SENTARA ALBEMARLE REGIONAL MEDICAL CENTER· ELIZABETH CITY, NC

HospitalCMS 3/5

3050 HALSTEAD BLVD, ELIZABETH CITY, NC 27909

Procedures offered

949 total

ProcedureMinAvgMax
Excision chalazion single
CPT 67800 • Ophthalmology
$80$137$179
Blepharoptosis repair levator resection
CPT 67901 • Ophthalmology
$642$879$1,117
Lacrimal punctum closure by plug
CPT 68761 • Ophthalmology
$78$156$208
Eye exam new patient intermediate
CPT 92002 • Ophthalmology
$45$80$120
Eye exam new patient comprehensive
CPT 92004 • Ophthalmology
$93$147$209
Eye exam established patient intermediate
CPT 92012 • Ophthalmology
$50$80$125
Eye exam established patient comprehensive
CPT 92014 • Ophthalmology
$76$117$176
Visual field examination
CPT 92083 • Ophthalmology
$23$59$97
Retinal imaging OCT posterior segment
CPT 92134 • Ophthalmology
$21$30$41
Ophthalmic biometry IOL power calculation
CPT 92136 • Ophthalmology
$21$63$124
Fundus photography
CPT 92250 • Ophthalmology
$25$37$50
Arthrocentesis aspiration small joint
CPT 20600 • Orthopedics
$36$63$74
Arthrocentesis aspiration intermediate joint
CPT 20605 • Orthopedics
$44$68$93
Arthrocentesis aspiration major joint
CPT 20610 • Orthopedics
$31$70$105
Cervical spine fusion anterior approach
CPT 22551 • Orthopedics
$264$1,708$2,421
Lumbar spine fusion posterior approach
CPT 22612 • Orthopedics
$354$1,809$2,250
Lumbar spine fusion combined approach
CPT 22633 • Orthopedics
$2,232$2,501$2,627
Total shoulder replacement
CPT 23472 • Orthopedics
$1,326$1,716$2,088
Reverse total shoulder replacement
CPT 23473 • Orthopedics
$243$1,614$2,296
Lateral epicondylitis open treatment
CPT 24357 • Orthopedics
$490$640$970
Closed treatment distal radial fracture
CPT 25600 • Orthopedics
$427$460$514
Tendon sheath incision trigger finger
CPT 26055 • Orthopedics
$354$658$832
Total hip replacement
CPT 27130 • Orthopedics
$353$1,471$2,008
Hip replacement conversion to total
CPT 27132 • Orthopedics
$403$1,970$2,367
Open treatment femoral fracture
CPT 27236 • Orthopedics
$1,098$1,738$2,901
Treatment intertrochanteric femoral fracture
CPT 27244 • Orthopedics
$1,499$1,882$2,939
Treatment intertrochanteric fracture with plate/screw
CPT 27245 • Orthopedics
$333$1,566$2,472
Partial knee replacement medial or lateral
CPT 27446 • Orthopedics
$1,056$1,359$1,611
Total knee replacement
CPT 27447 • Orthopedics
$371$1,456$2,147
Open treatment tibial shaft fracture
CPT 27756 • Orthopedics
$598$735$809
Closed treatment distal fibula fracture
CPT 27786 • Orthopedics
$243$377$444
Bunionectomy with osteotomy
CPT 28296 • Orthopedics
$535$971$1,294
Arthroscopy shoulder decompression
CPT 29826 • Orthopedics
$156$394$919
Arthroscopy shoulder rotator cuff repair
CPT 29827 • Orthopedics
$984$1,265$1,497
Arthroscopy knee with meniscectomy medial and lateral
CPT 29880 • Orthopedics
$522$833$1,133
Arthroscopy knee with meniscectomy
CPT 29881 • Orthopedics
$31$753$1,574
Arthroscopy knee with meniscus repair
CPT 29882 • Orthopedics
$694$927$1,120
Arthroscopy knee ACL repair
CPT 29888 • Orthopedics
$898$1,153$1,370
Discectomy lumbar single level
CPT 63030 • Orthopedics
$214$1,087$1,374
Laminectomy lumbar single level
CPT 63047 • Orthopedics
$1,090$1,502$1,829
Carpal tunnel release
CPT 64721 • Orthopedics
$409$508$619
Sacroiliac joint injection
CPT 27096 • Pain Management
$90$194$247
Epidural injection cervical or thoracic with imaging
CPT 62321 • Pain Management
$106$235$379
Epidural injection lumbar or sacral without imaging
CPT 62322 • Pain Management
$86$186$363
Epidural injection lumbar or sacral with imaging
CPT 62323 • Pain Management
$115$244$374
Spinal cord stimulator electrode implantation
CPT 63650 • Pain Management
$483$1,414$3,168
Peripheral nerve block injection
CPT 64450 • Pain Management
$30$92$142
Plantar common digital nerve injection
CPT 64455 • Pain Management
$40$61$72
Epidural injection lumbar or sacral transforaminal
CPT 64483 • Pain Management
$129$292$370
Epidural injection lumbar each additional level
CPT 64484 • Pain Management
$59$151$215