LAKE NORMAN REGIONAL MEDICAL CENTER· MOORESVILLE, NC
HospitalCMS 2/5
171 FAIRVIEW ROAD, MOORESVILLE, NC 28117
Procedures offered
935 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Tonsillectomy primary under age 12 CPT 42826 • ENT | $294 | $2,265 | $7,926 |
| Adenoidectomy primary under age 12 CPT 42830 • ENT | $207 | $2,248 | $7,926 |
| Removal impacted cerumen unilateral CPT 69210 • ENT | $40 | $198 | $682 |
| Tympanostomy tube insertion CPT 69436 • ENT | $144 | $1,398 | $5,919 |
| Tympanoplasty without mastoidectomy CPT 69631 • ENT | $687 | $4,917 | $14,813 |
| Tympanoplasty with mastoidectomy CPT 69633 • ENT | $840 | $4,673 | $14,813 |
| Comprehensive audiometry evaluation CPT 92557 • ENT | $34 | $47 | $64 |
| Incision and drainage abscess simple CPT 10060 • Emergency | $87 | $268 | $682 |
| Incision and drainage abscess complicated CPT 10061 • Emergency | $180 | $368 | $682 |
| Simple wound repair up to 2.5cm CPT 12001 • Emergency | $57 | $207 | $682 |
| Simple wound repair 2.6-7.5cm CPT 12002 • Emergency | $56 | $223 | $682 |
| Simple wound repair face 2.5cm or less CPT 12011 • Emergency | $62 | $231 | $682 |
| Intermediate wound repair 2.5cm or less CPT 12031 • Emergency | $91 | $371 | $682 |
| Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency | $120 | $356 | $682 |
| Initial treatment first degree burn CPT 16000 • Emergency | $55 | $273 | $682 |
| 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 | $77 | $100 | $144 |
| Emergency department visit high severity CPT 99284 • Emergency | $93 | $150 | $243 |
| Emergency department visit highest severity CPT 99285 • Emergency | $157 | $228 | $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 | $1,713 | $5,919 |
| Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology | $159 | $1,629 | $5,919 |
| Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology | $105 | $1,512 | $5,919 |
| Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology | $142 | $1,539 | $5,919 |
| Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology | $116 | $1,484 | $5,919 |
| Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology | $219 | $1,802 | $5,919 |
| Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology | $324 | $2,361 | $7,926 |
| Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology | $30 | $1,321 | $5,919 |
| ERCP diagnostic CPT 43260 • Gastroenterology | $351 | $2,339 | $7,926 |
| ERCP with sphincterotomy CPT 43262 • Gastroenterology | $30 | $1,797 | $7,926 |
| ERCP with removal of stones CPT 43264 • Gastroenterology | $30 | $1,973 | $7,926 |
| ERCP with stent placement CPT 43274 • Gastroenterology | $342 | $2,235 | $7,926 |
| Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology | $125 | $1,486 | $5,919 |
| Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology | $253 | $2,074 | $5,919 |
| Colonoscopy diagnostic CPT 45378 • Gastroenterology | $183 | $1,617 | $5,919 |
| Colonoscopy with biopsy CPT 45380 • Gastroenterology | $161 | $1,643 | $5,919 |
| Colonoscopy with submucosal injection CPT 45381 • Gastroenterology | $30 | $1,396 | $5,919 |
| Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology | $221 | $1,706 | $5,919 |
| Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology | $204 | $1,642 | $5,919 |
| Colonoscopy with balloon dilation CPT 45386 • Gastroenterology | $269 | $1,939 | $5,919 |
| Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology | $377 | $3,345 | $6,268 |
| Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology | $266 | $1,588 | $5,919 |
| Esophageal motility study CPT 91010 • Gastroenterology | $30 | $247 | $682 |
| Esophageal motility study with acid reflux CPT 91035 • Gastroenterology | $82 | $537 | $932 |
| Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology | $52 | $276 | $682 |
| Auto-added CPT 00102 • General | $40 | $403 | $713 |
| Auto-added CPT 00104 • General | $40 | $235 | $340 |
| Auto-added CPT 00120 • General | $40 | $273 | $441 |