DLP PERSON MEMORIAL HOSPITAL LLC· ROXBORO, NC

Hospital

615 RIDGE RD, ROXBORO, NC 27573

Procedures offered

663 total

ProcedureMinAvgMax
Laparoscopic ventral hernia repair
CPT 49652 • General Surgery
$2,680$2,680$2,680
Thyroid lobectomy with or without isthmusectomy
CPT 60220 • General Surgery
$6,953$8,258$13,479
Thyroidectomy total or subtotal
CPT 60240 • General Surgery
$10,966$11,469$13,479
Parathyroidectomy
CPT 60500 • General Surgery
$10,966$11,129$11,617
CT head without contrast
CPT 70450 • Imaging
$516$516$516
CT head with contrast
CPT 70460 • Imaging
$516$516$516
CT maxillofacial without contrast
CPT 70486 • Imaging
$516$516$516
CT soft tissue neck with contrast
CPT 70491 • Imaging
$516$516$516
CT angiography neck
CPT 70498 • Imaging
$516$516$516
MRI orbits face neck with and without contrast
CPT 70543 • Imaging
$676$785$821
MRI brain without contrast
CPT 70551 • Imaging
$821$821$821
MRI brain with contrast
CPT 70552 • Imaging
$821$821$821
MRI brain without contrast then with contrast
CPT 70553 • Imaging
$821$821$821
Chest X-ray single view
CPT 71045 • Imaging
$40$40$40
Chest X-ray 2 views
CPT 71046 • Imaging
$55$55$55
CT chest without contrast
CPT 71250 • Imaging
$516$516$516
CT chest with contrast
CPT 71260 • Imaging
$311$448$516
CT chest without then with contrast
CPT 71270 • Imaging
$516$516$516
CT angiography chest
CPT 71275 • Imaging
$516$516$516
CT cervical spine without contrast
CPT 72125 • Imaging
$516$516$516
CT thoracic spine without contrast
CPT 72128 • Imaging
$516$516$516
CT lumbar spine without contrast
CPT 72131 • Imaging
$516$516$516
MRI cervical spine without contrast
CPT 72141 • Imaging
$821$821$821
MRI thoracic spine without contrast
CPT 72146 • Imaging
$342$701$821
MRI lumbar spine without contrast
CPT 72148 • Imaging
$821$821$821
CT pelvis with contrast
CPT 72193 • Imaging
$516$516$516
X-ray shoulder complete
CPT 73030 • Imaging
$60$60$60
MRI joint upper extremity without contrast
CPT 73221 • Imaging
$821$821$821
X-ray knee 1-2 views
CPT 73560 • Imaging
$62$62$62
X-ray ankle complete
CPT 73610 • Imaging
$67$67$67
MRI lower extremity without contrast
CPT 73718 • Imaging
$821$821$821
MRI joint lower extremity without contrast
CPT 73721 • Imaging
$387$713$821
CT abdomen without contrast
CPT 74150 • Imaging
$516$516$516
CT abdomen without then with contrast
CPT 74170 • Imaging
$516$516$516
CT abdomen and pelvis without contrast
CPT 74176 • Imaging
$516$516$516
CT abdomen and pelvis with contrast
CPT 74177 • Imaging
$621$621$621
CT abdomen and pelvis without then with contrast
CPT 74178 • Imaging
$700$700$700
Ultrasound abdominal complete
CPT 76700 • Imaging
$189$189$189
Ultrasound retroperitoneal complete
CPT 76770 • Imaging
$177$177$177
Ultrasound transvaginal
CPT 76830 • Imaging
$208$208$208
Ultrasound pelvic complete
CPT 76856 • Imaging
$175$175$175
Diagnostic mammography unilateral
CPT 77065 • Imaging
$207$207$207
Diagnostic mammography bilateral
CPT 77066 • Imaging
$264$264$264
Screening mammography bilateral
CPT 77067 • Imaging
$218$218$218
Nuclear myocardial perfusion study
CPT 78452 • Imaging
$884$884$884
Collection of venous blood by venipuncture
CPT 36415 • Laboratory
$2$2$2
Basic metabolic panel
CPT 80048 • Laboratory
$7$16$19
Comprehensive metabolic panel
CPT 80053 • Laboratory
$9$23$36
Lipid panel
CPT 80061 • Laboratory
$11$31$58
Hepatic function panel
CPT 80076 • Laboratory
$7$19$34