GOSHEN MEDICAL CENTER INCORPORATED· KENANSVILLE, NC
ProviderClinic/Center, Federally Qualified Health Center (FQHC)Clinic/Center, Multi-Specialty
102 N MAIN ST, SUITE 2, KENANSVILLE, NC 28349
Procedures offered
952 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Pulse oximetry single measurement CPT 94760 • Pulmonology | $3 | $3 | $3 |
| Pulse oximetry continuous overnight CPT 94762 • Pulmonology | $29 | $29 | $29 |
| Radiation therapy planning simple CPT 77261 • Radiation Therapy | $53 | $60 | $74 |
| Radiation therapy planning intermediate CPT 77262 • Radiation Therapy | $82 | $97 | $112 |
| Radiation therapy planning complex CPT 77263 • Radiation Therapy | $127 | $143 | $174 |
| Radiation therapy simulation simple CPT 77280 • Radiation Therapy | $28 | $32 | $39 |
| Radiation therapy simulation complex CPT 77290 • Radiation Therapy | $63 | $71 | $85 |
| 3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy | $170 | $201 | $232 |
| Radiation therapy dose calculation CPT 77300 • Radiation Therapy | $25 | $47 | $68 |
| IMRT radiation therapy plan CPT 77301 • Radiation Therapy | $318 | $861 | $1,949 |
| Radiation treatment device design complex CPT 77334 • Radiation Therapy | $46 | $53 | $67 |
| Radiation physics consultation CPT 77336 • Radiation Therapy | $68 | $73 | $81 |
| Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy | $2,030 | $2,030 | $2,030 |
| Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy | $1,231 | $1,231 | $1,231 |
| IMRT delivery simple CPT 77385 • Radiation Therapy | $368 | $368 | $368 |
| IMRT delivery complex CPT 77386 • Radiation Therapy | $370 | $370 | $370 |
| Radiation treatment delivery superficial CPT 77407 • Radiation Therapy | $197 | $197 | $197 |
| Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy | $264 | $264 | $264 |
| Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy | $144 | $161 | $196 |
| Radiation therapy management complete course CPT 77431 • Radiation Therapy | $109 | $109 | $109 |
| Proton beam treatment simple CPT 77520 • Radiation Therapy | $893 | $893 | $893 |
| Proton beam treatment complex CPT 77523 • Radiation Therapy | $1,033 | $1,033 | $1,033 |
| Polysomnography under age 6 CPT 95782 • Sleep Medicine | $846 | $846 | $846 |
| Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine | $1,046 | $1,046 | $1,046 |
| Sleep study unattended CPT 95800 • Sleep Medicine | $109 | $118 | $135 |
| Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine | $52 | $52 | $52 |
| Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine | $387 | $387 | $387 |
| Polysomnography age 6 or older CPT 95810 • Sleep Medicine | $531 | $531 | $531 |
| Polysomnography with CPAP titration CPT 95811 • Sleep Medicine | $617 | $643 | $694 |
| CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine | $82 | $82 | $82 |
| Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine | $726 | $726 | $726 |
| CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine | $303 | $344 | $426 |
| Laparoscopic partial nephrectomy CPT 50543 • Urology | $1,660 | $1,660 | $1,660 |
| Laparoscopic radical nephrectomy CPT 50545 • Urology | $1,493 | $1,493 | $1,493 |
| Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology | $634 | $634 | $634 |
| Complex uroflowmetry CPT 51741 • Urology | $6 | $9 | $14 |
| Post-void residual urine measurement CPT 51798 • Urology | $9 | $10 | $11 |
| Cystourethroscopy diagnostic CPT 52000 • Urology | $193 | $205 | $231 |
| Cystourethroscopy with tumor fulguration small CPT 52234 • Urology | $273 | $273 | $273 |
| Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology | $250 | $274 | $321 |
| Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology | $183 | $209 | $235 |
| Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology | $136 | $257 | $500 |
| Cystourethroscopy with lithotripsy CPT 52353 • Urology | $340 | $388 | $437 |
| TURP transurethral resection of prostate CPT 52601 • Urology | $639 | $697 | $813 |
| Laser vaporization of prostate CPT 52648 • Urology | $770 | $770 | $770 |
| Circumcision CPT 54150 • Urology | $76 | $108 | $170 |
| Orchiectomy simple CPT 54520 • Urology | $363 | $363 | $363 |
| Orchiectomy radical inguinal CPT 54530 • Urology | $565 | $565 | $565 |
| Vasectomy CPT 55250 • Urology | $253 | $284 | $309 |
| Prostate biopsy needle or punch CPT 55700 • Urology | $209 | $241 | $274 |