MARIA MEDICAL CENTER, PLLC· DUNN, NC

Physician group

800 SUSAN TART RD, DUNN, NC 28334

Procedures offered

954 total

Procedure	Min	Avg	Max
Gas dilution lung volumes CPT 94727 • Pulmonology	$30	$38	$46
Diffusing capacity (DLCO) CPT 94729 • Pulmonology	$10	$31	$53
Pulse oximetry single measurement CPT 94760 • Pulmonology	$2	$2	$2
Pulse oximetry continuous overnight CPT 94762 • Pulmonology	$21	$25	$29
Radiation therapy planning simple CPT 77261 • Radiation Therapy	$70	$96	$121
Radiation therapy planning intermediate CPT 77262 • Radiation Therapy	$106	$146	$186
Radiation therapy planning complex CPT 77263 • Radiation Therapy	$157	$225	$294
Radiation therapy simulation simple CPT 77280 • Radiation Therapy	$70	$104	$139
Radiation therapy simulation complex CPT 77290 • Radiation Therapy	$268	$326	$383
3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy	$223	$344	$465
Radiation therapy dose calculation CPT 77300 • Radiation Therapy	$38	$58	$78
IMRT radiation therapy plan CPT 77301 • Radiation Therapy	$729	$1,019	$1,309
Radiation treatment device design complex CPT 77334 • Radiation Therapy	$115	$128	$141
Radiation physics consultation CPT 77336 • Radiation Therapy	$96	$120	$143
Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy	$1,113	$2,748	$4,382
Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy	$1,576	$1,681	$1,786
IMRT delivery simple CPT 77385 • Radiation Therapy	$409	$409	$409
IMRT delivery complex CPT 77386 • Radiation Therapy	$410	$410	$410
Radiation treatment delivery superficial CPT 77407 • Radiation Therapy	$111	$111	$111
Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy	$130	$200	$269
Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy	$179	$258	$337
Radiation therapy management complete course CPT 77431 • Radiation Therapy	$93	$138	$184
Proton beam treatment simple CPT 77520 • Radiation Therapy	$87	$505	$923
Proton beam treatment complex CPT 77523 • Radiation Therapy	$98	$548	$997
Polysomnography under age 6 CPT 95782 • Sleep Medicine	$133	$149	$165
Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine	$109	$612	$1,116
Sleep study unattended CPT 95800 • Sleep Medicine	$81	$144	$208
Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine	$44	$49	$54
Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine	$62	$73	$85
Polysomnography age 6 or older CPT 95810 • Sleep Medicine	$280	$502	$725
Polysomnography with CPAP titration CPT 95811 • Sleep Medicine	$170	$197	$225
CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine	$102	$131	$161
Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine	$141	$158	$174
CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine	$61	$67	$73
Laparoscopic partial nephrectomy CPT 50543 • Urology	$1,603	$1,612	$1,621
Laparoscopic radical nephrectomy CPT 50545 • Urology	$1,476	$1,491	$1,505
Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology	$975	$1,062	$1,150
Complex uroflowmetry CPT 51741 • Urology	$8	$36	$65
Post-void residual urine measurement CPT 51798 • Urology	$19	$31	$42
Cystourethroscopy diagnostic CPT 52000 • Urology	$132	$228	$324
Cystourethroscopy with tumor fulguration small CPT 52234 • Urology	$273	$343	$413
Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology	$320	$354	$388
Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology	$232	$237	$243
Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology	$213	$321	$429
Cystourethroscopy with lithotripsy CPT 52353 • Urology	$470	$708	$947
TURP transurethral resection of prostate CPT 52601 • Urology	$888	$1,129	$1,371
Laser vaporization of prostate CPT 52648 • Urology	$725	$1,991	$3,258
Circumcision CPT 54150 • Urology	$94	$155	$215
Orchiectomy simple CPT 54520 • Urology	$297	$384	$471
Orchiectomy radical inguinal CPT 54530 • Urology	$498	$605	$713