DLP WILSON MEDICAL CENTER LLC· WILSON, NC
HospitalCMS 2/5
1705 TARBORO ST SW, WILSON, NC 27893
Procedures offered
969 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $170 | $338 | $509 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $286 | $5,457 | $15,559 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $298 | $5,426 | $15,559 |
| Tonsillectomy primary under age 12 CPT 42826 • ENT | $247 | $5,418 | $15,559 |
| Adenoidectomy primary under age 12 CPT 42830 • ENT | $200 | $5,372 | $15,559 |
| Removal impacted cerumen unilateral CPT 69210 • ENT | $26 | $207 | $509 |
| Tympanostomy tube insertion CPT 69436 • ENT | $163 | $2,509 | $7,076 |
| Tympanoplasty without mastoidectomy CPT 69631 • ENT | $825 | $10,767 | $29,860 |
| Tympanoplasty with mastoidectomy CPT 69633 • ENT | $982 | $11,001 | $29,860 |
| Comprehensive audiometry evaluation CPT 92557 • ENT | $33 | $46 | $56 |
| Incision and drainage abscess simple CPT 10060 • Emergency | $98 | $256 | $509 |
| Incision and drainage abscess complicated CPT 10061 • Emergency | $171 | $405 | $509 |
| Simple wound repair up to 2.5cm CPT 12001 • Emergency | $36 | $233 | $509 |
| Simple wound repair 2.6-7.5cm CPT 12002 • Emergency | $48 | $250 | $509 |
| Simple wound repair face 2.5cm or less CPT 12011 • Emergency | $53 | $265 | $509 |
| Intermediate wound repair 2.5cm or less CPT 12031 • Emergency | $126 | $339 | $509 |
| Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency | $235 | $391 | $509 |
| Initial treatment first degree burn CPT 16000 • Emergency | $45 | $236 | $509 |
| Emergency department visit self-limited problem CPT 99281 • Emergency | $11 | $44 | $94 |
| Emergency department visit low severity CPT 99282 • Emergency | $39 | $59 | $69 |
| Emergency department visit moderate severity CPT 99283 • Emergency | $66 | $92 | $117 |
| Emergency department visit high severity CPT 99284 • Emergency | $113 | $166 | $208 |
| Emergency department visit highest severity CPT 99285 • Emergency | $164 | $231 | $286 |
| Critical care first 30-74 minutes CPT 99291 • Emergency | $272 | $386 | $497 |
| Critical care each additional 30 minutes CPT 99292 • Emergency | $122 | $158 | $188 |
| Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology | $147 | $2,490 | $7,076 |
| Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology | $280 | $2,648 | $7,076 |
| Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology | $110 | $2,597 | $7,076 |
| Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology | $191 | $2,690 | $7,076 |
| Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology | $166 | $3,215 | $7,076 |
| Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology | $208 | $2,828 | $7,076 |
| Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology | $300 | $5,386 | $15,559 |
| Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology | $217 | $2,582 | $7,076 |
| ERCP diagnostic CPT 43260 • Gastroenterology | $306 | $5,446 | $15,559 |
| ERCP with sphincterotomy CPT 43262 • Gastroenterology | $409 | $5,564 | $15,559 |
| ERCP with removal of stones CPT 43264 • Gastroenterology | $346 | $5,535 | $15,559 |
| ERCP with stent placement CPT 43274 • Gastroenterology | $559 | $5,756 | $15,559 |
| Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology | $322 | $2,671 | $7,076 |
| Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology | $341 | $2,667 | $7,076 |
| Flexible sigmoidoscopy diagnostic CPT 45330 • Gastroenterology | $6,154 | $6,154 | $6,154 |
| Colonoscopy diagnostic CPT 45378 • Gastroenterology | $279 | $2,726 | $7,076 |
| Colonoscopy with biopsy CPT 45380 • Gastroenterology | $455 | $2,729 | $7,076 |
| Colonoscopy with submucosal injection CPT 45381 • Gastroenterology | $191 | $2,660 | $7,076 |
| Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology | $217 | $2,598 | $7,076 |
| Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology | $521 | $2,889 | $7,076 |
| Colonoscopy with balloon dilation CPT 45386 • Gastroenterology | $198 | $2,700 | $7,076 |
| Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology | $377 | $3,126 | $7,076 |
| Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology | $400 | $2,727 | $7,076 |
| Esophageal motility study CPT 91010 • Gastroenterology | $97 | $311 | $509 |
| Esophageal motility study with acid reflux CPT 91035 • Gastroenterology | $438 | $557 | $824 |