ASHE MEMORIAL HOSPITAL INC· JEFFERSON, NC
Physician groupCMS 3/5HospitalistPhysical Medicine & Rehabilitation
200 HOSPITAL AVE, JEFFERSON, NC 28640
Procedures offered
964 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology | $201 | $1,017 | $2,615 |
| Ventilation assist and management initiation CPT 94002 • Pulmonology | $80 | $91 | $107 |
| Spirometry CPT 94010 • Pulmonology | $8 | $28 | $70 |
| Spirometry before and after bronchodilator CPT 94060 • Pulmonology | $9 | $39 | $90 |
| Bronchospasm provocation evaluation CPT 94070 • Pulmonology | $29 | $59 | $137 |
| Respiratory flow volume loop CPT 94375 • Pulmonology | $14 | $36 | $85 |
| Cardiopulmonary exercise test CPT 94621 • Pulmonology | $70 | $135 | $337 |
| Nebulizer inhalation treatment CPT 94640 • Pulmonology | $8 | $21 | $70 |
| Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology | $16 | $24 | $70 |
| Plethysmography lung volumes CPT 94726 • Pulmonology | $12 | $48 | $125 |
| Gas dilution lung volumes CPT 94727 • Pulmonology | $13 | $45 | $98 |
| Diffusing capacity (DLCO) CPT 94729 • Pulmonology | $8 | $48 | $123 |
| Pulse oximetry single measurement CPT 94760 • Pulmonology | $0 | $3 | $9 |
| Pulse oximetry continuous overnight CPT 94762 • Pulmonology | $15 | $27 | $55 |
| Radiation therapy planning simple CPT 77261 • Radiation Therapy | $72 | $100 | $165 |
| Radiation therapy planning intermediate CPT 77262 • Radiation Therapy | $108 | $151 | $235 |
| Radiation therapy planning complex CPT 77263 • Radiation Therapy | $160 | $229 | $361 |
| Radiation therapy simulation simple CPT 77280 • Radiation Therapy | $149 | $293 | $589 |
| Radiation therapy simulation complex CPT 77290 • Radiation Therapy | $78 | $488 | $1,106 |
| 3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy | $229 | $720 | $1,339 |
| Radiation therapy dose calculation CPT 77300 • Radiation Therapy | $31 | $62 | $146 |
| IMRT radiation therapy plan CPT 77301 • Radiation Therapy | $401 | $1,534 | $4,190 |
| Radiation treatment device design complex CPT 77334 • Radiation Therapy | $85 | $168 | $323 |
| Radiation physics consultation CPT 77336 • Radiation Therapy | $45 | $93 | $143 |
| Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy | $1,061 | $1,357 | $1,571 |
| Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy | $1,397 | $1,655 | $1,993 |
| IMRT delivery simple CPT 77385 • Radiation Therapy | $370 | $416 | $510 |
| IMRT delivery complex CPT 77386 • Radiation Therapy | $370 | $523 | $839 |
| Radiation treatment delivery superficial CPT 77407 • Radiation Therapy | $101 | $205 | $258 |
| Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy | $112 | $234 | $361 |
| Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy | $179 | $236 | $412 |
| Radiation therapy management complete course CPT 77431 • Radiation Therapy | $98 | $111 | $127 |
| Proton beam treatment simple CPT 77520 • Radiation Therapy | $455 | $1,066 | $1,956 |
| Proton beam treatment complex CPT 77523 • Radiation Therapy | $792 | $1,200 | $1,963 |
| Polysomnography under age 6 CPT 95782 • Sleep Medicine | $130 | $1,152 | $2,451 |
| Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine | $918 | $1,060 | $1,237 |
| Sleep study unattended CPT 95800 • Sleep Medicine | $51 | $140 | $318 |
| Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine | $37 | $55 | $79 |
| Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine | $60 | $531 | $968 |
| Polysomnography age 6 or older CPT 95810 • Sleep Medicine | $515 | $767 | $1,377 |
| Polysomnography with CPAP titration CPT 95811 • Sleep Medicine | $129 | $631 | $1,443 |
| CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine | $88 | $126 | $182 |
| Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine | $105 | $562 | $1,337 |
| CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine | $104 | $383 | $568 |
| Laparoscopic partial nephrectomy CPT 50543 • Urology | $1,381 | $1,877 | $3,201 |
| Laparoscopic radical nephrectomy CPT 50545 • Urology | $173 | $1,484 | $2,866 |
| Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology | $438 | $749 | $1,042 |
| Complex uroflowmetry CPT 51741 • Urology | $6 | $27 | $70 |
| Post-void residual urine measurement CPT 51798 • Urology | $11 | $21 | $40 |
| Cystourethroscopy diagnostic CPT 52000 • Urology | $120 | $254 | $481 |