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 |
|---|---|---|---|
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $309 | $1,202 | $1,663 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $436 | $2,475 | $6,142 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $50 | $2,309 | $6,142 |
| Tonsillectomy primary under age 12 CPT 42826 • ENT | $383 | $2,662 | $6,142 |
| Adenoidectomy primary under age 12 CPT 42830 • ENT | $319 | $2,445 | $6,142 |
| Removal impacted cerumen unilateral CPT 69210 • ENT | $76 | $894 | $1,663 |
| Tympanostomy tube insertion CPT 69436 • ENT | $237 | $2,255 | $5,358 |
| Tympanoplasty without mastoidectomy CPT 69631 • ENT | $981 | $3,463 | $8,618 |
| Tympanoplasty with mastoidectomy CPT 69633 • ENT | $1,572 | $3,650 | $8,618 |
| Comprehensive audiometry evaluation CPT 92557 • ENT | $40 | $51 | $62 |
| Incision and drainage abscess simple CPT 10060 • Emergency | $192 | $1,096 | $1,663 |
| Incision and drainage abscess complicated CPT 10061 • Emergency | $334 | $1,046 | $1,663 |
| Simple wound repair up to 2.5cm CPT 12001 • Emergency | $144 | $1,108 | $1,663 |
| Simple wound repair 2.6-7.5cm CPT 12002 • Emergency | $175 | $1,089 | $1,663 |
| Simple wound repair face 2.5cm or less CPT 12011 • Emergency | $176 | $1,089 | $1,663 |
| Intermediate wound repair 2.5cm or less CPT 12031 • Emergency | $397 | $1,237 | $1,663 |
| Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency | $430 | $1,253 | $1,663 |
| Initial treatment first degree burn CPT 16000 • Emergency | $114 | $717 | $1,320 |
| Emergency department visit self-limited problem CPT 99281 • Emergency | $34 | $439 | $676 |
| Emergency department visit low severity CPT 99282 • Emergency | $65 | $510 | $1,063 |
| Emergency department visit moderate severity CPT 99283 • Emergency | $77 | $940 | $1,728 |
| Emergency department visit high severity CPT 99284 • Emergency | $145 | $209 | $262 |
| Emergency department visit highest severity CPT 99285 • Emergency | $214 | $295 | $328 |
| Critical care first 30-74 minutes CPT 99291 • Emergency | $322 | $428 | $456 |
| Critical care each additional 30 minutes CPT 99292 • Emergency | $146 | $172 | $198 |
| Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology | $237 | $2,200 | $5,358 |
| Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology | $412 | $2,305 | $5,358 |
| Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology | $531 | $2,289 | $5,358 |
| Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology | $547 | $2,346 | $5,358 |
| Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology | $1,458 | $2,799 | $5,358 |
| Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology | $697 | $2,511 | $5,358 |
| Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology | $387 | $2,631 | $6,142 |
| Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology | $354 | $2,289 | $5,358 |
| ERCP diagnostic CPT 43260 • Gastroenterology | $505 | $2,485 | $6,142 |
| ERCP with sphincterotomy CPT 43262 • Gastroenterology | $559 | $2,511 | $6,142 |
| ERCP with removal of stones CPT 43264 • Gastroenterology | $570 | $2,514 | $6,142 |
| ERCP with stent placement CPT 43274 • Gastroenterology | $725 | $2,559 | $6,142 |
| Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology | $239 | $2,261 | $5,358 |
| Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology | $630 | $2,346 | $5,358 |
| Flexible sigmoidoscopy diagnostic CPT 45330 • Gastroenterology | $1,282 | $1,892 | $2,502 |
| Colonoscopy diagnostic CPT 45378 • Gastroenterology | $261 | $2,390 | $5,358 |
| Colonoscopy with biopsy CPT 45380 • Gastroenterology | $619 | $2,487 | $5,358 |
| Colonoscopy with submucosal injection CPT 45381 • Gastroenterology | $631 | $2,314 | $5,358 |
| Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology | $698 | $2,512 | $5,358 |
| Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology | $654 | $2,260 | $5,358 |
| Colonoscopy with balloon dilation CPT 45386 • Gastroenterology | $867 | $2,577 | $5,358 |
| Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology | $1,216 | $3,446 | $5,358 |
| Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology | $487 | $2,279 | $5,358 |
| Esophageal motility study CPT 91010 • Gastroenterology | $37 | $1,054 | $1,663 |
| Esophageal motility study with acid reflux CPT 91035 • Gastroenterology | $626 | $1,202 | $1,663 |