REX HOSPITAL· RALEIGH, NC

HospitalCMS 5/5

4420 LAKE BOONE TRAIL, RALEIGH, NC 27607

Procedures offered

969 total

ProcedureMinAvgMax
Incision and drainage peritonsillar abscess
CPT 42700 • ENT
$170$314$737
Tonsillectomy and adenoidectomy under age 12
CPT 42820 • ENT
$186$485$852
Tonsillectomy and adenoidectomy age 12 or older
CPT 42821 • ENT
$322$540$890
Tonsillectomy primary under age 12
CPT 42826 • ENT
$255$497$973
Adenoidectomy primary under age 12
CPT 42830 • ENT
$130$405$814
Removal impacted cerumen unilateral
CPT 69210 • ENT
$26$59$117
Tympanostomy tube insertion
CPT 69436 • ENT
$153$274$607
Tympanoplasty without mastoidectomy
CPT 69631 • ENT
$856$1,629$3,381
Tympanoplasty with mastoidectomy
CPT 69633 • ENT
$1,112$2,039$3,989
Comprehensive audiometry evaluation
CPT 92557 • ENT
$38$65$132
Incision and drainage abscess simple
CPT 10060 • Emergency
$114$232$485
Incision and drainage abscess complicated
CPT 10061 • Emergency
$97$371$814
Simple wound repair up to 2.5cm
CPT 12001 • Emergency
$36$102$239
Simple wound repair 2.6-7.5cm
CPT 12002 • Emergency
$58$136$285
Simple wound repair face 2.5cm or less
CPT 12011 • Emergency
$55$146$313
Intermediate wound repair 2.5cm or less
CPT 12031 • Emergency
$126$330$677
Intermediate wound repair face 2.5cm or less
CPT 12051 • Emergency
$175$450$735
Initial treatment first degree burn
CPT 16000 • Emergency
$30$95$189
Emergency department visit self-limited problem
CPT 99281 • Emergency
$11$29$57
Emergency department visit low severity
CPT 99282 • Emergency
$31$68$116
Emergency department visit moderate severity
CPT 99283 • Emergency
$65$114$196
Emergency department visit high severity
CPT 99284 • Emergency
$103$199$334
Emergency department visit highest severity
CPT 99285 • Emergency
$160$267$484
Critical care first 30-74 minutes
CPT 99291 • Emergency
$215$425$774
Critical care each additional 30 minutes
CPT 99292 • Emergency
$112$185$336
Esophagoscopy rigid diagnostic
CPT 43191 • Gastroenterology
$148$261$578
Upper GI endoscopy diagnostic
CPT 43235 • Gastroenterology
$90$461$916
Upper GI endoscopy with biopsy
CPT 43239 • Gastroenterology
$110$471$1,003
Upper GI endoscopy with foreign body removal
CPT 43247 • Gastroenterology
$166$463$1,005
Upper GI endoscopy with balloon dilation
CPT 43249 • Gastroenterology
$155$872$2,995
Upper GI endoscopy with polypectomy by snare
CPT 43251 • Gastroenterology
$140$573$1,316
Upper GI endoscopy with stent placement
CPT 43257 • Gastroenterology
$233$523$854
Upper GI endoscopy with endoscopic ultrasound
CPT 43259 • Gastroenterology
$194$366$825
ERCP diagnostic
CPT 43260 • Gastroenterology
$322$539$873
ERCP with sphincterotomy
CPT 43262 • Gastroenterology
$276$600$1,069
ERCP with removal of stones
CPT 43264 • Gastroenterology
$331$648$1,254
ERCP with stent placement
CPT 43274 • Gastroenterology
$438$629$1,095
Colonoscopy through stoma diagnostic
CPT 44388 • Gastroenterology
$107$448$925
Colonoscopy through stoma with biopsy
CPT 44389 • Gastroenterology
$214$762$1,500
Colonoscopy diagnostic
CPT 45378 • Gastroenterology
$230$464$826
Colonoscopy with biopsy
CPT 45380 • Gastroenterology
$250$653$1,138
Colonoscopy with submucosal injection
CPT 45381 • Gastroenterology
$158$564$1,160
Colonoscopy with lesion removal by hot biopsy
CPT 45384 • Gastroenterology
$214$577$1,279
Colonoscopy with polypectomy by snare
CPT 45385 • Gastroenterology
$308$645$1,171
Colonoscopy with balloon dilation
CPT 45386 • Gastroenterology
$198$670$1,631
Colonoscopy with ablation of tumor or polyp
CPT 45388 • Gastroenterology
$270$1,992$6,831
Colonoscopy with endoscopic mucosal resection
CPT 45390 • Gastroenterology
$299$564$970
Esophageal motility study
CPT 91010 • Gastroenterology
$79$308$848
Esophageal motility study with acid reflux
CPT 91035 • Gastroenterology
$105$553$1,008
Esophageal pH monitoring 24 hours
CPT 91038 • Gastroenterology
$74$429$962