NOVANT HEALTH ROWAN MEDICAL CENTER· SALISBURY, NC
HospitalCMS 2/5
612 MOCKSVILLE AVE, SALISBURY, NC 28144
Procedures offered
962 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $302 | $385 | $527 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $353 | $547 | $895 |
| Tonsillectomy primary under age 12 CPT 42826 • ENT | $294 | $457 | $749 |
| Adenoidectomy primary under age 12 CPT 42830 • ENT | $207 | $340 | $529 |
| Removal impacted cerumen unilateral CPT 69210 • ENT | $40 | $70 | $112 |
| Tympanostomy tube insertion CPT 69436 • ENT | $144 | $330 | $477 |
| Tympanoplasty without mastoidectomy CPT 69631 • ENT | $687 | $1,379 | $2,250 |
| Tympanoplasty with mastoidectomy CPT 69633 • ENT | $840 | $1,270 | $1,867 |
| Comprehensive audiometry evaluation CPT 92557 • ENT | $32 | $65 | $136 |
| Incision and drainage abscess simple CPT 10060 • Emergency | $49 | $127 | $243 |
| Incision and drainage abscess complicated CPT 10061 • Emergency | $129 | $323 | $598 |
| Simple wound repair up to 2.5cm CPT 12001 • Emergency | $67 | $215 | $361 |
| Simple wound repair 2.6-7.5cm CPT 12002 • Emergency | $49 | $89 | $117 |
| Simple wound repair face 2.5cm or less CPT 12011 • Emergency | $69 | $123 | $203 |
| Intermediate wound repair 2.5cm or less CPT 12031 • Emergency | $91 | $308 | $464 |
| Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency | $120 | $452 | $642 |
| Initial treatment first degree burn CPT 16000 • Emergency | $43 | $86 | $133 |
| Emergency department visit self-limited problem CPT 99281 • Emergency | $17 | $51 | $126 |
| Emergency department visit low severity CPT 99282 • Emergency | $37 | $79 | $126 |
| Emergency department visit moderate severity CPT 99283 • Emergency | $58 | $74 | $84 |
| Emergency department visit high severity CPT 99284 • Emergency | $111 | $173 | $248 |
| Emergency department visit highest severity CPT 99285 • Emergency | $188 | $312 | $479 |
| Critical care first 30-74 minutes CPT 99291 • Emergency | $49 | $395 | $661 |
| Critical care each additional 30 minutes CPT 99292 • Emergency | $111 | $228 | $294 |
| Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology | $153 | $193 | $279 |
| Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology | $49 | $300 | $799 |
| Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology | $49 | $203 | $365 |
| Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology | $201 | $650 | $1,220 |
| Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology | $174 | $1,403 | $3,224 |
| Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology | $219 | $522 | $923 |
| Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology | $299 | $406 | $697 |
| Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology | $286 | $491 | $678 |
| ERCP diagnostic CPT 43260 • Gastroenterology | $337 | $419 | $583 |
| ERCP with sphincterotomy CPT 43262 • Gastroenterology | $317 | $481 | $646 |
| ERCP with removal of stones CPT 43264 • Gastroenterology | $518 | $723 | $1,118 |
| ERCP with stent placement CPT 43274 • Gastroenterology | $438 | $839 | $1,400 |
| Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology | $146 | $287 | $581 |
| Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology | $209 | $358 | $537 |
| Colonoscopy diagnostic CPT 45378 • Gastroenterology | $49 | $429 | $840 |
| Colonoscopy with biopsy CPT 45380 • Gastroenterology | $49 | $472 | $1,102 |
| Colonoscopy with submucosal injection CPT 45381 • Gastroenterology | $49 | $654 | $1,176 |
| Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology | $208 | $664 | $1,174 |
| Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology | $49 | $244 | $416 |
| Colonoscopy with balloon dilation CPT 45386 • Gastroenterology | $274 | $929 | $2,001 |
| Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology | $778 | $2,352 | $4,629 |
| Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology | $299 | $536 | $846 |
| Esophageal motility study CPT 91010 • Gastroenterology | $119 | $185 | $330 |
| Esophageal motility study with acid reflux CPT 91035 • Gastroenterology | $82 | $542 | $1,467 |
| Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology | $77 | $304 | $616 |
| Auto-added CPT 00102 • General | $6 | $107 | $329 |