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 |
|---|---|---|---|
| Diffusing capacity (DLCO) CPT 94729 • Pulmonology | $74 | $86 | $94 |
| Pulse oximetry single measurement CPT 94760 • Pulmonology | $2 | $3 | $4 |
| Pulse oximetry continuous overnight CPT 94762 • Pulmonology | $25 | $40 | $44 |
| Radiation therapy planning simple CPT 77261 • Radiation Therapy | $69 | $146 | $268 |
| Radiation therapy planning intermediate CPT 77262 • Radiation Therapy | $105 | $209 | $402 |
| Radiation therapy planning complex CPT 77263 • Radiation Therapy | $148 | $312 | $599 |
| Radiation therapy simulation simple CPT 77280 • Radiation Therapy | $61 | $269 | $532 |
| Radiation therapy simulation complex CPT 77290 • Radiation Therapy | $127 | $671 | $1,528 |
| 3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy | $198 | $1,115 | $1,804 |
| Radiation therapy dose calculation CPT 77300 • Radiation Therapy | $54 | $87 | $139 |
| IMRT radiation therapy plan CPT 77301 • Radiation Therapy | $1,484 | $22,891 | $42,301 |
| Radiation treatment device design complex CPT 77334 • Radiation Therapy | $101 | $177 | $328 |
| Radiation physics consultation CPT 77336 • Radiation Therapy | $77 | $160 | $202 |
| Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy | $1,952 | $15,529 | $28,053 |
| Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy | $2,081 | $15,551 | $28,053 |
| IMRT delivery simple CPT 77385 • Radiation Therapy | $570 | $570 | $570 |
| IMRT delivery complex CPT 77386 • Radiation Therapy | $572 | $705 | $839 |
| Radiation treatment delivery superficial CPT 77407 • Radiation Therapy | $172 | $310 | $817 |
| Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy | $191 | $387 | $777 |
| Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy | $167 | $360 | $718 |
| Radiation therapy management complete course CPT 77431 • Radiation Therapy | $139 | $214 | $365 |
| Proton beam treatment simple CPT 77520 • Radiation Therapy | $831 | $1,793 | $3,133 |
| Proton beam treatment complex CPT 77523 • Radiation Therapy | $968 | $2,235 | $4,098 |
| Polysomnography under age 6 CPT 95782 • Sleep Medicine | $931 | $1,093 | $1,254 |
| Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine | $813 | $1,072 | $1,330 |
| Sleep study unattended CPT 95800 • Sleep Medicine | $204 | $269 | $293 |
| Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine | $69 | $80 | $91 |
| Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine | $96 | $650 | $1,088 |
| Polysomnography age 6 or older CPT 95810 • Sleep Medicine | $664 | $979 | $1,270 |
| Polysomnography with CPAP titration CPT 95811 • Sleep Medicine | $830 | $1,142 | $1,399 |
| CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine | $153 | $212 | $256 |
| Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine | $167 | $497 | $1,219 |
| CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine | $65 | $206 | $498 |
| Laparoscopic partial nephrectomy CPT 50543 • Urology | $2,211 | $12,049 | $23,687 |
| Laparoscopic radical nephrectomy CPT 50545 • Urology | $1,624 | $10,252 | $23,687 |
| Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology | $1,085 | $5,563 | $10,532 |
| Complex uroflowmetry CPT 51741 • Urology | $10 | $642 | $1,320 |
| Post-void residual urine measurement CPT 51798 • Urology | $16 | $644 | $1,320 |
| Cystourethroscopy diagnostic CPT 52000 • Urology | $307 | $1,527 | $2,712 |
| Cystourethroscopy with tumor fulguration small CPT 52234 • Urology | $381 | $2,654 | $6,142 |
| Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology | $447 | $2,676 | $6,142 |
| Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology | $325 | $2,309 | $5,358 |
| Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology | $541 | $2,381 | $6,142 |
| Cystourethroscopy with lithotripsy CPT 52353 • Urology | $577 | $5,785 | $8,618 |
| TURP transurethral resection of prostate CPT 52601 • Urology | $1,084 | $3,705 | $8,618 |
| Laser vaporization of prostate CPT 52648 • Urology | $1,452 | $3,897 | $8,618 |
| Circumcision CPT 54150 • Urology | $218 | $2,358 | $6,142 |
| Orchiectomy simple CPT 54520 • Urology | $500 | $3,303 | $8,036 |
| Orchiectomy radical inguinal CPT 54530 • Urology | $776 | $3,405 | $8,036 |
| Vasectomy CPT 55250 • Urology | $486 | $2,502 | $6,142 |