DLP FRYE REGIONAL MEDICAL CENTER LLC· HICKORY, NC
HospitalCMS 2/5
420 N CENTER ST, STE 20, HICKORY, NC 28601
Procedures offered
938 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| 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 | $224 | $317 |
| Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy | $191 | $307 | $424 |
| Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy | $167 | $237 | $307 |
| Radiation therapy management complete course CPT 77431 • Radiation Therapy | $169 | $206 | $242 |
| Proton beam treatment simple CPT 77520 • Radiation Therapy | $831 | $1,122 | $1,414 |
| Proton beam treatment complex CPT 77523 • Radiation Therapy | $968 | $1,303 | $1,637 |
| 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 | $244 | $285 |
| Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine | $74 | $76 | $78 |
| Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine | $96 | $254 | $411 |
| Polysomnography age 6 or older CPT 95810 • Sleep Medicine | $790 | $844 | $899 |
| Polysomnography with CPAP titration CPT 95811 • Sleep Medicine | $830 | $886 | $941 |
| 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 | $5,067 | $10,532 |
| Laparoscopic radical nephrectomy CPT 50545 • Urology | $1,624 | $3,064 | $5,358 |
| Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology | $1,085 | $4,271 | $10,532 |
| Complex uroflowmetry CPT 51741 • Urology | $10 | $450 | $1,320 |
| Post-void residual urine measurement CPT 51798 • Urology | $16 | $452 | $1,320 |
| Cystourethroscopy diagnostic CPT 52000 • Urology | $307 | $1,112 | $2,712 |
| Cystourethroscopy with tumor fulguration small CPT 52234 • Urology | $381 | $2,310 | $6,142 |
| Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology | $447 | $2,355 | $6,142 |
| Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology | $325 | $2,010 | $5,358 |
| Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology | $541 | $2,484 | $6,142 |
| Cystourethroscopy with lithotripsy CPT 52353 • Urology | $577 | $3,281 | $8,618 |
| TURP transurethral resection of prostate CPT 52601 • Urology | $1,084 | $3,635 | $8,618 |
| Laser vaporization of prostate CPT 52648 • Urology | $2,718 | $4,689 | $8,618 |
| Circumcision CPT 54150 • Urology | $218 | $2,204 | $6,142 |
| Orchiectomy simple CPT 54520 • Urology | $500 | $3,025 | $8,036 |
| Orchiectomy radical inguinal CPT 54530 • Urology | $776 | $3,215 | $8,036 |
| Vasectomy CPT 55250 • Urology | $486 | $2,412 | $6,142 |
| Prostate biopsy needle or punch CPT 55700 • Urology | $372 | $389 | $406 |
| Radical prostatectomy retropubic CPT 55840 • Urology | $1,807 | $3,033 | $5,358 |
| Laparoscopic radical prostatectomy CPT 55866 • Urology | $2,384 | $5,939 | $11,961 |