ADVENTHEALTH HENDERSONVILLE· HENDERSONVILLE, NC

HospitalCMS 4/5

100 HOSPITAL DRIVE, HENDERSONVILLE, NC 28792

Procedures offered

939 total

ProcedureMinAvgMax
Tonsillectomy and adenoidectomy age 12 or older
CPT 42821 • ENT
$189$352$510
Tonsillectomy primary under age 12
CPT 42826 • ENT
$247$311$426
Adenoidectomy primary under age 12
CPT 42830 • ENT
$207$267$348
Removal impacted cerumen unilateral
CPT 69210 • ENT
$20$51$81
Tympanostomy tube insertion
CPT 69436 • ENT
$144$206$267
Tympanoplasty without mastoidectomy
CPT 69631 • ENT
$687$990$1,467
Tympanoplasty with mastoidectomy
CPT 69633 • ENT
$840$1,254$1,590
Comprehensive audiometry evaluation
CPT 92557 • ENT
$35$49$64
Incision and drainage abscess simple
CPT 10060 • Emergency
$87$116$132
Incision and drainage abscess complicated
CPT 10061 • Emergency
$155$231$345
Simple wound repair up to 2.5cm
CPT 12001 • Emergency
$56$90$151
Simple wound repair 2.6-7.5cm
CPT 12002 • Emergency
$58$115$184
Simple wound repair face 2.5cm or less
CPT 12011 • Emergency
$55$95$184
Intermediate wound repair 2.5cm or less
CPT 12031 • Emergency
$91$240$393
Intermediate wound repair face 2.5cm or less
CPT 12051 • Emergency
$120$250$428
Initial treatment first degree burn
CPT 16000 • Emergency
$55$74$104
Emergency department visit self-limited problem
CPT 99281 • Emergency
$11$17$22
Emergency department visit low severity
CPT 99282 • Emergency
$31$40$54
Emergency department visit moderate severity
CPT 99283 • Emergency
$62$69$77
Emergency department visit high severity
CPT 99284 • Emergency
$103$138$203
Emergency department visit highest severity
CPT 99285 • Emergency
$160$189$214
Critical care first 30-74 minutes
CPT 99291 • Emergency
$223$326$480
Critical care each additional 30 minutes
CPT 99292 • Emergency
$111$154$209
Esophagoscopy rigid diagnostic
CPT 43191 • Gastroenterology
$150$167$191
Upper GI endoscopy diagnostic
CPT 43235 • Gastroenterology
$188$293$423
Upper GI endoscopy with biopsy
CPT 43239 • Gastroenterology
$170$352$563
Upper GI endoscopy with foreign body removal
CPT 43247 • Gastroenterology
$201$338$580
Upper GI endoscopy with balloon dilation
CPT 43249 • Gastroenterology
$152$784$1,635
Upper GI endoscopy with polypectomy by snare
CPT 43251 • Gastroenterology
$136$370$727
Upper GI endoscopy with stent placement
CPT 43257 • Gastroenterology
$229$311$458
Upper GI endoscopy with endoscopic ultrasound
CPT 43259 • Gastroenterology
$189$284$371
ERCP diagnostic
CPT 43260 • Gastroenterology
$317$419$516
ERCP with sphincterotomy
CPT 43262 • Gastroenterology
$350$500$637
ERCP with removal of stones
CPT 43264 • Gastroenterology
$321$460$647
ERCP with stent placement
CPT 43274 • Gastroenterology
$438$554$731
Colonoscopy through stoma diagnostic
CPT 44388 • Gastroenterology
$195$285$430
Colonoscopy through stoma with biopsy
CPT 44389 • Gastroenterology
$183$392$877
Colonoscopy diagnostic
CPT 45378 • Gastroenterology
$295$359$450
Colonoscopy with biopsy
CPT 45380 • Gastroenterology
$151$427$670
Colonoscopy with submucosal injection
CPT 45381 • Gastroenterology
$153$365$643
Colonoscopy with lesion removal by hot biopsy
CPT 45384 • Gastroenterology
$262$442$744
Colonoscopy with polypectomy by snare
CPT 45385 • Gastroenterology
$299$487$710
Colonoscopy with balloon dilation
CPT 45386 • Gastroenterology
$166$456$867
Colonoscopy with ablation of tumor or polyp
CPT 45388 • Gastroenterology
$266$1,257$4,358
Colonoscopy with endoscopic mucosal resection
CPT 45390 • Gastroenterology
$326$435$524
Esophageal motility study
CPT 91010 • Gastroenterology
$99$200$289
Esophageal motility study with acid reflux
CPT 91035 • Gastroenterology
$82$449$725
Esophageal pH monitoring 24 hours
CPT 91038 • Gastroenterology
$79$180$407
Auto-added
CPT 00102 • General
$40$232$399
Auto-added
CPT 00104 • General
$40$172$285