SAMPSON REGIONAL MEDICAL CENTER· CLINTON, NC
HospitalCMS 3/5
607 BEAMAN ST, CLINTON, NC 28328
Procedures offered
933 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $165 | $298 | $375 |
| Tonsillectomy primary under age 12 CPT 42826 • ENT | $136 | $249 | $315 |
| Adenoidectomy primary under age 12 CPT 42830 • ENT | $207 | $244 | $264 |
| Removal impacted cerumen unilateral CPT 69210 • ENT | $28 | $42 | $58 |
| Tympanostomy tube insertion CPT 69436 • ENT | $141 | $160 | $195 |
| Tympanoplasty without mastoidectomy CPT 69631 • ENT | $687 | $828 | $1,068 |
| Tympanoplasty with mastoidectomy CPT 69633 • ENT | $548 | $885 | $1,267 |
| Comprehensive audiometry evaluation CPT 92557 • ENT | $30 | $39 | $44 |
| Incision and drainage abscess simple CPT 10060 • Emergency | $65 | $102 | $153 |
| Incision and drainage abscess complicated CPT 10061 • Emergency | $80 | $173 | $259 |
| Simple wound repair up to 2.5cm CPT 12001 • Emergency | $67 | $101 | $123 |
| Simple wound repair 2.6-7.5cm CPT 12002 • Emergency | $87 | $121 | $138 |
| Simple wound repair face 2.5cm or less CPT 12011 • Emergency | $69 | $130 | $186 |
| Intermediate wound repair 2.5cm or less CPT 12031 • Emergency | $91 | $173 | $311 |
| Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency | $120 | $210 | $336 |
| Initial treatment first degree burn CPT 16000 • Emergency | $25 | $59 | $97 |
| Emergency department visit self-limited problem CPT 99281 • Emergency | $16 | $38 | $76 |
| Emergency department visit low severity CPT 99282 • Emergency | $37 | $62 | $76 |
| Emergency department visit moderate severity CPT 99283 • Emergency | $57 | $88 | $130 |
| Emergency department visit high severity CPT 99284 • Emergency | $120 | $147 | $196 |
| Emergency department visit highest severity CPT 99285 • Emergency | $188 | $215 | $235 |
| Critical care first 30-74 minutes CPT 99291 • Emergency | $219 | $237 | $268 |
| Critical care each additional 30 minutes CPT 99292 • Emergency | $88 | $99 | $111 |
| Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology | $97 | $145 | $191 |
| Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology | $125 | $235 | $391 |
| Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology | $148 | $292 | $505 |
| Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology | $174 | $275 | $451 |
| Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology | $174 | $535 | $1,203 |
| Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology | $119 | $304 | $575 |
| Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology | $267 | $291 | $324 |
| Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology | $262 | $274 | $286 |
| ERCP diagnostic CPT 43260 • Gastroenterology | $301 | $347 | $389 |
| ERCP with sphincterotomy CPT 43262 • Gastroenterology | $234 | $366 | $432 |
| ERCP with removal of stones CPT 43264 • Gastroenterology | $281 | $413 | $518 |
| ERCP with stent placement CPT 43274 • Gastroenterology | $557 | $558 | $559 |
| Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology | $230 | $295 | $376 |
| Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology | $192 | $309 | $483 |
| Colonoscopy diagnostic CPT 45378 • Gastroenterology | $174 | $312 | $467 |
| Colonoscopy with biopsy CPT 45380 • Gastroenterology | $314 | $418 | $589 |
| Colonoscopy with submucosal injection CPT 45381 • Gastroenterology | $279 | $373 | $520 |
| Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology | $344 | $430 | $575 |
| Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology | $261 | $433 | $622 |
| Colonoscopy with balloon dilation CPT 45386 • Gastroenterology | $303 | $451 | $703 |
| Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology | $284 | $1,122 | $2,707 |
| Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology | $392 | $397 | $400 |
| Esophageal motility study CPT 91010 • Gastroenterology | $58 | $164 | $292 |
| Esophageal motility study with acid reflux CPT 91035 • Gastroenterology | $82 | $195 | $308 |
| Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology | $51 | $234 | $528 |
| Auto-added CPT 00102 • General | $40 | $216 | $392 |
| Auto-added CPT 00104 • General | $40 | $160 | $280 |