BLUE RIDGE REGIONAL HOSPITAL· SPRUCE PINE, NC

HospitalCMS 3/5

125 HOSPITAL DRIVE, SPRUCE PINE, NC 28777

Procedures offered

933 total

ProcedureMinAvgMax
Tonsillectomy and adenoidectomy age 12 or older
CPT 42821 • ENT
$309$328$353
Tonsillectomy primary under age 12
CPT 42826 • ENT
$294$367$424
Adenoidectomy primary under age 12
CPT 42830 • ENT
$201$252$349
Removal impacted cerumen unilateral
CPT 69210 • ENT
$29$39$48
Tympanostomy tube insertion
CPT 69436 • ENT
$144$157$165
Tympanoplasty without mastoidectomy
CPT 69631 • ENT
$524$894$1,472
Tympanoplasty with mastoidectomy
CPT 69633 • ENT
$840$1,201$1,741
Comprehensive audiometry evaluation
CPT 92557 • ENT
$35$44$56
Incision and drainage abscess simple
CPT 10060 • Emergency
$87$114$132
Incision and drainage abscess complicated
CPT 10061 • Emergency
$155$182$211
Simple wound repair up to 2.5cm
CPT 12001 • Emergency
$67$89$107
Simple wound repair 2.6-7.5cm
CPT 12002 • Emergency
$87$101$112
Simple wound repair face 2.5cm or less
CPT 12011 • Emergency
$69$93$111
Intermediate wound repair 2.5cm or less
CPT 12031 • Emergency
$91$208$271
Intermediate wound repair face 2.5cm or less
CPT 12051 • Emergency
$120$237$308
Initial treatment first degree burn
CPT 16000 • Emergency
$55$81$118
Emergency department visit self-limited problem
CPT 99281 • Emergency
$19$36$67
Emergency department visit low severity
CPT 99282 • Emergency
$31$45$67
Emergency department visit moderate severity
CPT 99283 • Emergency
$65$73$77
Emergency department visit high severity
CPT 99284 • Emergency
$103$121$141
Emergency department visit highest severity
CPT 99285 • Emergency
$160$184$205
Critical care first 30-74 minutes
CPT 99291 • Emergency
$223$232$250
Critical care each additional 30 minutes
CPT 99292 • Emergency
$109$111$112
Esophagoscopy rigid diagnostic
CPT 43191 • Gastroenterology
$114$175$263
Upper GI endoscopy diagnostic
CPT 43235 • Gastroenterology
$188$397$683
Upper GI endoscopy with biopsy
CPT 43239 • Gastroenterology
$223$296$410
Upper GI endoscopy with foreign body removal
CPT 43247 • Gastroenterology
$201$274$415
Upper GI endoscopy with balloon dilation
CPT 43249 • Gastroenterology
$174$664$1,193
Upper GI endoscopy with polypectomy by snare
CPT 43251 • Gastroenterology
$219$327$540
Upper GI endoscopy with stent placement
CPT 43257 • Gastroenterology
$192$263$324
Upper GI endoscopy with endoscopic ultrasound
CPT 43259 • Gastroenterology
$286$380$463
ERCP diagnostic
CPT 43260 • Gastroenterology
$340$353$367
ERCP with sphincterotomy
CPT 43262 • Gastroenterology
$378$412$432
ERCP with removal of stones
CPT 43264 • Gastroenterology
$321$408$518
ERCP with stent placement
CPT 43274 • Gastroenterology
$489$568$656
Colonoscopy through stoma diagnostic
CPT 44388 • Gastroenterology
$230$325$491
Colonoscopy through stoma with biopsy
CPT 44389 • Gastroenterology
$183$306$482
Colonoscopy diagnostic
CPT 45378 • Gastroenterology
$205$289$366
Colonoscopy with biopsy
CPT 45380 • Gastroenterology
$151$324$470
Colonoscopy with submucosal injection
CPT 45381 • Gastroenterology
$250$336$480
Colonoscopy with lesion removal by hot biopsy
CPT 45384 • Gastroenterology
$165$355$529
Colonoscopy with polypectomy by snare
CPT 45385 • Gastroenterology
$299$402$491
Colonoscopy with balloon dilation
CPT 45386 • Gastroenterology
$171$488$990
Colonoscopy with ablation of tumor or polyp
CPT 45388 • Gastroenterology
$377$1,192$2,712
Colonoscopy with endoscopic mucosal resection
CPT 45390 • Gastroenterology
$351$404$461
Esophageal motility study
CPT 91010 • Gastroenterology
$99$162$246
Esophageal motility study with acid reflux
CPT 91035 • Gastroenterology
$82$321$519
Esophageal pH monitoring 24 hours
CPT 91038 • Gastroenterology
$123$384$707
Auto-added
CPT 00102 • General
$40$291$469
Auto-added
CPT 00104 • General
$40$255$390