STANLY REGIONAL MEDICAL CENTER· ALBEMARLE, NC

HospitalCMS 3/5

301 YADKIN ST, ALBEMARLE, NC 28001

Procedures offered

943 total

ProcedureMinAvgMax
Tonsillectomy and adenoidectomy under age 12
CPT 42820 • ENT
$304$375$531
Tonsillectomy and adenoidectomy age 12 or older
CPT 42821 • ENT
$291$379$554
Tonsillectomy primary under age 12
CPT 42826 • ENT
$267$336$478
Adenoidectomy primary under age 12
CPT 42830 • ENT
$207$317$587
Removal impacted cerumen unilateral
CPT 69210 • ENT
$26$43$56
Tympanostomy tube insertion
CPT 69436 • ENT
$144$174$211
Tympanoplasty without mastoidectomy
CPT 69631 • ENT
$687$1,319$2,332
Tympanoplasty with mastoidectomy
CPT 69633 • ENT
$840$1,273$1,572
Comprehensive audiometry evaluation
CPT 92557 • ENT
$33$51$60
Incision and drainage abscess simple
CPT 10060 • Emergency
$87$116$137
Incision and drainage abscess complicated
CPT 10061 • Emergency
$180$324$489
Simple wound repair up to 2.5cm
CPT 12001 • Emergency
$36$85$169
Simple wound repair 2.6-7.5cm
CPT 12002 • Emergency
$48$105$204
Simple wound repair face 2.5cm or less
CPT 12011 • Emergency
$53$114$203
Intermediate wound repair 2.5cm or less
CPT 12031 • Emergency
$91$143$241
Intermediate wound repair face 2.5cm or less
CPT 12051 • Emergency
$120$357$514
Initial treatment first degree burn
CPT 16000 • Emergency
$55$75$104
Emergency department visit self-limited problem
CPT 99281 • Emergency
$17$51$126
Emergency department visit low severity
CPT 99282 • Emergency
$37$71$126
Emergency department visit moderate severity
CPT 99283 • Emergency
$53$68$77
Emergency department visit high severity
CPT 99284 • Emergency
$90$138$208
Emergency department visit highest severity
CPT 99285 • Emergency
$131$187$231
Critical care first 30-74 minutes
CPT 99291 • Emergency
$223$325$503
Critical care each additional 30 minutes
CPT 99292 • Emergency
$111$179$222
Esophagoscopy rigid diagnostic
CPT 43191 • Gastroenterology
$147$251$471
Upper GI endoscopy diagnostic
CPT 43235 • Gastroenterology
$188$316$477
Upper GI endoscopy with biopsy
CPT 43239 • Gastroenterology
$110$254$409
Upper GI endoscopy with foreign body removal
CPT 43247 • Gastroenterology
$201$479$653
Upper GI endoscopy with balloon dilation
CPT 43249 • Gastroenterology
$174$1,009$1,684
Upper GI endoscopy with polypectomy by snare
CPT 43251 • Gastroenterology
$219$601$1,176
Upper GI endoscopy with stent placement
CPT 43257 • Gastroenterology
$324$503$874
Upper GI endoscopy with endoscopic ultrasound
CPT 43259 • Gastroenterology
$217$323$555
ERCP diagnostic
CPT 43260 • Gastroenterology
$351$385$425
ERCP with sphincterotomy
CPT 43262 • Gastroenterology
$428$477$552
ERCP with removal of stones
CPT 43264 • Gastroenterology
$378$447$518
ERCP with stent placement
CPT 43274 • Gastroenterology
$481$750$1,440
Colonoscopy through stoma diagnostic
CPT 44388 • Gastroenterology
$150$265$430
Colonoscopy through stoma with biopsy
CPT 44389 • Gastroenterology
$253$481$720
Colonoscopy diagnostic
CPT 45378 • Gastroenterology
$192$354$480
Colonoscopy with biopsy
CPT 45380 • Gastroenterology
$350$471$537
Colonoscopy with submucosal injection
CPT 45381 • Gastroenterology
$205$365$692
Colonoscopy with lesion removal by hot biopsy
CPT 45384 • Gastroenterology
$214$525$849
Colonoscopy with polypectomy by snare
CPT 45385 • Gastroenterology
$416$545$710
Colonoscopy with balloon dilation
CPT 45386 • Gastroenterology
$198$821$1,829
Colonoscopy with ablation of tumor or polyp
CPT 45388 • Gastroenterology
$264$1,076$3,000
Colonoscopy with endoscopic mucosal resection
CPT 45390 • Gastroenterology
$319$547$956
Esophageal motility study
CPT 91010 • Gastroenterology
$142$255$380
Esophageal motility study with acid reflux
CPT 91035 • Gastroenterology
$82$522$715
Esophageal pH monitoring 24 hours
CPT 91038 • Gastroenterology
$48$310$540
Auto-added
CPT 00102 • General
$64$552$1,176