ALLEGHANY COUNTY MEMORIAL HOSPITAL INC· SPARTA, NC
Physician group
233 DOCTORS ST, SPARTA, NC 28675
Procedures offered
932 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Preventive visit established patient age 1-4 CPT 99392 • Preventive Care | $95 | $135 | $166 |
| Preventive visit established patient age 5-11 CPT 99393 • Preventive Care | $74 | $114 | $166 |
| Preventive visit established patient age 12-17 CPT 99394 • Preventive Care | $113 | $137 | $182 |
| Preventive visit established patient age 18-39 CPT 99395 • Preventive Care | $114 | $140 | $186 |
| Preventive visit established patient age 40-64 CPT 99396 • Preventive Care | $94 | $140 | $198 |
| Preventive visit established patient age 65+ CPT 99397 • Preventive Care | $91 | $135 | $213 |
| Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care | $0 | $26 | $51 |
| Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care | $227 | $235 | $243 |
| Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care | $427 | $435 | $444 |
| Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care | $238 | $332 | $427 |
| Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care | $255 | $257 | $259 |
| Annual wellness visit initial HCPCS G0438 • Preventive Care | $168 | $197 | $226 |
| Annual wellness visit subsequent HCPCS G0439 • Preventive Care | $129 | $160 | $198 |
| Bronchoscopy diagnostic CPT 31622 • Pulmonology | $197 | $258 | $319 |
| Bronchoscopy with brushing CPT 31623 • Pulmonology | $175 | $262 | $350 |
| Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology | $171 | $251 | $331 |
| Bronchoscopy with biopsy CPT 31625 • Pulmonology | $126 | $286 | $447 |
| Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology | $109 | $292 | $474 |
| Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology | $1,276 | $1,849 | $2,422 |
| Ventilation assist and management initiation CPT 94002 • Pulmonology | $118 | $120 | $123 |
| Spirometry CPT 94010 • Pulmonology | $28 | $31 | $35 |
| Spirometry before and after bronchodilator CPT 94060 • Pulmonology | $38 | $49 | $61 |
| Bronchospasm provocation evaluation CPT 94070 • Pulmonology | $40 | $52 | $64 |
| Respiratory flow volume loop CPT 94375 • Pulmonology | $14 | $23 | $33 |
| Cardiopulmonary exercise test CPT 94621 • Pulmonology | $89 | $105 | $120 |
| Nebulizer inhalation treatment CPT 94640 • Pulmonology | $8 | $23 | $38 |
| Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology | $18 | $20 | $22 |
| Plethysmography lung volumes CPT 94726 • Pulmonology | $15 | $35 | $54 |
| Gas dilution lung volumes CPT 94727 • Pulmonology | $41 | $43 | $45 |
| Diffusing capacity (DLCO) CPT 94729 • Pulmonology | $9 | $35 | $60 |
| Pulse oximetry single measurement CPT 94760 • Pulmonology | $0 | $2 | $3 |
| Pulse oximetry continuous overnight CPT 94762 • Pulmonology | $26 | $29 | $33 |
| Radiation therapy planning simple CPT 77261 • Radiation Therapy | $71 | $83 | $95 |
| Radiation therapy planning intermediate CPT 77262 • Radiation Therapy | $143 | $153 | $164 |
| Radiation therapy planning complex CPT 77263 • Radiation Therapy | $223 | $275 | $327 |
| Radiation therapy simulation simple CPT 77280 • Radiation Therapy | $235 | $275 | $315 |
| Radiation therapy simulation complex CPT 77290 • Radiation Therapy | $562 | $573 | $585 |
| 3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy | $300 | $464 | $628 |
| Radiation therapy dose calculation CPT 77300 • Radiation Therapy | $45 | $87 | $129 |
| IMRT radiation therapy plan CPT 77301 • Radiation Therapy | $1,866 | $1,935 | $2,004 |
| Radiation treatment device design complex CPT 77334 • Radiation Therapy | $89 | $127 | $164 |
| Radiation physics consultation CPT 77336 • Radiation Therapy | $90 | $97 | $105 |
| Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy | $1,061 | $1,328 | $1,595 |
| Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy | $1,701 | $1,825 | $1,949 |
| IMRT delivery simple CPT 77385 • Radiation Therapy | $466 | $466 | $466 |
| IMRT delivery complex CPT 77386 • Radiation Therapy | $467 | $467 | $467 |
| Radiation treatment delivery superficial CPT 77407 • Radiation Therapy | $259 | $272 | $285 |
| Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy | $224 | $285 | $346 |
| Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy | $251 | $312 | $372 |
| Radiation therapy management complete course CPT 77431 • Radiation Therapy | $109 | $123 | $138 |