ATRIUM HEALTH HOSPITALS INC· SHELBY, NC

HospitalCMS 2/5

201 E GROVER ST, SHELBY, NC 28150

Procedures offered

940 total

ProcedureMinAvgMax
Tonsillectomy and adenoidectomy age 12 or older
CPT 42821 • ENT
$353$465$726
Tonsillectomy primary under age 12
CPT 42826 • ENT
$255$370$608
Adenoidectomy primary under age 12
CPT 42830 • ENT
$207$305$502
Removal impacted cerumen unilateral
CPT 69210 • ENT
$39$64$112
Tympanostomy tube insertion
CPT 69436 • ENT
$144$266$385
Tympanoplasty without mastoidectomy
CPT 69631 • ENT
$687$1,150$1,630
Tympanoplasty with mastoidectomy
CPT 69633 • ENT
$840$1,148$1,329
Comprehensive audiometry evaluation
CPT 92557 • ENT
$35$67$120
Incision and drainage abscess simple
CPT 10060 • Emergency
$44$112$223
Incision and drainage abscess complicated
CPT 10061 • Emergency
$129$197$386
Simple wound repair up to 2.5cm
CPT 12001 • Emergency
$50$122$333
Simple wound repair 2.6-7.5cm
CPT 12002 • Emergency
$87$168$349
Simple wound repair face 2.5cm or less
CPT 12011 • Emergency
$69$133$203
Intermediate wound repair 2.5cm or less
CPT 12031 • Emergency
$91$290$471
Intermediate wound repair face 2.5cm or less
CPT 12051 • Emergency
$120$368$535
Initial treatment first degree burn
CPT 16000 • Emergency
$43$54$61
Emergency department visit self-limited problem
CPT 99281 • Emergency
$19$27$40
Emergency department visit low severity
CPT 99282 • Emergency
$31$49$73
Emergency department visit moderate severity
CPT 99283 • Emergency
$55$72$84
Emergency department visit high severity
CPT 99284 • Emergency
$103$143$238
Emergency department visit highest severity
CPT 99285 • Emergency
$160$247$356
Critical care first 30-74 minutes
CPT 99291 • Emergency
$194$313$603
Critical care each additional 30 minutes
CPT 99292 • Emergency
$111$159$266
Esophagoscopy rigid diagnostic
CPT 43191 • Gastroenterology
$142$161$201
Upper GI endoscopy diagnostic
CPT 43235 • Gastroenterology
$162$307$664
Upper GI endoscopy with biopsy
CPT 43239 • Gastroenterology
$175$399$865
Upper GI endoscopy with foreign body removal
CPT 43247 • Gastroenterology
$201$457$887
Upper GI endoscopy with balloon dilation
CPT 43249 • Gastroenterology
$174$1,183$2,450
Upper GI endoscopy with polypectomy by snare
CPT 43251 • Gastroenterology
$136$494$1,142
Upper GI endoscopy with stent placement
CPT 43257 • Gastroenterology
$221$325$458
Upper GI endoscopy with endoscopic ultrasound
CPT 43259 • Gastroenterology
$194$374$642
ERCP diagnostic
CPT 43260 • Gastroenterology
$351$446$582
ERCP with sphincterotomy
CPT 43262 • Gastroenterology
$276$412$529
ERCP with removal of stones
CPT 43264 • Gastroenterology
$331$483$600
ERCP with stent placement
CPT 43274 • Gastroenterology
$438$686$1,093
Colonoscopy through stoma diagnostic
CPT 44388 • Gastroenterology
$190$368$732
Colonoscopy through stoma with biopsy
CPT 44389 • Gastroenterology
$183$257$383
Colonoscopy diagnostic
CPT 45378 • Gastroenterology
$126$428$840
Colonoscopy with biopsy
CPT 45380 • Gastroenterology
$246$651$1,004
Colonoscopy with submucosal injection
CPT 45381 • Gastroenterology
$250$641$1,024
Colonoscopy with lesion removal by hot biopsy
CPT 45384 • Gastroenterology
$370$635$1,070
Colonoscopy with polypectomy by snare
CPT 45385 • Gastroenterology
$217$501$1,057
Colonoscopy with balloon dilation
CPT 45386 • Gastroenterology
$166$536$1,402
Colonoscopy with ablation of tumor or polyp
CPT 45388 • Gastroenterology
$377$1,928$5,549
Colonoscopy with endoscopic mucosal resection
CPT 45390 • Gastroenterology
$299$448$786
Esophageal motility study
CPT 91010 • Gastroenterology
$128$207$411
Esophageal motility study with acid reflux
CPT 91035 • Gastroenterology
$82$450$849
Esophageal pH monitoring 24 hours
CPT 91038 • Gastroenterology
$57$214$460
Auto-added
CPT 00102 • General
$6$219$490
Auto-added
CPT 00104 • General
$6$161$350