PRESBYTERIAN SAMEDAY SURGERY CENTER AT MONROE, LLC· MONROE, NC
Ambulatory surgery center
2000 WELLNESS BLVD, SUITE 2100, MONROE, NC 28110
Procedures offered
520 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $518 | $604 | $690 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $178 | $178 | $178 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $76 | $76 | $76 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $927 | $927 | $927 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $8,071 | $8,071 | $8,071 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $270 | $270 | $270 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $3,041 | $3,041 | $3,041 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $800 | $800 | $800 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $333 | $333 | $333 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $291 | $291 | $291 |
| Septoplasty CPT 30520 • ENT | $665 | $665 | $665 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $183 | $183 | $183 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $175 | $175 | $175 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $188 | $188 | $188 |
| Removal impacted cerumen unilateral CPT 69210 • ENT | $46 | $46 | $46 |
| Tympanostomy tube insertion CPT 69436 • ENT | $155 | $155 | $156 |
| Tympanoplasty with mastoidectomy CPT 69633 • ENT | $1,037 | $1,037 | $1,037 |
| Incision and drainage abscess simple CPT 10060 • Emergency | $121 | $121 | $121 |
| Incision and drainage abscess complicated CPT 10061 • Emergency | $207 | $207 | $207 |
| Simple wound repair up to 2.5cm CPT 12001 • Emergency | $91 | $91 | $91 |
| Simple wound repair 2.6-7.5cm CPT 12002 • Emergency | $110 | $110 | $110 |
| Simple wound repair face 2.5cm or less CPT 12011 • Emergency | $109 | $109 | $109 |
| Intermediate wound repair 2.5cm or less CPT 12031 • Emergency | $257 | $257 | $258 |
| Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency | $277 | $277 | $278 |
| Initial treatment first degree burn CPT 16000 • Emergency | $74 | $74 | $74 |
| Emergency department visit low severity CPT 99282 • Emergency | $41 | $60 | $78 |
| Emergency department visit moderate severity CPT 99283 • Emergency | $104 | $104 | $104 |
| Emergency department visit high severity CPT 99284 • Emergency | $156 | $156 | $156 |
| Emergency department visit highest severity CPT 99285 • Emergency | $195 | $195 | $195 |
| Critical care first 30-74 minutes CPT 99291 • Emergency | $271 | $271 | $271 |
| Critical care each additional 30 minutes CPT 99292 • Emergency | $30 | $75 | $119 |
| Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology | $296 | $296 | $296 |
| Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology | $378 | $378 | $378 |
| Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology | $384 | $384 | $384 |
| Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology | $1,100 | $1,100 | $1,100 |
| Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology | $228 | $228 | $228 |
| Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology | $220 | $220 | $220 |
| ERCP diagnostic CPT 43260 • Gastroenterology | $315 | $315 | $315 |
| ERCP with sphincterotomy CPT 43262 • Gastroenterology | $349 | $349 | $349 |
| Colonoscopy diagnostic CPT 45378 • Gastroenterology | $30 | $184 | $338 |
| Colonoscopy with biopsy CPT 45380 • Gastroenterology | $434 | $434 | $434 |
| Colonoscopy with submucosal injection CPT 45381 • Gastroenterology | $443 | $443 | $443 |
| Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology | $453 | $453 | $453 |
| Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology | $324 | $324 | $324 |
| Esophageal motility study with acid reflux CPT 91035 • Gastroenterology | $79 | $79 | $79 |
| Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology | $54 | $54 | $54 |
| Auto-added CPT 00102 • General | $30 | $30 | $30 |
| Auto-added CPT 00104 • General | $30 | $30 | $30 |
| Auto-added CPT 00120 • General | $30 | $30 | $30 |
| Auto-added CPT 00124 • General | $30 | $30 | $30 |