DLP PERSON MEMORIAL HOSPITAL LLC· ROXBORO, NC
Hospital
615 RIDGE RD, ROXBORO, NC 27573
Procedures offered
663 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Urinalysis with microscopy CPT 81001 • Laboratory | $3 | $6 | $7 |
| Urinalysis nonautomated without microscopy CPT 81002 • Laboratory | $2 | $7 | $11 |
| Urinalysis automated without microscopy CPT 81003 • Laboratory | $2 | $4 | $5 |
| Fecal hemoglobin immunoassay CPT 82274 • Laboratory | $13 | $31 | $35 |
| Vitamin D 25-hydroxy CPT 82306 • Laboratory | $25 | $69 | $127 |
| Creatine kinase (CK) total CPT 82550 • Laboratory | $5 | $15 | $28 |
| Creatinine urine CPT 82570 • Laboratory | $4 | $10 | $11 |
| Ferritin CPT 82728 • Laboratory | $11 | $26 | $30 |
| IgA IgD IgG IgM each CPT 82784 • Laboratory | $8 | $22 | $40 |
| Glucose quantitative blood CPT 82947 • Laboratory | $3 | $7 | $9 |
| Hemoglobin A1c CPT 83036 • Laboratory | $8 | $18 | $21 |
| Iron serum CPT 83540 • Laboratory | $5 | $12 | $14 |
| Iron binding capacity CPT 83550 • Laboratory | $7 | $19 | $38 |
| Prostate specific antigen (PSA) CPT 84153 • Laboratory | $15 | $43 | $79 |
| Free thyroxine (T4) CPT 84439 • Laboratory | $8 | $21 | $39 |
| Thyroid stimulating hormone (TSH) CPT 84443 • Laboratory | $14 | $39 | $70 |
| Complete blood count with differential CPT 85025 • Laboratory | $7 | $15 | $17 |
| Complete blood count automated CPT 85027 • Laboratory | $5 | $15 | $28 |
| Prothrombin time (PT) CPT 85610 • Laboratory | $3 | $10 | $17 |
| Sedimentation rate (ESR) automated CPT 85652 • Laboratory | $2 | $6 | $12 |
| Partial thromboplastin time (PTT) CPT 85730 • Laboratory | $5 | $12 | $13 |
| Cyclic citrullinated peptide antibody CPT 86200 • Laboratory | $11 | $25 | $28 |
| Nuclear antigen antibody CPT 86235 • Laboratory | $15 | $42 | $77 |
| Heterophile antibodies screen CPT 86308 • Laboratory | $4 | $12 | $22 |
| TB skin test intradermal CPT 86580 • Laboratory | $4 | $18 | $22 |
| Blood typing ABO CPT 86900 • Laboratory | $3 | $6 | $7 |
| Blood typing Rh CPT 86901 • Laboratory | $4 | $7 | $13 |
| Urine culture bacterial colony count CPT 87086 • Laboratory | $7 | $15 | $18 |
| Chlamydia nucleic acid amplification CPT 87491 • Laboratory | $29 | $67 | $77 |
| Gonorrhea nucleic acid amplification CPT 87591 • Laboratory | $29 | $73 | $105 |
| SARS-CoV-2 COVID-19 amplified probe CPT 87635 • Laboratory | $31 | $119 | $141 |
| Influenza virus assay with direct optical CPT 87804 • Laboratory | $10 | $34 | $49 |
| Strep A assay with optic observation CPT 87880 • Laboratory | $10 | $30 | $36 |
| Amniocentesis diagnostic CPT 59000 • Maternity | $1,755 | $5,654 | $6,953 |
| Cordocentesis fetal blood sampling CPT 59012 • Maternity | $1,085 | $5,780 | $6,954 |
| Chorionic villus sampling CPT 59015 • Maternity | $1,755 | $5,654 | $6,953 |
| Fetal non-stress test CPT 59025 • Maternity | $1,085 | $1,085 | $1,085 |
| Insertion cervical dilator CPT 59200 • Maternity | $1,085 | $5,780 | $6,954 |
| Vaginal delivery including prenatal and postpartum care CPT 59400 • Maternity | $3,287 | $3,287 | $3,287 |
| Vaginal delivery only CPT 59409 • Maternity | $6,575 | $6,878 | $6,954 |
| Vaginal delivery including postpartum care CPT 59410 • Maternity | $3,287 | $5,563 | $6,954 |
| External cephalic version CPT 59412 • Maternity | $6,575 | $6,575 | $6,575 |
| Antepartum care 7 or more visits CPT 59426 • Maternity | $3,287 | $3,287 | $3,287 |
| Postpartum care only CPT 59430 • Maternity | $3,287 | $6,037 | $6,953 |
| Cesarean delivery including prenatal and postpartum care CPT 59510 • Maternity | $3,287 | $3,287 | $3,287 |
| Cesarean delivery only CPT 59514 • Maternity | $3,287 | $3,287 | $3,287 |
| Cesarean delivery including postpartum care CPT 59515 • Maternity | $3,287 | $7,013 | $7,945 |
| Vaginal delivery after prior cesarean (VBAC) including prenatal CPT 59610 • Maternity | $3,287 | $3,287 | $3,287 |
| Obstetric ultrasound first trimester CPT 76801 • Maternity | $169 | $169 | $169 |
| Obstetric ultrasound complete CPT 76805 • Maternity | $210 | $210 | $210 |