TRIANGLE SPRINGS· RALEIGH, NC

Hospital

10901 WORLD TRADE BLVD, RALEIGH, NC 27617

Procedures offered

925 total

Procedure	Min	Avg	Max
Preventive visit established patient age 65+ CPT 99397 • Preventive Care	$131	$176	$220
Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care	$38	$38	$38
Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care	$183	$183	$183
Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care	$338	$338	$338
Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care	$171	$255	$338
Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care	$153	$158	$163
Annual wellness visit initial HCPCS G0438 • Preventive Care	$153	$158	$163
Annual wellness visit subsequent HCPCS G0439 • Preventive Care	$120	$123	$127
Bronchoscopy diagnostic CPT 31622 • Pulmonology	$30	$78	$126
Bronchoscopy with brushing CPT 31623 • Pulmonology	$30	$30	$30
Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology	$30	$77	$124
Bronchoscopy with biopsy CPT 31625 • Pulmonology	$30	$30	$30
Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology	$30	$60	$90
Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology	$205	$742	$1,278
Ventilation assist and management initiation CPT 94002 • Pulmonology	$91	$91	$91
Spirometry CPT 94010 • Pulmonology	$6	$18	$30
Spirometry before and after bronchodilator CPT 94060 • Pulmonology	$8	$23	$37
Bronchospasm provocation evaluation CPT 94070 • Pulmonology	$28	$44	$59
Respiratory flow volume loop CPT 94375 • Pulmonology	$35	$35	$36
Cardiopulmonary exercise test CPT 94621 • Pulmonology	$139	$145	$150
Nebulizer inhalation treatment CPT 94640 • Pulmonology	$7	$19	$30
Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology	$16	$23	$30
Plethysmography lung volumes CPT 94726 • Pulmonology	$52	$58	$64
Gas dilution lung volumes CPT 94727 • Pulmonology	$40	$41	$42
Diffusing capacity (DLCO) CPT 94729 • Pulmonology	$7	$31	$55
Pulse oximetry single measurement CPT 94760 • Pulmonology	$2	$2	$2
Pulse oximetry continuous overnight CPT 94762 • Pulmonology	$22	$23	$25
Radiation therapy planning simple CPT 77261 • Radiation Therapy	$69	$69	$69
Radiation therapy planning intermediate CPT 77262 • Radiation Therapy	$105	$105	$105
Radiation therapy planning complex CPT 77263 • Radiation Therapy	$139	$152	$164
Radiation therapy simulation simple CPT 77280 • Radiation Therapy	$30	$144	$257
Radiation therapy simulation complex CPT 77290 • Radiation Therapy	$67	$253	$439
3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy	$203	$330	$457
Radiation therapy dose calculation CPT 77300 • Radiation Therapy	$27	$44	$62
IMRT radiation therapy plan CPT 77301 • Radiation Therapy	$379	$1,063	$1,747
Radiation treatment device design complex CPT 77334 • Radiation Therapy	$48	$84	$119
Radiation physics consultation CPT 77336 • Radiation Therapy	$70	$74	$77
Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy	$1,058	$1,058	$1,058
Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy	$964	$964	$964
Radiation treatment delivery superficial CPT 77407 • Radiation Therapy	$172	$204	$236
Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy	$228	$228	$228
Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy	$161	$173	$186
Radiation therapy management complete course CPT 77431 • Radiation Therapy	$104	$104	$104
Proton beam treatment simple CPT 77520 • Radiation Therapy	$831	$831	$831
Proton beam treatment complex CPT 77523 • Radiation Therapy	$968	$968	$968
Polysomnography under age 6 CPT 95782 • Sleep Medicine	$767	$767	$767
Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine	$813	$890	$967
Sleep study unattended CPT 95800 • Sleep Medicine	$114	$122	$131
Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine	$74	$74	$74
Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine	$102	$196	$290