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 |
|---|---|---|---|
| Hemoglobin A1c CPT 83036 • Laboratory | $10 | $25 | $36 |
| Iron serum CPT 83540 • Laboratory | $6 | $12 | $20 |
| Iron binding capacity CPT 83550 • Laboratory | $8 | $22 | $33 |
| Prostate specific antigen (PSA) CPT 84153 • Laboratory | $17 | $45 | $69 |
| Free thyroxine (T4) CPT 84439 • Laboratory | $8 | $22 | $34 |
| Thyroid stimulating hormone (TSH) CPT 84443 • Laboratory | $15 | $41 | $61 |
| Complete blood count with differential CPT 85025 • Laboratory | $7 | $16 | $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 | $15 | $22 |
| Cyclic citrullinated peptide antibody CPT 86200 • Laboratory | $12 | $32 | $48 |
| Nuclear antigen antibody CPT 86235 • Laboratory | $16 | $35 | $55 |
| Heterophile antibodies screen CPT 86308 • Laboratory | $5 | $10 | $16 |
| TB skin test intradermal CPT 86580 • Laboratory | $5 | $16 | $21 |
| Blood typing ABO CPT 86900 • Laboratory | $3 | $5 | $9 |
| Blood typing Rh CPT 86901 • Laboratory | $3 | $6 | $9 |
| Urine culture bacterial colony count CPT 87086 • Laboratory | $6 | $20 | $30 |
| Chlamydia nucleic acid amplification CPT 87491 • Laboratory | $27 | $76 | $107 |
| Gonorrhea nucleic acid amplification CPT 87591 • Laboratory | $37 | $79 | $107 |
| SARS-CoV-2 COVID-19 amplified probe CPT 87635 • Laboratory | $51 | $79 | $86 |
| Influenza virus assay with direct optical CPT 87804 • Laboratory | $13 | $25 | $37 |
| Strep A assay with optic observation CPT 87880 • Laboratory | $13 | $31 | $37 |
| Amniocentesis diagnostic CPT 59000 • Maternity | $188 | $1,373 | $2,712 |
| Cordocentesis fetal blood sampling CPT 59012 • Maternity | $308 | $1,112 | $1,663 |
| Chorionic villus sampling CPT 59015 • Maternity | $234 | $1,505 | $2,712 |
| Fetal non-stress test CPT 59025 • Maternity | $24 | $396 | $1,320 |
| Insertion cervical dilator CPT 59200 • Maternity | $107 | $1,054 | $1,663 |
| Vaginal delivery including prenatal and postpartum care CPT 59400 • Maternity | $650 | $3,588 | $5,358 |
| Vaginal delivery only CPT 59409 • Maternity | $650 | $2,447 | $6,142 |
| Vaginal delivery including postpartum care CPT 59410 • Maternity | $650 | $2,311 | $5,358 |
| External cephalic version CPT 59412 • Maternity | $157 | $3,033 | $6,142 |
| Antepartum care 7 or more visits CPT 59426 • Maternity | $1,335 | $3,287 | $5,358 |
| Postpartum care only CPT 59430 • Maternity | $316 | $2,388 | $5,358 |
| Cesarean delivery including prenatal and postpartum care CPT 59510 • Maternity | $3,797 | $4,512 | $5,358 |
| Cesarean delivery only CPT 59514 • Maternity | $1,335 | $3,282 | $5,358 |
| Cesarean delivery including postpartum care CPT 59515 • Maternity | $1,452 | $2,727 | $5,358 |
| Vaginal delivery after prior cesarean (VBAC) including prenatal CPT 59610 • Maternity | $650 | $3,654 | $5,358 |
| Obstetric ultrasound first trimester CPT 76801 • Maternity | $116 | $204 | $280 |
| Obstetric ultrasound complete CPT 76805 • Maternity | $144 | $223 | $340 |
| Obstetric ultrasound detailed fetal anatomy CPT 76811 • Maternity | $134 | $284 | $423 |
| Obstetric ultrasound limited CPT 76815 • Maternity | $82 | $130 | $204 |
| Ultrasound transvaginal obstetric CPT 76817 • Maternity | $94 | $150 | $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 |