COUNTY OF CLEVELAND NORTH CAROLINA· SHELBY, NC

Provider

200 S POST RD, SHELBY, NC 28152

Procedures offered

952 total

Procedure	Min	Avg	Max
Pulse oximetry single measurement CPT 94760 • Pulmonology	$2	$2	$2
Pulse oximetry continuous overnight CPT 94762 • Pulmonology	$21	$21	$21
Radiation therapy planning simple CPT 77261 • Radiation Therapy	$54	$59	$70
Radiation therapy planning intermediate CPT 77262 • Radiation Therapy	$106	$106	$106
Radiation therapy planning complex CPT 77263 • Radiation Therapy	$127	$137	$157
Radiation therapy simulation simple CPT 77280 • Radiation Therapy	$28	$30	$35
Radiation therapy simulation complex CPT 77290 • Radiation Therapy	$63	$144	$307
3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy	$212	$536	$860
Radiation therapy dose calculation CPT 77300 • Radiation Therapy	$25	$41	$49
IMRT radiation therapy plan CPT 77301 • Radiation Therapy	$318	$342	$391
Radiation treatment device design complex CPT 77334 • Radiation Therapy	$46	$69	$115
Radiation physics consultation CPT 77336 • Radiation Therapy	$68	$78	$96
Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy	$1,113	$1,113	$1,113
Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy	$1,576	$1,576	$1,576
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	$189	$267
Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy	$130	$256	$382
Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy	$144	$156	$179
Radiation therapy management complete course CPT 77431 • Radiation Therapy	$93	$93	$93
Proton beam treatment simple CPT 77520 • Radiation Therapy	$87	$87	$87
Proton beam treatment complex CPT 77523 • Radiation Therapy	$98	$98	$98
Polysomnography under age 6 CPT 95782 • Sleep Medicine	$133	$133	$133
Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine	$146	$146	$146
Sleep study unattended CPT 95800 • Sleep Medicine	$109	$121	$147
Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine	$99	$99	$99
Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine	$485	$485	$485
Polysomnography age 6 or older CPT 95810 • Sleep Medicine	$106	$132	$158
Polysomnography with CPAP titration CPT 95811 • Sleep Medicine	$170	$468	$617
CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine	$102	$102	$102
Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine	$141	$145	$149
CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine	$303	$353	$453
Laparoscopic partial nephrectomy CPT 50543 • Urology	$1,490	$1,556	$1,621
Laparoscopic radical nephrectomy CPT 50545 • Urology	$1,476	$1,476	$1,476
Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology	$603	$610	$616
Complex uroflowmetry CPT 51741 • Urology	$6	$36	$87
Post-void residual urine measurement CPT 51798 • Urology	$9	$13	$19
Cystourethroscopy diagnostic CPT 52000 • Urology	$70	$132	$193
Cystourethroscopy with tumor fulguration small CPT 52234 • Urology	$273	$273	$273
Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology	$250	$274	$320
Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology	$225	$229	$232
Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology	$136	$147	$170
Cystourethroscopy with lithotripsy CPT 52353 • Urology	$470	$470	$470
TURP transurethral resection of prostate CPT 52601 • Urology	$639	$722	$888
Laser vaporization of prostate CPT 52648 • Urology	$3,258	$3,258	$3,258
Circumcision CPT 54150 • Urology	$76	$113	$187
Orchiectomy simple CPT 54520 • Urology	$166	$231	$297
Orchiectomy radical inguinal CPT 54530 • Urology	$498	$498	$498
Vasectomy CPT 55250 • Urology	$203	$267	$309
Prostate biopsy needle or punch CPT 55700 • Urology	$119	$129	$140