DLP FRYE REGIONAL MEDICAL CENTER LLC· HICKORY, NC
ProviderCMS 2/5
420 N CENTER ST, HICKORY, NC 28601
Procedures offered
953 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| MRI brain without contrast CPT 70551 • Imaging | $243 | $523 | $694 |
| MRI brain with contrast CPT 70552 • Imaging | $145 | $782 | $1,384 |
| MRI brain without contrast then with contrast CPT 70553 • Imaging | $409 | $994 | $1,696 |
| Chest X-ray single view CPT 71045 • Imaging | $25 | $33 | $38 |
| Chest X-ray 2 views CPT 71046 • Imaging | $33 | $37 | $49 |
| CT chest without contrast CPT 71250 • Imaging | $160 | $335 | $434 |
| CT chest with contrast CPT 71260 • Imaging | $214 | $372 | $499 |
| CT chest without then with contrast CPT 71270 • Imaging | $449 | $449 | $449 |
| CT angiography chest CPT 71275 • Imaging | $318 | $549 | $692 |
| CT cervical spine without contrast CPT 72125 • Imaging | $287 | $287 | $287 |
| CT thoracic spine without contrast CPT 72128 • Imaging | $287 | $287 | $287 |
| CT lumbar spine without contrast CPT 72131 • Imaging | $287 | $287 | $287 |
| MRI cervical spine without contrast CPT 72141 • Imaging | $233 | $519 | $694 |
| MRI thoracic spine without contrast CPT 72146 • Imaging | $234 | $698 | $1,075 |
| MRI lumbar spine without contrast CPT 72148 • Imaging | $121 | $442 | $694 |
| CT pelvis with contrast CPT 72193 • Imaging | $502 | $502 | $502 |
| X-ray shoulder complete CPT 73030 • Imaging | $33 | $46 | $71 |
| MRI joint upper extremity without contrast CPT 73221 • Imaging | $238 | $660 | $1,075 |
| X-ray knee 1-2 views CPT 73560 • Imaging | $31 | $49 | $71 |
| X-ray ankle complete CPT 73610 • Imaging | $43 | $54 | $80 |
| MRI lower extremity without contrast CPT 73718 • Imaging | $110 | $651 | $1,075 |
| MRI joint lower extremity without contrast CPT 73721 • Imaging | $50 | $580 | $1,075 |
| CT abdomen without contrast CPT 74150 • Imaging | $97 | $307 | $434 |
| CT abdomen without then with contrast CPT 74170 • Imaging | $449 | $449 | $449 |
| CT abdomen and pelvis without contrast CPT 74176 • Imaging | $180 | $245 | $275 |
| CT abdomen and pelvis with contrast CPT 74177 • Imaging | $363 | $522 | $717 |
| CT abdomen and pelvis without then with contrast CPT 74178 • Imaging | $355 | $763 | $1,312 |
| Ultrasound abdominal complete CPT 76700 • Imaging | $130 | $214 | $340 |
| Ultrasound retroperitoneal complete CPT 76770 • Imaging | $60 | $187 | $329 |
| Ultrasound transvaginal CPT 76830 • Imaging | $139 | $179 | $305 |
| Ultrasound pelvic complete CPT 76856 • Imaging | $120 | $198 | $305 |
| Diagnostic mammography unilateral CPT 77065 • Imaging | $134 | $164 | $195 |
| Diagnostic mammography bilateral CPT 77066 • Imaging | $190 | $205 | $229 |
| Screening mammography bilateral CPT 77067 • Imaging | $123 | $158 | $185 |
| Nuclear myocardial perfusion study CPT 78452 • Imaging | $542 | $699 | $1,110 |
| Collection of venous blood by venipuncture CPT 36415 • Laboratory | $2 | $4 | $5 |
| Basic metabolic panel CPT 80048 • Laboratory | $8 | $19 | $30 |
| Comprehensive metabolic panel CPT 80053 • Laboratory | $8 | $19 | $32 |
| Lipid panel CPT 80061 • Laboratory | $14 | $30 | $44 |
| Hepatic function panel CPT 80076 • Laboratory | $9 | $21 | $30 |
| Urinalysis with microscopy CPT 81001 • Laboratory | $3 | $6 | $10 |
| Urinalysis nonautomated without microscopy CPT 81002 • Laboratory | $3 | $7 | $8 |
| Urinalysis automated without microscopy CPT 81003 • Laboratory | $2 | $6 | $8 |
| Fecal hemoglobin immunoassay CPT 82274 • Laboratory | $14 | $40 | $59 |
| Vitamin D 25-hydroxy CPT 82306 • Laboratory | $27 | $72 | $111 |
| Creatine kinase (CK) total CPT 82550 • Laboratory | $6 | $13 | $20 |
| Creatinine urine CPT 82570 • Laboratory | $5 | $11 | $16 |
| Ferritin CPT 82728 • Laboratory | $14 | $30 | $42 |
| IgA IgD IgG IgM each CPT 82784 • Laboratory | $8 | $18 | $28 |
| Glucose quantitative blood CPT 82947 • Laboratory | $4 | $10 | $15 |