HUGH CHATHAM MEMORIAL HOSPITAL· ELKIN, NC
HospitalCMS 3/5
180 PARKWOOD DR, ELKIN, NC 28621
Procedures offered
948 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $270 | $346 | $424 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $282 | $361 | $442 |
| Tonsillectomy primary under age 12 CPT 42826 • ENT | $236 | $303 | $374 |
| Adenoidectomy primary under age 12 CPT 42830 • ENT | $196 | $249 | $313 |
| Removal impacted cerumen unilateral CPT 69210 • ENT | $40 | $53 | $69 |
| Tympanostomy tube insertion CPT 69436 • ENT | $127 | $162 | $232 |
| Tympanoplasty without mastoidectomy CPT 69631 • ENT | $687 | $1,018 | $1,427 |
| Tympanoplasty with mastoidectomy CPT 69633 • ENT | $840 | $1,211 | $1,689 |
| Comprehensive audiometry evaluation CPT 92557 • ENT | $36 | $45 | $52 |
| Incision and drainage abscess simple CPT 10060 • Emergency | $87 | $128 | $186 |
| Incision and drainage abscess complicated CPT 10061 • Emergency | $180 | $220 | $310 |
| Simple wound repair up to 2.5cm CPT 12001 • Emergency | $36 | $79 | $150 |
| Simple wound repair 2.6-7.5cm CPT 12002 • Emergency | $82 | $108 | $153 |
| Simple wound repair face 2.5cm or less CPT 12011 • Emergency | $69 | $99 | $159 |
| Intermediate wound repair 2.5cm or less CPT 12031 • Emergency | $91 | $222 | $379 |
| Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency | $120 | $272 | $408 |
| Initial treatment first degree burn CPT 16000 • Emergency | $49 | $74 | $136 |
| Emergency department visit self-limited problem CPT 99281 • Emergency | $16 | $27 | $59 |
| Emergency department visit low severity CPT 99282 • Emergency | $37 | $51 | $59 |
| Emergency department visit moderate severity CPT 99283 • Emergency | $67 | $79 | $99 |
| Emergency department visit high severity CPT 99284 • Emergency | $120 | $139 | $169 |
| Emergency department visit highest severity CPT 99285 • Emergency | $180 | $205 | $245 |
| Critical care first 30-74 minutes CPT 99291 • Emergency | $219 | $312 | $442 |
| Critical care each additional 30 minutes CPT 99292 • Emergency | $96 | $140 | $193 |
| Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology | $142 | $160 | $223 |
| Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology | $188 | $331 | $467 |
| Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology | $184 | $367 | $537 |
| Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology | $201 | $315 | $549 |
| Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology | $174 | $641 | $1,585 |
| Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology | $219 | $421 | $703 |
| Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology | $216 | $315 | $371 |
| Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology | $208 | $299 | $360 |
| ERCP diagnostic CPT 43260 • Gastroenterology | $298 | $355 | $450 |
| ERCP with sphincterotomy CPT 43262 • Gastroenterology | $331 | $458 | $567 |
| ERCP with removal of stones CPT 43264 • Gastroenterology | $336 | $484 | $554 |
| ERCP with stent placement CPT 43274 • Gastroenterology | $428 | $581 | $735 |
| Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology | $97 | $295 | $501 |
| Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology | $253 | $383 | $589 |
| Colonoscopy diagnostic CPT 45378 • Gastroenterology | $295 | $379 | $489 |
| Colonoscopy with biopsy CPT 45380 • Gastroenterology | $328 | $439 | $621 |
| Colonoscopy with submucosal injection CPT 45381 • Gastroenterology | $279 | $424 | $633 |
| Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology | $308 | $464 | $698 |
| Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology | $405 | $489 | $649 |
| Colonoscopy with balloon dilation CPT 45386 • Gastroenterology | $287 | $542 | $863 |
| Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology | $377 | $1,343 | $3,000 |
| Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology | $307 | $401 | $464 |
| Esophageal motility study CPT 91010 • Gastroenterology | $90 | $175 | $231 |
| Esophageal motility study with acid reflux CPT 91035 • Gastroenterology | $82 | $478 | $816 |
| Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology | $78 | $287 | $748 |
| Auto-added CPT 00102 • General | $30 | $248 | $760 |