ADVANCE COMMUNITY HEALTH, INC· RALEIGH, NC
ProviderClinic/Center, Federally Qualified Health Center (FQHC)
400 S WEST ST, RALEIGH, NC 27601
Procedures offered
947 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Tonsillectomy primary under age 12 CPT 42826 • ENT | $247 | $247 | $247 |
| Adenoidectomy primary under age 12 CPT 42830 • ENT | $30 | $117 | $204 |
| Removal impacted cerumen unilateral CPT 69210 • ENT | $47 | $47 | $47 |
| Tympanostomy tube insertion CPT 69436 • ENT | $30 | $92 | $154 |
| Tympanoplasty without mastoidectomy CPT 69631 • ENT | $30 | $445 | $860 |
| Tympanoplasty with mastoidectomy CPT 69633 • ENT | $1,016 | $1,026 | $1,037 |
| Comprehensive audiometry evaluation CPT 92557 • ENT | $37 | $37 | $37 |
| Incision and drainage abscess simple CPT 10060 • Emergency | $30 | $64 | $98 |
| Incision and drainage abscess complicated CPT 10061 • Emergency | $30 | $117 | $205 |
| Simple wound repair up to 2.5cm CPT 12001 • Emergency | $30 | $37 | $45 |
| Simple wound repair 2.6-7.5cm CPT 12002 • Emergency | $108 | $108 | $108 |
| Simple wound repair face 2.5cm or less CPT 12011 • Emergency | $108 | $108 | $108 |
| Intermediate wound repair 2.5cm or less CPT 12031 • Emergency | $30 | $90 | $149 |
| Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency | $30 | $98 | $166 |
| Initial treatment first degree burn CPT 16000 • Emergency | $30 | $51 | $72 |
| Emergency department visit self-limited problem CPT 99281 • Emergency | $22 | $22 | $22 |
| Emergency department visit low severity CPT 99282 • Emergency | $42 | $42 | $42 |
| Emergency department visit moderate severity CPT 99283 • Emergency | $63 | $67 | $71 |
| Emergency department visit high severity CPT 99284 • Emergency | $116 | $136 | $156 |
| Emergency department visit highest severity CPT 99285 • Emergency | $168 | $171 | $174 |
| Critical care first 30-74 minutes CPT 99291 • Emergency | $30 | $150 | $271 |
| Critical care each additional 30 minutes CPT 99292 • Emergency | $30 | $69 | $108 |
| Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology | $151 | $151 | $152 |
| Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology | $121 | $209 | $296 |
| Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology | $30 | $197 | $364 |
| Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology | $175 | $279 | $384 |
| Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology | $1,065 | $1,065 | $1,065 |
| Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology | $194 | $194 | $194 |
| Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology | $228 | $229 | $231 |
| Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology | $30 | $127 | $224 |
| ERCP diagnostic CPT 43260 • Gastroenterology | $30 | $175 | $319 |
| ERCP with sphincterotomy CPT 43262 • Gastroenterology | $30 | $192 | $353 |
| ERCP with removal of stones CPT 43264 • Gastroenterology | $30 | $195 | $360 |
| ERCP with stent placement CPT 43274 • Gastroenterology | $452 | $455 | $458 |
| Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology | $155 | $155 | $155 |
| Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology | $30 | $211 | $392 |
| Flexible sigmoidoscopy diagnostic CPT 45330 • Gastroenterology | $30 | $100 | $171 |
| Colonoscopy diagnostic CPT 45378 • Gastroenterology | $323 | $323 | $323 |
| Colonoscopy with biopsy CPT 45380 • Gastroenterology | $416 | $416 | $416 |
| Colonoscopy with submucosal injection CPT 45381 • Gastroenterology | $30 | $114 | $199 |
| Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology | $464 | $464 | $464 |
| Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology | $30 | $232 | $434 |
| Colonoscopy with balloon dilation CPT 45386 • Gastroenterology | $209 | $209 | $209 |
| Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology | $53 | $161 | $268 |
| Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology | $324 | $327 | $329 |
| Esophageal motility study CPT 91010 • Gastroenterology | $30 | $113 | $195 |
| Esophageal motility study with acid reflux CPT 91035 • Gastroenterology | $465 | $467 | $470 |
| Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology | $427 | $427 | $427 |
| Auto-added CPT 00102 • General | $30 | $40 | $50 |
| Auto-added CPT 00104 • General | $30 | $40 | $50 |