LIFEBRITE COMMUNITY HOSPITAL OF STOKES· DANBURY, NC

Hospital

1570 NC 8 & 89 HWY NORTH, DANBURY, NC 27016

Procedures offered

936 total

ProcedureMinAvgMax
Preventive visit new patient age 18-39
CPT 99385 • Preventive Care
$89$160$262
Preventive visit new patient age 40-64
CPT 99386 • Preventive Care
$103$182$286
Preventive visit new patient age 65+
CPT 99387 • Preventive Care
$112$180$323
Preventive visit established patient infant
CPT 99391 • Preventive Care
$68$95$129
Preventive visit established patient age 1-4
CPT 99392 • Preventive Care
$72$115$165
Preventive visit established patient age 5-11
CPT 99393 • Preventive Care
$72$109$154
Preventive visit established patient age 12-17
CPT 99394 • Preventive Care
$78$125$168
Preventive visit established patient age 18-39
CPT 99395 • Preventive Care
$80$149$260
Preventive visit established patient age 40-64
CPT 99396 • Preventive Care
$65$148$260
Preventive visit established patient age 65+
CPT 99397 • Preventive Care
$93$152$271
Cervical or vaginal cancer screening pelvic exam
HCPCS G0101 • Preventive Care
$27$35$41
Colorectal cancer screening flexible sigmoidoscopy
HCPCS G0104 • Preventive Care
$67$130$160
Colorectal cancer screening colonoscopy high risk
HCPCS G0105 • Preventive Care
$203$277$364
Colorectal cancer screening colonoscopy not high risk
HCPCS G0121 • Preventive Care
$100$274$364
Initial preventive physical exam (Welcome to Medicare)
HCPCS G0402 • Preventive Care
$114$200$378
Annual wellness visit initial
HCPCS G0438 • Preventive Care
$114$225$472
Annual wellness visit subsequent
HCPCS G0439 • Preventive Care
$89$165$370
Bronchoscopy diagnostic
CPT 31622 • Pulmonology
$144$268$455
Bronchoscopy with brushing
CPT 31623 • Pulmonology
$146$350$722
Bronchoscopy with bronchial alveolar lavage
CPT 31624 • Pulmonology
$144$278$454
Bronchoscopy with biopsy
CPT 31625 • Pulmonology
$158$251$430
Bronchoscopy with transbronchial lung biopsy
CPT 31628 • Pulmonology
$84$426$921
Bronchoscopy with endobronchial ultrasound biopsy
CPT 31652 • Pulmonology
$865$1,269$1,803
Ventilation assist and management initiation
CPT 94002 • Pulmonology
$63$118$225
Spirometry
CPT 94010 • Pulmonology
$9$35$86
Spirometry before and after bronchodilator
CPT 94060 • Pulmonology
$13$52$148
Bronchospasm provocation evaluation
CPT 94070 • Pulmonology
$29$55$74
Respiratory flow volume loop
CPT 94375 • Pulmonology
$15$43$94
Cardiopulmonary exercise test
CPT 94621 • Pulmonology
$88$147$225
Nebulizer inhalation treatment
CPT 94640 • Pulmonology
$6$18$44
Aerosol or vapor inhalation initial demonstration
CPT 94664 • Pulmonology
$12$21$42
Plethysmography lung volumes
CPT 94726 • Pulmonology
$38$68$140
Gas dilution lung volumes
CPT 94727 • Pulmonology
$30$47$79
Diffusing capacity (DLCO)
CPT 94729 • Pulmonology
$11$53$120
Pulse oximetry single measurement
CPT 94760 • Pulmonology
$2$4$8
Pulse oximetry continuous overnight
CPT 94762 • Pulmonology
$18$31$57
Radiation therapy planning simple
CPT 77261 • Radiation Therapy
$49$101$219
Radiation therapy planning intermediate
CPT 77262 • Radiation Therapy
$74$152$329
Radiation therapy planning complex
CPT 77263 • Radiation Therapy
$115$187$325
Radiation therapy simulation simple
CPT 77280 • Radiation Therapy
$36$169$348
Radiation therapy simulation complex
CPT 77290 • Radiation Therapy
$92$464$1,019
3-dimensional radiation therapy plan
CPT 77295 • Radiation Therapy
$254$466$878
Radiation therapy dose calculation
CPT 77300 • Radiation Therapy
$32$46$63
IMRT radiation therapy plan
CPT 77301 • Radiation Therapy
$407$901$1,560
Radiation treatment device design complex
CPT 77334 • Radiation Therapy
$44$94$169
Radiation physics consultation
CPT 77336 • Radiation Therapy
$57$70$83
Stereotactic radiosurgery (SRS) cranial
CPT 77371 • Radiation Therapy
$770$1,004$1,298
Stereotactic body radiation therapy (SBRT)
CPT 77373 • Radiation Therapy
$701$1,629$3,608
IMRT delivery simple
CPT 77385 • Radiation Therapy
$252$287$322
IMRT delivery complex
CPT 77386 • Radiation Therapy
$253$288$323