NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER· HUNTERSVILLE, NC
HospitalCMS 4/5
10030 GILEAD ROAD, HUNTERSVILLE, NC 28078
Procedures offered
935 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Tonsillectomy primary under age 12 CPT 42826 • ENT | $372 | $498 | $629 |
| Adenoidectomy primary under age 12 CPT 42830 • ENT | $195 | $384 | $524 |
| Removal impacted cerumen unilateral CPT 69210 • ENT | $29 | $80 | $117 |
| Tympanostomy tube insertion CPT 69436 • ENT | $241 | $340 | $394 |
| Tympanoplasty without mastoidectomy CPT 69631 • ENT | $1,286 | $1,744 | $2,246 |
| Tympanoplasty with mastoidectomy CPT 69633 • ENT | $1,572 | $2,249 | $2,649 |
| Comprehensive audiometry evaluation CPT 92557 • ENT | $38 | $62 | $86 |
| Incision and drainage abscess simple CPT 10060 • Emergency | $154 | $252 | $313 |
| Incision and drainage abscess complicated CPT 10061 • Emergency | $266 | $415 | $530 |
| Simple wound repair up to 2.5cm CPT 12001 • Emergency | $58 | $123 | $239 |
| Simple wound repair 2.6-7.5cm CPT 12002 • Emergency | $53 | $187 | $285 |
| Simple wound repair face 2.5cm or less CPT 12011 • Emergency | $119 | $203 | $285 |
| Intermediate wound repair 2.5cm or less CPT 12031 • Emergency | $313 | $539 | $677 |
| Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency | $364 | $531 | $726 |
| Initial treatment first degree burn CPT 16000 • Emergency | $72 | $135 | $189 |
| Emergency department visit self-limited problem CPT 99281 • Emergency | $31 | $40 | $49 |
| Emergency department visit low severity CPT 99282 • Emergency | $59 | $75 | $94 |
| Emergency department visit moderate severity CPT 99283 • Emergency | $77 | $115 | $141 |
| Emergency department visit high severity CPT 99284 • Emergency | $145 | $202 | $257 |
| Emergency department visit highest severity CPT 99285 • Emergency | $214 | $295 | $374 |
| Critical care first 30-74 minutes CPT 99291 • Emergency | $322 | $438 | $562 |
| Critical care each additional 30 minutes CPT 99292 • Emergency | $146 | $203 | $242 |
| Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology | $334 | $361 | $376 |
| Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology | $174 | $501 | $781 |
| Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology | $123 | $634 | $1,003 |
| Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology | $521 | $740 | $1,005 |
| Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology | $217 | $1,822 | $2,995 |
| Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology | $655 | $1,042 | $1,316 |
| Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology | $208 | $400 | $574 |
| Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology | $354 | $481 | $558 |
| ERCP diagnostic CPT 43260 • Gastroenterology | $454 | $630 | $796 |
| ERCP with sphincterotomy CPT 43262 • Gastroenterology | $559 | $760 | $881 |
| ERCP with removal of stones CPT 43264 • Gastroenterology | $512 | $710 | $897 |
| ERCP with stent placement CPT 43274 • Gastroenterology | $725 | $985 | $1,143 |
| Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology | $331 | $389 | $430 |
| Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology | $153 | $768 | $1,084 |
| Colonoscopy diagnostic CPT 45378 • Gastroenterology | $164 | $466 | $792 |
| Colonoscopy with biopsy CPT 45380 • Gastroenterology | $283 | $759 | $1,136 |
| Colonoscopy with submucosal injection CPT 45381 • Gastroenterology | $424 | $793 | $1,160 |
| Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology | $203 | $823 | $1,279 |
| Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology | $537 | $851 | $1,171 |
| Colonoscopy with balloon dilation CPT 45386 • Gastroenterology | $188 | $1,035 | $1,631 |
| Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology | $572 | $4,747 | $6,869 |
| Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology | $520 | $707 | $820 |
| Esophageal motility study CPT 91010 • Gastroenterology | $160 | $254 | $409 |
| Esophageal motility study with acid reflux CPT 91035 • Gastroenterology | $114 | $676 | $1,120 |
| Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology | $78 | $608 | $1,016 |
| Auto-added CPT 00102 • General | $62 | $441 | $909 |
| Auto-added CPT 00104 • General | $62 | $272 | $500 |
| Auto-added CPT 00120 • General | $62 | $320 | $606 |