DLP FRYE REGIONAL MEDICAL CENTER LLC· HICKORY, NC
Hospital
420 N CENTER ST, HICKORY, NC 28601
Procedures offered
938 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care | $187 | $187 | $187 |
| Preventive visit new patient infant CPT 99381 • Preventive Care | $106 | $106 | $106 |
| Preventive visit new patient age 1-4 CPT 99382 • Preventive Care | $111 | $111 | $111 |
| Preventive visit new patient age 5-11 CPT 99383 • Preventive Care | $115 | $115 | $115 |
| Preventive visit new patient age 12-17 CPT 99384 • Preventive Care | $131 | $131 | $131 |
| Preventive visit new patient age 18-39 CPT 99385 • Preventive Care | $127 | $127 | $127 |
| Preventive visit new patient age 40-64 CPT 99386 • Preventive Care | $147 | $147 | $147 |
| Preventive visit new patient age 65+ CPT 99387 • Preventive Care | $159 | $159 | $159 |
| Preventive visit established patient infant CPT 99391 • Preventive Care | $96 | $96 | $96 |
| Preventive visit established patient age 1-4 CPT 99392 • Preventive Care | $102 | $102 | $102 |
| Preventive visit established patient age 5-11 CPT 99393 • Preventive Care | $101 | $101 | $101 |
| Preventive visit established patient age 12-17 CPT 99394 • Preventive Care | $111 | $111 | $111 |
| Preventive visit established patient age 18-39 CPT 99395 • Preventive Care | $114 | $114 | $114 |
| Preventive visit established patient age 40-64 CPT 99396 • Preventive Care | $122 | $122 | $122 |
| Preventive visit established patient age 65+ CPT 99397 • Preventive Care | $131 | $131 | $131 |
| Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care | $38 | $38 | $38 |
| Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care | $183 | $899 | $1,615 |
| Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care | $338 | $977 | $1,615 |
| Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care | $338 | $977 | $1,615 |
| Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care | $163 | $163 | $163 |
| Annual wellness visit initial HCPCS G0438 • Preventive Care | $163 | $163 | $163 |
| Annual wellness visit subsequent HCPCS G0439 • Preventive Care | $127 | $127 | $127 |
| Bronchoscopy diagnostic CPT 31622 • Pulmonology | $243 | $929 | $1,615 |
| Bronchoscopy with brushing CPT 31623 • Pulmonology | $273 | $944 | $1,615 |
| Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology | $252 | $934 | $1,615 |
| Bronchoscopy with biopsy CPT 31625 • Pulmonology | $348 | $982 | $1,615 |
| Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology | $371 | $993 | $1,615 |
| Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology | $1,278 | $1,278 | $1,278 |
| Ventilation assist and management initiation CPT 94002 • Pulmonology | $91 | $122 | $153 |
| Spirometry CPT 94010 • Pulmonology | $30 | $41 | $51 |
| Spirometry before and after bronchodilator CPT 94060 • Pulmonology | $37 | $63 | $90 |
| Bronchospasm provocation evaluation CPT 94070 • Pulmonology | $59 | $80 | $101 |
| Respiratory flow volume loop CPT 94375 • Pulmonology | $36 | $36 | $36 |
| Cardiopulmonary exercise test CPT 94621 • Pulmonology | $150 | $150 | $150 |
| Nebulizer inhalation treatment CPT 94640 • Pulmonology | $30 | $40 | $50 |
| Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology | $30 | $30 | $30 |
| Plethysmography lung volumes CPT 94726 • Pulmonology | $52 | $70 | $88 |
| Gas dilution lung volumes CPT 94727 • Pulmonology | $42 | $42 | $42 |
| Diffusing capacity (DLCO) CPT 94729 • Pulmonology | $55 | $75 | $94 |
| Pulse oximetry single measurement CPT 94760 • Pulmonology | $2 | $2 | $2 |
| Pulse oximetry continuous overnight CPT 94762 • Pulmonology | $25 | $35 | $44 |
| Radiation therapy planning simple CPT 77261 • Radiation Therapy | $69 | $157 | $268 |
| Radiation therapy planning intermediate CPT 77262 • Radiation Therapy | $105 | $236 | $402 |
| Radiation therapy planning complex CPT 77263 • Radiation Therapy | $164 | $354 | $599 |
| Radiation therapy simulation simple CPT 77280 • Radiation Therapy | $257 | $407 | $532 |
| Radiation therapy simulation complex CPT 77290 • Radiation Therapy | $439 | $910 | $1,528 |
| 3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy | $457 | $1,183 | $1,750 |
| Radiation therapy dose calculation CPT 77300 • Radiation Therapy | $62 | $104 | $139 |
| IMRT radiation therapy plan CPT 77301 • Radiation Therapy | $1,747 | $16,440 | $41,069 |
| Radiation treatment device design complex CPT 77334 • Radiation Therapy | $119 | $232 | $328 |