CAPE FEAR VALLEY HOKE HOSPITAL· RAEFORD, NC
HospitalCMS 4/5
210 MEDICAL PAVILION DRIVE, RAEFORD, NC 28376
Procedures offered
936 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $248 | $400 | $541 |
| Tonsillectomy primary under age 12 CPT 42826 • ENT | $252 | $351 | $454 |
| Adenoidectomy primary under age 12 CPT 42830 • ENT | $211 | $301 | $378 |
| Removal impacted cerumen unilateral CPT 69210 • ENT | $32 | $64 | $91 |
| Tympanostomy tube insertion CPT 69436 • ENT | $129 | $209 | $281 |
| Tympanoplasty without mastoidectomy CPT 69631 • ENT | $711 | $1,355 | $2,524 |
| Tympanoplasty with mastoidectomy CPT 69633 • ENT | $1,023 | $1,701 | $2,980 |
| Comprehensive audiometry evaluation CPT 92557 • ENT | $33 | $57 | $104 |
| Incision and drainage abscess simple CPT 10060 • Emergency | $45 | $137 | $192 |
| Incision and drainage abscess complicated CPT 10061 • Emergency | $171 | $273 | $370 |
| Simple wound repair up to 2.5cm CPT 12001 • Emergency | $37 | $131 | $177 |
| Simple wound repair 2.6-7.5cm CPT 12002 • Emergency | $48 | $127 | $197 |
| Simple wound repair face 2.5cm or less CPT 12011 • Emergency | $46 | $158 | $211 |
| Intermediate wound repair 2.5cm or less CPT 12031 • Emergency | $121 | $297 | $442 |
| Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency | $138 | $364 | $478 |
| Initial treatment first degree burn CPT 16000 • Emergency | $36 | $106 | $196 |
| Emergency department visit self-limited problem CPT 99281 • Emergency | $12 | $26 | $55 |
| Emergency department visit low severity CPT 99282 • Emergency | $43 | $59 | $73 |
| Emergency department visit moderate severity CPT 99283 • Emergency | $73 | $100 | $127 |
| Emergency department visit high severity CPT 99284 • Emergency | $124 | $171 | $216 |
| Emergency department visit highest severity CPT 99285 • Emergency | $180 | $248 | $314 |
| Critical care first 30-74 minutes CPT 99291 • Emergency | $242 | $378 | $480 |
| Critical care each additional 30 minutes CPT 99292 • Emergency | $121 | $169 | $211 |
| Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology | $157 | $253 | $442 |
| Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology | $122 | $274 | $482 |
| Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology | $136 | $518 | $694 |
| Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology | $174 | $455 | $643 |
| Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology | $151 | $1,409 | $1,937 |
| Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology | $192 | $551 | $817 |
| Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology | $189 | $440 | $1,098 |
| Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology | $181 | $292 | $395 |
| ERCP diagnostic CPT 43260 • Gastroenterology | $315 | $522 | $939 |
| ERCP with sphincterotomy CPT 43262 • Gastroenterology | $287 | $461 | $623 |
| ERCP with removal of stones CPT 43264 • Gastroenterology | $356 | $505 | $636 |
| ERCP with stent placement CPT 43274 • Gastroenterology | $451 | $700 | $886 |
| Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology | $155 | $324 | $595 |
| Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology | $45 | $336 | $635 |
| Colonoscopy diagnostic CPT 45378 • Gastroenterology | $118 | $278 | $578 |
| Colonoscopy with biopsy CPT 45380 • Gastroenterology | $198 | $499 | $728 |
| Colonoscopy with submucosal injection CPT 45381 • Gastroenterology | $198 | $532 | $741 |
| Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology | $224 | $592 | $821 |
| Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology | $205 | $519 | $770 |
| Colonoscopy with balloon dilation CPT 45386 • Gastroenterology | $209 | $800 | $1,677 |
| Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology | $265 | $2,828 | $6,136 |
| Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology | $308 | $500 | $637 |
| Esophageal motility study CPT 91010 • Gastroenterology | $93 | $246 | $485 |
| Esophageal motility study with acid reflux CPT 91035 • Gastroenterology | $83 | $549 | $966 |
| Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology | $56 | $364 | $640 |
| Auto-added CPT 00102 • General | $3 | $352 | $760 |
| Auto-added CPT 00104 • General | $3 | $256 | $543 |