VIDANT CHOWAN HOSPITAL· EDENTON, NC
HospitalCMS 2/5
211 VIRGINIA RD, EDENTON, NC 27932
Procedures offered
928 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Tonsillectomy primary under age 12 CPT 42826 • ENT | $294 | $405 | $513 |
| Adenoidectomy primary under age 12 CPT 42830 • ENT | $30 | $188 | $326 |
| Removal impacted cerumen unilateral CPT 69210 • ENT | $30 | $42 | $55 |
| Tympanostomy tube insertion CPT 69436 • ENT | $144 | $244 | $318 |
| Tympanoplasty without mastoidectomy CPT 69631 • ENT | $30 | $683 | $1,333 |
| Tympanoplasty with mastoidectomy CPT 69633 • ENT | $30 | $821 | $1,595 |
| Comprehensive audiometry evaluation CPT 92557 • ENT | $56 | $66 | $76 |
| Incision and drainage abscess simple CPT 10060 • Emergency | $87 | $119 | $135 |
| Incision and drainage abscess complicated CPT 10061 • Emergency | $30 | $155 | $254 |
| Simple wound repair up to 2.5cm CPT 12001 • Emergency | $67 | $128 | $234 |
| Simple wound repair 2.6-7.5cm CPT 12002 • Emergency | $87 | $185 | $248 |
| Simple wound repair face 2.5cm or less CPT 12011 • Emergency | $69 | $178 | $247 |
| Intermediate wound repair 2.5cm or less CPT 12031 • Emergency | $85 | $152 | $281 |
| Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency | $85 | $189 | $362 |
| Initial treatment first degree burn CPT 16000 • Emergency | $55 | $80 | $112 |
| Emergency department visit self-limited problem CPT 99281 • Emergency | $22 | $41 | $76 |
| Emergency department visit low severity CPT 99282 • Emergency | $37 | $39 | $41 |
| Emergency department visit moderate severity CPT 99283 • Emergency | $77 | $100 | $133 |
| Emergency department visit high severity CPT 99284 • Emergency | $120 | $169 | $246 |
| Emergency department visit highest severity CPT 99285 • Emergency | $188 | $211 | $226 |
| Critical care first 30-74 minutes CPT 99291 • Emergency | $223 | $362 | $561 |
| Critical care each additional 30 minutes CPT 99292 • Emergency | $111 | $175 | $250 |
| Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology | $147 | $173 | $222 |
| Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology | $188 | $321 | $553 |
| Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology | $85 | $191 | $265 |
| Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology | $201 | $415 | $735 |
| Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology | $85 | $175 | $268 |
| Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology | $219 | $499 | $939 |
| Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology | $227 | $350 | $500 |
| Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology | $30 | $261 | $467 |
| ERCP diagnostic CPT 43260 • Gastroenterology | $30 | $306 | $537 |
| ERCP with sphincterotomy CPT 43262 • Gastroenterology | $432 | $612 | $739 |
| ERCP with removal of stones CPT 43264 • Gastroenterology | $518 | $689 | $796 |
| ERCP with stent placement CPT 43274 • Gastroenterology | $559 | $788 | $960 |
| Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology | $230 | $444 | $608 |
| Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology | $253 | $423 | $606 |
| Colonoscopy diagnostic CPT 45378 • Gastroenterology | $295 | $321 | $337 |
| Colonoscopy with biopsy CPT 45380 • Gastroenterology | $350 | $390 | $416 |
| Colonoscopy with submucosal injection CPT 45381 • Gastroenterology | $279 | $499 | $837 |
| Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology | $370 | $580 | $944 |
| Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology | $85 | $327 | $480 |
| Colonoscopy with balloon dilation CPT 45386 • Gastroenterology | $303 | $850 | $1,199 |
| Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology | $377 | $2,314 | $5,614 |
| Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology | $344 | $372 | $400 |
| Esophageal motility study CPT 91010 • Gastroenterology | $142 | $280 | $391 |
| Esophageal motility study with acid reflux CPT 91035 • Gastroenterology | $82 | $558 | $932 |
| Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology | $98 | $211 | $410 |
| Auto-added CPT 00102 • General | $40 | $335 | $630 |
| Auto-added CPT 00104 • General | $40 | $245 | $450 |
| Auto-added CPT 00120 • General | $40 | $347 | $654 |