FIRSTHEALTH MOORE REGIONAL HOSPITAL· PINEHURST, NC
ProviderCMS 4/5
155 MEMORIAL DR, PINEHURST, NC 28374
Procedures offered
949 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $289 | $463 | $671 |
| Tonsillectomy primary under age 12 CPT 42826 • ENT | $245 | $396 | $567 |
| Adenoidectomy primary under age 12 CPT 42830 • ENT | $163 | $287 | $475 |
| Removal impacted cerumen unilateral CPT 69210 • ENT | $26 | $45 | $69 |
| Tympanostomy tube insertion CPT 69436 • ENT | $30 | $191 | $352 |
| Tympanoplasty without mastoidectomy CPT 69631 • ENT | $685 | $1,182 | $1,939 |
| Tympanoplasty with mastoidectomy CPT 69633 • ENT | $644 | $1,402 | $2,294 |
| Comprehensive audiometry evaluation CPT 92557 • ENT | $32 | $51 | $79 |
| Incision and drainage abscess simple CPT 10060 • Emergency | $98 | $169 | $282 |
| Incision and drainage abscess complicated CPT 10061 • Emergency | $100 | $279 | $470 |
| Simple wound repair up to 2.5cm CPT 12001 • Emergency | $35 | $112 | $175 |
| Simple wound repair 2.6-7.5cm CPT 12002 • Emergency | $47 | $148 | $250 |
| Simple wound repair face 2.5cm or less CPT 12011 • Emergency | $44 | $128 | $246 |
| Intermediate wound repair 2.5cm or less CPT 12031 • Emergency | $117 | $342 | $576 |
| Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency | $134 | $335 | $620 |
| Initial treatment first degree burn CPT 16000 • Emergency | $35 | $97 | $140 |
| Emergency department visit self-limited problem CPT 99281 • Emergency | $11 | $40 | $79 |
| Emergency department visit low severity CPT 99282 • Emergency | $42 | $66 | $89 |
| Emergency department visit moderate severity CPT 99283 • Emergency | $71 | $103 | $150 |
| Emergency department visit high severity CPT 99284 • Emergency | $120 | $181 | $256 |
| Emergency department visit highest severity CPT 99285 • Emergency | $174 | $279 | $371 |
| Critical care first 30-74 minutes CPT 99291 • Emergency | $223 | $407 | $594 |
| Critical care each additional 30 minutes CPT 99292 • Emergency | $118 | $186 | $257 |
| Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology | $114 | $207 | $338 |
| Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology | $118 | $459 | $704 |
| Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology | $127 | $461 | $815 |
| Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology | $169 | $513 | $833 |
| Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology | $147 | $941 | $1,642 |
| Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology | $187 | $598 | $869 |
| Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology | $221 | $351 | $493 |
| Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology | $215 | $343 | $481 |
| ERCP diagnostic CPT 43260 • Gastroenterology | $306 | $478 | $683 |
| ERCP with sphincterotomy CPT 43262 • Gastroenterology | $293 | $473 | $755 |
| ERCP with removal of stones CPT 43264 • Gastroenterology | $345 | $500 | $771 |
| ERCP with stent placement CPT 43274 • Gastroenterology | $438 | $589 | $977 |
| Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology | $150 | $443 | $942 |
| Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology | $164 | $531 | $894 |
| Colonoscopy diagnostic CPT 45378 • Gastroenterology | $177 | $370 | $742 |
| Colonoscopy with biopsy CPT 45380 • Gastroenterology | $192 | $545 | $942 |
| Colonoscopy with submucosal injection CPT 45381 • Gastroenterology | $192 | $565 | $960 |
| Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology | $170 | $376 | $707 |
| Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology | $242 | $598 | $985 |
| Colonoscopy with balloon dilation CPT 45386 • Gastroenterology | $203 | $554 | $904 |
| Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology | $257 | $1,914 | $4,358 |
| Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology | $299 | $444 | $704 |
| Esophageal motility study CPT 91010 • Gastroenterology | $61 | $230 | $480 |
| Esophageal motility study with acid reflux CPT 91035 • Gastroenterology | $91 | $584 | $975 |
| Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology | $363 | $538 | $864 |
| Auto-added CPT 00102 • General | $4 | $162 | $403 |
| Auto-added CPT 00104 • General | $4 | $38 | $79 |