ATRIUM HEALTH UNIVERSITY CITY· CHARLOTTE, NC

HospitalCMS 3/5

8800 NORTH TYRON STREET, CHARLOTTE, NC 28262

Procedures offered

933 total

ProcedureMinAvgMax
Tonsillectomy and adenoidectomy age 12 or older
CPT 42821 • ENT
$309$602$1,131
Tonsillectomy primary under age 12
CPT 42826 • ENT
$160$485$942
Adenoidectomy primary under age 12
CPT 42830 • ENT
$207$430$778
Removal impacted cerumen unilateral
CPT 69210 • ENT
$29$74$159
Tympanostomy tube insertion
CPT 69436 • ENT
$104$277$526
Tympanoplasty without mastoidectomy
CPT 69631 • ENT
$687$1,565$2,894
Tympanoplasty with mastoidectomy
CPT 69633 • ENT
$840$1,960$3,418
Comprehensive audiometry evaluation
CPT 92557 • ENT
$35$59$92
Incision and drainage abscess simple
CPT 10060 • Emergency
$87$206$328
Incision and drainage abscess complicated
CPT 10061 • Emergency
$108$313$547
Simple wound repair up to 2.5cm
CPT 12001 • Emergency
$46$140$240
Simple wound repair 2.6-7.5cm
CPT 12002 • Emergency
$56$146$291
Simple wound repair face 2.5cm or less
CPT 12011 • Emergency
$69$151$286
Intermediate wound repair 2.5cm or less
CPT 12031 • Emergency
$91$358$670
Intermediate wound repair face 2.5cm or less
CPT 12051 • Emergency
$117$350$721
Initial treatment first degree burn
CPT 16000 • Emergency
$43$115$205
Emergency department visit self-limited problem
CPT 99281 • Emergency
$22$38$61
Emergency department visit low severity
CPT 99282 • Emergency
$37$69$104
Emergency department visit moderate severity
CPT 99283 • Emergency
$75$120$175
Emergency department visit high severity
CPT 99284 • Emergency
$120$205$298
Emergency department visit highest severity
CPT 99285 • Emergency
$188$281$432
Critical care first 30-74 minutes
CPT 99291 • Emergency
$223$390$691
Critical care each additional 30 minutes
CPT 99292 • Emergency
$111$175$299
Esophagoscopy rigid diagnostic
CPT 43191 • Gastroenterology
$114$266$473
Upper GI endoscopy diagnostic
CPT 43235 • Gastroenterology
$188$636$1,132
Upper GI endoscopy with biopsy
CPT 43239 • Gastroenterology
$110$653$1,444
Upper GI endoscopy with foreign body removal
CPT 43247 • Gastroenterology
$201$525$969
Upper GI endoscopy with balloon dilation
CPT 43249 • Gastroenterology
$174$1,231$3,776
Upper GI endoscopy with polypectomy by snare
CPT 43251 • Gastroenterology
$219$694$1,827
Upper GI endoscopy with stent placement
CPT 43257 • Gastroenterology
$315$519$897
Upper GI endoscopy with endoscopic ultrasound
CPT 43259 • Gastroenterology
$286$476$901
ERCP diagnostic
CPT 43260 • Gastroenterology
$351$752$1,277
ERCP with sphincterotomy
CPT 43262 • Gastroenterology
$276$703$1,413
ERCP with removal of stones
CPT 43264 • Gastroenterology
$331$742$1,441
ERCP with stent placement
CPT 43274 • Gastroenterology
$438$953$1,806
Colonoscopy through stoma diagnostic
CPT 44388 • Gastroenterology
$230$603$1,274
Colonoscopy through stoma with biopsy
CPT 44389 • Gastroenterology
$253$584$1,433
Colonoscopy diagnostic
CPT 45378 • Gastroenterology
$295$551$863
Colonoscopy with biopsy
CPT 45380 • Gastroenterology
$246$681$1,683
Colonoscopy with submucosal injection
CPT 45381 • Gastroenterology
$158$652$1,688
Colonoscopy with lesion removal by hot biopsy
CPT 45384 • Gastroenterology
$370$746$1,685
Colonoscopy with polypectomy by snare
CPT 45385 • Gastroenterology
$194$606$1,139
Colonoscopy with balloon dilation
CPT 45386 • Gastroenterology
$171$573$985
Colonoscopy with ablation of tumor or polyp
CPT 45388 • Gastroenterology
$502$1,516$3,547
Colonoscopy with endoscopic mucosal resection
CPT 45390 • Gastroenterology
$308$658$1,286
Esophageal motility study
CPT 91010 • Gastroenterology
$69$257$558
Esophageal motility study with acid reflux
CPT 91035 • Gastroenterology
$82$371$934
Esophageal pH monitoring 24 hours
CPT 91038 • Gastroenterology
$60$322$868
Auto-added
CPT 00102 • General
$48$300$788
Auto-added
CPT 00104 • General
$48$225$563