GASTON FAMILY HEALTH SERVICES, INC.· BELMONT, NC
ProviderClinic/Center, Federally Qualified Health Center (FQHC)
210 SCHOOL ST, BELMONT, NC 28012
Procedures offered
947 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Auto-added CPT 99404 • General | $111 | $112 | $113 |
| Auto-added CPT 99406 • General | $12 | $13 | $15 |
| Auto-added CPT 99407 • General | $28 | $28 | $28 |
| Auto-added CPT 99408 • General | $26 | $26 | $26 |
| Auto-added CPT 99409 • General | $55 | $66 | $77 |
| Auto-added CPT 99460 • General | $66 | $79 | $93 |
| Auto-added CPT 99461 • General | $49 | $69 | $90 |
| Auto-added CPT 99462 • General | $28 | $35 | $41 |
| Auto-added CPT 99463 • General | $111 | $111 | $111 |
| Auto-added CPT 99464 • General | $52 | $52 | $52 |
| Auto-added CPT 99465 • General | $115 | $128 | $142 |
| Auto-added CPT 99468 • General | $892 | $906 | $919 |
| Auto-added CPT 99469 • General | $276 | $276 | $276 |
| Auto-added CPT 99495 • General | $88 | $144 | $200 |
| Auto-added CPT 99496 • General | $117 | $126 | $135 |
| Breast biopsy with stereotactic guidance CPT 19081 • General Surgery | $482 | $491 | $500 |
| Excision breast lesion CPT 19120 • General Surgery | $357 | $357 | $357 |
| Partial mastectomy CPT 19301 • General Surgery | $579 | $614 | $650 |
| Simple complete mastectomy CPT 19303 • General Surgery | $774 | $774 | $774 |
| Biopsy or excision lymph node open superficial CPT 38500 • General Surgery | $237 | $237 | $237 |
| Biopsy or excision lymph node open deep CPT 38525 • General Surgery | $30 | $191 | $353 |
| Laparoscopic lymphadenectomy pelvic CPT 38571 • General Surgery | $30 | $281 | $533 |
| Laparoscopic fundoplasty CPT 43280 • General Surgery | $30 | $452 | $875 |
| Laparoscopic gastric bypass (Roux-en-Y) CPT 43644 • General Surgery | $2,235 | $2,235 | $2,235 |
| Laparoscopic gastric band placement CPT 43770 • General Surgery | $912 | $912 | $912 |
| Laparoscopic sleeve gastrectomy CPT 43775 • General Surgery | $1,444 | $1,444 | $1,444 |
| Open appendectomy CPT 44950 • General Surgery | $30 | $234 | $438 |
| Laparoscopic appendectomy CPT 44970 • General Surgery | $30 | $399 | $768 |
| Hemorrhoidectomy internal by ligation CPT 46221 • General Surgery | $30 | $103 | $177 |
| Laparoscopic cholecystectomy CPT 47562 • General Surgery | $30 | $239 | $447 |
| Laparoscopic cholecystectomy with cholangiography CPT 47563 • General Surgery | $30 | $411 | $791 |
| Inguinal hernia repair initial CPT 49505 • General Surgery | $665 | $665 | $665 |
| Inguinal hernia repair incarcerated CPT 49507 • General Surgery | $30 | $340 | $649 |
| Laparoscopic inguinal hernia repair initial CPT 49650 • General Surgery | $30 | $255 | $479 |
| Thyroid lobectomy with or without isthmusectomy CPT 60220 • General Surgery | $507 | $507 | $507 |
| Thyroidectomy total or subtotal CPT 60240 • General Surgery | $737 | $737 | $737 |
| Parathyroidectomy CPT 60500 • General Surgery | $1,004 | $1,004 | $1,004 |
| CT head without contrast CPT 70450 • Imaging | $30 | $60 | $90 |
| CT head with contrast CPT 70460 • Imaging | $30 | $57 | $83 |
| CT head without then with contrast CPT 70470 • Imaging | $99 | $99 | $99 |
| CT maxillofacial without contrast CPT 70486 • Imaging | $30 | $72 | $115 |
| CT maxillofacial with contrast CPT 70487 • Imaging | $86 | $86 | $86 |
| CT soft tissue neck with contrast CPT 70491 • Imaging | $30 | $46 | $61 |
| CT angiography neck CPT 70498 • Imaging | $30 | $104 | $179 |
| MRI orbits face neck with and without contrast CPT 70543 • Imaging | $30 | $139 | $247 |
| MRI brain without contrast CPT 70551 • Imaging | $40 | $118 | $196 |
| MRI brain with contrast CPT 70552 • Imaging | $254 | $254 | $254 |
| MRI brain without contrast then with contrast CPT 70553 • Imaging | $30 | $113 | $195 |
| Chest X-ray single view CPT 71045 • Imaging | $13 | $18 | $23 |
| Chest X-ray 2 views CPT 71046 • Imaging | $17 | $17 | $17 |