J ARTHUR DOSHER MEMORIAL HOSPITAL· SOUTHPORT, NC
Hospital
924 HOWE ST, SOUTHPORT, NC 28461
Procedures offered
793 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Tdap vaccine age 7 years or older CPT 90715 • Preventive Care | $55 | $57 | $60 |
| Varicella vaccine CPT 90716 • Preventive Care | $179 | $194 | $208 |
| Pneumococcal vaccine adult CPT 90732 • Preventive Care | $133 | $170 | $207 |
| Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care | $206 | $226 | $246 |
| Preventive visit new patient infant CPT 99381 • Preventive Care | $78 | $104 | $130 |
| Preventive visit new patient age 1-4 CPT 99382 • Preventive Care | $89 | $112 | $136 |
| Preventive visit new patient age 5-11 CPT 99383 • Preventive Care | $89 | $115 | $141 |
| Preventive visit new patient age 12-17 CPT 99384 • Preventive Care | $100 | $129 | $158 |
| Preventive visit new patient age 18-39 CPT 99385 • Preventive Care | $100 | $127 | $154 |
| Preventive visit new patient age 40-64 CPT 99386 • Preventive Care | $123 | $150 | $178 |
| Preventive visit new patient age 65+ CPT 99387 • Preventive Care | $134 | $163 | $193 |
| Preventive visit established patient infant CPT 99391 • Preventive Care | $67 | $92 | $117 |
| Preventive visit established patient age 1-4 CPT 99392 • Preventive Care | $78 | $101 | $124 |
| Preventive visit established patient age 5-11 CPT 99393 • Preventive Care | $78 | $101 | $124 |
| Preventive visit established patient age 12-17 CPT 99394 • Preventive Care | $89 | $106 | $123 |
| Preventive visit established patient age 18-39 CPT 99395 • Preventive Care | $89 | $114 | $139 |
| Preventive visit established patient age 40-64 CPT 99396 • Preventive Care | $100 | $124 | $148 |
| Preventive visit established patient age 65+ CPT 99397 • Preventive Care | $112 | $128 | $144 |
| Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care | $22 | $32 | $42 |
| Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care | $54 | $1,067 | $2,080 |
| Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care | $90 | $822 | $2,080 |
| Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care | $197 | $872 | $2,080 |
| Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care | $89 | $134 | $180 |
| Annual wellness visit initial HCPCS G0438 • Preventive Care | $158 | $169 | $180 |
| Annual wellness visit subsequent HCPCS G0439 • Preventive Care | $106 | $123 | $140 |
| Bronchoscopy diagnostic CPT 31622 • Pulmonology | $186 | $1,446 | $3,882 |
| Bronchoscopy with brushing CPT 31623 • Pulmonology | $190 | $1,456 | $3,882 |
| Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology | $190 | $1,449 | $3,882 |
| Bronchoscopy with biopsy CPT 31625 • Pulmonology | $195 | $1,484 | $3,882 |
| Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology | $245 | $1,509 | $3,882 |
| Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology | $274 | $3,289 | $8,271 |
| Ventilation assist and management initiation CPT 94002 • Pulmonology | $97 | $116 | $134 |
| Spirometry CPT 94010 • Pulmonology | $11 | $25 | $40 |
| Spirometry before and after bronchodilator CPT 94060 • Pulmonology | $19 | $38 | $56 |
| Bronchospasm provocation evaluation CPT 94070 • Pulmonology | $42 | $67 | $92 |
| Respiratory flow volume loop CPT 94375 • Pulmonology | $23 | $40 | $57 |
| Cardiopulmonary exercise test CPT 94621 • Pulmonology | $108 | $167 | $226 |
| Nebulizer inhalation treatment CPT 94640 • Pulmonology | $11 | $20 | $29 |
| Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology | $22 | $24 | $26 |
| Plethysmography lung volumes CPT 94726 • Pulmonology | $12 | $36 | $60 |
| Gas dilution lung volumes CPT 94727 • Pulmonology | $47 | $56 | $65 |
| Diffusing capacity (DLCO) CPT 94729 • Pulmonology | $60 | $71 | $82 |
| Pulse oximetry single measurement CPT 94760 • Pulmonology | $1 | $3 | $4 |
| Pulse oximetry continuous overnight CPT 94762 • Pulmonology | $11 | $24 | $36 |
| Radiation therapy planning simple CPT 77261 • Radiation Therapy | $84 | $89 | $95 |
| Radiation therapy planning intermediate CPT 77262 • Radiation Therapy | $127 | $134 | $142 |
| Radiation therapy planning complex CPT 77263 • Radiation Therapy | $188 | $198 | $209 |
| Radiation therapy simulation simple CPT 77280 • Radiation Therapy | $43 | $186 | $330 |
| Radiation therapy simulation complex CPT 77290 • Radiation Therapy | $366 | $491 | $617 |
| 3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy | $598 | $1,021 | $1,445 |