NOVANT HEALTH ROWAN MEDICAL CENTER LLC· SALISBURY, NC
HospitalCMS 2/5
612 MOCKSVILLE AVE, SALISBURY, NC 28144
Procedures offered
984 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $302 | $426 | $655 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $353 | $584 | $895 |
| Tonsillectomy primary under age 12 CPT 42826 • ENT | $294 | $452 | $749 |
| Adenoidectomy primary under age 12 CPT 42830 • ENT | $129 | $327 | $529 |
| Removal impacted cerumen unilateral CPT 69210 • ENT | $40 | $69 | $112 |
| Tympanostomy tube insertion CPT 69436 • ENT | $144 | $291 | $477 |
| Tympanoplasty without mastoidectomy CPT 69631 • ENT | $687 | $1,501 | $2,250 |
| Tympanoplasty with mastoidectomy CPT 69633 • ENT | $840 | $1,410 | $2,346 |
| Comprehensive audiometry evaluation CPT 92557 • ENT | $32 | $64 | $136 |
| Incision and drainage abscess simple CPT 10060 • Emergency | $49 | $150 | $273 |
| Incision and drainage abscess complicated CPT 10061 • Emergency | $129 | $326 | $598 |
| Simple wound repair up to 2.5cm CPT 12001 • Emergency | $47 | $185 | $361 |
| Simple wound repair 2.6-7.5cm CPT 12002 • Emergency | $49 | $113 | $249 |
| Simple wound repair face 2.5cm or less CPT 12011 • Emergency | $69 | $115 | $203 |
| Intermediate wound repair 2.5cm or less CPT 12031 • Emergency | $91 | $321 | $567 |
| Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency | $120 | $374 | $642 |
| Initial treatment first degree burn CPT 16000 • Emergency | $43 | $99 | $176 |
| Emergency department visit self-limited problem CPT 99281 • Emergency | $15 | $47 | $126 |
| Emergency department visit low severity CPT 99282 • Emergency | $37 | $80 | $126 |
| Emergency department visit moderate severity CPT 99283 • Emergency | $58 | $86 | $140 |
| Emergency department visit high severity CPT 99284 • Emergency | $111 | $183 | $324 |
| Emergency department visit highest severity CPT 99285 • Emergency | $188 | $323 | $479 |
| Critical care first 30-74 minutes CPT 99291 • Emergency | $49 | $407 | $661 |
| Critical care each additional 30 minutes CPT 99292 • Emergency | $111 | $202 | $294 |
| Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology | $153 | $225 | $351 |
| Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology | $49 | $265 | $799 |
| Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology | $49 | $245 | $378 |
| Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology | $201 | $578 | $1,220 |
| Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology | $174 | $1,028 | $3,224 |
| Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology | $219 | $465 | $923 |
| Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology | $228 | $404 | $697 |
| Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology | $220 | $428 | $678 |
| ERCP diagnostic CPT 43260 • Gastroenterology | $315 | $456 | $743 |
| ERCP with sphincterotomy CPT 43262 • Gastroenterology | $317 | $510 | $823 |
| ERCP with removal of stones CPT 43264 • Gastroenterology | $207 | $656 | $1,118 |
| ERCP with stent placement CPT 43274 • Gastroenterology | $438 | $852 | $1,400 |
| Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology | $146 | $339 | $687 |
| Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology | $209 | $467 | $905 |
| Flexible sigmoidoscopy diagnostic CPT 45330 • Gastroenterology | $71 | $99 | $128 |
| Colonoscopy diagnostic CPT 45378 • Gastroenterology | $49 | $392 | $840 |
| Colonoscopy with biopsy CPT 45380 • Gastroenterology | $49 | $519 | $1,102 |
| Colonoscopy with submucosal injection CPT 45381 • Gastroenterology | $49 | $585 | $1,176 |
| Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology | $208 | $682 | $1,174 |
| Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology | $49 | $393 | $1,005 |
| Colonoscopy with balloon dilation CPT 45386 • Gastroenterology | $274 | $1,019 | $2,001 |
| Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology | $346 | $2,716 | $6,544 |
| Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology | $299 | $525 | $846 |
| Esophageal motility study CPT 91010 • Gastroenterology | $85 | $189 | $330 |
| Esophageal motility study with acid reflux CPT 91035 • Gastroenterology | $82 | $411 | $1,467 |
| Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology | $72 | $384 | $1,016 |