MARY JO GROTE· NEW BERN, NC

Physician group

3110 WELLONS BLVD, NEW BERN, NC 28562

Procedures offered

953 total

Procedure	Min	Avg	Max
Diffusing capacity (DLCO) CPT 94729 • Pulmonology	$21	$30	$39
Pulse oximetry single measurement CPT 94760 • Pulmonology	$2	$2	$2
Pulse oximetry continuous overnight CPT 94762 • Pulmonology	$5	$18	$26
Radiation therapy planning simple CPT 77261 • Radiation Therapy	$41	$107	$172
Radiation therapy planning intermediate CPT 77262 • Radiation Therapy	$62	$62	$62
Radiation therapy planning complex CPT 77263 • Radiation Therapy	$92	$222	$410
Radiation therapy simulation simple CPT 77280 • Radiation Therapy	$21	$237	$637
Radiation therapy simulation complex CPT 77290 • Radiation Therapy	$231	$231	$231
3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy	$252	$699	$1,145
Radiation therapy dose calculation CPT 77300 • Radiation Therapy	$18	$43	$80
IMRT radiation therapy plan CPT 77301 • Radiation Therapy	$1,217	$1,482	$1,747
Radiation treatment device design complex CPT 77334 • Radiation Therapy	$90	$170	$299
Radiation physics consultation CPT 77336 • Radiation Therapy	$34	$107	$201
Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy	$616	$936	$1,096
Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy	$845	$1,602	$2,358
IMRT delivery simple CPT 77385 • Radiation Therapy	$328	$328	$328
IMRT delivery complex CPT 77386 • Radiation Therapy	$228	$228	$228
Radiation treatment delivery superficial CPT 77407 • Radiation Therapy	$119	$147	$174
Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy	$115	$174	$232
Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy	$110	$148	$186
Radiation therapy management complete course CPT 77431 • Radiation Therapy	$56	$158	$260
Proton beam treatment simple CPT 77520 • Radiation Therapy	$51	$362	$863
Proton beam treatment complex CPT 77523 • Radiation Therapy	$58	$531	$1,005
Polysomnography under age 6 CPT 95782 • Sleep Medicine	$112	$113	$115
Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine	$846	$931	$1,015
Sleep study unattended CPT 95800 • Sleep Medicine	$36	$44	$52
Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine	$67	$77	$86
Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine	$48	$371	$986
Polysomnography age 6 or older CPT 95810 • Sleep Medicine	$100	$675	$1,437
Polysomnography with CPAP titration CPT 95811 • Sleep Medicine	$517	$528	$540
CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine	$113	$113	$113
Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine	$82	$568	$1,054
CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine	$56	$310	$437
Laparoscopic partial nephrectomy CPT 50543 • Urology	$1,551	$2,767	$3,983
Laparoscopic radical nephrectomy CPT 50545 • Urology	$1,404	$2,486	$3,567
Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology	$726	$834	$942
Complex uroflowmetry CPT 51741 • Urology	$13	$30	$61
Post-void residual urine measurement CPT 51798 • Urology	$20	$24	$28
Cystourethroscopy diagnostic CPT 52000 • Urology	$107	$119	$131
Cystourethroscopy with tumor fulguration small CPT 52234 • Urology	$261	$457	$654
Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology	$306	$536	$767
Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology	$221	$250	$279
Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology	$369	$428	$488
Cystourethroscopy with lithotripsy CPT 52353 • Urology	$449	$745	$1,042
TURP transurethral resection of prostate CPT 52601 • Urology	$859	$1,405	$1,951
Laser vaporization of prostate CPT 52648 • Urology	$713	$713	$713
Circumcision CPT 54150 • Urology	$89	$223	$357
Orchiectomy simple CPT 54520 • Urology	$294	$587	$880
Orchiectomy radical inguinal CPT 54530 • Urology	$459	$913	$1,366
Vasectomy CPT 55250 • Urology	$53	$218	$383