GOSHEN MEDICAL CENTER INCORPORATED· WHITEVILLE, NC
ProviderClinic/Center, Federally Qualified Health Center (FQHC)Clinic/Center, Multi-Specialty
5 WHITEVILLE TOWNE CTR, WHITEVILLE, NC 28472
Procedures offered
952 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Tonsillectomy primary under age 12 CPT 42826 • ENT | $210 | $574 | $937 |
| Adenoidectomy primary under age 12 CPT 42830 • ENT | $173 | $173 | $173 |
| Removal impacted cerumen unilateral CPT 69210 • ENT | $35 | $46 | $68 |
| Tympanostomy tube insertion CPT 69436 • ENT | $131 | $430 | $915 |
| Tympanoplasty without mastoidectomy CPT 69631 • ENT | $730 | $1,263 | $1,797 |
| Tympanoplasty with mastoidectomy CPT 69633 • ENT | $862 | $862 | $862 |
| Comprehensive audiometry evaluation CPT 92557 • ENT | $27 | $29 | $32 |
| Incision and drainage abscess simple CPT 10060 • Emergency | $44 | $95 | $178 |
| Incision and drainage abscess complicated CPT 10061 • Emergency | $174 | $273 | $306 |
| Simple wound repair up to 2.5cm CPT 12001 • Emergency | $75 | $75 | $75 |
| Simple wound repair 2.6-7.5cm CPT 12002 • Emergency | $91 | $91 | $91 |
| Simple wound repair face 2.5cm or less CPT 12011 • Emergency | $91 | $91 | $91 |
| Intermediate wound repair 2.5cm or less CPT 12031 • Emergency | $111 | $210 | $410 |
| Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency | $142 | $292 | $441 |
| Initial treatment first degree burn CPT 16000 • Emergency | $39 | $39 | $39 |
| Emergency department visit self-limited problem CPT 99281 • Emergency | $19 | $19 | $19 |
| Emergency department visit low severity CPT 99282 • Emergency | $37 | $37 | $37 |
| Emergency department visit moderate severity CPT 99283 • Emergency | $55 | $55 | $55 |
| Emergency department visit high severity CPT 99284 • Emergency | $101 | $147 | $193 |
| Emergency department visit highest severity CPT 99285 • Emergency | $146 | $146 | $146 |
| Critical care first 30-74 minutes CPT 99291 • Emergency | $187 | $192 | $198 |
| Critical care each additional 30 minutes CPT 99292 • Emergency | $99 | $101 | $103 |
| Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology | $130 | $130 | $130 |
| Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology | $102 | $226 | $470 |
| Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology | $118 | $302 | $603 |
| Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology | $150 | $255 | $359 |
| Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology | $127 | $381 | $890 |
| Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology | $393 | $457 | $513 |
| Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology | $198 | $198 | $198 |
| Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology | $193 | $193 | $193 |
| ERCP diagnostic CPT 43260 • Gastroenterology | $275 | $275 | $275 |
| ERCP with sphincterotomy CPT 43262 • Gastroenterology | $304 | $432 | $560 |
| ERCP with removal of stones CPT 43264 • Gastroenterology | $138 | $195 | $310 |
| ERCP with stent placement CPT 43274 • Gastroenterology | $350 | $365 | $395 |
| Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology | $133 | $257 | $380 |
| Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology | $331 | $331 | $331 |
| Flexible sigmoidoscopy diagnostic CPT 45330 • Gastroenterology | $46 | $47 | $47 |
| Colonoscopy diagnostic CPT 45378 • Gastroenterology | $77 | $205 | $380 |
| Colonoscopy with biopsy CPT 45380 • Gastroenterology | $352 | $381 | $411 |
| Colonoscopy with submucosal injection CPT 45381 • Gastroenterology | $83 | $305 | $703 |
| Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology | $380 | $386 | $392 |
| Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology | $210 | $212 | $217 |
| Colonoscopy with balloon dilation CPT 45386 • Gastroenterology | $502 | $502 | $502 |
| Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology | $2,372 | $2,372 | $2,372 |
| Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology | $275 | $365 | $521 |
| Esophageal motility study CPT 91010 • Gastroenterology | $56 | $56 | $56 |
| Esophageal motility study with acid reflux CPT 91035 • Gastroenterology | $70 | $70 | $70 |
| Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology | $357 | $357 | $357 |
| Auto-added CPT 00102 • General | $70 | $70 | $70 |
| Auto-added CPT 00104 • General | $49 | $59 | $70 |