NOVANT HEALTH MIDTOWN OUTPATIENT SURGERY, LLC· CHARLOTTE, NC
Ambulatory surgery center
1918 RANDOLPH RD STE 740, CHARLOTTE, NC 28207
Procedures offered
947 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Radiation therapy planning simple CPT 77261 • Radiation Therapy | $116 | $116 | $116 |
| Radiation therapy planning intermediate CPT 77262 • Radiation Therapy | $106 | $106 | $106 |
| Radiation therapy planning complex CPT 77263 • Radiation Therapy | $274 | $274 | $274 |
| Radiation therapy simulation simple CPT 77280 • Radiation Therapy | $35 | $146 | $257 |
| Radiation therapy simulation complex CPT 77290 • Radiation Therapy | $307 | $373 | $439 |
| 3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy | $768 | $768 | $768 |
| Radiation therapy dose calculation CPT 77300 • Radiation Therapy | $52 | $57 | $62 |
| IMRT radiation therapy plan CPT 77301 • Radiation Therapy | $411 | $1,483 | $2,289 |
| Radiation treatment device design complex CPT 77334 • Radiation Therapy | $59 | $130 | $201 |
| Radiation physics consultation CPT 77336 • Radiation Therapy | $78 | $100 | $122 |
| Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy | $1,058 | $1,745 | $3,804 |
| Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy | $964 | $1,262 | $1,858 |
| Radiation treatment delivery superficial CPT 77407 • Radiation Therapy | $172 | $235 | $298 |
| Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy | $399 | $399 | $399 |
| Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy | $179 | $182 | $186 |
| Radiation therapy management complete course CPT 77431 • Radiation Therapy | $93 | $99 | $104 |
| Proton beam treatment simple CPT 77520 • Radiation Therapy | $831 | $1,061 | $1,291 |
| Proton beam treatment complex CPT 77523 • Radiation Therapy | $968 | $1,178 | $1,388 |
| Polysomnography under age 6 CPT 95782 • Sleep Medicine | $767 | $1,267 | $1,767 |
| Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine | $970 | $970 | $970 |
| Sleep study unattended CPT 95800 • Sleep Medicine | $34 | $83 | $131 |
| Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine | $40 | $56 | $74 |
| Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine | $339 | $388 | $485 |
| Polysomnography age 6 or older CPT 95810 • Sleep Medicine | $495 | $729 | $1,197 |
| Polysomnography with CPAP titration CPT 95811 • Sleep Medicine | $170 | $343 | $516 |
| CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine | $102 | $136 | $153 |
| Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine | $87 | $842 | $1,219 |
| CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine | $397 | $473 | $499 |
| Laparoscopic partial nephrectomy CPT 50543 • Urology | $1,621 | $1,621 | $1,621 |
| Laparoscopic radical nephrectomy CPT 50545 • Urology | $2,809 | $2,809 | $2,809 |
| Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology | $1,523 | $1,523 | $1,523 |
| Complex uroflowmetry CPT 51741 • Urology | $5 | $12 | $18 |
| Post-void residual urine measurement CPT 51798 • Urology | $20 | $20 | $20 |
| Cystourethroscopy diagnostic CPT 52000 • Urology | $237 | $332 | $426 |
| Cystourethroscopy with tumor fulguration small CPT 52234 • Urology | $515 | $515 | $515 |
| Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology | $320 | $320 | $320 |
| Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology | $232 | $232 | $232 |
| Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology | $30 | $199 | $398 |
| Cystourethroscopy with lithotripsy CPT 52353 • Urology | $823 | $823 | $823 |
| TURP transurethral resection of prostate CPT 52601 • Urology | $1,528 | $1,528 | $1,528 |
| Laser vaporization of prostate CPT 52648 • Urology | $3,258 | $3,258 | $3,258 |
| Circumcision CPT 54150 • Urology | $145 | $159 | $187 |
| Orchiectomy simple CPT 54520 • Urology | $680 | $680 | $680 |
| Orchiectomy radical inguinal CPT 54530 • Urology | $1,059 | $1,059 | $1,059 |
| Vasectomy CPT 55250 • Urology | $328 | $465 | $737 |
| Radical prostatectomy retropubic CPT 55840 • Urology | $1,140 | $1,797 | $2,455 |
| Laparoscopic radical prostatectomy CPT 55866 • Urology | $3,029 | $3,029 | $3,029 |