WILKES REGIONAL MEDICAL CENTER· NORTH WILKESBORO, NC

HospitalCMS 3/5

1370 WEST D ST, NORTH WILKESBORO, NC 28659

Procedures offered

932 total

ProcedureMinAvgMax
Tonsillectomy primary under age 12
CPT 42826 • ENT
$303$425$613
Adenoidectomy primary under age 12
CPT 42830 • ENT
$213$255$318
Removal impacted cerumen unilateral
CPT 69210 • ENT
$48$67$110
Tympanostomy tube insertion
CPT 69436 • ENT
$195$262$364
Tympanoplasty without mastoidectomy
CPT 69631 • ENT
$1,036$1,641$2,123
Tympanoplasty with mastoidectomy
CPT 69633 • ENT
$1,227$1,935$2,491
Comprehensive audiometry evaluation
CPT 92557 • ENT
$49$61$87
Incision and drainage abscess simple
CPT 10060 • Emergency
$126$145$168
Incision and drainage abscess complicated
CPT 10061 • Emergency
$217$355$487
Simple wound repair up to 2.5cm
CPT 12001 • Emergency
$55$155$222
Simple wound repair 2.6-7.5cm
CPT 12002 • Emergency
$58$143$262
Simple wound repair face 2.5cm or less
CPT 12011 • Emergency
$69$150$263
Intermediate wound repair 2.5cm or less
CPT 12031 • Emergency
$195$332$627
Intermediate wound repair face 2.5cm or less
CPT 12051 • Emergency
$208$407$671
Initial treatment first degree burn
CPT 16000 • Emergency
$54$95$188
Emergency department visit self-limited problem
CPT 99281 • Emergency
$18$33$55
Emergency department visit low severity
CPT 99282 • Emergency
$52$62$65
Emergency department visit moderate severity
CPT 99283 • Emergency
$77$94$110
Emergency department visit high severity
CPT 99284 • Emergency
$145$167$186
Emergency department visit highest severity
CPT 99285 • Emergency
$214$244$270
Critical care first 30-74 minutes
CPT 99291 • Emergency
$322$361$425
Critical care each additional 30 minutes
CPT 99292 • Emergency
$146$166$186
Esophagoscopy rigid diagnostic
CPT 43191 • Gastroenterology
$172$273$364
Upper GI endoscopy diagnostic
CPT 43235 • Gastroenterology
$119$360$778
Upper GI endoscopy with biopsy
CPT 43239 • Gastroenterology
$205$487$1,006
Upper GI endoscopy with foreign body removal
CPT 43247 • Gastroenterology
$252$604$1,004
Upper GI endoscopy with balloon dilation
CPT 43249 • Gastroenterology
$228$995$3,085
Upper GI endoscopy with polypectomy by snare
CPT 43251 • Gastroenterology
$274$664$1,320
Upper GI endoscopy with stent placement
CPT 43257 • Gastroenterology
$212$294$394
Upper GI endoscopy with endoscopic ultrasound
CPT 43259 • Gastroenterology
$334$443$534
ERCP diagnostic
CPT 43260 • Gastroenterology
$88$436$743
ERCP with sphincterotomy
CPT 43262 • Gastroenterology
$345$563$843
ERCP with removal of stones
CPT 43264 • Gastroenterology
$535$721$859
ERCP with stent placement
CPT 43274 • Gastroenterology
$656$784$1,092
Colonoscopy through stoma diagnostic
CPT 44388 • Gastroenterology
$233$550$817
Colonoscopy through stoma with biopsy
CPT 44389 • Gastroenterology
$255$383$476
Colonoscopy diagnostic
CPT 45378 • Gastroenterology
$161$372$876
Colonoscopy with biopsy
CPT 45380 • Gastroenterology
$298$619$1,145
Colonoscopy with submucosal injection
CPT 45381 • Gastroenterology
$194$550$1,155
Colonoscopy with lesion removal by hot biopsy
CPT 45384 • Gastroenterology
$338$459$587
Colonoscopy with polypectomy by snare
CPT 45385 • Gastroenterology
$375$694$1,173
Colonoscopy with balloon dilation
CPT 45386 • Gastroenterology
$314$585$790
Colonoscopy with ablation of tumor or polyp
CPT 45388 • Gastroenterology
$398$2,350$7,631
Colonoscopy with endoscopic mucosal resection
CPT 45390 • Gastroenterology
$400$603$784
Esophageal motility study
CPT 91010 • Gastroenterology
$150$291$538
Esophageal motility study with acid reflux
CPT 91035 • Gastroenterology
$125$434$711
Esophageal pH monitoring 24 hours
CPT 91038 • Gastroenterology
$85$481$1,110
Auto-added
CPT 00102 • General
$3$201$695
Auto-added
CPT 00104 • General
$3$213$744
Auto-added
CPT 00120 • General
$3$381$893