SOUTHEASTERN REGIONAL MEDICAL CENTER· LUMBERTON, NC
HospitalCMS 2/5
300 W 27 ST PO BOX 1408, LUMBERTON, NC 28359
Procedures offered
923 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Tonsillectomy primary under age 12 CPT 42826 • ENT | $8 | $202 | $396 |
| Adenoidectomy primary under age 12 CPT 42830 • ENT | $7 | $167 | $328 |
| Removal impacted cerumen unilateral CPT 69210 • ENT | $58 | $63 | $68 |
| Tympanostomy tube insertion CPT 69436 • ENT | $5 | $31 | $58 |
| Tympanoplasty without mastoidectomy CPT 69631 • ENT | $28 | $687 | $1,346 |
| Tympanoplasty with mastoidectomy CPT 69633 • ENT | $33 | $812 | $1,590 |
| Comprehensive audiometry evaluation CPT 92557 • ENT | $53 | $56 | $59 |
| Incision and drainage abscess simple CPT 10060 • Emergency | $4 | $94 | $185 |
| Incision and drainage abscess complicated CPT 10061 • Emergency | $7 | $144 | $281 |
| Simple wound repair up to 2.5cm CPT 12001 • Emergency | $62 | $100 | $137 |
| Simple wound repair 2.6-7.5cm CPT 12002 • Emergency | $81 | $124 | $168 |
| Simple wound repair face 2.5cm or less CPT 12011 • Emergency | $58 | $67 | $76 |
| Intermediate wound repair 2.5cm or less CPT 12031 • Emergency | $8 | $195 | $382 |
| Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency | $9 | $211 | $413 |
| Initial treatment first degree burn CPT 16000 • Emergency | $63 | $63 | $63 |
| Emergency department visit self-limited problem CPT 99281 • Emergency | $16 | $31 | $46 |
| Emergency department visit low severity CPT 99282 • Emergency | $56 | $57 | $58 |
| Emergency department visit moderate severity CPT 99283 • Emergency | $79 | $89 | $99 |
| Emergency department visit high severity CPT 99284 • Emergency | $4 | $68 | $133 |
| Emergency department visit highest severity CPT 99285 • Emergency | $5 | $192 | $379 |
| Critical care first 30-74 minutes CPT 99291 • Emergency | $9 | $250 | $492 |
| Critical care each additional 30 minutes CPT 99292 • Emergency | $4 | $31 | $58 |
| Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology | $5 | $5 | $5 |
| Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology | $9 | $33 | $58 |
| Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology | $58 | $303 | $548 |
| Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology | $555 | $570 | $584 |
| Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology | $5 | $820 | $1,635 |
| Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology | $720 | $722 | $723 |
| Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology | $7 | $7 | $7 |
| Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology | $7 | $7 | $7 |
| ERCP diagnostic CPT 43260 • Gastroenterology | $10 | $10 | $10 |
| ERCP with sphincterotomy CPT 43262 • Gastroenterology | $9 | $286 | $563 |
| ERCP with removal of stones CPT 43264 • Gastroenterology | $10 | $292 | $574 |
| ERCP with stent placement CPT 43274 • Gastroenterology | $635 | $683 | $731 |
| Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology | $9 | $9 | $9 |
| Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology | $598 | $598 | $598 |
| Colonoscopy diagnostic CPT 45378 • Gastroenterology | $9 | $33 | $58 |
| Colonoscopy with biopsy CPT 45380 • Gastroenterology | $552 | $590 | $628 |
| Colonoscopy with submucosal injection CPT 45381 • Gastroenterology | $641 | $642 | $643 |
| Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology | $706 | $725 | $744 |
| Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology | $8 | $33 | $58 |
| Colonoscopy with balloon dilation CPT 45386 • Gastroenterology | $890 | $890 | $890 |
| Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology | $8 | $2,183 | $4,358 |
| Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology | $9 | $267 | $524 |
| Esophageal motility study CPT 91010 • Gastroenterology | $89 | $197 | $304 |
| Esophageal motility study with acid reflux CPT 91035 • Gastroenterology | $676 | $700 | $725 |
| Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology | $77 | $77 | $77 |
| Auto-added CPT 00102 • General | $403 | $536 | $670 |
| Auto-added CPT 00104 • General | $288 | $412 | $536 |
| Auto-added CPT 00120 • General | $345 | $474 | $603 |