IREDELL DAVIS BEHAVIORAL HEALTH HOSPITAL· STATESVILLE, NC
Hospital
557 Brookdale Drive, STATESVILLE, NC 28677
Procedures offered
939 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy | $32 | $1,148 | $1,963 |
| IMRT delivery simple CPT 77385 • Radiation Therapy | $392 | $392 | $392 |
| IMRT delivery complex CPT 77386 • Radiation Therapy | $393 | $616 | $839 |
| Radiation treatment delivery superficial CPT 77407 • Radiation Therapy | $88 | $179 | $267 |
| Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy | $98 | $305 | $512 |
| Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy | $6 | $210 | $424 |
| Radiation therapy management complete course CPT 77431 • Radiation Therapy | $3 | $115 | $243 |
| Proton beam treatment simple CPT 77520 • Radiation Therapy | $29 | $614 | $1,414 |
| Proton beam treatment complex CPT 77523 • Radiation Therapy | $33 | $578 | $1,078 |
| Polysomnography under age 6 CPT 95782 • Sleep Medicine | $32 | $601 | $1,174 |
| Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine | $33 | $545 | $1,141 |
| Sleep study unattended CPT 95800 • Sleep Medicine | $0 | $80 | $168 |
| Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine | $58 | $113 | $211 |
| Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine | $79 | $528 | $987 |
| Polysomnography age 6 or older CPT 95810 • Sleep Medicine | $106 | $457 | $883 |
| Polysomnography with CPAP titration CPT 95811 • Sleep Medicine | $110 | $561 | $924 |
| CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine | $112 | $162 | $231 |
| Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine | $149 | $1,121 | $3,979 |
| CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine | $62 | $156 | $395 |
| Laparoscopic partial nephrectomy CPT 50543 • Urology | $46 | $1,121 | $1,490 |
| Laparoscopic radical nephrectomy CPT 50545 • Urology | $42 | $1,257 | $2,156 |
| Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology | $616 | $926 | $1,837 |
| Complex uroflowmetry CPT 51741 • Urology | $3 | $28 | $72 |
| Post-void residual urine measurement CPT 51798 • Urology | $10 | $14 | $18 |
| Cystourethroscopy diagnostic CPT 52000 • Urology | $7 | $190 | $552 |
| Cystourethroscopy with tumor fulguration small CPT 52234 • Urology | $8 | $186 | $406 |
| Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology | $9 | $217 | $477 |
| Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology | $7 | $183 | $255 |
| Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology | $30 | $385 | $963 |
| Cystourethroscopy with lithotripsy CPT 52353 • Urology | $358 | $476 | $535 |
| TURP transurethral resection of prostate CPT 52601 • Urology | $23 | $727 | $2,022 |
| Laser vaporization of prostate CPT 52648 • Urology | $595 | $1,839 | $4,543 |
| Circumcision CPT 54150 • Urology | $4 | $128 | $248 |
| Orchiectomy simple CPT 54520 • Urology | $9 | $312 | $527 |
| Orchiectomy radical inguinal CPT 54530 • Urology | $350 | $607 | $733 |
| Vasectomy CPT 55250 • Urology | $9 | $187 | $358 |
| Prostate biopsy needle or punch CPT 55700 • Urology | $8 | $150 | $344 |
| Radical prostatectomy retropubic CPT 55840 • Urology | $37 | $901 | $1,606 |
| Laparoscopic radical prostatectomy CPT 55866 • Urology | $37 | $1,487 | $3,463 |