MOORESVILLE HOSPITAL MANAGEMENT ASSOCIATES LLC· MOORESVILLE, NC
ProviderCMS 2/5
171 FAIRVIEW RD, MOORESVILLE, NC 28117
Procedures offered
948 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $353 | $3,538 | $8,409 |
| Tonsillectomy primary under age 12 CPT 42826 • ENT | $294 | $3,494 | $8,409 |
| Adenoidectomy primary under age 12 CPT 42830 • ENT | $207 | $3,480 | $8,409 |
| Removal impacted cerumen unilateral CPT 69210 • ENT | $40 | $286 | $723 |
| Tympanostomy tube insertion CPT 69436 • ENT | $144 | $2,212 | $6,280 |
| Tympanoplasty without mastoidectomy CPT 69631 • ENT | $687 | $7,077 | $15,715 |
| Tympanoplasty with mastoidectomy CPT 69633 • ENT | $840 | $6,881 | $15,715 |
| Comprehensive audiometry evaluation CPT 92557 • ENT | $34 | $47 | $64 |
| Incision and drainage abscess simple CPT 10060 • Emergency | $87 | $344 | $723 |
| Incision and drainage abscess complicated CPT 10061 • Emergency | $180 | $427 | $723 |
| Simple wound repair up to 2.5cm CPT 12001 • Emergency | $57 | $293 | $723 |
| Simple wound repair 2.6-7.5cm CPT 12002 • Emergency | $56 | $306 | $723 |
| Simple wound repair face 2.5cm or less CPT 12011 • Emergency | $62 | $313 | $723 |
| Intermediate wound repair 2.5cm or less CPT 12031 • Emergency | $91 | $441 | $723 |
| Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency | $120 | $429 | $723 |
| Initial treatment first degree burn CPT 16000 • Emergency | $55 | $363 | $723 |
| Emergency department visit self-limited problem CPT 99281 • Emergency | $22 | $31 | $44 |
| Emergency department visit low severity CPT 99282 • Emergency | $37 | $59 | $85 |
| Emergency department visit moderate severity CPT 99283 • Emergency | $65 | $91 | $144 |
| Emergency department visit high severity CPT 99284 • Emergency | $111 | $155 | $243 |
| Emergency department visit highest severity CPT 99285 • Emergency | $163 | $229 | $353 |
| Critical care first 30-74 minutes CPT 99291 • Emergency | $223 | $328 | $432 |
| Critical care each additional 30 minutes CPT 99292 • Emergency | $94 | $149 | $243 |
| Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology | $147 | $2,627 | $6,280 |
| Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology | $159 | $2,404 | $6,280 |
| Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology | $105 | $2,306 | $6,280 |
| Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology | $142 | $2,329 | $6,280 |
| Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology | $116 | $2,283 | $6,280 |
| Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology | $219 | $2,548 | $6,280 |
| Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology | $324 | $3,571 | $8,409 |
| Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology | $30 | $2,148 | $6,280 |
| ERCP diagnostic CPT 43260 • Gastroenterology | $351 | $3,553 | $8,409 |
| ERCP with sphincterotomy CPT 43262 • Gastroenterology | $30 | $2,899 | $8,409 |
| ERCP with removal of stones CPT 43264 • Gastroenterology | $30 | $3,045 | $8,409 |
| ERCP with stent placement CPT 43274 • Gastroenterology | $342 | $3,264 | $8,409 |
| Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology | $125 | $2,285 | $6,280 |
| Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology | $253 | $2,915 | $6,280 |
| Flexible sigmoidoscopy diagnostic CPT 45330 • Gastroenterology | $2,329 | $2,329 | $2,329 |
| Colonoscopy diagnostic CPT 45378 • Gastroenterology | $183 | $2,394 | $6,280 |
| Colonoscopy with biopsy CPT 45380 • Gastroenterology | $161 | $2,416 | $6,280 |
| Colonoscopy with submucosal injection CPT 45381 • Gastroenterology | $30 | $2,210 | $6,280 |
| Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology | $221 | $2,469 | $6,280 |
| Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology | $204 | $2,415 | $6,280 |
| Colonoscopy with balloon dilation CPT 45386 • Gastroenterology | $269 | $2,807 | $6,280 |
| Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology | $377 | $3,932 | $6,280 |
| Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology | $266 | $2,370 | $6,280 |
| Esophageal motility study CPT 91010 • Gastroenterology | $30 | $326 | $723 |
| Esophageal motility study with acid reflux CPT 91035 • Gastroenterology | $82 | $574 | $932 |
| Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology | $52 | $350 | $723 |
| Auto-added CPT 00102 • General | $40 | $403 | $713 |