NORTHERN REGIONAL HOSPITAL· MOUNT AIRY, NC
HospitalCMS 4/5
830 ROCKFORD ST, MOUNT AIRY, NC 27030
Procedures offered
936 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $189 | $350 | $503 |
| Tonsillectomy primary under age 12 CPT 42826 • ENT | $156 | $292 | $425 |
| Adenoidectomy primary under age 12 CPT 42830 • ENT | $126 | $232 | $356 |
| Removal impacted cerumen unilateral CPT 69210 • ENT | $29 | $51 | $79 |
| Tympanostomy tube insertion CPT 69436 • ENT | $144 | $189 | $264 |
| Tympanoplasty without mastoidectomy CPT 69631 • ENT | $687 | $992 | $1,454 |
| Tympanoplasty with mastoidectomy CPT 69633 • ENT | $626 | $1,091 | $1,721 |
| Comprehensive audiometry evaluation CPT 92557 • ENT | $35 | $48 | $60 |
| Incision and drainage abscess simple CPT 10060 • Emergency | $46 | $116 | $211 |
| Incision and drainage abscess complicated CPT 10061 • Emergency | $155 | $224 | $352 |
| Simple wound repair up to 2.5cm CPT 12001 • Emergency | $34 | $84 | $163 |
| Simple wound repair 2.6-7.5cm CPT 12002 • Emergency | $44 | $100 | $174 |
| Simple wound repair face 2.5cm or less CPT 12011 • Emergency | $69 | $107 | $173 |
| Intermediate wound repair 2.5cm or less CPT 12031 • Emergency | $85 | $217 | $432 |
| Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency | $120 | $269 | $465 |
| Initial treatment first degree burn CPT 16000 • Emergency | $42 | $62 | $78 |
| Emergency department visit self-limited problem CPT 99281 • Emergency | $18 | $22 | $27 |
| Emergency department visit low severity CPT 99282 • Emergency | $31 | $50 | $67 |
| Emergency department visit moderate severity CPT 99283 • Emergency | $65 | $78 | $95 |
| Emergency department visit high severity CPT 99284 • Emergency | $103 | $140 | $192 |
| Emergency department visit highest severity CPT 99285 • Emergency | $160 | $210 | $279 |
| Critical care first 30-74 minutes CPT 99291 • Emergency | $223 | $303 | $445 |
| Critical care each additional 30 minutes CPT 99292 • Emergency | $111 | $141 | $193 |
| Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology | $147 | $186 | $253 |
| Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology | $143 | $286 | $472 |
| Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology | $107 | $334 | $611 |
| Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology | $125 | $299 | $624 |
| Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology | $174 | $262 | $416 |
| Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology | $136 | $356 | $800 |
| Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology | $192 | $318 | $386 |
| Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology | $286 | $330 | $375 |
| ERCP diagnostic CPT 43260 • Gastroenterology | $351 | $535 | $848 |
| ERCP with sphincterotomy CPT 43262 • Gastroenterology | $268 | $449 | $566 |
| ERCP with removal of stones CPT 43264 • Gastroenterology | $510 | $561 | $637 |
| ERCP with stent placement CPT 43274 • Gastroenterology | $438 | $576 | $733 |
| Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology | $201 | $334 | $519 |
| Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology | $253 | $430 | $671 |
| Colonoscopy diagnostic CPT 45378 • Gastroenterology | $126 | $357 | $556 |
| Colonoscopy with biopsy CPT 45380 • Gastroenterology | $151 | $438 | $706 |
| Colonoscopy with submucosal injection CPT 45381 • Gastroenterology | $243 | $443 | $720 |
| Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology | $262 | $491 | $794 |
| Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology | $299 | $517 | $739 |
| Colonoscopy with balloon dilation CPT 45386 • Gastroenterology | $263 | $573 | $982 |
| Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology | $325 | $1,197 | $3,657 |
| Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology | $400 | $447 | $528 |
| Esophageal motility study CPT 91010 • Gastroenterology | $98 | $158 | $223 |
| Esophageal motility study with acid reflux CPT 91035 • Gastroenterology | $82 | $452 | $731 |
| Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology | $88 | $175 | $322 |
| Auto-added CPT 00102 • General | $40 | $412 | $693 |
| Auto-added CPT 00104 • General | $40 | $298 | $495 |