ASHE MEMORIAL HOSPITAL· JEFFERSON, NC
HospitalCMS 3/5
200 HOSPITAL AVE, JEFFERSON, NC 28640
Procedures offered
935 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy | $112 | $234 | $361 |
| Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy | $179 | $250 | $412 |
| Radiation therapy management complete course CPT 77431 • Radiation Therapy | $98 | $114 | $127 |
| Proton beam treatment simple CPT 77520 • Radiation Therapy | $455 | $1,129 | $1,956 |
| Proton beam treatment complex CPT 77523 • Radiation Therapy | $792 | $1,282 | $1,963 |
| Polysomnography under age 6 CPT 95782 • Sleep Medicine | $130 | $1,184 | $2,451 |
| Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine | $918 | $1,052 | $1,237 |
| Sleep study unattended CPT 95800 • Sleep Medicine | $74 | $163 | $318 |
| Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine | $37 | $59 | $79 |
| Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine | $60 | $562 | $968 |
| Polysomnography age 6 or older CPT 95810 • Sleep Medicine | $515 | $828 | $1,377 |
| Polysomnography with CPAP titration CPT 95811 • Sleep Medicine | $129 | $757 | $1,443 |
| CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine | $88 | $127 | $182 |
| Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine | $105 | $667 | $1,337 |
| CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine | $104 | $373 | $568 |
| Laparoscopic partial nephrectomy CPT 50543 • Urology | $1,381 | $1,968 | $3,201 |
| Laparoscopic radical nephrectomy CPT 50545 • Urology | $173 | $1,514 | $2,866 |
| Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology | $438 | $793 | $1,042 |
| Complex uroflowmetry CPT 51741 • Urology | $6 | $27 | $70 |
| Post-void residual urine measurement CPT 51798 • Urology | $11 | $22 | $40 |
| Cystourethroscopy diagnostic CPT 52000 • Urology | $120 | $266 | $481 |
| Cystourethroscopy with tumor fulguration small CPT 52234 • Urology | $226 | $329 | $525 |
| Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology | $293 | $427 | $614 |
| Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology | $122 | $215 | $266 |
| Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology | $158 | $483 | $989 |
| Cystourethroscopy with lithotripsy CPT 52353 • Urology | $360 | $541 | $832 |
| TURP transurethral resection of prostate CPT 52601 • Urology | $427 | $965 | $1,709 |
| Laser vaporization of prostate CPT 52648 • Urology | $699 | $2,345 | $4,008 |
| Circumcision CPT 54150 • Urology | $139 | $230 | $323 |
| Orchiectomy simple CPT 54520 • Urology | $194 | $328 | $401 |
| Orchiectomy radical inguinal CPT 54530 • Urology | $512 | $565 | $637 |
| Vasectomy CPT 55250 • Urology | $234 | $521 | $751 |
| Prostate biopsy needle or punch CPT 55700 • Urology | $223 | $280 | $342 |
| Radical prostatectomy retropubic CPT 55840 • Urology | $1,087 | $1,640 | $2,523 |
| Laparoscopic radical prostatectomy CPT 55866 • Urology | $698 | $1,813 | $2,677 |