 77261 • Radiation Therapy | $84 | $120 | $165 |
| Radiation therapy planning intermediate CPT 77262 • Radiation Therapy | $102 | $132 | $168 |
| Radiation therapy planning complex CPT 77263 • Radiation Therapy | $188 | $313 | $392 |
| Radiation therapy simulation simple CPT 77280 • Radiation Therapy | $43 | $272 | $421 |
| Radiation therapy simulation complex CPT 77290 • Radiation Therapy | $366 | $509 | $588 |
| 3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy | $639 | $1,070 | $1,445 |
| Radiation therapy dose calculation CPT 77300 • Radiation Therapy | $37 | $65 | $88 |
| IMRT radiation therapy plan CPT 77301 • Radiation Therapy | $498 | $2,075 | $4,236 |
| Radiation treatment device design complex CPT 77334 • Radiation Therapy | $75 | $115 | $167 |
| Radiation physics consultation CPT 77336 • Radiation Therapy | $115 | $150 | $209 |
| Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy | $1,083 | $1,367 | $1,639 |
| Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy | $1,294 | $1,721 | $2,334 |
| IMRT delivery simple CPT 77385 • Radiation Therapy | $392 | $392 | $392 |
| IMRT delivery complex CPT 77386 • Radiation Therapy | $393 | $616 | $839 |
| Radiation treatment delivery superficial CPT 77407 • Radiation Therapy | $88 | $203 | $293 |
| Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy | $30 | $216 | $520 |
| Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy | $193 | $265 | $404 |
| Radiation therapy management complete course CPT 77431 • Radiation Therapy | $110 | $148 | $222 |