ATRIUM HEALTH HOSPITALS INC· LINCOLNTON, NC

HospitalCMS 4/5

433 MCALISTER RD, LINCOLNTON, NC 28092

Procedures offered

941 total

ProcedureMinAvgMax
Tonsillectomy and adenoidectomy age 12 or older
CPT 42821 • ENT
$353$444$507
Tonsillectomy primary under age 12
CPT 42826 • ENT
$156$291$423
Adenoidectomy primary under age 12
CPT 42830 • ENT
$201$252$349
Removal impacted cerumen unilateral
CPT 69210 • ENT
$40$65$80
Tympanostomy tube insertion
CPT 69436 • ENT
$144$249$343
Tympanoplasty without mastoidectomy
CPT 69631 • ENT
$524$1,181$2,333
Tympanoplasty with mastoidectomy
CPT 69633 • ENT
$840$1,692$2,746
Comprehensive audiometry evaluation
CPT 92557 • ENT
$35$47$64
Incision and drainage abscess simple
CPT 10060 • Emergency
$87$127$200
Incision and drainage abscess complicated
CPT 10061 • Emergency
$97$209$349
Simple wound repair up to 2.5cm
CPT 12001 • Emergency
$67$99$150
Simple wound repair 2.6-7.5cm
CPT 12002 • Emergency
$87$127$184
Simple wound repair face 2.5cm or less
CPT 12011 • Emergency
$69$117$183
Intermediate wound repair 2.5cm or less
CPT 12031 • Emergency
$91$236$415
Intermediate wound repair face 2.5cm or less
CPT 12051 • Emergency
$120$231$448
Initial treatment first degree burn
CPT 16000 • Emergency
$42$80$143
Emergency department visit self-limited problem
CPT 99281 • Emergency
$19$33$59
Emergency department visit low severity
CPT 99282 • Emergency
$37$59$74
Emergency department visit moderate severity
CPT 99283 • Emergency
$65$80$110
Emergency department visit high severity
CPT 99284 • Emergency
$117$156$202
Emergency department visit highest severity
CPT 99285 • Emergency
$188$239$294
Critical care first 30-74 minutes
CPT 99291 • Emergency
$223$290$466
Critical care each additional 30 minutes
CPT 99292 • Emergency
$111$144$207
Esophagoscopy rigid diagnostic
CPT 43191 • Gastroenterology
$158$197$262
Upper GI endoscopy diagnostic
CPT 43235 • Gastroenterology
$143$264$462
Upper GI endoscopy with biopsy
CPT 43239 • Gastroenterology
$223$386$613
Upper GI endoscopy with foreign body removal
CPT 43247 • Gastroenterology
$201$367$613
Upper GI endoscopy with balloon dilation
CPT 43249 • Gastroenterology
$172$707$1,775
Upper GI endoscopy with polypectomy by snare
CPT 43251 • Gastroenterology
$219$493$785
Upper GI endoscopy with stent placement
CPT 43257 • Gastroenterology
$324$497$709
Upper GI endoscopy with endoscopic ultrasound
CPT 43259 • Gastroenterology
$231$301$387
ERCP diagnostic
CPT 43260 • Gastroenterology
$351$489$565
ERCP with sphincterotomy
CPT 43262 • Gastroenterology
$268$437$611
ERCP with removal of stones
CPT 43264 • Gastroenterology
$372$504$622
ERCP with stent placement
CPT 43274 • Gastroenterology
$438$569$793
Colonoscopy through stoma diagnostic
CPT 44388 • Gastroenterology
$103$279$505
Colonoscopy through stoma with biopsy
CPT 44389 • Gastroenterology
$115$343$662
Colonoscopy diagnostic
CPT 45378 • Gastroenterology
$295$381$548
Colonoscopy with biopsy
CPT 45380 • Gastroenterology
$239$431$703
Colonoscopy with submucosal injection
CPT 45381 • Gastroenterology
$153$377$698
Colonoscopy with lesion removal by hot biopsy
CPT 45384 • Gastroenterology
$262$472$785
Colonoscopy with polypectomy by snare
CPT 45385 • Gastroenterology
$416$542$738
Colonoscopy with balloon dilation
CPT 45386 • Gastroenterology
$263$523$1,004
Colonoscopy with ablation of tumor or polyp
CPT 45388 • Gastroenterology
$325$2,673$4,729
Colonoscopy with endoscopic mucosal resection
CPT 45390 • Gastroenterology
$299$422$569
Esophageal motility study
CPT 91010 • Gastroenterology
$82$170$329
Esophageal motility study with acid reflux
CPT 91035 • Gastroenterology
$453$569$785
Esophageal pH monitoring 24 hours
CPT 91038 • Gastroenterology
$86$341$803
Auto-added
CPT 00102 • General
$64$288$540
Auto-added
CPT 00104 • General
$64$400$749