DLP PERSON MEMORIAL HOSPITAL LLC· ROXBORO, NC

Hospital

615 RIDGE RD, ROXBORO, NC 27573

Procedures offered

964 total

ProcedureMinAvgMax
Laparoscopic appendectomy
CPT 44970 • General Surgery
$71$1,001$1,725
Hemorrhoidectomy internal by ligation
CPT 46221 • General Surgery
$160$355$717
Laparoscopic cholecystectomy
CPT 47562 • General Surgery
$351$852$1,674
Laparoscopic cholecystectomy with cholangiography
CPT 47563 • General Surgery
$808$1,427$2,050
Inguinal hernia repair initial
CPT 49505 • General Surgery
$279$867$1,329
Inguinal hernia repair incarcerated
CPT 49507 • General Surgery
$357$748$1,492
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$814$1,097
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$1,321$2,061
Thyroidectomy total or subtotal
CPT 60240 • General Surgery
$772$1,262$2,343
Parathyroidectomy
CPT 60500 • General Surgery
$149$1,159$2,460
MRI orbits face neck with and without contrast
CPT 70543 • Imaging
$84$656$1,526
MRI brain without contrast
CPT 70551 • Imaging
$126$266$390
MRI brain with contrast
CPT 70552 • Imaging
$80$487$1,171
MRI brain without contrast then with contrast
CPT 70553 • Imaging
$262$433$616
Chest X-ray single view
CPT 71045 • Imaging
$13$37$55
Chest X-ray 2 views
CPT 71046 • Imaging
$28$38$56
CT chest without contrast
CPT 71250 • Imaging
$46$158$241
CT chest with contrast
CPT 71260 • Imaging
$50$167$301
CT angiography chest
CPT 71275 • Imaging
$189$287$390
MRI cervical spine without contrast
CPT 72141 • Imaging
$142$281$390
MRI thoracic spine without contrast
CPT 72146 • Imaging
$121$294$525
MRI lumbar spine without contrast
CPT 72148 • Imaging
$121$245$390
X-ray shoulder complete
CPT 73030 • Imaging
$21$36$58
MRI joint upper extremity without contrast
CPT 73221 • Imaging
$175$289$390
X-ray knee 1-2 views
CPT 73560 • Imaging
$7$26$49
X-ray ankle complete
CPT 73610 • Imaging
$29$51$78
MRI lower extremity without contrast
CPT 73718 • Imaging
$159$292$405
MRI joint lower extremity without contrast
CPT 73721 • Imaging
$55$247$390
CT abdomen without contrast
CPT 74150 • Imaging
$76$249$541
CT abdomen and pelvis without contrast
CPT 74176 • Imaging
$82$310$725
CT abdomen and pelvis with contrast
CPT 74177 • Imaging
$75$221$415
CT abdomen and pelvis without then with contrast
CPT 74178 • Imaging
$94$533$1,292
Ultrasound abdominal complete
CPT 76700 • Imaging
$66$182$449
Ultrasound retroperitoneal complete
CPT 76770 • Imaging
$94$181$415
Ultrasound transvaginal
CPT 76830 • Imaging
$79$181$450
Ultrasound pelvic complete
CPT 76856 • Imaging
$79$186$405
Diagnostic mammography unilateral
CPT 77065 • Imaging
$31$177$485
Diagnostic mammography bilateral
CPT 77066 • Imaging
$94$266$616
Screening mammography bilateral
CPT 77067 • Imaging
$34$276$499
Nuclear myocardial perfusion study
CPT 78452 • Imaging
$71$680$1,803
Urinalysis non-automated without microscopy
CPT 81002 • Lab
$2$4$6
Basic metabolic panel
CPT 80048 • Laboratory
$5$10$15
Comprehensive metabolic panel
CPT 80053 • Laboratory
$5$12$20
Lipid panel
CPT 80061 • Laboratory
$8$14$22
Hepatic function panel
CPT 80076 • Laboratory
$4$10$15
Urinalysis with microscopy
CPT 81001 • Laboratory
$2$4$7
Urinalysis automated without microscopy
CPT 81003 • Laboratory
$2$3$5