DLP FRYE REGIONAL MEDICAL CENTER LLC· HICKORY, NC
ProviderCMS 2/5
420 N CENTER ST, HICKORY, NC 28601
Procedures offered
940 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| CT angiography chest CPT 71275 • Imaging | $318 | $535 | $692 |
| MRI cervical spine without contrast CPT 72141 • Imaging | $233 | $402 | $694 |
| MRI thoracic spine without contrast CPT 72146 • Imaging | $234 | $733 | $1,075 |
| MRI lumbar spine without contrast CPT 72148 • Imaging | $121 | $365 | $694 |
| X-ray shoulder complete CPT 73030 • Imaging | $33 | $49 | $71 |
| MRI joint upper extremity without contrast CPT 73221 • Imaging | $238 | $663 | $1,075 |
| X-ray knee 1-2 views CPT 73560 • Imaging | $38 | $55 | $71 |
| X-ray ankle complete CPT 73610 • Imaging | $43 | $57 | $80 |
| MRI lower extremity without contrast CPT 73718 • Imaging | $110 | $643 | $1,075 |
| MRI joint lower extremity without contrast CPT 73721 • Imaging | $238 | $663 | $1,075 |
| CT abdomen without contrast CPT 74150 • Imaging | $97 | $296 | $434 |
| CT abdomen and pelvis without contrast CPT 74176 • Imaging | $180 | $239 | $275 |
| CT abdomen and pelvis with contrast CPT 74177 • Imaging | $363 | $527 | $717 |
| CT abdomen and pelvis without then with contrast CPT 74178 • Imaging | $355 | $803 | $1,312 |
| Ultrasound abdominal complete CPT 76700 • Imaging | $130 | $222 | $340 |
| Ultrasound retroperitoneal complete CPT 76770 • Imaging | $60 | $200 | $329 |
| Ultrasound transvaginal CPT 76830 • Imaging | $139 | $188 | $305 |
| Ultrasound pelvic complete CPT 76856 • Imaging | $120 | $207 | $305 |
| Diagnostic mammography unilateral CPT 77065 • Imaging | $134 | $159 | $195 |
| Diagnostic mammography bilateral CPT 77066 • Imaging | $190 | $207 | $229 |
| Screening mammography bilateral CPT 77067 • Imaging | $157 | $168 | $185 |
| Nuclear myocardial perfusion study CPT 78452 • Imaging | $604 | $773 | $1,110 |
| Venipuncture (routine blood draw) CPT 36415 • Lab | $2 | $4 | $5 |
| Urinalysis non-automated without microscopy CPT 81002 • Lab | $3 | $6 | $8 |
| Strep test rapid (Streptococcus group A direct) CPT 87880 • Lab | $13 | $25 | $37 |
| Basic metabolic panel CPT 80048 • Laboratory | $8 | $19 | $30 |
| Comprehensive metabolic panel CPT 80053 • Laboratory | $8 | $18 | $32 |
| Lipid panel CPT 80061 • Laboratory | $14 | $29 | $44 |
| Hepatic function panel CPT 80076 • Laboratory | $9 | $20 | $30 |
| Urinalysis with microscopy CPT 81001 • Laboratory | $3 | $5 | $10 |
| Urinalysis automated without microscopy CPT 81003 • Laboratory | $2 | $6 | $8 |
| Fecal hemoglobin immunoassay CPT 82274 • Laboratory | $14 | $38 | $59 |
| Vitamin D 25-hydroxy CPT 82306 • Laboratory | $27 | $70 | $111 |
| Creatine kinase (CK) total CPT 82550 • Laboratory | $6 | $11 | $20 |
| Creatinine urine CPT 82570 • Laboratory | $5 | $10 | $16 |
| Ferritin CPT 82728 • Laboratory | $14 | $30 | $42 |
| IgA IgD IgG IgM each CPT 82784 • Laboratory | $8 | $16 | $28 |
| Glucose quantitative blood CPT 82947 • Laboratory | $4 | $10 | $15 |
| Hemoglobin A1c CPT 83036 • Laboratory | $10 | $24 | $36 |
| Iron serum CPT 83540 • Laboratory | $6 | $11 | $20 |
| Iron binding capacity CPT 83550 • Laboratory | $8 | $21 | $33 |
| Prostate specific antigen (PSA) CPT 84153 • Laboratory | $17 | $43 | $69 |
| Free thyroxine (T4) CPT 84439 • Laboratory | $8 | $21 | $34 |
| Thyroid stimulating hormone (TSH) CPT 84443 • Laboratory | $15 | $39 | $61 |
| Complete blood count with differential CPT 85025 • Laboratory | $7 | $13 | $24 |
| Complete blood count automated CPT 85027 • Laboratory | $7 | $16 | $24 |
| Prothrombin time (PT) CPT 85610 • Laboratory | $4 | $10 | $15 |
| Sedimentation rate (ESR) automated CPT 85652 • Laboratory | $3 | $7 | $10 |
| Partial thromboplastin time (PTT) CPT 85730 • Laboratory | $5 | $14 | $22 |
| Cyclic citrullinated peptide antibody CPT 86200 • Laboratory | $12 | $31 | $48 |