THE CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY· CHARLOTTE, NC
ProviderCMS 3/5
8800 N TRYON ST, CHARLOTTE, NC 28262
Procedures offered
966 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $309 | $690 | $1,131 |
| Tonsillectomy primary under age 12 CPT 42826 • ENT | $160 | $561 | $942 |
| Adenoidectomy primary under age 12 CPT 42830 • ENT | $207 | $488 | $778 |
| Removal impacted cerumen unilateral CPT 69210 • ENT | $29 | $80 | $159 |
| Tympanostomy tube insertion CPT 69436 • ENT | $104 | $318 | $526 |
| Tympanoplasty without mastoidectomy CPT 69631 • ENT | $687 | $1,787 | $2,894 |
| Tympanoplasty with mastoidectomy CPT 69633 • ENT | $840 | $2,203 | $3,418 |
| Comprehensive audiometry evaluation CPT 92557 • ENT | $35 | $63 | $92 |
| Incision and drainage abscess simple CPT 10060 • Emergency | $87 | $223 | $328 |
| Incision and drainage abscess complicated CPT 10061 • Emergency | $108 | $352 | $548 |
| Simple wound repair up to 2.5cm CPT 12001 • Emergency | $46 | $156 | $240 |
| Simple wound repair 2.6-7.5cm CPT 12002 • Emergency | $56 | $169 | $291 |
| Simple wound repair face 2.5cm or less CPT 12011 • Emergency | $69 | $152 | $286 |
| Intermediate wound repair 2.5cm or less CPT 12031 • Emergency | $91 | $401 | $670 |
| Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency | $117 | $404 | $721 |
| Initial treatment first degree burn CPT 16000 • Emergency | $43 | $127 | $205 |
| Emergency department visit self-limited problem CPT 99281 • Emergency | $22 | $39 | $61 |
| Emergency department visit low severity CPT 99282 • Emergency | $37 | $71 | $104 |
| Emergency department visit moderate severity CPT 99283 • Emergency | $75 | $120 | $175 |
| Emergency department visit high severity CPT 99284 • Emergency | $120 | $210 | $298 |
| Emergency department visit highest severity CPT 99285 • Emergency | $188 | $291 | $432 |
| Critical care first 30-74 minutes CPT 99291 • Emergency | $223 | $399 | $691 |
| Critical care each additional 30 minutes CPT 99292 • Emergency | $111 | $186 | $299 |
| Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology | $114 | $301 | $473 |
| Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology | $188 | $719 | $1,132 |
| Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology | $110 | $636 | $1,444 |
| Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology | $201 | $684 | $1,477 |
| Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology | $174 | $1,129 | $3,776 |
| Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology | $219 | $883 | $1,827 |
| Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology | $315 | $582 | $897 |
| Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology | $286 | $547 | $901 |
| ERCP diagnostic CPT 43260 • Gastroenterology | $351 | $840 | $1,277 |
| ERCP with sphincterotomy CPT 43262 • Gastroenterology | $276 | $822 | $1,413 |
| ERCP with removal of stones CPT 43264 • Gastroenterology | $331 | $859 | $1,441 |
| ERCP with stent placement CPT 43274 • Gastroenterology | $438 | $1,095 | $1,806 |
| Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology | $230 | $631 | $1,274 |
| Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology | $253 | $725 | $1,433 |
| Flexible sigmoidoscopy diagnostic CPT 45330 • Gastroenterology | $234 | $234 | $234 |
| Colonoscopy diagnostic CPT 45378 • Gastroenterology | $295 | $695 | $1,413 |
| Colonoscopy with biopsy CPT 45380 • Gastroenterology | $246 | $727 | $1,683 |
| Colonoscopy with submucosal injection CPT 45381 • Gastroenterology | $158 | $825 | $1,688 |
| Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology | $370 | $903 | $1,685 |
| Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology | $194 | $822 | $1,901 |
| Colonoscopy with balloon dilation CPT 45386 • Gastroenterology | $171 | $879 | $2,408 |
| Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology | $502 | $1,471 | $3,547 |
| Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology | $308 | $767 | $1,286 |
| Esophageal motility study CPT 91010 • Gastroenterology | $69 | $286 | $558 |
| Esophageal motility study with acid reflux CPT 91035 • Gastroenterology | $82 | $504 | $1,169 |
| Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology | $60 | $426 | $946 |
| Auto-added CPT 00102 • General | $48 | $300 | $788 |