ONSLOW MEMORIAL HOSPITAL INC· JACKSONVILLE, NC
HospitalCMS 1/5
317 WESTERN BLVD, JACKSONVILLE, NC 28546
Procedures offered
937 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Tonsillectomy primary under age 12 CPT 42826 • ENT | $266 | $341 | $534 |
| Adenoidectomy primary under age 12 CPT 42830 • ENT | $185 | $208 | $223 |
| Removal impacted cerumen unilateral CPT 69210 • ENT | $35 | $49 | $67 |
| Tympanostomy tube insertion CPT 69436 • ENT | $144 | $176 | $223 |
| Tympanoplasty without mastoidectomy CPT 69631 • ENT | $687 | $1,099 | $1,859 |
| Tympanoplasty with mastoidectomy CPT 69633 • ENT | $840 | $1,305 | $2,197 |
| Comprehensive audiometry evaluation CPT 92557 • ENT | $33 | $39 | $43 |
| Incision and drainage abscess simple CPT 10060 • Emergency | $87 | $99 | $112 |
| Incision and drainage abscess complicated CPT 10061 • Emergency | $180 | $216 | $284 |
| Simple wound repair up to 2.5cm CPT 12001 • Emergency | $47 | $72 | $99 |
| Simple wound repair 2.6-7.5cm CPT 12002 • Emergency | $62 | $87 | $116 |
| Simple wound repair face 2.5cm or less CPT 12011 • Emergency | $69 | $93 | $119 |
| Intermediate wound repair 2.5cm or less CPT 12031 • Emergency | $91 | $159 | $249 |
| Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency | $120 | $315 | $588 |
| Initial treatment first degree burn CPT 16000 • Emergency | $55 | $78 | $113 |
| Emergency department visit self-limited problem CPT 99281 • Emergency | $22 | $35 | $73 |
| Emergency department visit low severity CPT 99282 • Emergency | $37 | $49 | $73 |
| Emergency department visit moderate severity CPT 99283 • Emergency | $64 | $71 | $77 |
| Emergency department visit high severity CPT 99284 • Emergency | $117 | $127 | $145 |
| Emergency department visit highest severity CPT 99285 • Emergency | $177 | $188 | $203 |
| Critical care first 30-74 minutes CPT 99291 • Emergency | $223 | $237 | $264 |
| Critical care each additional 30 minutes CPT 99292 • Emergency | $111 | $118 | $130 |
| Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology | $132 | $166 | $222 |
| Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology | $188 | $346 | $594 |
| Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology | $150 | $314 | $508 |
| Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology | $201 | $324 | $510 |
| Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology | $167 | $183 | $210 |
| Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology | $219 | $475 | $977 |
| Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology | $227 | $321 | $480 |
| Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology | $246 | $294 | $328 |
| ERCP diagnostic CPT 43260 • Gastroenterology | $277 | $335 | $360 |
| ERCP with sphincterotomy CPT 43262 • Gastroenterology | $389 | $446 | $519 |
| ERCP with removal of stones CPT 43264 • Gastroenterology | $333 | $445 | $533 |
| ERCP with stent placement CPT 43274 • Gastroenterology | $497 | $642 | $1,010 |
| Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology | $230 | $387 | $631 |
| Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology | $253 | $411 | $550 |
| Colonoscopy diagnostic CPT 45378 • Gastroenterology | $269 | $332 | $426 |
| Colonoscopy with biopsy CPT 45380 • Gastroenterology | $172 | $366 | $509 |
| Colonoscopy with submucosal injection CPT 45381 • Gastroenterology | $172 | $343 | $497 |
| Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology | $312 | $416 | $501 |
| Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology | $416 | $499 | $572 |
| Colonoscopy with balloon dilation CPT 45386 • Gastroenterology | $289 | $485 | $725 |
| Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology | $377 | $1,169 | $3,155 |
| Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology | $362 | $433 | $520 |
| Esophageal motility study CPT 91010 • Gastroenterology | $93 | $143 | $210 |
| Esophageal motility study with acid reflux CPT 91035 • Gastroenterology | $82 | $419 | $626 |
| Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology | $62 | $255 | $426 |
| Auto-added CPT 00102 • General | $30 | $170 | $490 |
| Auto-added CPT 00104 • General | $30 | $145 | $350 |
| Auto-added CPT 00120 • General | $30 | $164 | $420 |