NORTHERN HOSPITAL OF SURRY COUNTY· MOUNT AIRY, NC

Physician group

1016 S SOUTH ST, MOUNT AIRY, NC 27030

Procedures offered

954 total

Procedure	Min	Avg	Max
Gas dilution lung volumes CPT 94727 • Pulmonology	$14	$31	$42
Diffusing capacity (DLCO) CPT 94729 • Pulmonology	$10	$43	$55
Pulse oximetry single measurement CPT 94760 • Pulmonology	$0	$1	$2
Pulse oximetry continuous overnight CPT 94762 • Pulmonology	$5	$22	$30
Radiation therapy planning simple CPT 77261 • Radiation Therapy	$69	$79	$106
Radiation therapy planning intermediate CPT 77262 • Radiation Therapy	$105	$113	$127
Radiation therapy planning complex CPT 77263 • Radiation Therapy	$164	$197	$295
Radiation therapy simulation simple CPT 77280 • Radiation Therapy	$37	$174	$270
Radiation therapy simulation complex CPT 77290 • Radiation Therapy	$82	$336	$487
3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy	$224	$404	$476
Radiation therapy dose calculation CPT 77300 • Radiation Therapy	$32	$70	$117
IMRT radiation therapy plan CPT 77301 • Radiation Therapy	$1,445	$1,707	$1,849
Radiation treatment device design complex CPT 77334 • Radiation Therapy	$59	$98	$148
Radiation physics consultation CPT 77336 • Radiation Therapy	$75	$93	$157
Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy	$1,058	$1,288	$2,030
Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy	$964	$1,229	$1,760
IMRT delivery simple CPT 77385 • Radiation Therapy	$343	$343	$343
IMRT delivery complex CPT 77386 • Radiation Therapy	$344	$344	$344
Radiation treatment delivery superficial CPT 77407 • Radiation Therapy	$172	$203	$282
Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy	$228	$242	$261
Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy	$186	$188	$190
Radiation therapy management complete course CPT 77431 • Radiation Therapy	$103	$125	$190
Proton beam treatment simple CPT 77520 • Radiation Therapy	$353	$728	$831
Proton beam treatment complex CPT 77523 • Radiation Therapy	$854	$1,069	$1,384
Polysomnography under age 6 CPT 95782 • Sleep Medicine	$662	$826	$1,012
Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine	$813	$904	$1,069
Sleep study unattended CPT 95800 • Sleep Medicine	$34	$106	$162
Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine	$46	$73	$98
Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine	$59	$240	$443
Polysomnography age 6 or older CPT 95810 • Sleep Medicine	$116	$423	$587
Polysomnography with CPAP titration CPT 95811 • Sleep Medicine	$516	$555	$615
CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine	$103	$132	$153
Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine	$900	$1,098	$1,219
CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine	$50	$369	$498
Laparoscopic partial nephrectomy CPT 50543 • Urology	$207	$1,049	$1,487
Laparoscopic radical nephrectomy CPT 50545 • Urology	$249	$1,048	$1,339
Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology	$556	$622	$744
Complex uroflowmetry CPT 51741 • Urology	$6	$8	$13
Post-void residual urine measurement CPT 51798 • Urology	$8	$10	$12
Cystourethroscopy diagnostic CPT 52000 • Urology	$81	$229	$360
Cystourethroscopy with tumor fulguration small CPT 52234 • Urology	$238	$252	$285
Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology	$179	$256	$288
Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology	$204	$216	$244
Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology	$154	$337	$458
Cystourethroscopy with lithotripsy CPT 52353 • Urology	$286	$359	$392
TURP transurethral resection of prostate CPT 52601 • Urology	$457	$651	$728
Laser vaporization of prostate CPT 52648 • Urology	$436	$908	$1,600
Circumcision CPT 54150 • Urology	$110	$135	$151
Orchiectomy simple CPT 54520 • Urology	$320	$409	$583
Orchiectomy radical inguinal CPT 54530 • Urology	$495	$599	$902