CATAWBA VALLEY MEDICAL CENTER· HICKORY, NC
ProviderCMS 3/5
810 FAIRGROVE CHURCH RD, HICKORY, NC 28602
Procedures offered
946 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $130 | $426 | $964 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $257 | $2,869 | $9,194 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $268 | $2,925 | $9,194 |
| Tonsillectomy primary under age 12 CPT 42826 • ENT | $245 | $2,864 | $9,194 |
| Adenoidectomy primary under age 12 CPT 42830 • ENT | $205 | $2,814 | $9,194 |
| Removal impacted cerumen unilateral CPT 69210 • ENT | $31 | $310 | $964 |
| Tympanostomy tube insertion CPT 69436 • ENT | $140 | $1,294 | $4,058 |
| Tympanoplasty without mastoidectomy CPT 69631 • ENT | $687 | $5,076 | $15,251 |
| Tympanoplasty with mastoidectomy CPT 69633 • ENT | $840 | $5,156 | $15,251 |
| Comprehensive audiometry evaluation CPT 92557 • ENT | $32 | $44 | $63 |
| Incision and drainage abscess simple CPT 10060 • Emergency | $87 | $396 | $964 |
| Incision and drainage abscess complicated CPT 10061 • Emergency | $180 | $451 | $964 |
| Simple wound repair up to 2.5cm CPT 12001 • Emergency | $35 | $344 | $964 |
| Simple wound repair 2.6-7.5cm CPT 12002 • Emergency | $47 | $347 | $964 |
| Simple wound repair face 2.5cm or less CPT 12011 • Emergency | $44 | $367 | $964 |
| Intermediate wound repair 2.5cm or less CPT 12031 • Emergency | $91 | $435 | $964 |
| Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency | $120 | $463 | $964 |
| Initial treatment first degree burn CPT 16000 • Emergency | $35 | $326 | $964 |
| Emergency department visit self-limited problem CPT 99281 • Emergency | $11 | $19 | $35 |
| Emergency department visit low severity CPT 99282 • Emergency | $37 | $50 | $75 |
| Emergency department visit moderate severity CPT 99283 • Emergency | $67 | $83 | $127 |
| Emergency department visit high severity CPT 99284 • Emergency | $111 | $138 | $216 |
| Emergency department visit highest severity CPT 99285 • Emergency | $174 | $208 | $314 |
| Critical care first 30-74 minutes CPT 99291 • Emergency | $223 | $288 | $480 |
| Critical care each additional 30 minutes CPT 99292 • Emergency | $108 | $141 | $211 |
| Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology | $147 | $1,317 | $4,058 |
| Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology | $118 | $1,415 | $4,058 |
| Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology | $119 | $1,382 | $4,058 |
| Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology | $152 | $1,352 | $4,058 |
| Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology | $132 | $1,663 | $4,058 |
| Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology | $168 | $1,388 | $4,058 |
| Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology | $202 | $2,826 | $9,194 |
| Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology | $194 | $1,361 | $4,058 |
| ERCP diagnostic CPT 43260 • Gastroenterology | $306 | $2,943 | $9,194 |
| ERCP with sphincterotomy CPT 43262 • Gastroenterology | $338 | $2,968 | $9,194 |
| ERCP with removal of stones CPT 43264 • Gastroenterology | $312 | $2,948 | $9,194 |
| ERCP with stent placement CPT 43274 • Gastroenterology | $438 | $3,068 | $9,194 |
| Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology | $150 | $1,378 | $4,058 |
| Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology | $164 | $1,466 | $4,058 |
| Flexible sigmoidoscopy diagnostic CPT 45330 • Gastroenterology | $3,348 | $3,348 | $3,348 |
| Colonoscopy diagnostic CPT 45378 • Gastroenterology | $126 | $1,378 | $4,058 |
| Colonoscopy with biopsy CPT 45380 • Gastroenterology | $172 | $1,421 | $4,058 |
| Colonoscopy with submucosal injection CPT 45381 • Gastroenterology | $192 | $1,459 | $4,058 |
| Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology | $208 | $1,457 | $4,058 |
| Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology | $198 | $1,441 | $4,058 |
| Colonoscopy with balloon dilation CPT 45386 • Gastroenterology | $193 | $1,463 | $4,058 |
| Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology | $257 | $2,095 | $5,024 |
| Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology | $299 | $1,474 | $4,058 |
| Esophageal motility study CPT 91010 • Gastroenterology | $67 | $387 | $964 |
| Esophageal motility study with acid reflux CPT 91035 • Gastroenterology | $81 | $472 | $964 |