COUNTY OF BLADEN OFFICE OF AUDITOR· ELIZABETHTOWN, NC

Provider

300 MERCER ROAD, ELIZABETHTOWN, NC 28337

Procedures offered

963 total

Procedure	Min	Avg	Max
Tonsillectomy primary under age 12 CPT 42826 • ENT	$275	$288	$301
Adenoidectomy primary under age 12 CPT 42830 • ENT	$222	$231	$240
Removal impacted cerumen unilateral CPT 69210 • ENT	$56	$57	$58
Tympanostomy tube insertion CPT 69436 • ENT	$191	$195	$199
Tympanoplasty without mastoidectomy CPT 69631 • ENT	$967	$974	$982
Tympanoplasty with mastoidectomy CPT 69633 • ENT	$1,151	$1,163	$1,174
Comprehensive audiometry evaluation CPT 92557 • ENT	$44	$48	$51
Incision and drainage abscess simple CPT 10060 • Emergency	$77	$95	$112
Incision and drainage abscess complicated CPT 10061 • Emergency	$155	$171	$187
Simple wound repair up to 2.5cm CPT 12001 • Emergency	$89	$131	$172
Simple wound repair 2.6-7.5cm CPT 12002 • Emergency	$137	$160	$183
Simple wound repair face 2.5cm or less CPT 12011 • Emergency	$123	$130	$137
Intermediate wound repair 2.5cm or less CPT 12031 • Emergency	$172	$190	$207
Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency	$187	$199	$211
Initial treatment first degree burn CPT 16000 • Emergency	$61	$72	$82
Emergency department visit self-limited problem CPT 99281 • Emergency	$18	$18	$19
Emergency department visit low severity CPT 99282 • Emergency	$31	$33	$34
Emergency department visit moderate severity CPT 99283 • Emergency	$56	$62	$69
Emergency department visit high severity CPT 99284 • Emergency	$102	$105	$108
Emergency department visit highest severity CPT 99285 • Emergency	$152	$160	$169
Critical care first 30-74 minutes CPT 99291 • Emergency	$231	$232	$234
Critical care each additional 30 minutes CPT 99292 • Emergency	$105	$116	$126
Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology	$161	$162	$164
Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology	$329	$337	$346
Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology	$182	$188	$195
Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology	$213	$221	$228
Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology	$185	$191	$197
Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology	$232	$240	$248
Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology	$334	$351	$368
Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology	$321	$333	$344
ERCP diagnostic CPT 43260 • Gastroenterology	$369	$382	$395
ERCP with sphincterotomy CPT 43262 • Gastroenterology	$456	$472	$488
ERCP with removal of stones CPT 43264 • Gastroenterology	$547	$567	$586
ERCP with stent placement CPT 43274 • Gastroenterology	$612	$618	$623
Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology	$356	$360	$364
Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology	$212	$320	$429
Flexible sigmoidoscopy diagnostic CPT 45330 • Gastroenterology	$143	$143	$143
Colonoscopy diagnostic CPT 45378 • Gastroenterology	$231	$342	$453
Colonoscopy with biopsy CPT 45380 • Gastroenterology	$296	$404	$511
Colonoscopy with submucosal injection CPT 45381 • Gastroenterology	$280	$389	$497
Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology	$291	$411	$532
Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology	$576	$591	$606
Colonoscopy with balloon dilation CPT 45386 • Gastroenterology	$284	$295	$306
Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology	$607	$655	$703
Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology	$436	$436	$436
Esophageal motility study CPT 91010 • Gastroenterology	$58	$66	$74
Esophageal motility study with acid reflux CPT 91035 • Gastroenterology	$94	$222	$351
Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology	$52	$59	$65
Auto-added CPT 00102 • General	$37	$37	$37
Auto-added CPT 00104 • General	$37	$37	$37