GOSHEN MEDICAL CENTER INCORPORATED· HAMLET, NC
ProviderClinic/Center, Federally Qualified Health Center (FQHC)Clinic/Center, Multi-Specialty
106 JEFFERSON ST, HAMLET, NC 28345
Procedures offered
952 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $1,192 | $1,250 | $1,308 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $515 | $541 | $566 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $357 | $362 | $373 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $652 | $652 | $652 |
| Excision chalazion single CPT 67800 • Ophthalmology | $121 | $131 | $141 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $855 | $855 | $855 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $63 | $96 | $162 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $52 | $52 | $52 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $133 | $148 | $163 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $88 | $91 | $96 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $113 | $125 | $137 |
| Visual field examination CPT 92083 • Ophthalmology | $62 | $64 | $69 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $17 | $23 | $26 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $29 | $46 | $68 |
| Fundus photography CPT 92250 • Ophthalmology | $24 | $36 | $49 |
| Arthrocentesis aspiration small joint CPT 20600 • Orthopedics | $47 | $60 | $76 |
| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $42 | $61 | $78 |
| Arthrocentesis aspiration major joint CPT 20610 • Orthopedics | $44 | $63 | $93 |
| Cervical spine fusion anterior approach CPT 22551 • Orthopedics | $265 | $812 | $1,907 |
| Lumbar spine fusion posterior approach CPT 22612 • Orthopedics | $1,776 | $1,776 | $1,776 |
| Lumbar spine fusion combined approach CPT 22633 • Orthopedics | $2,073 | $2,073 | $2,073 |
| Total shoulder replacement CPT 23472 • Orthopedics | $1,621 | $1,621 | $1,621 |
| Reverse total shoulder replacement CPT 23473 • Orthopedics | $1,808 | $1,808 | $1,808 |
| Lateral epicondylitis open treatment CPT 24357 • Orthopedics | $463 | $463 | $463 |
| Closed treatment distal radial fracture CPT 25600 • Orthopedics | $367 | $367 | $367 |
| Tendon sheath incision trigger finger CPT 26055 • Orthopedics | $321 | $321 | $321 |
| Total hip replacement CPT 27130 • Orthopedics | $1,514 | $1,514 | $1,514 |
| Hip replacement conversion to total CPT 27132 • Orthopedics | $1,871 | $1,871 | $1,871 |
| Open treatment femoral fracture CPT 27236 • Orthopedics | $1,333 | $1,333 | $1,333 |
| Treatment intertrochanteric femoral fracture CPT 27244 • Orthopedics | $1,372 | $1,372 | $1,372 |
| Treatment intertrochanteric fracture with plate/screw CPT 27245 • Orthopedics | $1,371 | $1,371 | $1,371 |
| Partial knee replacement medial or lateral CPT 27446 • Orthopedics | $1,293 | $1,293 | $1,293 |
| Total knee replacement CPT 27447 • Orthopedics | $1,512 | $1,512 | $1,512 |
| Open treatment tibial shaft fracture CPT 27756 • Orthopedics | $640 | $640 | $640 |
| Closed treatment distal fibula fracture CPT 27786 • Orthopedics | $319 | $319 | $319 |
| Bunionectomy with osteotomy CPT 28296 • Orthopedics | $459 | $497 | $572 |
| Arthroscopy shoulder decompression CPT 29826 • Orthopedics | $195 | $195 | $195 |
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $1,194 | $1,194 | $1,194 |
| Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics | $625 | $625 | $625 |
| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $602 | $602 | $602 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $772 | $772 | $772 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $1,094 | $1,094 | $1,094 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $141 | $754 | $1,085 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $1,232 | $1,232 | $1,232 |
| Carpal tunnel release CPT 64721 • Orthopedics | $484 | $484 | $484 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $92 | $120 | $157 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $119 | $201 | $242 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $165 | $165 | $165 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $85 | $194 | $282 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $357 | $1,123 | $2,092 |