VIEWMONT SURGERY CENTER, LLC· HICKORY, NC

Ambulatory surgery center

50 13TH AVE NE STE 1, HICKORY, NC 28601

Procedures offered

525 total

Procedure	Min	Avg	Max
Destruction premalignant lesion 15 or more CPT 17004 • Dermatology	$135	$1,284	$4,150
Destruction benign lesions up to 14 CPT 17110 • Dermatology	$66	$1,798	$4,150
Destruction benign lesions 15 or more CPT 17111 • Dermatology	$113	$2,605	$4,150
Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology	$4,150	$4,150	$4,150
Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment	$371	$371	$371
Submucous resection inferior turbinate CPT 30140 • ENT	$1,739	$3,222	$4,150
Septoplasty CPT 30520 • ENT	$443	$2,291	$4,150
Ablation inferior turbinate unilateral intramural CPT 30801 • ENT	$820	$1,881	$4,150
Nasal endoscopy diagnostic CPT 31231 • ENT	$130	$1,834	$4,150
Nasal endoscopy with biopsy CPT 31237 • ENT	$988	$2,578	$4,150
Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT	$1,921	$3,128	$4,150
Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT	$2,913	$3,560	$4,150
Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT	$1,921	$3,276	$4,150
Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT	$1,921	$2,758	$4,150
Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT	$2,290	$3,306	$4,150
Incision and drainage peritonsillar abscess CPT 42700 • ENT	$155	$2,614	$4,150
Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT	$1,921	$4,193	$5,650
Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT	$1,739	$2,599	$4,150
Tonsillectomy primary under age 12 CPT 42826 • ENT	$1,739	$2,990	$4,150
Adenoidectomy primary under age 12 CPT 42830 • ENT	$1,739	$2,990	$4,150
Removal impacted cerumen unilateral CPT 69210 • ENT	$59	$2,206	$4,150
Tympanostomy tube insertion CPT 69436 • ENT	$820	$2,601	$4,150
Tympanoplasty without mastoidectomy CPT 69631 • ENT	$3,638	$4,077	$4,371
Tympanoplasty with mastoidectomy CPT 69633 • ENT	$3,638	$4,092	$4,371
Comprehensive audiometry evaluation CPT 92557 • ENT	$45	$45	$45
Incision and drainage abscess simple CPT 10060 • Emergency	$100	$1,802	$4,150
Incision and drainage abscess complicated CPT 10061 • Emergency	$107	$1,280	$4,150
Simple wound repair up to 2.5cm CPT 12001 • Emergency	$111	$2,219	$4,150
Simple wound repair 2.6-7.5cm CPT 12002 • Emergency	$464	$2,921	$4,150
Simple wound repair face 2.5cm or less CPT 12011 • Emergency	$90	$2,213	$4,150
Intermediate wound repair 2.5cm or less CPT 12031 • Emergency	$212	$1,788	$4,150
Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency	$234	$2,630	$4,150
Initial treatment first degree burn CPT 16000 • Emergency	$464	$464	$464
Emergency department visit low severity CPT 99282 • Emergency	$38	$38	$38
Emergency department visit moderate severity CPT 99283 • Emergency	$75	$75	$75
Emergency department visit high severity CPT 99284 • Emergency	$108	$108	$108
Emergency department visit highest severity CPT 99285 • Emergency	$185	$185	$185
Critical care first 30-74 minutes CPT 99291 • Emergency	$218	$218	$218
Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology	$693	$2,219	$4,150
Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology	$628	$2,821	$4,150
Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology	$185	$1,957	$4,150
Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology	$628	$2,457	$4,150
Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology	$102	$1,910	$4,150
Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology	$1,000	$2,067	$4,150
Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology	$1,921	$3,468	$4,150
Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology	$1,026	$2,911	$4,150
ERCP diagnostic CPT 43260 • Gastroenterology	$1,864	$2,748	$4,150
ERCP with sphincterotomy CPT 43262 • Gastroenterology	$1,921	$3,342	$4,150
ERCP with removal of stones CPT 43264 • Gastroenterology	$1,864	$2,467	$4,150
ERCP with stent placement CPT 43274 • Gastroenterology	$1,921	$3,664	$4,433