THOMAS GASTON· STATESVILLE, NC
Physician group
557 BROOKDALE DR, STATESVILLE, NC 28677
Procedures offered
952 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Tonsillectomy primary under age 12 CPT 42826 • ENT | $259 | $259 | $259 |
| Adenoidectomy primary under age 12 CPT 42830 • ENT | $216 | $216 | $216 |
| Removal impacted cerumen unilateral CPT 69210 • ENT | $35 | $41 | $48 |
| Tympanostomy tube insertion CPT 69436 • ENT | $161 | $161 | $161 |
| Tympanoplasty without mastoidectomy CPT 69631 • ENT | $895 | $895 | $895 |
| Tympanoplasty with mastoidectomy CPT 69633 • ENT | $1,058 | $1,058 | $1,058 |
| Comprehensive audiometry evaluation CPT 92557 • ENT | $27 | $32 | $36 |
| Incision and drainage abscess simple CPT 10060 • Emergency | $110 | $151 | $191 |
| Incision and drainage abscess complicated CPT 10061 • Emergency | $323 | $323 | $323 |
| Simple wound repair up to 2.5cm CPT 12001 • Emergency | $67 | $67 | $67 |
| Simple wound repair 2.6-7.5cm CPT 12002 • Emergency | $172 | $172 | $172 |
| Simple wound repair face 2.5cm or less CPT 12011 • Emergency | $169 | $169 | $169 |
| Intermediate wound repair 2.5cm or less CPT 12031 • Emergency | $111 | $169 | $227 |
| Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency | $254 | $254 | $254 |
| Initial treatment first degree burn CPT 16000 • Emergency | $120 | $120 | $120 |
| Emergency department visit self-limited problem CPT 99281 • Emergency | $11 | $11 | $11 |
| Emergency department visit low severity CPT 99282 • Emergency | $41 | $41 | $41 |
| Emergency department visit moderate severity CPT 99283 • Emergency | $70 | $70 | $70 |
| Emergency department visit high severity CPT 99284 • Emergency | $120 | $120 | $120 |
| Emergency department visit highest severity CPT 99285 • Emergency | $173 | $173 | $173 |
| Critical care first 30-74 minutes CPT 99291 • Emergency | $210 | $210 | $210 |
| Critical care each additional 30 minutes CPT 99292 • Emergency | $119 | $119 | $119 |
| Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology | $155 | $155 | $155 |
| Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology | $102 | $195 | $287 |
| Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology | $304 | $340 | $375 |
| Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology | $382 | $382 | $382 |
| Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology | $127 | $139 | $151 |
| Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology | $192 | $330 | $467 |
| Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology | $230 | $230 | $230 |
| Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology | $221 | $221 | $221 |
| ERCP diagnostic CPT 43260 • Gastroenterology | $316 | $316 | $316 |
| ERCP with sphincterotomy CPT 43262 • Gastroenterology | $350 | $350 | $350 |
| ERCP with removal of stones CPT 43264 • Gastroenterology | $138 | $247 | $357 |
| ERCP with stent placement CPT 43274 • Gastroenterology | $350 | $402 | $453 |
| Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology | $316 | $316 | $316 |
| Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology | $169 | $169 | $169 |
| Flexible sigmoidoscopy diagnostic CPT 45330 • Gastroenterology | $46 | $116 | $186 |
| Colonoscopy diagnostic CPT 45378 • Gastroenterology | $77 | $208 | $339 |
| Colonoscopy with biopsy CPT 45380 • Gastroenterology | $197 | $304 | $411 |
| Colonoscopy with submucosal injection CPT 45381 • Gastroenterology | $83 | $262 | $441 |
| Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology | $224 | $224 | $224 |
| Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology | $194 | $222 | $249 |
| Colonoscopy with balloon dilation CPT 45386 • Gastroenterology | $606 | $606 | $606 |
| Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology | $2,413 | $2,413 | $2,413 |
| Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology | $275 | $300 | $326 |
| Esophageal motility study CPT 91010 • Gastroenterology | $221 | $221 | $221 |
| Esophageal motility study with acid reflux CPT 91035 • Gastroenterology | $374 | $374 | $374 |
| Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology | $54 | $54 | $54 |
| Auto-added CPT 00102 • General | $50 | $50 | $50 |
| Auto-added CPT 00104 • General | $50 | $54 | $59 |