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 |
|---|---|---|---|
| Tonsillectomy primary under age 12 CPT 42826 • ENT | $278 | $278 | $278 |
| Adenoidectomy primary under age 12 CPT 42830 • ENT | $230 | $230 | $230 |
| Removal impacted cerumen unilateral CPT 69210 • ENT | $35 | $46 | $68 |
| Tympanostomy tube insertion CPT 69436 • ENT | $173 | $195 | $206 |
| Tympanoplasty without mastoidectomy CPT 69631 • ENT | $969 | $969 | $969 |
| Tympanoplasty with mastoidectomy CPT 69633 • ENT | $1,144 | $1,144 | $1,144 |
| Comprehensive audiometry evaluation CPT 92557 • ENT | $32 | $35 | $42 |
| Incision and drainage abscess simple CPT 10060 • Emergency | $44 | $93 | $178 |
| Incision and drainage abscess complicated CPT 10061 • Emergency | $155 | $235 | $306 |
| Simple wound repair up to 2.5cm CPT 12001 • Emergency | $72 | $86 | $100 |
| Simple wound repair 2.6-7.5cm CPT 12002 • Emergency | $67 | $67 | $67 |
| Simple wound repair face 2.5cm or less CPT 12011 • Emergency | $63 | $63 | $63 |
| Intermediate wound repair 2.5cm or less CPT 12031 • Emergency | $223 | $241 | $277 |
| Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency | $121 | $143 | $187 |
| Initial treatment first degree burn CPT 16000 • Emergency | $81 | $81 | $81 |
| Emergency department visit self-limited problem CPT 99281 • Emergency | $25 | $25 | $25 |
| Emergency department visit low severity CPT 99282 • Emergency | $48 | $48 | $48 |
| Emergency department visit moderate severity CPT 99283 • Emergency | $66 | $68 | $71 |
| Emergency department visit high severity CPT 99284 • Emergency | $113 | $119 | $131 |
| Emergency department visit highest severity CPT 99285 • Emergency | $190 | $190 | $190 |
| Critical care first 30-74 minutes CPT 99291 • Emergency | $198 | $233 | $305 |
| Critical care each additional 30 minutes CPT 99292 • Emergency | $99 | $110 | $122 |
| Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology | $171 | $171 | $171 |
| Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology | $102 | $185 | $308 |
| Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology | $115 | $128 | $154 |
| Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology | $197 | $197 | $197 |
| Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology | $118 | $479 | $1,199 |
| Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology | $467 | $486 | $524 |
| Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology | $260 | $260 | $260 |
| Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology | $252 | $252 | $252 |
| ERCP diagnostic CPT 43260 • Gastroenterology | $360 | $360 | $360 |
| ERCP with sphincterotomy CPT 43262 • Gastroenterology | $398 | $398 | $398 |
| ERCP with removal of stones CPT 43264 • Gastroenterology | $138 | $250 | $405 |
| ERCP with stent placement CPT 43274 • Gastroenterology | $350 | $405 | $516 |
| Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology | $336 | $336 | $336 |
| Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology | $442 | $442 | $442 |
| Flexible sigmoidoscopy diagnostic CPT 45330 • Gastroenterology | $46 | $119 | $192 |
| Colonoscopy diagnostic CPT 45378 • Gastroenterology | $214 | $286 | $364 |
| Colonoscopy with biopsy CPT 45380 • Gastroenterology | $154 | $181 | $224 |
| Colonoscopy with submucosal injection CPT 45381 • Gastroenterology | $83 | $211 | $465 |
| Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology | $219 | $231 | $255 |
| Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology | $291 | $403 | $489 |
| Colonoscopy with balloon dilation CPT 45386 • Gastroenterology | $236 | $236 | $236 |
| Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology | $302 | $302 | $302 |
| Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology | $275 | $307 | $370 |
| Esophageal motility study CPT 91010 • Gastroenterology | $147 | $147 | $147 |
| Esophageal motility study with acid reflux CPT 91035 • Gastroenterology | $529 | $529 | $529 |
| Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology | $481 | $481 | $481 |
| Auto-added CPT 00102 • General | $50 | $50 | $50 |
| Auto-added CPT 00104 • General | $50 | $56 | $59 |