LIFEBRITE COMMUNITY HOSPITAL OF STOKES· DANBURY, NC

Hospital

1570 NC 8 & 89 HWY NORTH, DANBURY, NC 27016

Procedures offered

936 total

ProcedureMinAvgMax
Tonsillectomy primary under age 12
CPT 42826 • ENT
$176$306$553
Adenoidectomy primary under age 12
CPT 42830 • ENT
$146$258$458
Removal impacted cerumen unilateral
CPT 69210 • ENT
$32$69$168
Tympanostomy tube insertion
CPT 69436 • ENT
$110$183$334
Tympanoplasty without mastoidectomy
CPT 69631 • ENT
$621$897$1,223
Tympanoplasty with mastoidectomy
CPT 69633 • ENT
$734$1,556$3,429
Comprehensive audiometry evaluation
CPT 92557 • ENT
$22$43$80
Incision and drainage abscess simple
CPT 10060 • Emergency
$86$98$119
Incision and drainage abscess complicated
CPT 10061 • Emergency
$147$217$364
Simple wound repair up to 2.5cm
CPT 12001 • Emergency
$42$76$98
Simple wound repair 2.6-7.5cm
CPT 12002 • Emergency
$55$87$110
Simple wound repair face 2.5cm or less
CPT 12011 • Emergency
$52$79$110
Intermediate wound repair 2.5cm or less
CPT 12031 • Emergency
$184$235$290
Intermediate wound repair face 2.5cm or less
CPT 12051 • Emergency
$168$218$274
Initial treatment first degree burn
CPT 16000 • Emergency
$52$83$140
Emergency department visit self-limited problem
CPT 99281 • Emergency
$11$26$58
Emergency department visit low severity
CPT 99282 • Emergency
$29$44$58
Emergency department visit moderate severity
CPT 99283 • Emergency
$49$62$75
Emergency department visit high severity
CPT 99284 • Emergency
$83$114$144
Emergency department visit highest severity
CPT 99285 • Emergency
$120$166$211
Critical care first 30-74 minutes
CPT 99291 • Emergency
$170$219$317
Critical care each additional 30 minutes
CPT 99292 • Emergency
$83$109$160
Esophagoscopy rigid diagnostic
CPT 43191 • Gastroenterology
$106$177$271
Upper GI endoscopy diagnostic
CPT 43235 • Gastroenterology
$62$270$628
Upper GI endoscopy with biopsy
CPT 43239 • Gastroenterology
$149$294$409
Upper GI endoscopy with foreign body removal
CPT 43247 • Gastroenterology
$274$378$424
Upper GI endoscopy with balloon dilation
CPT 43249 • Gastroenterology
$160$511$1,205
Upper GI endoscopy with polypectomy by snare
CPT 43251 • Gastroenterology
$291$417$541
Upper GI endoscopy with stent placement
CPT 43257 • Gastroenterology
$159$271$431
Upper GI endoscopy with endoscopic ultrasound
CPT 43259 • Gastroenterology
$121$343$962
ERCP diagnostic
CPT 43260 • Gastroenterology
$219$500$1,096
ERCP with sphincterotomy
CPT 43262 • Gastroenterology
$243$547$1,353
ERCP with removal of stones
CPT 43264 • Gastroenterology
$248$661$1,622
ERCP with stent placement
CPT 43274 • Gastroenterology
$315$567$1,043
Colonoscopy through stoma diagnostic
CPT 44388 • Gastroenterology
$112$190$336
Colonoscopy through stoma with biopsy
CPT 44389 • Gastroenterology
$294$390$448
Colonoscopy diagnostic
CPT 45378 • Gastroenterology
$184$242$364
Colonoscopy with biopsy
CPT 45380 • Gastroenterology
$200$397$549
Colonoscopy with submucosal injection
CPT 45381 • Gastroenterology
$108$423$781
Colonoscopy with lesion removal by hot biopsy
CPT 45384 • Gastroenterology
$349$487$573
Colonoscopy with polypectomy by snare
CPT 45385 • Gastroenterology
$262$466$977
Colonoscopy with balloon dilation
CPT 45386 • Gastroenterology
$231$536$847
Colonoscopy with ablation of tumor or polyp
CPT 45388 • Gastroenterology
$278$1,486$2,963
Colonoscopy with endoscopic mucosal resection
CPT 45390 • Gastroenterology
$226$415$729
Esophageal motility study
CPT 91010 • Gastroenterology
$102$212$377
Esophageal motility study with acid reflux
CPT 91035 • Gastroenterology
$81$443$863
Esophageal pH monitoring 24 hours
CPT 91038 • Gastroenterology
$297$485$850
Auto-added
CPT 00102 • General
$15$148$496
Auto-added
CPT 00104 • General
$15$83$236
Auto-added
CPT 00120 • General
$15$130$426