CALDWELL MEMORIAL HOSPITAL· LENOIR, NC

Physician groupCMS 1/5

322 MULBERRY ST SW, LENOIR, NC 28645

Procedures offered

935 total

ProcedureMinAvgMax
Tonsillectomy primary under age 12
CPT 42826 • ENT
$245$464$916
Adenoidectomy primary under age 12
CPT 42830 • ENT
$205$378$760
Removal impacted cerumen unilateral
CPT 69210 • ENT
$31$72$152
Tympanostomy tube insertion
CPT 69436 • ENT
$30$236$514
Tympanoplasty without mastoidectomy
CPT 69631 • ENT
$687$1,493$2,876
Tympanoplasty with mastoidectomy
CPT 69633 • ENT
$840$1,801$3,396
Comprehensive audiometry evaluation
CPT 92557 • ENT
$32$63$120
Incision and drainage abscess simple
CPT 10060 • Emergency
$87$179$402
Incision and drainage abscess complicated
CPT 10061 • Emergency
$180$344$681
Simple wound repair up to 2.5cm
CPT 12001 • Emergency
$35$140$300
Simple wound repair 2.6-7.5cm
CPT 12002 • Emergency
$47$171$363
Simple wound repair face 2.5cm or less
CPT 12011 • Emergency
$44$166$359
Intermediate wound repair 2.5cm or less
CPT 12031 • Emergency
$30$309$841
Intermediate wound repair face 2.5cm or less
CPT 12051 • Emergency
$120$373$908
Initial treatment first degree burn
CPT 16000 • Emergency
$35$107$251
Emergency department visit self-limited problem
CPT 99281 • Emergency
$11$31$76
Emergency department visit low severity
CPT 99282 • Emergency
$37$63$92
Emergency department visit moderate severity
CPT 99283 • Emergency
$71$103$158
Emergency department visit high severity
CPT 99284 • Emergency
$120$172$266
Emergency department visit highest severity
CPT 99285 • Emergency
$174$253$387
Critical care first 30-74 minutes
CPT 99291 • Emergency
$223$371$597
Critical care each additional 30 minutes
CPT 99292 • Emergency
$111$169$262
Esophagoscopy rigid diagnostic
CPT 43191 • Gastroenterology
$147$271$552
Upper GI endoscopy diagnostic
CPT 43235 • Gastroenterology
$118$393$1,020
Upper GI endoscopy with biopsy
CPT 43239 • Gastroenterology
$132$525$1,081
Upper GI endoscopy with foreign body removal
CPT 43247 • Gastroenterology
$169$442$712
Upper GI endoscopy with balloon dilation
CPT 43249 • Gastroenterology
$147$1,371$3,095
Upper GI endoscopy with polypectomy by snare
CPT 43251 • Gastroenterology
$187$647$1,756
Upper GI endoscopy with stent placement
CPT 43257 • Gastroenterology
$221$444$817
Upper GI endoscopy with endoscopic ultrasound
CPT 43259 • Gastroenterology
$215$415$794
ERCP diagnostic
CPT 43260 • Gastroenterology
$306$581$1,134
ERCP with sphincterotomy
CPT 43262 • Gastroenterology
$338$653$1,257
ERCP with removal of stones
CPT 43264 • Gastroenterology
$345$656$1,281
ERCP with stent placement
CPT 43274 • Gastroenterology
$438$814$1,628
Colonoscopy through stoma diagnostic
CPT 44388 • Gastroenterology
$150$503$1,118
Colonoscopy through stoma with biopsy
CPT 44389 • Gastroenterology
$164$624$1,459
Colonoscopy diagnostic
CPT 45378 • Gastroenterology
$177$404$902
Colonoscopy with biopsy
CPT 45380 • Gastroenterology
$192$531$1,113
Colonoscopy with submucosal injection
CPT 45381 • Gastroenterology
$192$510$788
Colonoscopy with lesion removal by hot biopsy
CPT 45384 • Gastroenterology
$218$695$1,731
Colonoscopy with polypectomy by snare
CPT 45385 • Gastroenterology
$242$659$1,171
Colonoscopy with balloon dilation
CPT 45386 • Gastroenterology
$203$784$2,161
Colonoscopy with ablation of tumor or polyp
CPT 45388 • Gastroenterology
$257$486$954
Colonoscopy with endoscopic mucosal resection
CPT 45390 • Gastroenterology
$299$604$1,171
Esophageal motility study
CPT 91010 • Gastroenterology
$142$242$360
Esophageal motility study with acid reflux
CPT 91035 • Gastroenterology
$82$679$1,463
Esophageal pH monitoring 24 hours
CPT 91038 • Gastroenterology
$55$200$528
Auto-added
CPT 00102 • General
$5$45$98
Auto-added
CPT 00104 • General
$4$57$108
Auto-added
CPT 00120 • General
$3$189$606