DLP PERSON MEMORIAL HOSPITAL LLC· ROXBORO, NC
Hospital
615 RIDGE RD, ROXBORO, NC 27573
Procedures offered
663 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Tonsillectomy primary under age 12 CPT 42826 • ENT | $6,575 | $6,859 | $6,953 |
| Adenoidectomy primary under age 12 CPT 42830 • ENT | $6,575 | $6,878 | $6,954 |
| Removal impacted cerumen unilateral CPT 69210 • ENT | $1,085 | $4,665 | $6,953 |
| Tympanostomy tube insertion CPT 69436 • ENT | $3,287 | $6,220 | $6,954 |
| Tympanoplasty without mastoidectomy CPT 69631 • ENT | $7,944 | $8,679 | $11,617 |
| Tympanoplasty with mastoidectomy CPT 69633 • ENT | $7,944 | $8,679 | $11,617 |
| Incision and drainage abscess simple CPT 10060 • Emergency | $1,085 | $5,780 | $6,954 |
| Incision and drainage abscess complicated CPT 10061 • Emergency | $1,085 | $5,123 | $6,954 |
| Simple wound repair up to 2.5cm CPT 12001 • Emergency | $1,085 | $5,780 | $6,954 |
| Simple wound repair 2.6-7.5cm CPT 12002 • Emergency | $1,085 | $5,486 | $6,953 |
| Simple wound repair face 2.5cm or less CPT 12011 • Emergency | $1,085 | $5,486 | $6,953 |
| Intermediate wound repair 2.5cm or less CPT 12031 • Emergency | $1,085 | $5,780 | $6,954 |
| Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency | $1,085 | $5,780 | $6,954 |
| Initial treatment first degree burn CPT 16000 • Emergency | $1,085 | $1,085 | $1,085 |
| Emergency department visit self-limited problem CPT 99281 • Emergency | $478 | $478 | $478 |
| Emergency department visit low severity CPT 99282 • Emergency | $707 | $707 | $707 |
| Emergency department visit moderate severity CPT 99283 • Emergency | $947 | $947 | $947 |
| Emergency department visit high severity CPT 99284 • Emergency | $1,117 | $1,117 | $1,117 |
| Emergency department visit highest severity CPT 99285 • Emergency | $1,879 | $1,879 | $1,879 |
| Critical care first 30-74 minutes CPT 99291 • Emergency | $3,831 | $3,831 | $3,831 |
| Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology | $3,287 | $6,220 | $6,954 |
| Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology | $3,287 | $6,220 | $6,954 |
| Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology | $3,287 | $6,220 | $6,954 |
| Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology | $3,287 | $6,220 | $6,954 |
| Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology | $3,287 | $6,037 | $6,953 |
| Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology | $3,287 | $6,037 | $6,953 |
| Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology | $6,575 | $6,878 | $6,954 |
| Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology | $3,287 | $6,220 | $6,954 |
| ERCP diagnostic CPT 43260 • Gastroenterology | $6,575 | $6,878 | $6,954 |
| ERCP with sphincterotomy CPT 43262 • Gastroenterology | $6,575 | $6,878 | $6,954 |
| ERCP with removal of stones CPT 43264 • Gastroenterology | $6,575 | $6,878 | $6,954 |
| ERCP with stent placement CPT 43274 • Gastroenterology | $5,611 | $6,609 | $6,954 |
| Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology | $3,287 | $5,216 | $6,953 |
| Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology | $3,287 | $5,563 | $6,954 |
| Flexible sigmoidoscopy diagnostic CPT 45330 • Gastroenterology | $1,755 | $4,354 | $6,954 |
| Colonoscopy diagnostic CPT 45378 • Gastroenterology | $3,287 | $6,037 | $6,953 |
| Colonoscopy with biopsy CPT 45380 • Gastroenterology | $3,287 | $5,529 | $6,953 |
| Colonoscopy with submucosal injection CPT 45381 • Gastroenterology | $3,287 | $5,814 | $6,954 |
| Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology | $3,287 | $6,037 | $6,953 |
| Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology | $3,287 | $6,220 | $6,954 |
| Colonoscopy with balloon dilation CPT 45386 • Gastroenterology | $3,287 | $6,037 | $6,953 |
| Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology | $3,287 | $6,220 | $6,954 |
| Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology | $3,287 | $6,220 | $6,954 |
| Esophageal motility study CPT 91010 • Gastroenterology | $1,085 | $5,780 | $6,954 |
| Esophageal motility study with acid reflux CPT 91035 • Gastroenterology | $1,085 | $5,780 | $6,954 |
| Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology | $1,085 | $5,486 | $6,953 |
| Auto-added CPT 10120 • General | $1,085 | $5,780 | $6,954 |
| Auto-added CPT 10140 • General | $3,287 | $6,037 | $6,953 |
| Auto-added CPT 11000 • General | $1,085 | $5,780 | $6,954 |
| Auto-added CPT 11001 • General | $1,085 | $5,486 | $6,953 |