GOSHEN MEDICAL CENTER INCORPORATED· CLINTON, NC

Provider

906 US HIGHWAY 421, CLINTON, NC 28328

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Procedures offered

367 total

ProcedureMinAvgMax
Immunization admin first vaccine component
CPT 90460 • Preventive Care
$15$17$19
Immunization admin each additional component
CPT 90461 • Preventive Care
$7$7$7
Immunization admin injection single
CPT 90471 • Preventive Care
$15$15$16
Immunization admin injection each additional
CPT 90472 • Preventive Care
$12$13$15
HPV vaccine 9-valent
CPT 90651 • Preventive Care
$251$293$336
Pneumococcal conjugate vaccine 13-valent
CPT 90670 • Preventive Care
$197$214$231
Rotavirus vaccine pentavalent
CPT 90680 • Preventive Care
$84$94$105
Influenza vaccine quadrivalent preservative free
CPT 90686 • Preventive Care
$19$19$20
MMR vaccine
CPT 90707 • Preventive Care
$80$90$100
Tdap vaccine age 7 years or older
CPT 90715 • Preventive Care
$29$34$40
Varicella vaccine
CPT 90716 • Preventive Care
$157$176$196
Pneumococcal vaccine adult
CPT 90732 • Preventive Care
$113$123$133
Zoster vaccine recombinant adjuvanted
CPT 90750 • Preventive Care
$207$213$220
Preventive visit new patient infant
CPT 99381 • Preventive Care
$90$123$156
Preventive visit new patient age 1-4
CPT 99382 • Preventive Care
$90$127$163
Preventive visit new patient age 5-11
CPT 99383 • Preventive Care
$94$132$170
Preventive visit new patient age 12-17
CPT 99384 • Preventive Care
$105$149$193
Preventive visit new patient age 18-39
CPT 99385 • Preventive Care
$109$148$187
Preventive visit new patient age 40-64
CPT 99386 • Preventive Care
$118$168$217
Preventive visit new patient age 65+
CPT 99387 • Preventive Care
$235$235$235
Preventive visit established patient infant
CPT 99391 • Preventive Care
$90$116$141
Preventive visit established patient age 1-4
CPT 99392 • Preventive Care
$82$116$150
Preventive visit established patient age 5-11
CPT 99393 • Preventive Care
$88$119$150
Preventive visit established patient age 12-17
CPT 99394 • Preventive Care
$91$128$164
Preventive visit established patient age 18-39
CPT 99395 • Preventive Care
$105$136$168
Preventive visit established patient age 40-64
CPT 99396 • Preventive Care
$88$134$180
Preventive visit established patient age 65+
CPT 99397 • Preventive Care
$102$148$194
Cervical or vaginal cancer screening pelvic exam
HCPCS G0101 • Preventive Care
$32$32$32
Initial preventive physical exam (Welcome to Medicare)
HCPCS G0402 • Preventive Care
$240$240$240
Annual wellness visit initial
HCPCS G0438 • Preventive Care
$240$240$240
Annual wellness visit subsequent
HCPCS G0439 • Preventive Care
$121$154$187
Bronchoscopy with brushing
CPT 31623 • Pulmonology
$110$110$110
Bronchoscopy with bronchial alveolar lavage
CPT 31624 • Pulmonology
$56$56$56
Bronchoscopy with transbronchial lung biopsy
CPT 31628 • Pulmonology
$146$146$146
Spirometry
CPT 94010 • Pulmonology
$23$33$44
Spirometry before and after bronchodilator
CPT 94060 • Pulmonology
$27$41$55
Respiratory flow volume loop
CPT 94375 • Pulmonology
$36$36$36
Nebulizer inhalation treatment
CPT 94640 • Pulmonology
$6$25$44
Aerosol or vapor inhalation initial demonstration
CPT 94664 • Pulmonology
$15$15$15
Plethysmography lung volumes
CPT 94726 • Pulmonology
$54$54$54
Gas dilution lung volumes
CPT 94727 • Pulmonology
$37$37$37
Diffusing capacity (DLCO)
CPT 94729 • Pulmonology
$46$46$46
Radiation therapy planning simple
CPT 77261 • Radiation Therapy
$54$54$54
Radiation therapy planning intermediate
CPT 77262 • Radiation Therapy
$82$82$82
Radiation therapy planning complex
CPT 77263 • Radiation Therapy
$127$127$127
Radiation therapy simulation simple
CPT 77280 • Radiation Therapy
$28$28$28
Radiation therapy simulation complex
CPT 77290 • Radiation Therapy
$63$63$63
3-dimensional radiation therapy plan
CPT 77295 • Radiation Therapy
$170$170$170
Radiation therapy dose calculation
CPT 77300 • Radiation Therapy
$25$25$25
IMRT radiation therapy plan
CPT 77301 • Radiation Therapy
$318$318$318