ALLEGHANY COUNTY MEMORIAL HOSPITAL INC· SPARTA, NC
Physician group
233 DOCTORS ST, SPARTA, NC 28675
Procedures offered
932 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Tonsillectomy primary under age 12 CPT 42826 • ENT | $336 | $337 | $339 |
| Adenoidectomy primary under age 12 CPT 42830 • ENT | $277 | $280 | $283 |
| Removal impacted cerumen unilateral CPT 69210 • ENT | $39 | $51 | $62 |
| Tympanostomy tube insertion CPT 69436 • ENT | $210 | $210 | $211 |
| Tympanoplasty without mastoidectomy CPT 69631 • ENT | $1,169 | $1,463 | $1,756 |
| Tympanoplasty with mastoidectomy CPT 69633 • ENT | $871 | $1,127 | $1,382 |
| Comprehensive audiometry evaluation CPT 92557 • ENT | $37 | $44 | $50 |
| Incision and drainage abscess simple CPT 10060 • Emergency | $118 | $135 | $157 |
| Incision and drainage abscess complicated CPT 10061 • Emergency | $273 | $277 | $282 |
| Simple wound repair up to 2.5cm CPT 12001 • Emergency | $37 | $65 | $99 |
| Simple wound repair 2.6-7.5cm CPT 12002 • Emergency | $143 | $184 | $225 |
| Simple wound repair face 2.5cm or less CPT 12011 • Emergency | $72 | $108 | $144 |
| Intermediate wound repair 2.5cm or less CPT 12031 • Emergency | $229 | $261 | $325 |
| Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency | $234 | $293 | $351 |
| Initial treatment first degree burn CPT 16000 • Emergency | $51 | $72 | $93 |
| Emergency department visit self-limited problem CPT 99281 • Emergency | $22 | $27 | $33 |
| Emergency department visit low severity CPT 99282 • Emergency | $58 | $62 | $65 |
| Emergency department visit moderate severity CPT 99283 • Emergency | $97 | $98 | $99 |
| Emergency department visit high severity CPT 99284 • Emergency | $87 | $146 | $184 |
| Emergency department visit highest severity CPT 99285 • Emergency | $171 | $228 | $270 |
| Critical care first 30-74 minutes CPT 99291 • Emergency | $384 | $408 | $432 |
| Critical care each additional 30 minutes CPT 99292 • Emergency | $168 | $179 | $191 |
| Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology | $208 | $256 | $304 |
| Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology | $167 | $234 | $298 |
| Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology | $381 | $418 | $474 |
| Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology | $230 | $317 | $476 |
| Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology | $97 | $745 | $1,394 |
| Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology | $314 | $461 | $607 |
| Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology | $301 | $309 | $317 |
| Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology | $141 | $225 | $309 |
| ERCP diagnostic CPT 43260 • Gastroenterology | $202 | $321 | $440 |
| ERCP with sphincterotomy CPT 43262 • Gastroenterology | $223 | $355 | $487 |
| ERCP with removal of stones CPT 43264 • Gastroenterology | $361 | $429 | $497 |
| ERCP with stent placement CPT 43274 • Gastroenterology | $632 | $760 | $889 |
| Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology | $260 | $326 | $392 |
| Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology | $515 | $570 | $624 |
| Colonoscopy diagnostic CPT 45378 • Gastroenterology | $356 | $381 | $427 |
| Colonoscopy with biopsy CPT 45380 • Gastroenterology | $258 | $423 | $549 |
| Colonoscopy with submucosal injection CPT 45381 • Gastroenterology | $162 | $349 | $536 |
| Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology | $227 | $419 | $611 |
| Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology | $379 | $480 | $576 |
| Colonoscopy with balloon dilation CPT 45386 • Gastroenterology | $171 | $481 | $791 |
| Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology | $347 | $2,193 | $4,038 |
| Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology | $454 | $475 | $496 |
| Esophageal motility study CPT 91010 • Gastroenterology | $161 | $184 | $206 |
| Esophageal motility study with acid reflux CPT 91035 • Gastroenterology | $460 | $493 | $525 |
| Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology | $508 | $517 | $526 |
| Auto-added CPT 00102 • General | $81 | $397 | $713 |
| Auto-added CPT 00104 • General | $81 | $210 | $340 |
| Auto-added CPT 00120 • General | $81 | $244 | $407 |