DLP FRYE REGIONAL MEDICAL CENTER LLC· HICKORY, NC
ProviderCMS 2/5
420 N CENTER ST, HICKORY, NC 28601
Procedures offered
940 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $436 | $2,178 | $6,142 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $455 | $2,248 | $6,142 |
| Tonsillectomy primary under age 12 CPT 42826 • ENT | $383 | $2,155 | $6,142 |
| Adenoidectomy primary under age 12 CPT 42830 • ENT | $319 | $2,121 | $6,142 |
| Removal impacted cerumen unilateral CPT 69210 • ENT | $76 | $804 | $1,663 |
| Tympanostomy tube insertion CPT 69436 • ENT | $237 | $1,879 | $5,358 |
| Tympanoplasty without mastoidectomy CPT 69631 • ENT | $981 | $3,233 | $8,618 |
| Tympanoplasty with mastoidectomy CPT 69633 • ENT | $1,572 | $3,446 | $8,618 |
| Comprehensive audiometry evaluation CPT 92557 • ENT | $40 | $51 | $62 |
| Incision and drainage abscess simple CPT 10060 • Emergency | $192 | $878 | $1,663 |
| Incision and drainage abscess complicated CPT 10061 • Emergency | $334 | $973 | $1,663 |
| Simple wound repair up to 2.5cm CPT 12001 • Emergency | $144 | $898 | $1,663 |
| Simple wound repair 2.6-7.5cm CPT 12002 • Emergency | $175 | $913 | $1,663 |
| Simple wound repair face 2.5cm or less CPT 12011 • Emergency | $176 | $913 | $1,663 |
| Intermediate wound repair 2.5cm or less CPT 12031 • Emergency | $397 | $1,028 | $1,663 |
| Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency | $430 | $1,057 | $1,663 |
| Initial treatment first degree burn CPT 16000 • Emergency | $114 | $549 | $1,320 |
| Emergency department visit self-limited problem CPT 99281 • Emergency | $34 | $361 | $676 |
| Emergency department visit low severity CPT 99282 • Emergency | $65 | $468 | $1,063 |
| Emergency department visit moderate severity CPT 99283 • Emergency | $77 | $814 | $1,728 |
| Emergency department visit high severity CPT 99284 • Emergency | $145 | $199 | $262 |
| Emergency department visit highest severity CPT 99285 • Emergency | $214 | $274 | $328 |
| Critical care first 30-74 minutes CPT 99291 • Emergency | $322 | $408 | $456 |
| Critical care each additional 30 minutes CPT 99292 • Emergency | $146 | $172 | $198 |
| Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology | $237 | $1,878 | $5,358 |
| Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology | $412 | $1,966 | $5,358 |
| Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology | $531 | $2,033 | $5,358 |
| Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology | $547 | $2,038 | $5,358 |
| Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology | $1,458 | $2,546 | $5,358 |
| Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology | $697 | $2,115 | $5,358 |
| Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology | $387 | $2,452 | $6,142 |
| Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology | $354 | $1,938 | $5,358 |
| ERCP diagnostic CPT 43260 • Gastroenterology | $505 | $2,212 | $6,142 |
| ERCP with sphincterotomy CPT 43262 • Gastroenterology | $559 | $2,240 | $6,142 |
| ERCP with removal of stones CPT 43264 • Gastroenterology | $570 | $2,246 | $6,142 |
| ERCP with stent placement CPT 43274 • Gastroenterology | $725 | $2,326 | $6,142 |
| Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology | $239 | $1,923 | $5,358 |
| Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology | $630 | $2,132 | $5,358 |
| Colonoscopy diagnostic CPT 45378 • Gastroenterology | $261 | $1,933 | $5,358 |
| Colonoscopy with biopsy CPT 45380 • Gastroenterology | $619 | $2,078 | $5,358 |
| Colonoscopy with submucosal injection CPT 45381 • Gastroenterology | $631 | $2,077 | $5,358 |
| Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology | $698 | $2,116 | $5,358 |
| Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology | $654 | $2,095 | $5,358 |
| Colonoscopy with balloon dilation CPT 45386 • Gastroenterology | $867 | $2,214 | $5,358 |
| Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology | $1,663 | $4,169 | $5,358 |
| Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology | $487 | $2,016 | $5,358 |
| Esophageal motility study CPT 91010 • Gastroenterology | $37 | $804 | $1,663 |
| Esophageal motility study with acid reflux CPT 91035 • Gastroenterology | $626 | $1,063 | $1,663 |
| Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology | $621 | $1,305 | $1,663 |
| Auto-added CPT 00102 • General | $74 | $344 | $532 |