JOHNSTON HEALTH· SMITHFIELD, NC
HospitalCMS 3/5
509 BRIGHT LEAF BLVD, SMITHFIELD, NC 27577
Procedures offered
936 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Tonsillectomy primary under age 12 CPT 42826 • ENT | $247 | $417 | $573 |
| Adenoidectomy primary under age 12 CPT 42830 • ENT | $200 | $388 | $660 |
| Removal impacted cerumen unilateral CPT 69210 • ENT | $33 | $51 | $84 |
| Tympanostomy tube insertion CPT 69436 • ENT | $154 | $224 | $330 |
| Tympanoplasty without mastoidectomy CPT 69631 • ENT | $825 | $1,450 | $2,040 |
| Tympanoplasty with mastoidectomy CPT 69633 • ENT | $982 | $1,436 | $2,197 |
| Comprehensive audiometry evaluation CPT 92557 • ENT | $25 | $50 | $66 |
| Incision and drainage abscess simple CPT 10060 • Emergency | $77 | $148 | $289 |
| Incision and drainage abscess complicated CPT 10061 • Emergency | $155 | $262 | $483 |
| Simple wound repair up to 2.5cm CPT 12001 • Emergency | $98 | $141 | $201 |
| Simple wound repair 2.6-7.5cm CPT 12002 • Emergency | $100 | $139 | $162 |
| Simple wound repair face 2.5cm or less CPT 12011 • Emergency | $92 | $149 | $247 |
| Intermediate wound repair 2.5cm or less CPT 12031 • Emergency | $119 | $276 | $461 |
| Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency | $162 | $302 | $496 |
| Initial treatment first degree burn CPT 16000 • Emergency | $45 | $63 | $78 |
| Emergency department visit self-limited problem CPT 99281 • Emergency | $18 | $83 | $350 |
| Emergency department visit low severity CPT 99282 • Emergency | $34 | $140 | $398 |
| Emergency department visit moderate severity CPT 99283 • Emergency | $56 | $275 | $1,257 |
| Emergency department visit high severity CPT 99284 • Emergency | $102 | $802 | $3,288 |
| Emergency department visit highest severity CPT 99285 • Emergency | $152 | $806 | $3,771 |
| Critical care first 30-74 minutes CPT 99291 • Emergency | $234 | $1,185 | $5,513 |
| Critical care each additional 30 minutes CPT 99292 • Emergency | $105 | $1,042 | $5,513 |
| Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology | $147 | $246 | $499 |
| Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology | $154 | $327 | $503 |
| Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology | $189 | $419 | $652 |
| Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology | $191 | $553 | $1,149 |
| Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology | $166 | $864 | $2,187 |
| Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology | $208 | $484 | $853 |
| Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology | $212 | $401 | $764 |
| Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology | $288 | $358 | $493 |
| ERCP diagnostic CPT 43260 • Gastroenterology | $331 | $506 | $701 |
| ERCP with sphincterotomy CPT 43262 • Gastroenterology | $367 | $523 | $779 |
| ERCP with removal of stones CPT 43264 • Gastroenterology | $487 | $587 | $793 |
| ERCP with stent placement CPT 43274 • Gastroenterology | $545 | $803 | $1,516 |
| Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology | $322 | $395 | $554 |
| Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology | $388 | $491 | $715 |
| Colonoscopy diagnostic CPT 45378 • Gastroenterology | $231 | $420 | $593 |
| Colonoscopy with biopsy CPT 45380 • Gastroenterology | $275 | $524 | $753 |
| Colonoscopy with submucosal injection CPT 45381 • Gastroenterology | $449 | $600 | $768 |
| Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology | $456 | $579 | $847 |
| Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology | $521 | $672 | $833 |
| Colonoscopy with balloon dilation CPT 45386 • Gastroenterology | $291 | $560 | $748 |
| Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology | $377 | $1,628 | $5,807 |
| Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology | $400 | $586 | $1,088 |
| Esophageal motility study CPT 91010 • Gastroenterology | $1 | $221 | $384 |
| Esophageal motility study with acid reflux CPT 91035 • Gastroenterology | $1 | $469 | $780 |
| Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology | $1 | $185 | $575 |
| Auto-added CPT 00102 • General | $37 | $307 | $854 |
| Auto-added CPT 00104 • General | $37 | $117 | $293 |
| Auto-added CPT 00120 • General | $37 | $103 | $234 |