DLP MARIA PARHAM MEDICAL CENTER LLC· HENDERSON, NC

HospitalCMS 2/5

566 RUIN CREEK RD, HENDERSON, NC 27536

Procedures offered

742 total

ProcedureMinAvgMax
Knee orthosis adjustable joint
HCPCS L1832 • Durable Medical Equipment
$952$952$952
Submucous resection inferior turbinate
CPT 30140 • ENT
$652$6,630$15,806
Septoplasty
CPT 30520 • ENT
$929$6,799$15,806
Ablation inferior turbinate unilateral intramural
CPT 30801 • ENT
$337$3,040$7,189
Nasal endoscopy diagnostic
CPT 31231 • ENT
$309$392$517
Nasal endoscopy with biopsy
CPT 31237 • ENT
$384$3,069$7,189
Nasal/sinus endoscopy with ethmoidectomy partial
CPT 31254 • ENT
$415$6,485$15,806
Nasal/sinus endoscopy with ethmoidectomy total
CPT 31255 • ENT
$608$10,132$24,758
Nasal/sinus endoscopy with maxillary antrostomy
CPT 31256 • ENT
$300$6,415$15,806
Nasal/sinus endoscopy with frontal sinus exploration
CPT 31267 • ENT
$482$6,526$15,806
Nasal/sinus endoscopy with sphenoidotomy
CPT 31276 • ENT
$767$10,229$24,758
Incision and drainage peritonsillar abscess
CPT 42700 • ENT
$212$362$517
Tonsillectomy and adenoidectomy under age 12
CPT 42820 • ENT
$440$6,500$15,806
Tonsillectomy and adenoidectomy age 12 or older
CPT 42821 • ENT
$459$6,512$15,806
Tonsillectomy primary under age 12
CPT 42826 • ENT
$383$6,465$15,806
Adenoidectomy primary under age 12
CPT 42830 • ENT
$315$6,424$15,806
Removal impacted cerumen unilateral
CPT 69210 • ENT
$73$249$517
Tympanostomy tube insertion
CPT 69436 • ENT
$241$2,982$7,189
Tympanoplasty without mastoidectomy
CPT 69631 • ENT
$1,329$12,771$30,334
Tympanoplasty with mastoidectomy
CPT 69633 • ENT
$1,572$12,919$30,334
Incision and drainage abscess simple
CPT 10060 • Emergency
$175$311$517
Incision and drainage abscess complicated
CPT 10061 • Emergency
$309$393$517
Simple wound repair up to 2.5cm
CPT 12001 • Emergency
$133$285$517
Simple wound repair 2.6-7.5cm
CPT 12002 • Emergency
$92$288$517
Simple wound repair face 2.5cm or less
CPT 12011 • Emergency
$163$303$517
Intermediate wound repair 2.5cm or less
CPT 12031 • Emergency
$239$395$517
Intermediate wound repair face 2.5cm or less
CPT 12051 • Emergency
$384$438$517
Initial treatment first degree burn
CPT 16000 • Emergency
$104$267$517
Emergency department visit self-limited problem
CPT 99281 • Emergency
$36$99$284
Emergency department visit low severity
CPT 99282 • Emergency
$71$227$692
Emergency department visit moderate severity
CPT 99283 • Emergency
$106$389$1,233
Emergency department visit high severity
CPT 99284 • Emergency
$202$644$1,961
Emergency department visit highest severity
CPT 99285 • Emergency
$297$1,166$3,757
Critical care first 30-74 minutes
CPT 99291 • Emergency
$466$1,978$6,491
Critical care each additional 30 minutes
CPT 99292 • Emergency
$197$207$215
Esophagoscopy rigid diagnostic
CPT 43191 • Gastroenterology
$237$2,979$7,189
Upper GI endoscopy diagnostic
CPT 43235 • Gastroenterology
$381$3,067$7,189
Upper GI endoscopy with biopsy
CPT 43239 • Gastroenterology
$509$3,145$7,189
Upper GI endoscopy with foreign body removal
CPT 43247 • Gastroenterology
$521$3,153$7,189
Upper GI endoscopy with balloon dilation
CPT 43249 • Gastroenterology
$1,497$3,749$7,189
Upper GI endoscopy with polypectomy by snare
CPT 43251 • Gastroenterology
$655$3,234$7,189
Upper GI endoscopy with stent placement
CPT 43257 • Gastroenterology
$363$6,453$15,806
Upper GI endoscopy with endoscopic ultrasound
CPT 43259 • Gastroenterology
$354$3,050$7,189
ERCP diagnostic
CPT 43260 • Gastroenterology
$505$6,540$15,806
ERCP with sphincterotomy
CPT 43262 • Gastroenterology
$559$6,573$15,806
ERCP with removal of stones
CPT 43264 • Gastroenterology
$570$6,580$15,806
ERCP with stent placement
CPT 43274 • Gastroenterology
$725$6,675$15,806
Colonoscopy through stoma diagnostic
CPT 44388 • Gastroenterology
$220$3,053$7,189
Colonoscopy through stoma with biopsy
CPT 44389 • Gastroenterology
$563$3,178$7,189
Flexible sigmoidoscopy diagnostic
CPT 45330 • Gastroenterology
$6,252$6,252$6,252