DLP PERSON MEMORIAL HOSPITAL LLC· ROXBORO, NC
Hospital
615 RIDGE RD, ROXBORO, NC 27573
Procedures offered
964 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Fecal hemoglobin immunoassay CPT 82274 • Laboratory | $8 | $21 | $37 |
| Vitamin D 25-hydroxy CPT 82306 • Laboratory | $17 | $39 | $68 |
| Creatine kinase (CK) total CPT 82550 • Laboratory | $4 | $9 | $15 |
| Creatinine urine CPT 82570 • Laboratory | $3 | $7 | $12 |
| Ferritin CPT 82728 • Laboratory | $7 | $14 | $23 |
| IgA IgD IgG IgM each CPT 82784 • Laboratory | $5 | $12 | $21 |
| Glucose quantitative blood CPT 82947 • Laboratory | $2 | $5 | $9 |
| Hemoglobin A1c CPT 83036 • Laboratory | $6 | $13 | $22 |
| Iron serum CPT 83540 • Laboratory | $3 | $8 | $15 |
| Iron binding capacity CPT 83550 • Laboratory | $4 | $11 | $20 |
| Prostate specific antigen (PSA) CPT 84153 • Laboratory | $9 | $24 | $42 |
| Free thyroxine (T4) CPT 84439 • Laboratory | $4 | $11 | $20 |
| Thyroid stimulating hormone (TSH) CPT 84443 • Laboratory | $10 | $22 | $39 |
| Complete blood count with differential CPT 85025 • Laboratory | $5 | $10 | $18 |
| Complete blood count automated CPT 85027 • Laboratory | $4 | $8 | $15 |
| Prothrombin time (PT) CPT 85610 • Laboratory | $3 | $5 | $9 |
| Sedimentation rate (ESR) automated CPT 85652 • Laboratory | $2 | $4 | $6 |
| Partial thromboplastin time (PTT) CPT 85730 • Laboratory | $3 | $8 | $13 |
| Cyclic citrullinated peptide antibody CPT 86200 • Laboratory | $6 | $17 | $30 |
| Nuclear antigen antibody CPT 86235 • Laboratory | $9 | $23 | $41 |
| Heterophile antibodies screen CPT 86308 • Laboratory | $3 | $7 | $12 |
| TB skin test intradermal CPT 86580 • Laboratory | $3 | $9 | $16 |
| Blood typing ABO CPT 86900 • Laboratory | $1 | $4 | $7 |
| Blood typing Rh CPT 86901 • Laboratory | $1 | $4 | $7 |
| Urine culture bacterial colony count CPT 87086 • Laboratory | $4 | $10 | $19 |
| Chlamydia nucleic acid amplification CPT 87491 • Laboratory | $17 | $44 | $81 |
| Gonorrhea nucleic acid amplification CPT 87591 • Laboratory | $17 | $35 | $55 |
| SARS-CoV-2 COVID-19 amplified probe CPT 87635 • Laboratory | $36 | $51 | $61 |
| Influenza virus assay with direct optical CPT 87804 • Laboratory | $10 | $17 | $28 |
| Amniocentesis diagnostic CPT 59000 • Maternity | $77 | $168 | $329 |
| Cordocentesis fetal blood sampling CPT 59012 • Maternity | $196 | $307 | $512 |
| Chorionic villus sampling CPT 59015 • Maternity | $152 | $294 | $460 |
| Fetal non-stress test CPT 59025 • Maternity | $17 | $51 | $126 |
| Insertion cervical dilator CPT 59200 • Maternity | $43 | $93 | $188 |
| Vaginal delivery including prenatal and postpartum care CPT 59400 • Maternity | $586 | $2,987 | $5,317 |
| Vaginal delivery only CPT 59409 • Maternity | $482 | $1,012 | $2,046 |
| Vaginal delivery including postpartum care CPT 59410 • Maternity | $586 | $1,269 | $2,617 |
| External cephalic version CPT 59412 • Maternity | $62 | $136 | $261 |
| Antepartum care 7 or more visits CPT 59426 • Maternity | $464 | $1,122 | $2,097 |
| Postpartum care only CPT 59430 • Maternity | $147 | $271 | $476 |
| Cesarean delivery including prenatal and postpartum care CPT 59510 • Maternity | $1,630 | $3,024 | $5,884 |
| Cesarean delivery only CPT 59514 • Maternity | $127 | $1,166 | $2,302 |
| Cesarean delivery including postpartum care CPT 59515 • Maternity | $811 | $1,666 | $3,179 |
| Vaginal delivery after prior cesarean (VBAC) including prenatal CPT 59610 • Maternity | $586 | $2,569 | $5,575 |
| Obstetric ultrasound first trimester CPT 76801 • Maternity | $96 | $259 | $450 |
| Obstetric ultrasound complete CPT 76805 • Maternity | $47 | $191 | $522 |
| Obstetric ultrasound detailed fetal anatomy CPT 76811 • Maternity | $115 | $281 | $660 |
| Obstetric ultrasound limited CPT 76815 • Maternity | $37 | $115 | $310 |
| Ultrasound transvaginal obstetric CPT 76817 • Maternity | $73 | $163 | $356 |
| Interactive complexity add-on CPT 90785 • Mental Health | $6 | $17 | $30 |