GOOD HOPE HOSPITAL, INC· ERWIN, NC
Hospital
410 DENIM DRIVE, ERWIN, NC 28339
Procedures offered
941 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Tdap vaccine age 7 years or older CPT 90715 • Preventive Care | $39 | $44 | $50 |
| Varicella vaccine CPT 90716 • Preventive Care | $33 | $138 | $195 |
| Pneumococcal vaccine adult CPT 90732 • Preventive Care | $13 | $89 | $133 |
| Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care | $37 | $159 | $220 |
| Preventive visit new patient infant CPT 99381 • Preventive Care | $74 | $93 | $106 |
| Preventive visit new patient age 1-4 CPT 99382 • Preventive Care | $79 | $98 | $111 |
| Preventive visit new patient age 5-11 CPT 99383 • Preventive Care | $109 | $115 | $120 |
| Preventive visit new patient age 12-17 CPT 99384 • Preventive Care | $122 | $129 | $135 |
| Preventive visit new patient age 18-39 CPT 99385 • Preventive Care | $119 | $225 | $331 |
| Preventive visit new patient age 40-64 CPT 99386 • Preventive Care | $137 | $194 | $297 |
| Preventive visit new patient age 65+ CPT 99387 • Preventive Care | $149 | $156 | $164 |
| Preventive visit established patient infant CPT 99391 • Preventive Care | $90 | $95 | $99 |
| Preventive visit established patient age 1-4 CPT 99392 • Preventive Care | $96 | $130 | $192 |
| Preventive visit established patient age 5-11 CPT 99393 • Preventive Care | $96 | $101 | $105 |
| Preventive visit established patient age 12-17 CPT 99394 • Preventive Care | $83 | $100 | $112 |
| Preventive visit established patient age 18-39 CPT 99395 • Preventive Care | $86 | $97 | $107 |
| Preventive visit established patient age 40-64 CPT 99396 • Preventive Care | $114 | $185 | $318 |
| Preventive visit established patient age 65+ CPT 99397 • Preventive Care | $122 | $130 | $135 |
| Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care | $34 | $57 | $99 |
| Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care | $78 | $144 | $184 |
| Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care | $252 | $301 | $338 |
| Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care | $235 | $273 | $312 |
| Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care | $132 | $148 | $163 |
| Annual wellness visit initial HCPCS G0438 • Preventive Care | $148 | $314 | $632 |
| Annual wellness visit subsequent HCPCS G0439 • Preventive Care | $117 | $248 | $499 |
| Bronchoscopy diagnostic CPT 31622 • Pulmonology | $30 | $155 | $274 |
| Bronchoscopy with brushing CPT 31623 • Pulmonology | $268 | $287 | $307 |
| Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology | $30 | $280 | $526 |
| Bronchoscopy with biopsy CPT 31625 • Pulmonology | $30 | $186 | $395 |
| Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology | $30 | $269 | $419 |
| Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology | $1,278 | $1,460 | $1,699 |
| Ventilation assist and management initiation CPT 94002 • Pulmonology | $83 | $90 | $96 |
| Spirometry CPT 94010 • Pulmonology | $15 | $24 | $30 |
| Spirometry before and after bronchodilator CPT 94060 • Pulmonology | $30 | $34 | $42 |
| Bronchospasm provocation evaluation CPT 94070 • Pulmonology | $51 | $54 | $57 |
| Respiratory flow volume loop CPT 94375 • Pulmonology | $26 | $30 | $35 |
| Cardiopulmonary exercise test CPT 94621 • Pulmonology | $145 | $211 | $278 |
| Nebulizer inhalation treatment CPT 94640 • Pulmonology | $9 | $10 | $12 |
| Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology | $15 | $21 | $30 |
| Plethysmography lung volumes CPT 94726 • Pulmonology | $12 | $38 | $52 |
| Gas dilution lung volumes CPT 94727 • Pulmonology | $21 | $34 | $42 |
| Diffusing capacity (DLCO) CPT 94729 • Pulmonology | $9 | $32 | $54 |
| Pulse oximetry single measurement CPT 94760 • Pulmonology | $2 | $2 | $3 |
| Pulse oximetry continuous overnight CPT 94762 • Pulmonology | $25 | $26 | $27 |
| Radiation therapy planning simple CPT 77261 • Radiation Therapy | $60 | $86 | $112 |
| Radiation therapy planning intermediate CPT 77262 • Radiation Therapy | $91 | $132 | $172 |
| Radiation therapy planning complex CPT 77263 • Radiation Therapy | $142 | $162 | $178 |
| Radiation therapy simulation simple CPT 77280 • Radiation Therapy | $40 | $180 | $257 |
| Radiation therapy simulation complex CPT 77290 • Radiation Therapy | $420 | $447 | $474 |
| 3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy | $238 | $324 | $411 |