SENTARA ALBEMARLE REGIONAL MEDICAL CENTER· ELIZABETH CITY, NC

HospitalCMS 3/5

3050 HALSTEAD BLVD, ELIZABETH CITY, NC 27909

Procedures offered

938 total

ProcedureMinAvgMax
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CPT 99401 • General
$21$47$62
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CPT 99402 • General
$36$80$109
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CPT 99403 • General
$62$110$133
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CPT 99404 • General
$72$141$178
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CPT 99406 • General
$10$18$23
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CPT 99407 • General
$25$32$40
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CPT 99408 • General
$32$43$50
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CPT 99409 • General
$65$86$95
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CPT 99460 • General
$66$100$131
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CPT 99461 • General
$74$102$126
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CPT 99462 • General
$35$43$57
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CPT 99463 • General
$88$117$151
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CPT 99464 • General
$67$92$108
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CPT 99465 • General
$131$191$248
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CPT 99468 • General
$1,020$1,163$1,249
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CPT 99469 • General
$446$504$540
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CPT 99495 • General
$119$187$284
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CPT 99496 • General
$185$257$385
Breast biopsy with stereotactic guidance
CPT 19081 • General Surgery
$176$606$962
Excision breast lesion
CPT 19120 • General Surgery
$398$668$939
Partial mastectomy
CPT 19301 • General Surgery
$298$662$920
Simple complete mastectomy
CPT 19303 • General Surgery
$145$952$1,349
Biopsy or excision lymph node open superficial
CPT 38500 • General Surgery
$281$402$512
Biopsy or excision lymph node open deep
CPT 38525 • General Surgery
$404$566$807
Laparoscopic lymphadenectomy pelvic
CPT 38571 • General Surgery
$192$796$1,210
Laparoscopic fundoplasty
CPT 43280 • General Surgery
$1,001$1,635$2,646
Laparoscopic gastric bypass (Roux-en-Y)
CPT 43644 • General Surgery
$1,627$2,125$2,451
Laparoscopic gastric band placement
CPT 43770 • General Surgery
$1,030$1,403$1,586
Laparoscopic sleeve gastrectomy
CPT 43775 • General Surgery
$1,175$1,735$2,487
Open appendectomy
CPT 44950 • General Surgery
$599$957$1,342
Laparoscopic appendectomy
CPT 44970 • General Surgery
$121$579$842
Hemorrhoidectomy internal by ligation
CPT 46221 • General Surgery
$220$294$409
Laparoscopic cholecystectomy
CPT 47562 • General Surgery
$604$773$1,016
Laparoscopic cholecystectomy with cholangiography
CPT 47563 • General Surgery
$168$707$1,033
Inguinal hernia repair initial
CPT 49505 • General Surgery
$443$571$731
Inguinal hernia repair incarcerated
CPT 49507 • General Surgery
$539$824$1,337
Laparoscopic inguinal hernia repair initial
CPT 49650 • General Surgery
$398$543$654
Thyroid lobectomy with or without isthmusectomy
CPT 60220 • General Surgery
$662$1,086$1,724
Thyroidectomy total or subtotal
CPT 60240 • General Surgery
$855$1,292$1,679
Parathyroidectomy
CPT 60500 • General Surgery
$265$1,111$1,419
MRI orbits face neck with and without contrast
CPT 70543 • Imaging
$388$697$1,098
MRI brain without contrast
CPT 70551 • Imaging
$203$493$1,092
MRI brain with contrast
CPT 70552 • Imaging
$300$498$643
MRI brain without contrast then with contrast
CPT 70553 • Imaging
$289$655$1,206
Chest X-ray single view
CPT 71045 • Imaging
$8$20$36
Chest X-ray 2 views
CPT 71046 • Imaging
$11$21$32
CT chest without contrast
CPT 71250 • Imaging
$73$192$318
CT chest with contrast
CPT 71260 • Imaging
$174$351$700
CT angiography chest
CPT 71275 • Imaging
$244$492$696
MRI cervical spine without contrast
CPT 72141 • Imaging
$167$402$738