DLP WILSON MEDICAL CENTER LLC· WILSON, NC

HospitalCMS 2/5

1705 TARBORO ST SW, WILSON, NC 27893

Procedures offered

967 total

ProcedureMinAvgMax
Laparoscopic gastric band placement
CPT 43770 • General Surgery
$1,021$9,489$39,452
Laparoscopic sleeve gastrectomy
CPT 43775 • General Surgery
$271$9,005$39,452
Open appendectomy
CPT 44950 • General Surgery
$158$5,336$24,046
Laparoscopic appendectomy
CPT 44970 • General Surgery
$149$8,385$39,452
Hemorrhoidectomy internal by ligation
CPT 46221 • General Surgery
$206$1,612$6,072
Laparoscopic cholecystectomy
CPT 47562 • General Surgery
$669$8,737$39,452
Laparoscopic cholecystectomy with cholangiography
CPT 47563 • General Surgery
$177$8,589$39,452
Inguinal hernia repair initial
CPT 49505 • General Surgery
$468$5,419$24,046
Inguinal hernia repair incarcerated
CPT 49507 • General Surgery
$573$5,415$24,046
Incisional hernia repair initial
CPT 49560 • General Surgery
$711$711$711
Ventral hernia repair reducible
CPT 49585 • General Surgery
$818$818$818
Laparoscopic inguinal hernia repair initial
CPT 49650 • General Surgery
$107$8,354$39,452
Laparoscopic ventral hernia repair
CPT 49652 • General Surgery
$1,073$1,073$1,073
Thyroid lobectomy with or without isthmusectomy
CPT 60220 • General Surgery
$153$8,520$39,452
Thyroidectomy total or subtotal
CPT 60240 • General Surgery
$880$8,681$39,452
Parathyroidectomy
CPT 60500 • General Surgery
$957$6,948$29,462
MRI orbits face neck with and without contrast
CPT 70543 • Imaging
$308$498$614
MRI brain without contrast
CPT 70551 • Imaging
$76$284$375
MRI brain with contrast
CPT 70552 • Imaging
$239$335$402
MRI brain without contrast then with contrast
CPT 70553 • Imaging
$338$463$652
Chest X-ray single view
CPT 71045 • Imaging
$20$36$44
Chest X-ray 2 views
CPT 71046 • Imaging
$20$36$57
CT chest without contrast
CPT 71250 • Imaging
$64$198$262
CT chest with contrast
CPT 71260 • Imaging
$145$236$332
CT angiography chest
CPT 71275 • Imaging
$289$349$420
MRI cervical spine without contrast
CPT 72141 • Imaging
$76$275$455
MRI thoracic spine without contrast
CPT 72146 • Imaging
$76$275$454
MRI lumbar spine without contrast
CPT 72148 • Imaging
$76$300$449
X-ray shoulder complete
CPT 73030 • Imaging
$22$43$65
MRI joint upper extremity without contrast
CPT 73221 • Imaging
$70$343$481
X-ray knee 1-2 views
CPT 73560 • Imaging
$8$35$60
X-ray ankle complete
CPT 73610 • Imaging
$8$45$84
MRI lower extremity without contrast
CPT 73718 • Imaging
$229$325$439
MRI joint lower extremity without contrast
CPT 73721 • Imaging
$59$322$480
CT abdomen without contrast
CPT 74150 • Imaging
$86$191$264
CT abdomen and pelvis without contrast
CPT 74176 • Imaging
$91$167$257
CT abdomen and pelvis with contrast
CPT 74177 • Imaging
$80$364$717
CT abdomen and pelvis without then with contrast
CPT 74178 • Imaging
$144$308$440
Ultrasound abdominal complete
CPT 76700 • Imaging
$85$122$155
Ultrasound retroperitoneal complete
CPT 76770 • Imaging
$71$125$194
Ultrasound transvaginal
CPT 76830 • Imaging
$50$108$214
Ultrasound pelvic complete
CPT 76856 • Imaging
$38$96$189
Diagnostic mammography unilateral
CPT 77065 • Imaging
$58$135$221
Diagnostic mammography bilateral
CPT 77066 • Imaging
$54$165$366
Screening mammography bilateral
CPT 77067 • Imaging
$55$180$303
Nuclear myocardial perfusion study
CPT 78452 • Imaging
$114$405$826
Urinalysis non-automated without microscopy
CPT 81002 • Lab
$2$6$11
Basic metabolic panel
CPT 80048 • Laboratory
$5$11$23
Comprehensive metabolic panel
CPT 80053 • Laboratory
$5$19$36
Lipid panel
CPT 80061 • Laboratory
$8$32$58