NOVANT HEALTH MINT HILL MEDICAL CENTER· CHARLOTTE, NC
HospitalCMS 4/5
8201 HEALTHCARE LOOP, CHARLOTTE, NC 28215
Procedures offered
932 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Tonsillectomy primary under age 12 CPT 42826 • ENT | $294 | $348 | $406 |
| Adenoidectomy primary under age 12 CPT 42830 • ENT | $207 | $235 | $286 |
| Removal impacted cerumen unilateral CPT 69210 • ENT | $40 | $52 | $64 |
| Tympanostomy tube insertion CPT 69436 • ENT | $30 | $93 | $144 |
| Tympanoplasty without mastoidectomy CPT 69631 • ENT | $687 | $936 | $1,185 |
| Tympanoplasty with mastoidectomy CPT 69633 • ENT | $840 | $1,445 | $2,390 |
| Comprehensive audiometry evaluation CPT 92557 • ENT | $33 | $41 | $49 |
| Incision and drainage abscess simple CPT 10060 • Emergency | $87 | $157 | $271 |
| Incision and drainage abscess complicated CPT 10061 • Emergency | $180 | $268 | $338 |
| Simple wound repair up to 2.5cm CPT 12001 • Emergency | $67 | $97 | $124 |
| Simple wound repair 2.6-7.5cm CPT 12002 • Emergency | $58 | $98 | $151 |
| Simple wound repair face 2.5cm or less CPT 12011 • Emergency | $69 | $131 | $177 |
| Intermediate wound repair 2.5cm or less CPT 12031 • Emergency | $91 | $296 | $561 |
| Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency | $120 | $227 | $375 |
| Initial treatment first degree burn CPT 16000 • Emergency | $55 | $116 | $188 |
| Emergency department visit self-limited problem CPT 99281 • Emergency | $22 | $44 | $76 |
| Emergency department visit low severity CPT 99282 • Emergency | $37 | $55 | $65 |
| Emergency department visit moderate severity CPT 99283 • Emergency | $73 | $76 | $77 |
| Emergency department visit high severity CPT 99284 • Emergency | $120 | $130 | $145 |
| Emergency department visit highest severity CPT 99285 • Emergency | $188 | $224 | $269 |
| Critical care first 30-74 minutes CPT 99291 • Emergency | $223 | $323 | $425 |
| Critical care each additional 30 minutes CPT 99292 • Emergency | $111 | $123 | $146 |
| Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology | $180 | $261 | $360 |
| Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology | $119 | $229 | $379 |
| Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology | $223 | $346 | $495 |
| Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology | $115 | $274 | $505 |
| Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology | $158 | $577 | $1,398 |
| Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology | $219 | $692 | $1,085 |
| Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology | $227 | $260 | $324 |
| Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology | $286 | $368 | $520 |
| ERCP diagnostic CPT 43260 • Gastroenterology | $351 | $506 | $743 |
| ERCP with sphincterotomy CPT 43262 • Gastroenterology | $366 | $422 | $470 |
| ERCP with removal of stones CPT 43264 • Gastroenterology | $235 | $369 | $518 |
| ERCP with stent placement CPT 43274 • Gastroenterology | $452 | $615 | $709 |
| Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology | $230 | $579 | $768 |
| Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology | $253 | $497 | $968 |
| Colonoscopy diagnostic CPT 45378 • Gastroenterology | $285 | $343 | $449 |
| Colonoscopy with biopsy CPT 45380 • Gastroenterology | $130 | $351 | $572 |
| Colonoscopy with submucosal injection CPT 45381 • Gastroenterology | $279 | $390 | $583 |
| Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology | $235 | $574 | $1,119 |
| Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology | $391 | $469 | $600 |
| Colonoscopy with balloon dilation CPT 45386 • Gastroenterology | $137 | $413 | $798 |
| Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology | $416 | $2,774 | $7,128 |
| Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology | $400 | $534 | $765 |
| Esophageal motility study CPT 91010 • Gastroenterology | $142 | $227 | $292 |
| Esophageal motility study with acid reflux CPT 91035 • Gastroenterology | $82 | $405 | $1,050 |
| Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology | $123 | $427 | $630 |
| Auto-added CPT 00102 • General | $62 | $283 | $723 |
| Auto-added CPT 00104 • General | $30 | $146 | $344 |
| Auto-added CPT 00120 • General | $62 | $180 | $413 |