BLUE RIDGE REGIONAL HOSPITAL· SPRUCE PINE, NC
HospitalCMS 3/5
125 HOSPITAL DRIVE, SPRUCE PINE, NC 28777
Procedures offered
933 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Preventive visit established patient infant CPT 99391 • Preventive Care | $64 | $77 | $99 |
| Preventive visit established patient age 1-4 CPT 99392 • Preventive Care | $78 | $92 | $106 |
| Preventive visit established patient age 5-11 CPT 99393 • Preventive Care | $78 | $91 | $105 |
| Preventive visit established patient age 12-17 CPT 99394 • Preventive Care | $85 | $97 | $115 |
| Preventive visit established patient age 18-39 CPT 99395 • Preventive Care | $89 | $103 | $118 |
| Preventive visit established patient age 40-64 CPT 99396 • Preventive Care | $100 | $113 | $127 |
| Preventive visit established patient age 65+ CPT 99397 • Preventive Care | $112 | $124 | $136 |
| Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care | $22 | $33 | $40 |
| Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care | $54 | $116 | $184 |
| Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care | $295 | $346 | $388 |
| Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care | $197 | $312 | $384 |
| Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care | $89 | $130 | $171 |
| Annual wellness visit initial HCPCS G0438 • Preventive Care | $158 | $186 | $231 |
| Annual wellness visit subsequent HCPCS G0439 • Preventive Care | $96 | $112 | $133 |
| Bronchoscopy diagnostic CPT 31622 • Pulmonology | $76 | $178 | $272 |
| Bronchoscopy with brushing CPT 31623 • Pulmonology | $190 | $302 | $411 |
| Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology | $190 | $243 | $282 |
| Bronchoscopy with biopsy CPT 31625 • Pulmonology | $177 | $312 | $563 |
| Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology | $160 | $273 | $414 |
| Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology | $238 | $647 | $1,429 |
| Ventilation assist and management initiation CPT 94002 • Pulmonology | $75 | $108 | $154 |
| Spirometry CPT 94010 • Pulmonology | $9 | $18 | $34 |
| Spirometry before and after bronchodilator CPT 94060 • Pulmonology | $14 | $25 | $42 |
| Bronchospasm provocation evaluation CPT 94070 • Pulmonology | $42 | $56 | $67 |
| Respiratory flow volume loop CPT 94375 • Pulmonology | $15 | $34 | $64 |
| Cardiopulmonary exercise test CPT 94621 • Pulmonology | $108 | $171 | $259 |
| Nebulizer inhalation treatment CPT 94640 • Pulmonology | $14 | $26 | $34 |
| Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology | $14 | $23 | $34 |
| Plethysmography lung volumes CPT 94726 • Pulmonology | $48 | $65 | $86 |
| Gas dilution lung volumes CPT 94727 • Pulmonology | $26 | $40 | $47 |
| Diffusing capacity (DLCO) CPT 94729 • Pulmonology | $39 | $54 | $63 |
| Pulse oximetry single measurement CPT 94760 • Pulmonology | $1 | $3 | $4 |
| Pulse oximetry continuous overnight CPT 94762 • Pulmonology | $11 | $23 | $40 |
| Radiation therapy planning simple CPT 77261 • Radiation Therapy | $69 | $77 | $84 |
| Radiation therapy planning intermediate CPT 77262 • Radiation Therapy | $116 | $140 | $176 |
| Radiation therapy planning complex CPT 77263 • Radiation Therapy | $169 | $176 | $188 |
| Radiation therapy simulation simple CPT 77280 • Radiation Therapy | $43 | $151 | $264 |
| Radiation therapy simulation complex CPT 77290 • Radiation Therapy | $366 | $417 | $450 |
| 3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy | $226 | $713 | $1,445 |
| Radiation therapy dose calculation CPT 77300 • Radiation Therapy | $37 | $70 | $108 |
| IMRT radiation therapy plan CPT 77301 • Radiation Therapy | $498 | $1,624 | $2,581 |
| Radiation treatment device design complex CPT 77334 • Radiation Therapy | $75 | $146 | $239 |
| Radiation physics consultation CPT 77336 • Radiation Therapy | $45 | $83 | $126 |
| Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy | $890 | $1,026 | $1,105 |
| Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy | $803 | $1,215 | $1,533 |
| IMRT delivery simple CPT 77385 • Radiation Therapy | $392 | $392 | $392 |
| IMRT delivery complex CPT 77386 • Radiation Therapy | $393 | $393 | $393 |
| Radiation treatment delivery superficial CPT 77407 • Radiation Therapy | $88 | $170 | $251 |
| Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy | $98 | $184 | $267 |
| Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy | $190 | $225 | $293 |