RUTHERFORD REGIONAL MEDICAL CENTER· RUTHERFORDTON, NC
HospitalCMS 3/5
288 SOUTH RIDGECREST AVE, RUTHERFORDTON, NC 28139
Procedures offered
932 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Tonsillectomy primary under age 12 CPT 42826 • ENT | $294 | $367 | $424 |
| Adenoidectomy primary under age 12 CPT 42830 • ENT | $207 | $292 | $349 |
| Removal impacted cerumen unilateral CPT 69210 • ENT | $40 | $59 | $79 |
| Tympanostomy tube insertion CPT 69436 • ENT | $144 | $201 | $265 |
| Tympanoplasty without mastoidectomy CPT 69631 • ENT | $687 | $1,077 | $1,472 |
| Tympanoplasty with mastoidectomy CPT 69633 • ENT | $840 | $1,283 | $1,741 |
| Comprehensive audiometry evaluation CPT 92557 • ENT | $43 | $50 | $63 |
| Incision and drainage abscess simple CPT 10060 • Emergency | $87 | $158 | $198 |
| Incision and drainage abscess complicated CPT 10061 • Emergency | $180 | $282 | $345 |
| Simple wound repair up to 2.5cm CPT 12001 • Emergency | $66 | $94 | $148 |
| Simple wound repair 2.6-7.5cm CPT 12002 • Emergency | $87 | $146 | $180 |
| Simple wound repair face 2.5cm or less CPT 12011 • Emergency | $69 | $111 | $181 |
| Intermediate wound repair 2.5cm or less CPT 12031 • Emergency | $91 | $241 | $407 |
| Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency | $120 | $280 | $441 |
| Initial treatment first degree burn CPT 16000 • Emergency | $28 | $67 | $118 |
| Emergency department visit self-limited problem CPT 99281 • Emergency | $22 | $28 | $35 |
| Emergency department visit low severity CPT 99282 • Emergency | $37 | $51 | $68 |
| Emergency department visit moderate severity CPT 99283 • Emergency | $60 | $74 | $84 |
| Emergency department visit high severity CPT 99284 • Emergency | $117 | $144 | $193 |
| Emergency department visit highest severity CPT 99285 • Emergency | $188 | $226 | $285 |
| Critical care first 30-74 minutes CPT 99291 • Emergency | $223 | $333 | $451 |
| Critical care each additional 30 minutes CPT 99292 • Emergency | $111 | $146 | $200 |
| Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology | $147 | $199 | $263 |
| Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology | $188 | $305 | $444 |
| Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology | $103 | $307 | $594 |
| Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology | $201 | $371 | $598 |
| Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology | $174 | $1,276 | $1,918 |
| Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology | $145 | $375 | $761 |
| Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology | $324 | $356 | $402 |
| Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology | $138 | $272 | $392 |
| ERCP diagnostic CPT 43260 • Gastroenterology | $351 | $493 | $569 |
| ERCP with sphincterotomy CPT 43262 • Gastroenterology | $419 | $490 | $620 |
| ERCP with removal of stones CPT 43264 • Gastroenterology | $518 | $597 | $641 |
| ERCP with stent placement CPT 43274 • Gastroenterology | $559 | $726 | $815 |
| Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology | $96 | $272 | $491 |
| Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology | $253 | $435 | $646 |
| Colonoscopy diagnostic CPT 45378 • Gastroenterology | $269 | $367 | $537 |
| Colonoscopy with biopsy CPT 45380 • Gastroenterology | $236 | $425 | $689 |
| Colonoscopy with submucosal injection CPT 45381 • Gastroenterology | $279 | $415 | $673 |
| Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology | $222 | $298 | $370 |
| Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology | $188 | $443 | $725 |
| Colonoscopy with balloon dilation CPT 45386 • Gastroenterology | $206 | $500 | $990 |
| Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology | $262 | $1,888 | $5,024 |
| Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology | $400 | $487 | $577 |
| Esophageal motility study CPT 91010 • Gastroenterology | $76 | $174 | $305 |
| Esophageal motility study with acid reflux CPT 91035 • Gastroenterology | $82 | $408 | $771 |
| Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology | $54 | $295 | $707 |
| Auto-added CPT 00102 • General | $40 | $385 | $713 |
| Auto-added CPT 00104 • General | $40 | $222 | $340 |
| Auto-added CPT 00120 • General | $40 | $264 | $407 |