NOVANT HEALTH THOMASVILLE MEDICAL CENTER· THOMASVILLE, NC
HospitalCMS 3/5
207 OLD LEXINGTON RD BOX 789, THOMASVILLE, NC 27360
Procedures offered
937 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $353 | $476 | $630 |
| Tonsillectomy primary under age 12 CPT 42826 • ENT | $156 | $340 | $525 |
| Adenoidectomy primary under age 12 CPT 42830 • ENT | $130 | $272 | $435 |
| Removal impacted cerumen unilateral CPT 69210 • ENT | $21 | $107 | $258 |
| Tympanostomy tube insertion CPT 69436 • ENT | $144 | $220 | $328 |
| Tympanoplasty without mastoidectomy CPT 69631 • ENT | $687 | $1,189 | $1,886 |
| Tympanoplasty with mastoidectomy CPT 69633 • ENT | $840 | $1,531 | $2,222 |
| Comprehensive audiometry evaluation CPT 92557 • ENT | $35 | $88 | $189 |
| Incision and drainage abscess simple CPT 10060 • Emergency | $87 | $180 | $273 |
| Incision and drainage abscess complicated CPT 10061 • Emergency | $97 | $414 | $999 |
| Simple wound repair up to 2.5cm CPT 12001 • Emergency | $63 | $115 | $195 |
| Simple wound repair 2.6-7.5cm CPT 12002 • Emergency | $87 | $116 | $144 |
| Simple wound repair face 2.5cm or less CPT 12011 • Emergency | $69 | $136 | $235 |
| Intermediate wound repair 2.5cm or less CPT 12031 • Emergency | $91 | $282 | $549 |
| Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency | $120 | $245 | $384 |
| Initial treatment first degree burn CPT 16000 • Emergency | $55 | $104 | $155 |
| Emergency department visit self-limited problem CPT 99281 • Emergency | $22 | $46 | $101 |
| Emergency department visit low severity CPT 99282 • Emergency | $36 | $88 | $202 |
| Emergency department visit moderate severity CPT 99283 • Emergency | $65 | $143 | $302 |
| Emergency department visit high severity CPT 99284 • Emergency | $103 | $256 | $582 |
| Emergency department visit highest severity CPT 99285 • Emergency | $186 | $240 | $320 |
| Critical care first 30-74 minutes CPT 99291 • Emergency | $223 | $565 | $1,322 |
| Critical care each additional 30 minutes CPT 99292 • Emergency | $111 | $259 | $597 |
| Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology | $114 | $204 | $322 |
| Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology | $188 | $467 | $704 |
| Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology | $127 | $272 | $448 |
| Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology | $201 | $362 | $521 |
| Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology | $129 | $463 | $1,228 |
| Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology | $162 | $362 | $655 |
| Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology | $269 | $384 | $486 |
| Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology | $189 | $325 | $473 |
| ERCP diagnostic CPT 43260 • Gastroenterology | $351 | $485 | $676 |
| ERCP with sphincterotomy CPT 43262 • Gastroenterology | $432 | $599 | $749 |
| ERCP with removal of stones CPT 43264 • Gastroenterology | $321 | $543 | $764 |
| ERCP with stent placement CPT 43274 • Gastroenterology | $438 | $669 | $972 |
| Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology | $230 | $370 | $492 |
| Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology | $253 | $507 | $877 |
| Colonoscopy diagnostic CPT 45378 • Gastroenterology | $295 | $442 | $723 |
| Colonoscopy with biopsy CPT 45380 • Gastroenterology | $265 | $390 | $525 |
| Colonoscopy with submucosal injection CPT 45381 • Gastroenterology | $153 | $347 | $535 |
| Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology | $170 | $422 | $669 |
| Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology | $416 | $493 | $553 |
| Colonoscopy with balloon dilation CPT 45386 • Gastroenterology | $263 | $469 | $867 |
| Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology | $334 | $1,496 | $4,716 |
| Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology | $400 | $516 | $697 |
| Esophageal motility study CPT 91010 • Gastroenterology | $37 | $107 | $148 |
| Esophageal motility study with acid reflux CPT 91035 • Gastroenterology | $82 | $453 | $1,116 |
| Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology | $110 | $309 | $868 |
| Auto-added CPT 00102 • General | $30 | $118 | $259 |
| Auto-added CPT 00104 • General | $30 | $93 | $185 |