EAST CAROLINA HEALTH-BERTIE· WINDSOR, NC

HospitalCMS 5/5

1403 S KING ST, WINDSOR, NC 27983

Procedures offered

969 total

Procedure	Min	Avg	Max
Hospital discharge day management more than 30 min CPT 99239 • Office Visits	$80	$161	$303
Consultation office straightforward CPT 99241 • Office Visits	$120	$120	$120
Consultation office low complexity CPT 99243 • Office Visits	$62	$137	$184
Consultation office high complexity CPT 99245 • Office Visits	$120	$243	$334
Blepharoplasty upper eyelid CPT 15823 • Ophthalmology	$551	$934	$1,850
Foreign body removal external eye corneal CPT 65210 • Ophthalmology	$21	$51	$103
Corneal transplant endothelial CPT 65756 • Ophthalmology	$563	$1,522	$2,925
Trabeculoplasty laser surgery CPT 65855 • Ophthalmology	$146	$305	$507
Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology	$1,019	$1,787	$3,591
Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology	$487	$914	$1,879
Iridotomy laser surgery CPT 66761 • Ophthalmology	$227	$436	$895
Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology	$665	$844	$1,207
Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology	$586	$943	$1,934
Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology	$55	$161	$305
Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology	$173	$1,868	$4,083
Retinal photocoagulation treatment CPT 67210 • Ophthalmology	$303	$761	$1,508
Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology	$271	$1,188	$2,855
Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology	$458	$878	$1,818
Excision chalazion single CPT 67800 • Ophthalmology	$95	$173	$328
Blepharoptosis repair levator resection CPT 67901 • Ophthalmology	$280	$697	$1,132
Lacrimal punctum closure by plug CPT 68761 • Ophthalmology	$108	$177	$307
Eye exam new patient intermediate CPT 92002 • Ophthalmology	$25	$63	$119
Eye exam new patient comprehensive CPT 92004 • Ophthalmology	$72	$170	$437
Eye exam established patient intermediate CPT 92012 • Ophthalmology	$26	$84	$215
Eye exam established patient comprehensive CPT 92014 • Ophthalmology	$48	$140	$311
Visual field examination CPT 92083 • Ophthalmology	$23	$79	$192
Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology	$22	$32	$44
Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology	$32	$49	$73
Fundus photography CPT 92250 • Ophthalmology	$22	$33	$58
Arthrocentesis aspiration small joint CPT 20600 • Orthopedics	$28	$45	$70
Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics	$35	$63	$107
Arthrocentesis aspiration major joint CPT 20610 • Orthopedics	$35	$48	$69
Cervical spine fusion anterior approach CPT 22551 • Orthopedics	$939	$2,222	$4,228
Lumbar spine fusion posterior approach CPT 22612 • Orthopedics	$855	$2,263	$4,634
Lumbar spine fusion combined approach CPT 22633 • Orthopedics	$233	$2,245	$4,551
Total shoulder replacement CPT 23472 • Orthopedics	$42	$1,120	$2,155
Reverse total shoulder replacement CPT 23473 • Orthopedics	$1,292	$1,739	$2,404
Lateral epicondylitis open treatment CPT 24357 • Orthopedics	$234	$601	$1,289
Closed treatment distal radial fracture CPT 25600 • Orthopedics	$135	$318	$448
Tendon sheath incision trigger finger CPT 26055 • Orthopedics	$42	$608	$1,666
Total hip replacement CPT 27130 • Orthopedics	$42	$1,058	$2,005
Hip replacement conversion to total CPT 27132 • Orthopedics	$1,451	$2,213	$4,151
Open treatment femoral fracture CPT 27236 • Orthopedics	$994	$1,187	$1,763
Treatment intertrochanteric femoral fracture CPT 27244 • Orthopedics	$160	$1,094	$1,813
Treatment intertrochanteric fracture with plate/screw CPT 27245 • Orthopedics	$1,076	$1,288	$1,813
Partial knee replacement medial or lateral CPT 27446 • Orthopedics	$961	$1,192	$1,713
Total knee replacement CPT 27447 • Orthopedics	$42	$1,084	$2,005
Open treatment tibial shaft fracture CPT 27756 • Orthopedics	$67	$748	$1,429
Closed treatment distal fibula fracture CPT 27786 • Orthopedics	$223	$418	$719
Bunionectomy with osteotomy CPT 28296 • Orthopedics	$63	$861	$1,803