NORTHERN HOSPITAL DISTRICT OF SURRY COUNTY· MOUNT AIRY, NC
Urgent care
119 WELCH RD STE A, MOUNT AIRY, NC 27030
Procedures offered
931 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Preventive visit new patient age 65+ CPT 99387 • Preventive Care | $159 | $173 | $189 |
| Preventive visit established patient infant CPT 99391 • Preventive Care | $74 | $83 | $96 |
| Preventive visit established patient age 1-4 CPT 99392 • Preventive Care | $81 | $95 | $103 |
| Preventive visit established patient age 5-11 CPT 99393 • Preventive Care | $73 | $94 | $109 |
| Preventive visit established patient age 12-17 CPT 99394 • Preventive Care | $91 | $105 | $112 |
| Preventive visit established patient age 18-39 CPT 99395 • Preventive Care | $94 | $103 | $114 |
| Preventive visit established patient age 40-64 CPT 99396 • Preventive Care | $102 | $111 | $122 |
| Preventive visit established patient age 65+ CPT 99397 • Preventive Care | $107 | $118 | $131 |
| Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care | $0 | $19 | $38 |
| Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care | $66 | $125 | $183 |
| Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care | $338 | $369 | $400 |
| Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care | $215 | $276 | $338 |
| Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care | $130 | $147 | $163 |
| Annual wellness visit initial HCPCS G0438 • Preventive Care | $163 | $228 | $293 |
| Annual wellness visit subsequent HCPCS G0439 • Preventive Care | $127 | $129 | $131 |
| Bronchoscopy diagnostic CPT 31622 • Pulmonology | $243 | $362 | $441 |
| Bronchoscopy with brushing CPT 31623 • Pulmonology | $96 | $265 | $427 |
| Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology | $199 | $235 | $255 |
| Bronchoscopy with biopsy CPT 31625 • Pulmonology | $229 | $337 | $433 |
| Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology | $275 | $378 | $488 |
| Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology | $1,167 | $1,435 | $1,859 |
| Ventilation assist and management initiation CPT 94002 • Pulmonology | $91 | $101 | $106 |
| Spirometry CPT 94010 • Pulmonology | $9 | $12 | $17 |
| Spirometry before and after bronchodilator CPT 94060 • Pulmonology | $34 | $41 | $51 |
| Bronchospasm provocation evaluation CPT 94070 • Pulmonology | $36 | $54 | $66 |
| Respiratory flow volume loop CPT 94375 • Pulmonology | $36 | $39 | $43 |
| Cardiopulmonary exercise test CPT 94621 • Pulmonology | $78 | $102 | $150 |
| Nebulizer inhalation treatment CPT 94640 • Pulmonology | $8 | $12 | $19 |
| Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology | $16 | $19 | $21 |
| Plethysmography lung volumes CPT 94726 • Pulmonology | $52 | $59 | $66 |
| Gas dilution lung volumes CPT 94727 • Pulmonology | $14 | $23 | $42 |
| Diffusing capacity (DLCO) CPT 94729 • Pulmonology | $10 | $25 | $55 |
| Pulse oximetry single measurement CPT 94760 • Pulmonology | $0 | $2 | $3 |
| Pulse oximetry continuous overnight CPT 94762 • Pulmonology | $25 | $27 | $30 |
| Radiation therapy planning simple CPT 77261 • Radiation Therapy | $69 | $84 | $106 |
| Radiation therapy planning intermediate CPT 77262 • Radiation Therapy | $105 | $116 | $127 |
| Radiation therapy planning complex CPT 77263 • Radiation Therapy | $164 | $211 | $295 |
| Radiation therapy simulation simple CPT 77280 • Radiation Therapy | $257 | $266 | $272 |
| Radiation therapy simulation complex CPT 77290 • Radiation Therapy | $82 | $202 | $439 |
| 3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy | $224 | $314 | $457 |
| Radiation therapy dose calculation CPT 77300 • Radiation Therapy | $34 | $71 | $117 |
| IMRT radiation therapy plan CPT 77301 • Radiation Therapy | $1,534 | $1,710 | $1,849 |
| Radiation treatment device design complex CPT 77334 • Radiation Therapy | $119 | $140 | $152 |
| Radiation physics consultation CPT 77336 • Radiation Therapy | $74 | $103 | $157 |
| Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy | $1,058 | $1,205 | $1,321 |
| Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy | $964 | $1,322 | $1,760 |
| Radiation treatment delivery superficial CPT 77407 • Radiation Therapy | $172 | $236 | $282 |
| Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy | $228 | $243 | $261 |
| Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy | $186 | $190 | $192 |
| Radiation therapy management complete course CPT 77431 • Radiation Therapy | $104 | $133 | $190 |