BETSY JOHNSON REGIONAL HOSPITAL· DUNN, NC

HospitalCMS 3/5

800 TILGHMAN DR, DUNN, NC 28334

Procedures offered

975 total

Procedure	Min	Avg	Max
Initial hospital care low complexity CPT 99221 • Office Visits	$74	$143	$285
Initial hospital care moderate complexity CPT 99222 • Office Visits	$124	$193	$388
Initial hospital care high complexity CPT 99223 • Office Visits	$30	$205	$485
Subsequent hospital care low complexity CPT 99231 • Office Visits	$37	$85	$130
Subsequent hospital care moderate complexity CPT 99232 • Office Visits	$61	$115	$202
Subsequent hospital care high complexity CPT 99233 • Office Visits	$87	$137	$248
Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits	$65	$114	$174
Hospital discharge day management more than 30 min CPT 99239 • Office Visits	$95	$156	$303
Consultation office straightforward CPT 99241 • Office Visits	$120	$120	$120
Consultation office low complexity CPT 99243 • Office Visits	$0	$145	$358
Consultation office high complexity CPT 99245 • Office Visits	$0	$302	$643
Blepharoplasty upper eyelid CPT 15823 • Ophthalmology	$388	$769	$1,412
Foreign body removal external eye corneal CPT 65210 • Ophthalmology	$35	$69	$136
Corneal transplant endothelial CPT 65756 • Ophthalmology	$726	$1,618	$2,925
Trabeculoplasty laser surgery CPT 65855 • Ophthalmology	$285	$457	$869
Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology	$171	$1,560	$3,591
Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology	$487	$946	$1,879
Iridotomy laser surgery CPT 66761 • Ophthalmology	$232	$476	$895
Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology	$690	$1,225	$2,400
Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology	$640	$1,014	$1,934
Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology	$134	$191	$305
Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology	$154	$1,803	$4,083
Retinal photocoagulation treatment CPT 67210 • Ophthalmology	$488	$835	$1,508
Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology	$280	$1,131	$2,855
Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology	$458	$936	$1,818
Excision chalazion single CPT 67800 • Ophthalmology	$63	$164	$328
Blepharoptosis repair levator resection CPT 67901 • Ophthalmology	$493	$1,038	$1,768
Lacrimal punctum closure by plug CPT 68761 • Ophthalmology	$108	$183	$307
Eye exam new patient intermediate CPT 92002 • Ophthalmology	$38	$121	$206
Eye exam new patient comprehensive CPT 92004 • Ophthalmology	$72	$233	$437
Eye exam established patient intermediate CPT 92012 • Ophthalmology	$30	$115	$215
Eye exam established patient comprehensive CPT 92014 • Ophthalmology	$48	$179	$311
Visual field examination CPT 92083 • Ophthalmology	$35	$96	$192
Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology	$24	$66	$114
Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology	$66	$105	$180
Fundus photography CPT 92250 • Ophthalmology	$55	$82	$142
Arthrocentesis aspiration small joint CPT 20600 • Orthopedics	$34	$63	$102
Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics	$35	$68	$107
Arthrocentesis aspiration major joint CPT 20610 • Orthopedics	$30	$75	$133
Cervical spine fusion anterior approach CPT 22551 • Orthopedics	$237	$2,169	$4,228
Lumbar spine fusion posterior approach CPT 22612 • Orthopedics	$1,574	$2,373	$4,634
Lumbar spine fusion combined approach CPT 22633 • Orthopedics	$288	$2,251	$4,551
Total shoulder replacement CPT 23472 • Orthopedics	$30	$1,605	$3,614
Reverse total shoulder replacement CPT 23473 • Orthopedics	$1,777	$2,491	$4,026
Lateral epicondylitis open treatment CPT 24357 • Orthopedics	$412	$612	$1,289
Closed treatment distal radial fracture CPT 25600 • Orthopedics	$271	$498	$972
Tendon sheath incision trigger finger CPT 26055 • Orthopedics	$285	$686	$1,666
Total hip replacement CPT 27130 • Orthopedics	$169	$1,744	$3,954
Hip replacement conversion to total CPT 27132 • Orthopedics	$1,451	$2,449	$4,151
Open treatment femoral fracture CPT 27236 • Orthopedics	$747	$1,566	$3,488