DLP PERSON MEMORIAL HOSPITAL LLC· ROXBORO, NC
Hospital
615 RIDGE RD, ROXBORO, NC 27573
Procedures offered
663 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Obstetric ultrasound detailed fetal anatomy CPT 76811 • Maternity | $198 | $198 | $198 |
| Obstetric ultrasound limited CPT 76815 • Maternity | $120 | $120 | $120 |
| Ultrasound transvaginal obstetric CPT 76817 • Maternity | $136 | $136 | $136 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $1,755 | $5,654 | $6,953 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $1,085 | $5,780 | $6,954 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $1,085 | $5,780 | $6,954 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $3,287 | $6,780 | $7,944 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $1,085 | $5,486 | $6,953 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $10,966 | $11,129 | $11,617 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $1,755 | $5,146 | $6,953 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $6,575 | $6,878 | $6,954 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $6,575 | $6,878 | $6,954 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $1,755 | $4,833 | $6,953 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $6,575 | $7,354 | $7,944 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $6,575 | $7,472 | $7,945 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $1,085 | $5,123 | $6,954 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $10,966 | $11,096 | $11,617 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $1,755 | $6,706 | $7,945 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $1,755 | $5,914 | $6,954 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $6,575 | $6,859 | $6,953 |
| Excision chalazion single CPT 67800 • Ophthalmology | $1,085 | $5,123 | $6,954 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $6,575 | $7,472 | $7,945 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $1,085 | $4,665 | $6,953 |
| Arthrocentesis aspiration small joint CPT 20600 • Orthopedics | $1,085 | $5,486 | $6,953 |
| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $1,085 | $5,780 | $6,954 |
| Arthrocentesis aspiration major joint CPT 20610 • Orthopedics | $1,085 | $5,123 | $6,954 |
| Cervical spine fusion anterior approach CPT 22551 • Orthopedics | $8,806 | $9,974 | $13,479 |
| Lumbar spine fusion posterior approach CPT 22612 • Orthopedics | $8,806 | $9,974 | $13,479 |
| Lumbar spine fusion combined approach CPT 22633 • Orthopedics | $6,953 | $10,170 | $17,476 |
| Total shoulder replacement CPT 23472 • Orthopedics | $7,944 | $9,801 | $15,372 |
| Reverse total shoulder replacement CPT 23473 • Orthopedics | $7,944 | $8,679 | $11,617 |
| Lateral epicondylitis open treatment CPT 24357 • Orthopedics | $5,611 | $6,609 | $6,954 |
| Closed treatment distal radial fracture CPT 25600 • Orthopedics | $1,085 | $4,665 | $6,953 |
| Tendon sheath incision trigger finger CPT 26055 • Orthopedics | $3,287 | $5,814 | $6,954 |
| Total hip replacement CPT 27130 • Orthopedics | $8,806 | $10,448 | $15,372 |
| Hip replacement conversion to total CPT 27132 • Orthopedics | $8,806 | $10,448 | $15,372 |
| Open treatment femoral fracture CPT 27236 • Orthopedics | $7,944 | $9,051 | $13,479 |
| Treatment intertrochanteric femoral fracture CPT 27244 • Orthopedics | $7,944 | $9,051 | $13,479 |
| Treatment intertrochanteric fracture with plate/screw CPT 27245 • Orthopedics | $7,944 | $8,862 | $11,617 |
| Partial knee replacement medial or lateral CPT 27446 • Orthopedics | $7,944 | $9,430 | $15,372 |
| Total knee replacement CPT 27447 • Orthopedics | $8,806 | $10,119 | $15,372 |
| Open treatment tibial shaft fracture CPT 27756 • Orthopedics | $6,575 | $6,878 | $6,954 |
| Closed treatment distal fibula fracture CPT 27786 • Orthopedics | $1,085 | $5,780 | $6,954 |
| Bunionectomy with osteotomy CPT 28296 • Orthopedics | $6,953 | $7,359 | $8,984 |
| Arthroscopy shoulder decompression CPT 29826 • Orthopedics | $1,085 | $5,511 | $6,954 |
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $7,944 | $9,051 | $13,479 |
| Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics | $6,953 | $7,461 | $8,984 |
| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $6,953 | $7,359 | $8,984 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $6,953 | $7,359 | $8,984 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $6,953 | $8,258 | $13,479 |