DLP PERSON MEMORIAL HOSPITAL LLC· ROXBORO, NC
Hospital
615 RIDGE RD, ROXBORO, NC 27573
Procedures offered
980 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Office visit established patient straightforward CPT 99212 • Office Visits | $41 | $63 | $108 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $55 | $81 | $126 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $30 | $87 | $120 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $124 | $255 | $413 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $93 | $109 | $118 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $125 | $207 | $388 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $160 | $277 | $485 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $31 | $40 | $47 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $58 | $71 | $86 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $86 | $105 | $123 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $66 | $103 | $174 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $97 | $161 | $303 |
| Consultation office straightforward CPT 99241 • Office Visits | $120 | $120 | $120 |
| Consultation office low complexity CPT 99243 • Office Visits | $0 | $139 | $311 |
| Consultation office high complexity CPT 99245 • Office Visits | $0 | $262 | $563 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $694 | $3,384 | $7,944 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $30 | $2,372 | $6,953 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,311 | $4,486 | $10,966 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $283 | $2,246 | $6,953 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $145 | $3,733 | $6,954 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $423 | $3,651 | $6,954 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $336 | $2,713 | $6,953 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $614 | $3,401 | $7,944 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $452 | $4,109 | $7,945 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $95 | $3,067 | $6,954 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $157 | $4,997 | $10,966 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $472 | $3,968 | $7,945 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $180 | $3,712 | $6,954 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $272 | $3,041 | $6,953 |
| Excision chalazion single CPT 67800 • Ophthalmology | $97 | $2,171 | $6,953 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $490 | $3,844 | $7,945 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $70 | $2,474 | $6,953 |
| Eye exam new patient intermediate CPT 92002 • Ophthalmology | $38 | $95 | $189 |
| Eye exam new patient comprehensive CPT 92004 • Ophthalmology | $88 | $259 | $437 |
| Eye exam established patient intermediate CPT 92012 • Ophthalmology | $41 | $138 | $215 |
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $71 | $202 | $311 |
| Visual field examination CPT 92083 • Ophthalmology | $25 | $110 | $192 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $13 | $37 | $96 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $39 | $93 | $215 |
| Fundus photography CPT 92250 • Ophthalmology | $16 | $92 | $157 |
| Arthrocentesis aspiration small joint CPT 20600 • Orthopedics | $19 | $2,364 | $6,953 |
| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $29 | $3,008 | $6,954 |
| Arthrocentesis aspiration major joint CPT 20610 • Orthopedics | $38 | $3,027 | $6,954 |
| Cervical spine fusion anterior approach CPT 22551 • Orthopedics | $1,641 | $4,764 | $8,806 |
| Lumbar spine fusion posterior approach CPT 22612 • Orthopedics | $1,338 | $4,716 | $8,806 |
| Lumbar spine fusion combined approach CPT 22633 • Orthopedics | $279 | $4,978 | $8,807 |
| Total shoulder replacement CPT 23472 • Orthopedics | $170 | $3,484 | $7,944 |
| Reverse total shoulder replacement CPT 23473 • Orthopedics | $1,868 | $5,032 | $7,945 |
| Lateral epicondylitis open treatment CPT 24357 • Orthopedics | $356 | $3,123 | $6,954 |
| Closed treatment distal radial fracture CPT 25600 • Orthopedics | $293 | $2,063 | $6,953 |