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 |
|---|---|---|---|
| Nuclear antigen antibody CPT 86235 • Laboratory | $16 | $30 | $55 |
| Heterophile antibodies screen CPT 86308 • Laboratory | $5 | $9 | $16 |
| TB skin test intradermal CPT 86580 • Laboratory | $5 | $13 | $21 |
| Blood typing ABO CPT 86900 • Laboratory | $3 | $5 | $9 |
| Blood typing Rh CPT 86901 • Laboratory | $3 | $5 | $9 |
| Urine culture bacterial colony count CPT 87086 • Laboratory | $6 | $19 | $30 |
| Chlamydia nucleic acid amplification CPT 87491 • Laboratory | $27 | $69 | $107 |
| Gonorrhea nucleic acid amplification CPT 87591 • Laboratory | $37 | $78 | $107 |
| SARS-CoV-2 COVID-19 amplified probe CPT 87635 • Laboratory | $51 | $75 | $86 |
| Influenza virus assay with direct optical CPT 87804 • Laboratory | $13 | $23 | $37 |
| Amniocentesis diagnostic CPT 59000 • Maternity | $188 | $1,089 | $2,712 |
| Cordocentesis fetal blood sampling CPT 59012 • Maternity | $308 | $905 | $1,663 |
| Chorionic villus sampling CPT 59015 • Maternity | $234 | $1,216 | $2,712 |
| Fetal non-stress test CPT 59025 • Maternity | $30 | $370 | $1,320 |
| Insertion cervical dilator CPT 59200 • Maternity | $107 | $804 | $1,663 |
| Vaginal delivery including prenatal and postpartum care CPT 59400 • Maternity | $650 | $3,248 | $5,358 |
| Vaginal delivery only CPT 59409 • Maternity | $650 | $2,192 | $6,142 |
| Vaginal delivery including postpartum care CPT 59410 • Maternity | $650 | $2,189 | $5,358 |
| External cephalic version CPT 59412 • Maternity | $157 | $2,155 | $6,142 |
| Antepartum care 7 or more visits CPT 59426 • Maternity | $1,335 | $2,735 | $5,358 |
| Postpartum care only CPT 59430 • Maternity | $316 | $1,930 | $5,358 |
| Cesarean delivery including prenatal and postpartum care CPT 59510 • Maternity | $3,797 | $4,367 | $5,358 |
| Cesarean delivery only CPT 59514 • Maternity | $1,335 | $2,728 | $5,358 |
| Cesarean delivery including postpartum care CPT 59515 • Maternity | $1,904 | $2,810 | $5,358 |
| Vaginal delivery after prior cesarean (VBAC) including prenatal CPT 59610 • Maternity | $650 | $3,331 | $5,358 |
| Obstetric ultrasound first trimester CPT 76801 • Maternity | $116 | $210 | $280 |
| Obstetric ultrasound complete CPT 76805 • Maternity | $144 | $230 | $340 |
| Obstetric ultrasound detailed fetal anatomy CPT 76811 • Maternity | $134 | $297 | $423 |
| Obstetric ultrasound limited CPT 76815 • Maternity | $82 | $144 | $204 |
| Ultrasound transvaginal obstetric CPT 76817 • Maternity | $94 | $153 | $226 |
| Interactive complexity add-on CPT 90785 • Mental Health | $6 | $15 | $24 |
| Psychiatric diagnostic evaluation CPT 90791 • Mental Health | $223 | $242 | $261 |
| Psychiatric diagnostic evaluation with medical services CPT 90792 • Mental Health | $250 | $271 | $292 |
| Psychotherapy 30 minutes CPT 90832 • Mental Health | $109 | $116 | $123 |
| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $113 | $113 | $113 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $145 | $154 | $163 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $115 | $129 | $143 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $218 | $261 | $304 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $138 | $163 | $189 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $150 | $189 | $227 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $82 | $96 | $109 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $130 | $153 | $176 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $157 | $170 | $182 |
| Group psychotherapy CPT 90853 • Mental Health | $44 | $45 | $46 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $7 | $9 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $240 | $1,276 | $2,712 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $158 | $840 | $1,663 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $158 | $839 | $1,663 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $490 | $553 | $616 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $442 | $586 | $722 |