DLP PERSON MEMORIAL HOSPITAL LLC· ROXBORO, NC
Hospital
615 RIDGE RD, ROXBORO, NC 27573
Procedures offered
980 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Ultrasound abdominal complete CPT 76700 • Imaging | $66 | $184 | $449 |
| Ultrasound retroperitoneal complete CPT 76770 • Imaging | $94 | $179 | $415 |
| Ultrasound transvaginal CPT 76830 • Imaging | $79 | $190 | $450 |
| Ultrasound pelvic complete CPT 76856 • Imaging | $79 | $182 | $405 |
| Diagnostic mammography unilateral CPT 77065 • Imaging | $31 | $190 | $485 |
| Diagnostic mammography bilateral CPT 77066 • Imaging | $94 | $266 | $616 |
| Screening mammography bilateral CPT 77067 • Imaging | $34 | $251 | $499 |
| Nuclear myocardial perfusion study CPT 78452 • Imaging | $71 | $768 | $1,803 |
| Basic metabolic panel CPT 80048 • Laboratory | $5 | $14 | $19 |
| Comprehensive metabolic panel CPT 80053 • Laboratory | $5 | $16 | $23 |
| Lipid panel CPT 80061 • Laboratory | $8 | $21 | $29 |
| Hepatic function panel CPT 80076 • Laboratory | $4 | $13 | $18 |
| Urinalysis with microscopy CPT 81001 • Laboratory | $2 | $5 | $7 |
| Urinalysis nonautomated without microscopy CPT 81002 • Laboratory | $2 | $5 | $8 |
| Urinalysis automated without microscopy CPT 81003 • Laboratory | $2 | $4 | $5 |
| Fecal hemoglobin immunoassay CPT 82274 • Laboratory | $8 | $27 | $37 |
| Vitamin D 25-hydroxy CPT 82306 • Laboratory | $17 | $50 | $68 |
| Creatine kinase (CK) total CPT 82550 • Laboratory | $4 | $11 | $15 |
| Creatinine urine CPT 82570 • Laboratory | $3 | $8 | $12 |
| Ferritin CPT 82728 • Laboratory | $7 | $21 | $30 |
| IgA IgD IgG IgM each CPT 82784 • Laboratory | $5 | $15 | $21 |
| Glucose quantitative blood CPT 82947 • Laboratory | $2 | $6 | $9 |
| Hemoglobin A1c CPT 83036 • Laboratory | $6 | $16 | $22 |
| Iron serum CPT 83540 • Laboratory | $3 | $11 | $15 |
| Iron binding capacity CPT 83550 • Laboratory | $4 | $13 | $20 |
| Prostate specific antigen (PSA) CPT 84153 • Laboratory | $9 | $29 | $42 |
| Free thyroxine (T4) CPT 84439 • Laboratory | $4 | $14 | $20 |
| Thyroid stimulating hormone (TSH) CPT 84443 • Laboratory | $10 | $28 | $39 |
| Complete blood count with differential CPT 85025 • Laboratory | $5 | $13 | $18 |
| Complete blood count automated CPT 85027 • Laboratory | $4 | $11 | $15 |
| Prothrombin time (PT) CPT 85610 • Laboratory | $3 | $7 | $9 |
| Sedimentation rate (ESR) automated CPT 85652 • Laboratory | $2 | $5 | $6 |
| Partial thromboplastin time (PTT) CPT 85730 • Laboratory | $3 | $10 | $13 |
| Cyclic citrullinated peptide antibody CPT 86200 • Laboratory | $6 | $22 | $30 |
| Nuclear antigen antibody CPT 86235 • Laboratory | $9 | $30 | $41 |
| Heterophile antibodies screen CPT 86308 • Laboratory | $3 | $8 | $12 |
| TB skin test intradermal CPT 86580 • Laboratory | $3 | $14 | $22 |
| Blood typing ABO CPT 86900 • Laboratory | $1 | $5 | $7 |
| Blood typing Rh CPT 86901 • Laboratory | $1 | $5 | $7 |
| Urine culture bacterial colony count CPT 87086 • Laboratory | $4 | $13 | $19 |
| Chlamydia nucleic acid amplification CPT 87491 • Laboratory | $17 | $58 | $81 |
| Gonorrhea nucleic acid amplification CPT 87591 • Laboratory | $17 | $49 | $77 |
| SARS-CoV-2 COVID-19 amplified probe CPT 87635 • Laboratory | $36 | $89 | $141 |
| Influenza virus assay with direct optical CPT 87804 • Laboratory | $10 | $24 | $36 |
| Strep A assay with optic observation CPT 87880 • Laboratory | $36 | $36 | $36 |
| Amniocentesis diagnostic CPT 59000 • Maternity | $77 | $2,430 | $6,953 |
| Cordocentesis fetal blood sampling CPT 59012 • Maternity | $196 | $3,155 | $6,954 |
| Chorionic villus sampling CPT 59015 • Maternity | $152 | $2,514 | $6,953 |
| Fetal non-stress test CPT 59025 • Maternity | $17 | $51 | $126 |
| Insertion cervical dilator CPT 59200 • Maternity | $43 | $2,564 | $6,954 |