SENTARA ALBEMARLE REGIONAL MEDICAL CENTER· ELIZABETH CITY, NC
HospitalCMS 3/5
3050 HALSTEAD BLVD, ELIZABETH CITY, NC 27909
Procedures offered
938 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $283 | $401 | $536 |
| Tonsillectomy primary under age 12 CPT 42826 • ENT | $238 | $381 | $673 |
| Adenoidectomy primary under age 12 CPT 42830 • ENT | $191 | $261 | $292 |
| Removal impacted cerumen unilateral CPT 69210 • ENT | $36 | $57 | $69 |
| Tympanostomy tube insertion CPT 69436 • ENT | $148 | $187 | $228 |
| Tympanoplasty without mastoidectomy CPT 69631 • ENT | $839 | $1,158 | $1,264 |
| Tympanoplasty with mastoidectomy CPT 69633 • ENT | $954 | $1,266 | $1,488 |
| Comprehensive audiometry evaluation CPT 92557 • ENT | $38 | $57 | $75 |
| Incision and drainage abscess simple CPT 10060 • Emergency | $90 | $135 | $172 |
| Incision and drainage abscess complicated CPT 10061 • Emergency | $181 | $237 | $295 |
| Simple wound repair up to 2.5cm CPT 12001 • Emergency | $41 | $121 | $203 |
| Simple wound repair 2.6-7.5cm CPT 12002 • Emergency | $104 | $160 | $216 |
| Simple wound repair face 2.5cm or less CPT 12011 • Emergency | $52 | $136 | $216 |
| Intermediate wound repair 2.5cm or less CPT 12031 • Emergency | $147 | $256 | $371 |
| Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency | $157 | $326 | $398 |
| Initial treatment first degree burn CPT 16000 • Emergency | $41 | $79 | $110 |
| Emergency department visit self-limited problem CPT 99281 • Emergency | $11 | $24 | $29 |
| Emergency department visit low severity CPT 99282 • Emergency | $39 | $56 | $79 |
| Emergency department visit moderate severity CPT 99283 • Emergency | $66 | $86 | $99 |
| Emergency department visit high severity CPT 99284 • Emergency | $141 | $165 | $199 |
| Emergency department visit highest severity CPT 99285 • Emergency | $162 | $218 | $246 |
| Critical care first 30-74 minutes CPT 99291 • Emergency | $253 | $321 | $386 |
| Critical care each additional 30 minutes CPT 99292 • Emergency | $111 | $149 | $169 |
| Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology | $143 | $167 | $214 |
| Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology | $138 | $466 | $1,096 |
| Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology | $155 | $338 | $547 |
| Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology | $197 | $390 | $552 |
| Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology | $172 | $591 | $1,642 |
| Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology | $187 | $482 | $721 |
| Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology | $259 | $399 | $493 |
| Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology | $252 | $327 | $443 |
| ERCP diagnostic CPT 43260 • Gastroenterology | $306 | $545 | $1,002 |
| ERCP with sphincterotomy CPT 43262 • Gastroenterology | $338 | $488 | $625 |
| ERCP with removal of stones CPT 43264 • Gastroenterology | $345 | $688 | $1,317 |
| ERCP with stent placement CPT 43274 • Gastroenterology | $512 | $619 | $668 |
| Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology | $172 | $286 | $476 |
| Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology | $192 | $443 | $596 |
| Colonoscopy diagnostic CPT 45378 • Gastroenterology | $207 | $400 | $716 |
| Colonoscopy with biopsy CPT 45380 • Gastroenterology | $225 | $462 | $656 |
| Colonoscopy with submucosal injection CPT 45381 • Gastroenterology | $225 | $491 | $638 |
| Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology | $255 | $506 | $707 |
| Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology | $283 | $525 | $741 |
| Colonoscopy with balloon dilation CPT 45386 • Gastroenterology | $237 | $625 | $908 |
| Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology | $301 | $2,058 | $4,047 |
| Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology | $299 | $384 | $481 |
| Esophageal motility study CPT 91010 • Gastroenterology | $51 | $167 | $247 |
| Esophageal motility study with acid reflux CPT 91035 • Gastroenterology | $129 | $486 | $672 |
| Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology | $200 | $451 | $626 |
| Auto-added CPT 00102 • General | $3 | $194 | $457 |
| Auto-added CPT 00104 • General | $3 | $144 | $326 |