VIDANT CHOWAN HOSPITAL· EDENTON, NC
HospitalCMS 2/5
211 VIRGINIA RD, EDENTON, NC 27932
Procedures offered
928 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Frozen section pathology each additional CPT 88332 • Pathology | $16 | $26 | $40 |
| Immunohistochemistry each antibody CPT 88341 • Pathology | $11 | $52 | $77 |
| Immunohistochemistry first antibody CPT 88342 • Pathology | $23 | $46 | $77 |
| Morphometric analysis tumor quantitative CPT 88360 • Pathology | $22 | $49 | $66 |
| Microdissection manual CPT 88381 • Pathology | $26 | $79 | $159 |
| Hot or cold packs application CPT 97010 • Physical Therapy | $4 | $4 | $5 |
| Electrical stimulation unattended CPT 97014 • Physical Therapy | $12 | $18 | $29 |
| Vasopneumatic device therapy CPT 97016 • Physical Therapy | $9 | $11 | $13 |
| Electrical stimulation attended each 15 minutes CPT 97032 • Physical Therapy | $12 | $13 | $15 |
| Ultrasound therapy each 15 minutes CPT 97035 • Physical Therapy | $10 | $17 | $29 |
| Therapeutic exercises each 15 minutes CPT 97110 • Physical Therapy | $23 | $37 | $61 |
| Neuromuscular reeducation each 15 minutes CPT 97112 • Physical Therapy | $24 | $40 | $70 |
| Gait training each 15 minutes CPT 97116 • Physical Therapy | $20 | $35 | $60 |
| Manual therapy one or more regions each 15 min CPT 97140 • Physical Therapy | $21 | $34 | $56 |
| Group therapeutic procedures CPT 97150 • Physical Therapy | $14 | $15 | $17 |
| Physical therapy evaluation low complexity CPT 97161 • Physical Therapy | $70 | $111 | $170 |
| Physical therapy evaluation moderate complexity CPT 97162 • Physical Therapy | $70 | $111 | $170 |
| Physical therapy evaluation high complexity CPT 97163 • Physical Therapy | $70 | $111 | $170 |
| Physical therapy re-evaluation CPT 97164 • Physical Therapy | $47 | $76 | $116 |
| Therapeutic activities each 15 minutes CPT 97530 • Physical Therapy | $24 | $43 | $78 |
| Self-care/home management training each 15 min CPT 97535 • Physical Therapy | $24 | $40 | $68 |
| Wheelchair management training each 15 minutes CPT 97542 • Physical Therapy | $23 | $25 | $26 |
| Physical performance test each 15 minutes CPT 97750 • Physical Therapy | $24 | $26 | $27 |
| Orthotic management and training each 15 min CPT 97760 • Physical Therapy | $21 | $28 | $40 |
| Prosthetic training each 15 minutes CPT 97761 • Physical Therapy | $23 | $27 | $34 |
| Immunization admin first vaccine component CPT 90460 • Preventive Care | $7 | $14 | $24 |
| Immunization admin each additional component CPT 90461 • Preventive Care | $5 | $9 | $12 |
| Immunization admin injection single CPT 90471 • Preventive Care | $7 | $17 | $26 |
| Immunization admin injection each additional CPT 90472 • Preventive Care | $5 | $8 | $10 |
| HPV vaccine 9-valent CPT 90651 • Preventive Care | $290 | $346 | $378 |
| Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care | $254 | $262 | $273 |
| Rotavirus vaccine pentavalent CPT 90680 • Preventive Care | $98 | $110 | $118 |
| Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care | $22 | $23 | $23 |
| MMR vaccine CPT 90707 • Preventive Care | $99 | $105 | $109 |
| Tdap vaccine age 7 years or older CPT 90715 • Preventive Care | $40 | $50 | $56 |
| Varicella vaccine CPT 90716 • Preventive Care | $173 | $203 | $221 |
| Pneumococcal vaccine adult CPT 90732 • Preventive Care | $131 | $136 | $141 |
| Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care | $241 | $301 | $413 |
| Preventive visit new patient infant CPT 99381 • Preventive Care | $78 | $148 | $220 |
| Preventive visit new patient age 1-4 CPT 99382 • Preventive Care | $89 | $160 | $231 |
| Preventive visit new patient age 5-11 CPT 99383 • Preventive Care | $157 | $190 | $241 |
| Preventive visit new patient age 12-17 CPT 99384 • Preventive Care | $100 | $164 | $273 |
| Preventive visit new patient age 18-39 CPT 99385 • Preventive Care | $100 | $178 | $264 |
| Preventive visit new patient age 40-64 CPT 99386 • Preventive Care | $123 | $192 | $307 |
| Preventive visit new patient age 65+ CPT 99387 • Preventive Care | $134 | $210 | $334 |
| Preventive visit established patient infant CPT 99391 • Preventive Care | $67 | $126 | $199 |
| Preventive visit established patient age 1-4 CPT 99392 • Preventive Care | $78 | $139 | $212 |
| Preventive visit established patient age 5-11 CPT 99393 • Preventive Care | $78 | $138 | $211 |
| Preventive visit established patient age 12-17 CPT 99394 • Preventive Care | $89 | $111 | $138 |
| Preventive visit established patient age 18-39 CPT 99395 • Preventive Care | $71 | $100 | $140 |