GRAYSTONE EYE SURGERY CENTER LLC· HICKORY, NC
Ambulatory surgery center
2424 CENTURY PL SE, HICKORY, NC 28602
Procedures offered
956 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $540 | $7,080 | $42,765 |
| Tonsillectomy primary under age 12 CPT 42826 • ENT | $540 | $7,606 | $33,816 |
| Adenoidectomy primary under age 12 CPT 42830 • ENT | $540 | $6,464 | $33,816 |
| Removal impacted cerumen unilateral CPT 69210 • ENT | $57 | $251 | $397 |
| Tympanostomy tube insertion CPT 69436 • ENT | $540 | $7,191 | $45,983 |
| Tympanoplasty without mastoidectomy CPT 69631 • ENT | $540 | $8,382 | $42,765 |
| Tympanoplasty with mastoidectomy CPT 69633 • ENT | $540 | $9,187 | $42,765 |
| Comprehensive audiometry evaluation CPT 92557 • ENT | $44 | $44 | $44 |
| Incision and drainage abscess simple CPT 10060 • Emergency | $57 | $271 | $397 |
| Incision and drainage abscess complicated CPT 10061 • Emergency | $57 | $286 | $397 |
| Simple wound repair up to 2.5cm CPT 12001 • Emergency | $57 | $299 | $540 |
| Simple wound repair 2.6-7.5cm CPT 12002 • Emergency | $57 | $316 | $540 |
| Simple wound repair face 2.5cm or less CPT 12011 • Emergency | $57 | $273 | $540 |
| Intermediate wound repair 2.5cm or less CPT 12031 • Emergency | $57 | $297 | $540 |
| Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency | $57 | $334 | $540 |
| Initial treatment first degree burn CPT 16000 • Emergency | $57 | $193 | $330 |
| Emergency department visit self-limited problem CPT 99281 • Emergency | $12 | $12 | $12 |
| Emergency department visit low severity CPT 99282 • Emergency | $46 | $46 | $46 |
| Emergency department visit moderate severity CPT 99283 • Emergency | $78 | $98 | $119 |
| Emergency department visit high severity CPT 99284 • Emergency | $132 | $184 | $235 |
| Emergency department visit highest severity CPT 99285 • Emergency | $191 | $268 | $345 |
| Critical care first 30-74 minutes CPT 99291 • Emergency | $299 | $357 | $415 |
| Critical care each additional 30 minutes CPT 99292 • Emergency | $131 | $169 | $208 |
| Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology | $57 | $533 | $1,197 |
| Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology | $397 | $4,357 | $19,682 |
| Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology | $477 | $3,725 | $28,516 |
| Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology | $477 | $4,581 | $28,516 |
| Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology | $540 | $6,216 | $28,516 |
| Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology | $540 | $4,795 | $28,516 |
| Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology | $540 | $8,707 | $45,983 |
| Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology | $540 | $9,675 | $45,983 |
| ERCP diagnostic CPT 43260 • Gastroenterology | $534 | $5,045 | $28,516 |
| ERCP with sphincterotomy CPT 43262 • Gastroenterology | $534 | $5,655 | $28,516 |
| ERCP with removal of stones CPT 43264 • Gastroenterology | $534 | $5,045 | $28,516 |
| ERCP with stent placement CPT 43274 • Gastroenterology | $57 | $1,312 | $4,926 |
| Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology | $397 | $4,385 | $19,682 |
| Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology | $397 | $3,719 | $19,682 |
| Flexible sigmoidoscopy diagnostic CPT 45330 • Gastroenterology | $397 | $509 | $620 |
| Colonoscopy diagnostic CPT 45378 • Gastroenterology | $534 | $4,637 | $28,516 |
| Colonoscopy with biopsy CPT 45380 • Gastroenterology | $460 | $5,289 | $28,516 |
| Colonoscopy with submucosal injection CPT 45381 • Gastroenterology | $529 | $4,613 | $28,516 |
| Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology | $540 | $6,249 | $28,516 |
| Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology | $529 | $3,793 | $28,516 |
| Colonoscopy with balloon dilation CPT 45386 • Gastroenterology | $540 | $6,249 | $28,516 |
| Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology | $57 | $552 | $877 |
| Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology | $57 | $712 | $1,937 |
| Esophageal motility study CPT 91010 • Gastroenterology | $330 | $380 | $397 |
| Esophageal motility study with acid reflux CPT 91035 • Gastroenterology | $228 | $429 | $540 |
| Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology | $330 | $470 | $540 |
| Auto-added CPT 00102 • General | $68 | $68 | $68 |