COUNTY OF CLEVELAND NORTH CAROLINA· SHELBY, NC

Provider

200 S POST RD, SHELBY, NC 28152

Procedures offered

952 total

Procedure	Min	Avg	Max
Tonsillectomy primary under age 12 CPT 42826 • ENT	$131	$203	$275
Adenoidectomy primary under age 12 CPT 42830 • ENT	$102	$162	$222
Removal impacted cerumen unilateral CPT 69210 • ENT	$35	$44	$56
Tympanostomy tube insertion CPT 69436 • ENT	$154	$173	$191
Tympanoplasty without mastoidectomy CPT 69631 • ENT	$967	$967	$967
Tympanoplasty with mastoidectomy CPT 69633 • ENT	$1,151	$1,151	$1,151
Comprehensive audiometry evaluation CPT 92557 • ENT	$27	$34	$44
Incision and drainage abscess simple CPT 10060 • Emergency	$88	$96	$110
Incision and drainage abscess complicated CPT 10061 • Emergency	$142	$190	$280
Simple wound repair up to 2.5cm CPT 12001 • Emergency	$37	$65	$89
Simple wound repair 2.6-7.5cm CPT 12002 • Emergency	$49	$93	$137
Simple wound repair face 2.5cm or less CPT 12011 • Emergency	$48	$92	$137
Intermediate wound repair 2.5cm or less CPT 12031 • Emergency	$111	$131	$172
Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency	$211	$249	$288
Initial treatment first degree burn CPT 16000 • Emergency	$41	$41	$41
Emergency department visit self-limited problem CPT 99281 • Emergency	$18	$18	$18
Emergency department visit low severity CPT 99282 • Emergency	$34	$46	$64
Emergency department visit moderate severity CPT 99283 • Emergency	$56	$79	$110
Emergency department visit high severity CPT 99284 • Emergency	$102	$133	$185
Emergency department visit highest severity CPT 99285 • Emergency	$152	$208	$268
Critical care first 30-74 minutes CPT 99291 • Emergency	$196	$248	$316
Critical care each additional 30 minutes CPT 99292 • Emergency	$98	$101	$105
Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology	$161	$161	$161
Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology	$102	$178	$329
Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology	$115	$168	$208
Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology	$213	$213	$213
Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology	$127	$146	$185
Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology	$232	$389	$467
Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology	$334	$334	$334
Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology	$321	$321	$321
ERCP diagnostic CPT 43260 • Gastroenterology	$369	$375	$380
ERCP with sphincterotomy CPT 43262 • Gastroenterology	$164	$310	$456
ERCP with removal of stones CPT 43264 • Gastroenterology	$138	$274	$547
ERCP with stent placement CPT 43274 • Gastroenterology	$350	$438	$612
Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology	$150	$253	$356
Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology	$429	$429	$429
Flexible sigmoidoscopy diagnostic CPT 45330 • Gastroenterology	$46	$56	$65
Colonoscopy diagnostic CPT 45378 • Gastroenterology	$153	$221	$280
Colonoscopy with biopsy CPT 45380 • Gastroenterology	$154	$277	$511
Colonoscopy with submucosal injection CPT 45381 • Gastroenterology	$83	$221	$497
Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology	$504	$504	$504
Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology	$210	$389	$576
Colonoscopy with balloon dilation CPT 45386 • Gastroenterology	$735	$735	$735
Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology	$607	$607	$607
Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology	$275	$329	$436
Esophageal motility study CPT 91010 • Gastroenterology	$58	$58	$58
Esophageal motility study with acid reflux CPT 91035 • Gastroenterology	$425	$425	$425
Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology	$52	$52	$52
Auto-added CPT 00102 • General	$37	$37	$37
Auto-added CPT 00104 • General	$37	$48	$59