VIDANT CHOWAN HOSPITAL· EDENTON, NC
HospitalCMS 2/5
211 VIRGINIA RD, EDENTON, NC 27932
Procedures offered
928 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Preventive visit established patient age 40-64 CPT 99396 • Preventive Care | $100 | $158 | $254 |
| Preventive visit established patient age 65+ CPT 99397 • Preventive Care | $112 | $151 | $171 |
| Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care | $22 | $51 | $80 |
| Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care | $54 | $118 | $183 |
| Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care | $295 | $477 | $658 |
| Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care | $197 | $429 | $660 |
| Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care | $89 | $208 | $328 |
| Annual wellness visit initial HCPCS G0438 • Preventive Care | $158 | $247 | $336 |
| Annual wellness visit subsequent HCPCS G0439 • Preventive Care | $106 | $167 | $227 |
| Bronchoscopy diagnostic CPT 31622 • Pulmonology | $30 | $246 | $523 |
| Bronchoscopy with brushing CPT 31623 • Pulmonology | $30 | $264 | $573 |
| Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology | $190 | $314 | $499 |
| Bronchoscopy with biopsy CPT 31625 • Pulmonology | $195 | $481 | $680 |
| Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology | $245 | $432 | $722 |
| Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology | $274 | $941 | $2,132 |
| Ventilation assist and management initiation CPT 94002 • Pulmonology | $91 | $103 | $123 |
| Spirometry CPT 94010 • Pulmonology | $11 | $47 | $85 |
| Spirometry before and after bronchodilator CPT 94060 • Pulmonology | $19 | $62 | $114 |
| Bronchospasm provocation evaluation CPT 94070 • Pulmonology | $42 | $69 | $85 |
| Respiratory flow volume loop CPT 94375 • Pulmonology | $22 | $22 | $23 |
| Cardiopulmonary exercise test CPT 94621 • Pulmonology | $82 | $131 | $202 |
| Nebulizer inhalation treatment CPT 94640 • Pulmonology | $16 | $43 | $85 |
| Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology | $18 | $41 | $85 |
| Plethysmography lung volumes CPT 94726 • Pulmonology | $60 | $82 | $103 |
| Gas dilution lung volumes CPT 94727 • Pulmonology | $30 | $41 | $47 |
| Diffusing capacity (DLCO) CPT 94729 • Pulmonology | $60 | $73 | $83 |
| Pulse oximetry single measurement CPT 94760 • Pulmonology | $1 | $3 | $5 |
| Pulse oximetry continuous overnight CPT 94762 • Pulmonology | $11 | $30 | $50 |
| Radiation therapy planning simple CPT 77261 • Radiation Therapy | $69 | $87 | $108 |
| Radiation therapy planning intermediate CPT 77262 • Radiation Therapy | $105 | $132 | $163 |
| Radiation therapy planning complex CPT 77263 • Radiation Therapy | $188 | $258 | $344 |
| Radiation therapy simulation simple CPT 77280 • Radiation Therapy | $43 | $209 | $532 |
| Radiation therapy simulation complex CPT 77290 • Radiation Therapy | $118 | $480 | $956 |
| 3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy | $344 | $913 | $1,445 |
| Radiation therapy dose calculation CPT 77300 • Radiation Therapy | $37 | $95 | $130 |
| IMRT radiation therapy plan CPT 77301 • Radiation Therapy | $498 | $1,594 | $3,681 |
| Radiation treatment device design complex CPT 77334 • Radiation Therapy | $75 | $139 | $249 |
| Radiation physics consultation CPT 77336 • Radiation Therapy | $126 | $147 | $162 |
| Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy | $1,058 | $1,242 | $1,587 |
| Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy | $1,533 | $2,027 | $2,300 |
| IMRT delivery simple CPT 77385 • Radiation Therapy | $392 | $392 | $392 |
| IMRT delivery complex CPT 77386 • Radiation Therapy | $393 | $393 | $393 |
| Radiation treatment delivery superficial CPT 77407 • Radiation Therapy | $88 | $125 | $172 |
| Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy | $98 | $151 | $228 |
| Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy | $193 | $277 | $387 |
| Radiation therapy management complete course CPT 77431 • Radiation Therapy | $104 | $118 | $142 |
| Proton beam treatment simple CPT 77520 • Radiation Therapy | $831 | $1,073 | $1,315 |
| Proton beam treatment complex CPT 77523 • Radiation Therapy | $968 | $1,155 | $1,522 |
| Polysomnography under age 6 CPT 95782 • Sleep Medicine | $206 | $716 | $1,174 |
| Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine | $158 | $399 | $813 |