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 |
|---|---|---|---|
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $436 | $2,350 | $6,142 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $455 | $2,362 | $6,142 |
| Tonsillectomy primary under age 12 CPT 42826 • ENT | $383 | $2,312 | $6,142 |
| Adenoidectomy primary under age 12 CPT 42830 • ENT | $319 | $2,266 | $6,142 |
| Removal impacted cerumen unilateral CPT 69210 • ENT | $76 | $517 | $1,320 |
| Tympanostomy tube insertion CPT 69436 • ENT | $237 | $1,951 | $5,358 |
| Tympanoplasty without mastoidectomy CPT 69631 • ENT | $981 | $3,676 | $8,618 |
| Tympanoplasty with mastoidectomy CPT 69633 • ENT | $1,572 | $3,960 | $8,618 |
| Comprehensive audiometry evaluation CPT 92557 • ENT | $40 | $51 | $62 |
| Incision and drainage abscess simple CPT 10060 • Emergency | $192 | $616 | $1,320 |
| Incision and drainage abscess complicated CPT 10061 • Emergency | $334 | $743 | $1,320 |
| Simple wound repair up to 2.5cm CPT 12001 • Emergency | $144 | $642 | $1,320 |
| Simple wound repair 2.6-7.5cm CPT 12002 • Emergency | $175 | $663 | $1,320 |
| Simple wound repair face 2.5cm or less CPT 12011 • Emergency | $176 | $663 | $1,320 |
| Intermediate wound repair 2.5cm or less CPT 12031 • Emergency | $397 | $816 | $1,320 |
| Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency | $430 | $855 | $1,320 |
| Initial treatment first degree burn CPT 16000 • Emergency | $114 | $549 | $1,320 |
| Emergency department visit self-limited problem CPT 99281 • Emergency | $34 | $52 | $69 |
| Emergency department visit low severity CPT 99282 • Emergency | $65 | $66 | $67 |
| Emergency department visit moderate severity CPT 99283 • Emergency | $77 | $88 | $100 |
| Emergency department visit high severity CPT 99284 • Emergency | $145 | $167 | $190 |
| Emergency department visit highest severity CPT 99285 • Emergency | $214 | $247 | $280 |
| Critical care first 30-74 minutes CPT 99291 • Emergency | $322 | $384 | $447 |
| Critical care each additional 30 minutes CPT 99292 • Emergency | $146 | $172 | $198 |
| Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology | $237 | $1,950 | $5,358 |
| Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology | $412 | $2,068 | $5,358 |
| Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology | $531 | $2,156 | $5,358 |
| Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology | $547 | $2,163 | $5,358 |
| Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology | $1,458 | $2,841 | $5,358 |
| Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology | $697 | $2,266 | $5,358 |
| Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology | $387 | $2,715 | $6,142 |
| Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology | $354 | $2,030 | $5,358 |
| ERCP diagnostic CPT 43260 • Gastroenterology | $505 | $2,395 | $6,142 |
| ERCP with sphincterotomy CPT 43262 • Gastroenterology | $559 | $2,433 | $6,142 |
| ERCP with removal of stones CPT 43264 • Gastroenterology | $570 | $2,440 | $6,142 |
| ERCP with stent placement CPT 43274 • Gastroenterology | $725 | $2,547 | $6,142 |
| Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology | $239 | $2,009 | $5,358 |
| Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology | $630 | $2,289 | $5,358 |
| Colonoscopy diagnostic CPT 45378 • Gastroenterology | $261 | $2,023 | $5,358 |
| Colonoscopy with biopsy CPT 45380 • Gastroenterology | $619 | $2,216 | $5,358 |
| Colonoscopy with submucosal injection CPT 45381 • Gastroenterology | $631 | $2,215 | $5,358 |
| Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology | $698 | $2,268 | $5,358 |
| Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology | $654 | $2,239 | $5,358 |
| Colonoscopy with balloon dilation CPT 45386 • Gastroenterology | $867 | $2,397 | $5,358 |
| Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology | $4,716 | $5,005 | $5,358 |
| Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology | $487 | $2,133 | $5,358 |
| Esophageal motility study CPT 91010 • Gastroenterology | $37 | $518 | $1,320 |
| Esophageal motility study with acid reflux CPT 91035 • Gastroenterology | $626 | $863 | $1,320 |
| Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology | $621 | $1,185 | $1,615 |
| Auto-added CPT 00102 • General | $74 | $281 | $420 |