THE OUTER BANKS HOSPITAL, INC· NAGS HEAD, NC

HospitalCMS 4/5

4800 SOUTH CROATAN HIGHWAY, NAGS HEAD, NC 27959

Procedures offered

966 total

Procedure	Min	Avg	Max
Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology	$160	$542	$1,113
Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology	$431	$1,165	$1,779
Ventilation assist and management initiation CPT 94002 • Pulmonology	$75	$91	$127
Spirometry CPT 94010 • Pulmonology	$8	$22	$42
Spirometry before and after bronchodilator CPT 94060 • Pulmonology	$14	$56	$124
Bronchospasm provocation evaluation CPT 94070 • Pulmonology	$27	$41	$58
Respiratory flow volume loop CPT 94375 • Pulmonology	$19	$51	$116
Pulmonary stress test simple CPT 94620 • Pulmonology	$139	$139	$139
Cardiopulmonary exercise test CPT 94621 • Pulmonology	$73	$106	$147
Nebulizer inhalation treatment CPT 94640 • Pulmonology	$10	$22	$47
Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology	$14	$16	$18
Plethysmography lung volumes CPT 94726 • Pulmonology	$10	$42	$59
Gas dilution lung volumes CPT 94727 • Pulmonology	$10	$27	$44
Diffusing capacity (DLCO) CPT 94729 • Pulmonology	$8	$43	$70
Pulse oximetry single measurement CPT 94760 • Pulmonology	$2	$2	$3
Pulse oximetry continuous overnight CPT 94762 • Pulmonology	$19	$27	$38
Radiation therapy planning simple CPT 77261 • Radiation Therapy	$62	$123	$211
Radiation therapy planning intermediate CPT 77262 • Radiation Therapy	$94	$115	$149
Radiation therapy planning complex CPT 77263 • Radiation Therapy	$147	$256	$466
Radiation therapy simulation simple CPT 77280 • Radiation Therapy	$147	$236	$343
Radiation therapy simulation complex CPT 77290 • Radiation Therapy	$394	$733	$1,531
3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy	$253	$320	$411
Radiation therapy dose calculation CPT 77300 • Radiation Therapy	$56	$71	$91
IMRT radiation therapy plan CPT 77301 • Radiation Therapy	$368	$1,520	$2,659
Radiation treatment device design complex CPT 77334 • Radiation Therapy	$62	$105	$158
Radiation physics consultation CPT 77336 • Radiation Therapy	$45	$114	$229
Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy	$953	$1,387	$1,658
Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy	$868	$1,540	$2,371
IMRT delivery simple CPT 77385 • Radiation Therapy	$525	$875	$1,225
IMRT delivery complex CPT 77386 • Radiation Therapy	$527	$877	$1,228
Radiation treatment delivery superficial CPT 77407 • Radiation Therapy	$155	$344	$661
Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy	$205	$271	$363
Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy	$167	$287	$523
Radiation therapy management complete course CPT 77431 • Radiation Therapy	$93	$128	$162
Proton beam treatment simple CPT 77520 • Radiation Therapy	$113	$735	$1,296
Proton beam treatment complex CPT 77523 • Radiation Therapy	$105	$1,250	$2,522
Polysomnography under age 6 CPT 95782 • Sleep Medicine	$921	$1,326	$2,323
Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine	$113	$786	$1,184
Sleep study unattended CPT 95800 • Sleep Medicine	$118	$196	$330
Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine	$68	$127	$211
Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine	$58	$264	$506
Polysomnography age 6 or older CPT 95810 • Sleep Medicine	$118	$384	$693
Polysomnography with CPAP titration CPT 95811 • Sleep Medicine	$455	$592	$724
CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine	$101	$133	$198
Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine	$128	$555	$1,057
CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine	$44	$308	$782
Laparoscopic partial nephrectomy CPT 50543 • Urology	$208	$1,226	$2,059
Laparoscopic radical nephrectomy CPT 50545 • Urology	$205	$1,104	$1,846
Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology	$659	$885	$1,175
Complex uroflowmetry CPT 51741 • Urology	$8	$15	$22