DLP PERSON MEMORIAL HOSPITAL LLC· ROXBORO, NC

Hospital

615 RIDGE RD, ROXBORO, NC 27573

Procedures offered

968 total

ProcedureMinAvgMax
Laparoscopic gastric band placement
CPT 43770 • General Surgery
$598$2,877$6,953
Laparoscopic sleeve gastrectomy
CPT 43775 • General Surgery
$147$2,883$6,953
Open appendectomy
CPT 44950 • General Surgery
$388$2,062$6,953
Laparoscopic appendectomy
CPT 44970 • General Surgery
$71$2,191$6,953
Hemorrhoidectomy internal by ligation
CPT 46221 • General Surgery
$160$1,675$6,953
Laparoscopic cholecystectomy
CPT 47562 • General Surgery
$351$2,271$7,944
Laparoscopic cholecystectomy with cholangiography
CPT 47563 • General Surgery
$808$2,731$7,944
Inguinal hernia repair initial
CPT 49505 • General Surgery
$279$2,084$6,953
Inguinal hernia repair incarcerated
CPT 49507 • General Surgery
$357$1,989$6,953
Incisional hernia repair initial
CPT 49560 • General Surgery
$711$711$711
Ventral hernia repair reducible
CPT 49585 • General Surgery
$1,089$1,089$1,089
Laparoscopic inguinal hernia repair initial
CPT 49650 • General Surgery
$482$2,042$6,953
Laparoscopic ventral hernia repair
CPT 49652 • General Surgery
$1,977$1,977$1,977
Thyroid lobectomy with or without isthmusectomy
CPT 60220 • General Surgery
$597$2,447$6,953
Thyroidectomy total or subtotal
CPT 60240 • General Surgery
$772$3,203$10,966
Parathyroidectomy
CPT 60500 • General Surgery
$149$3,120$10,966
MRI orbits face neck with and without contrast
CPT 70543 • Imaging
$84$689$1,526
MRI brain without contrast
CPT 70551 • Imaging
$126$377$821
MRI brain with contrast
CPT 70552 • Imaging
$80$554$1,171
MRI brain without contrast then with contrast
CPT 70553 • Imaging
$262$511$821
Chest X-ray single view
CPT 71045 • Imaging
$13$38$55
Chest X-ray 2 views
CPT 71046 • Imaging
$28$41$56
CT chest without contrast
CPT 71250 • Imaging
$46$230$516
CT chest with contrast
CPT 71260 • Imaging
$50$237$516
CT angiography chest
CPT 71275 • Imaging
$189$333$516
MRI cervical spine without contrast
CPT 72141 • Imaging
$142$389$821
MRI thoracic spine without contrast
CPT 72146 • Imaging
$121$400$821
MRI lumbar spine without contrast
CPT 72148 • Imaging
$121$360$821
X-ray shoulder complete
CPT 73030 • Imaging
$21$41$60
MRI joint upper extremity without contrast
CPT 73221 • Imaging
$175$396$821
X-ray knee 1-2 views
CPT 73560 • Imaging
$7$33$62
X-ray ankle complete
CPT 73610 • Imaging
$29$54$78
MRI lower extremity without contrast
CPT 73718 • Imaging
$159$398$821
MRI joint lower extremity without contrast
CPT 73721 • Imaging
$55$362$821
CT abdomen without contrast
CPT 74150 • Imaging
$76$302$541
CT abdomen and pelvis without contrast
CPT 74176 • Imaging
$82$351$725
CT abdomen and pelvis with contrast
CPT 74177 • Imaging
$75$301$621
CT abdomen and pelvis without then with contrast
CPT 74178 • Imaging
$94$566$1,292
Ultrasound abdominal complete
CPT 76700 • Imaging
$66$183$449
Ultrasound retroperitoneal complete
CPT 76770 • Imaging
$94$180$415
Ultrasound transvaginal
CPT 76830 • Imaging
$79$186$450
Ultrasound pelvic complete
CPT 76856 • Imaging
$79$184$405
Diagnostic mammography unilateral
CPT 77065 • Imaging
$31$183$485
Diagnostic mammography bilateral
CPT 77066 • Imaging
$94$266$616
Screening mammography bilateral
CPT 77067 • Imaging
$34$265$499
Nuclear myocardial perfusion study
CPT 78452 • Imaging
$71$721$1,803
Urinalysis non-automated without microscopy
CPT 81002 • Lab
$2$4$8
Strep test rapid (Streptococcus group A direct)
CPT 87880 • Lab
$36$36$36
Basic metabolic panel
CPT 80048 • Laboratory
$5$12$19
Comprehensive metabolic panel
CPT 80053 • Laboratory
$5$15$23