GRANVILLE HEALTH SYSTEM· OXFORD, NC

Imaging center

1010 COLLEGE ST, OXFORD, NC 27565

Procedures offered

954 total

Procedure	Min	Avg	Max
Tonsillectomy primary under age 12 CPT 42826 • ENT	$275	$291	$299
Adenoidectomy primary under age 12 CPT 42830 • ENT	$222	$242	$248
Removal impacted cerumen unilateral CPT 69210 • ENT	$39	$50	$56
Tympanostomy tube insertion CPT 69436 • ENT	$187	$188	$191
Tympanoplasty without mastoidectomy CPT 69631 • ENT	$967	$967	$967
Tympanoplasty with mastoidectomy CPT 69633 • ENT	$1,151	$1,151	$1,151
Comprehensive audiometry evaluation CPT 92557 • ENT	$44	$44	$44
Incision and drainage abscess simple CPT 10060 • Emergency	$36	$104	$145
Incision and drainage abscess complicated CPT 10061 • Emergency	$36	$119	$249
Simple wound repair up to 2.5cm CPT 12001 • Emergency	$36	$86	$110
Simple wound repair 2.6-7.5cm CPT 12002 • Emergency	$69	$100	$132
Simple wound repair face 2.5cm or less CPT 12011 • Emergency	$92	$118	$131
Intermediate wound repair 2.5cm or less CPT 12031 • Emergency	$119	$228	$309
Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency	$211	$211	$211
Initial treatment first degree burn CPT 16000 • Emergency	$41	$41	$41
Emergency department visit self-limited problem CPT 99281 • Emergency	$18	$73	$92
Emergency department visit low severity CPT 99282 • Emergency	$34	$67	$92
Emergency department visit moderate severity CPT 99283 • Emergency	$56	$81	$94
Emergency department visit high severity CPT 99284 • Emergency	$102	$145	$183
Emergency department visit highest severity CPT 99285 • Emergency	$152	$210	$229
Critical care first 30-74 minutes CPT 99291 • Emergency	$36	$220	$326
Critical care each additional 30 minutes CPT 99292 • Emergency	$96	$131	$143
Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology	$161	$161	$161
Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology	$154	$305	$355
Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology	$182	$386	$454
Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology	$213	$399	$460
Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology	$185	$942	$1,321
Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology	$232	$476	$599
Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology	$334	$334	$334
Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology	$321	$321	$321
ERCP diagnostic CPT 43260 • Gastroenterology	$369	$369	$369
ERCP with sphincterotomy CPT 43262 • Gastroenterology	$456	$456	$456
ERCP with removal of stones CPT 43264 • Gastroenterology	$547	$547	$547
ERCP with stent placement CPT 43274 • Gastroenterology	$612	$612	$612
Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology	$178	$178	$178
Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology	$429	$429	$429
Flexible sigmoidoscopy diagnostic CPT 45330 • Gastroenterology	$65	$143	$221
Colonoscopy diagnostic CPT 45378 • Gastroenterology	$108	$315	$430
Colonoscopy with biopsy CPT 45380 • Gastroenterology	$235	$422	$521
Colonoscopy with submucosal injection CPT 45381 • Gastroenterology	$36	$399	$532
Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology	$504	$559	$586
Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology	$36	$425	$576
Colonoscopy with balloon dilation CPT 45386 • Gastroenterology	$735	$735	$735
Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology	$317	$1,732	$3,003
Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology	$436	$436	$436
Esophageal motility study CPT 91010 • Gastroenterology	$128	$128	$128
Esophageal motility study with acid reflux CPT 91035 • Gastroenterology	$425	$425	$425
Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology	$67	$67	$67
Auto-added CPT 00102 • General	$37	$37	$37
Auto-added CPT 00104 • General	$37	$37	$37