ECU HEALTH NORTH HOSPITAL· ROANOKE RAPIDS, NC
HospitalCMS 2/5
250 SMITH CHURCH ROAD, ROANOKE RAPIDS, NC 27870
Procedures offered
934 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Tonsillectomy primary under age 12 CPT 42826 • ENT | $202 | $298 | $406 |
| Adenoidectomy primary under age 12 CPT 42830 • ENT | $167 | $207 | $241 |
| Removal impacted cerumen unilateral CPT 69210 • ENT | $40 | $45 | $51 |
| Tympanostomy tube insertion CPT 69436 • ENT | $106 | $137 | $149 |
| Tympanoplasty without mastoidectomy CPT 69631 • ENT | $687 | $805 | $936 |
| Tympanoplasty with mastoidectomy CPT 69633 • ENT | $840 | $959 | $1,106 |
| Comprehensive audiometry evaluation CPT 92557 • ENT | $32 | $36 | $43 |
| Incision and drainage abscess simple CPT 10060 • Emergency | $42 | $84 | $112 |
| Incision and drainage abscess complicated CPT 10061 • Emergency | $163 | $214 | $338 |
| Simple wound repair up to 2.5cm CPT 12001 • Emergency | $67 | $83 | $99 |
| Simple wound repair 2.6-7.5cm CPT 12002 • Emergency | $58 | $87 | $113 |
| Simple wound repair face 2.5cm or less CPT 12011 • Emergency | $69 | $113 | $177 |
| Intermediate wound repair 2.5cm or less CPT 12031 • Emergency | $91 | $180 | $237 |
| Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency | $120 | $183 | $221 |
| Initial treatment first degree burn CPT 16000 • Emergency | $55 | $89 | $188 |
| Emergency department visit self-limited problem CPT 99281 • Emergency | $12 | $33 | $63 |
| Emergency department visit low severity CPT 99282 • Emergency | $37 | $52 | $65 |
| Emergency department visit moderate severity CPT 99283 • Emergency | $73 | $75 | $77 |
| Emergency department visit high severity CPT 99284 • Emergency | $120 | $127 | $142 |
| Emergency department visit highest severity CPT 99285 • Emergency | $179 | $211 | $269 |
| Critical care first 30-74 minutes CPT 99291 • Emergency | $207 | $268 | $425 |
| Critical care each additional 30 minutes CPT 99292 • Emergency | $92 | $106 | $111 |
| Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology | $124 | $173 | $243 |
| Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology | $119 | $223 | $355 |
| Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology | $223 | $318 | $453 |
| Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology | $115 | $267 | $474 |
| Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology | $158 | $595 | $1,229 |
| Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology | $219 | $477 | $771 |
| Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology | $220 | $262 | $324 |
| Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology | $217 | $323 | $520 |
| ERCP diagnostic CPT 43260 • Gastroenterology | $262 | $434 | $743 |
| ERCP with sphincterotomy CPT 43262 • Gastroenterology | $308 | $382 | $432 |
| ERCP with removal of stones CPT 43264 • Gastroenterology | $235 | $388 | $518 |
| ERCP with stent placement CPT 43274 • Gastroenterology | $399 | $553 | $709 |
| Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology | $230 | $405 | $741 |
| Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology | $253 | $344 | $549 |
| Colonoscopy diagnostic CPT 45378 • Gastroenterology | $285 | $328 | $432 |
| Colonoscopy with biopsy CPT 45380 • Gastroenterology | $130 | $343 | $534 |
| Colonoscopy with submucosal injection CPT 45381 • Gastroenterology | $279 | $362 | $513 |
| Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology | $235 | $387 | $587 |
| Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology | $391 | $442 | $559 |
| Colonoscopy with balloon dilation CPT 45386 • Gastroenterology | $137 | $425 | $748 |
| Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology | $377 | $1,738 | $3,756 |
| Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology | $270 | $457 | $765 |
| Esophageal motility study CPT 91010 • Gastroenterology | $44 | $147 | $247 |
| Esophageal motility study with acid reflux CPT 91035 • Gastroenterology | $69 | $165 | $427 |
| Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology | $49 | $301 | $630 |
| Auto-added CPT 00102 • General | $40 | $231 | $723 |
| Auto-added CPT 00104 • General | $40 | $128 | $344 |
| Auto-added CPT 00120 • General | $40 | $303 | $654 |