DLP PERSON MEMORIAL HOSPITAL LLC· ROXBORO, NC
Hospital
615 RIDGE RD, ROXBORO, NC 27573
Procedures offered
964 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $30 | $81 | $181 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,311 | $2,250 | $3,090 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $283 | $401 | $643 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $145 | $1,318 | $2,874 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $423 | $1,175 | $1,879 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $336 | $593 | $895 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $614 | $1,129 | $2,077 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $452 | $1,233 | $1,934 |
| Intravitreal injection therapeutic agent CPT 67028 • Ophthalmology | $95 | $152 | $266 |
| Retinal detachment repair with vitrectomy CPT 67108 • Ophthalmology | $157 | $1,523 | $3,132 |
| Retinal photocoagulation treatment CPT 67210 • Ophthalmology | $472 | $986 | $1,508 |
| Retinal treatment extensive photocoagulation CPT 67228 • Ophthalmology | $180 | $1,280 | $2,855 |
| Strabismus surgery one horizontal muscle CPT 67311 • Ophthalmology | $272 | $1,086 | $1,818 |
| Excision chalazion single CPT 67800 • Ophthalmology | $97 | $226 | $335 |
| Blepharoptosis repair levator resection CPT 67901 • Ophthalmology | $490 | $1,017 | $2,007 |
| Lacrimal punctum closure by plug CPT 68761 • Ophthalmology | $70 | $235 | $393 |
| 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 | $69 | $102 |
| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $29 | $48 | $66 |
| Arthrocentesis aspiration major joint CPT 20610 • Orthopedics | $38 | $83 | $133 |
| Cervical spine fusion anterior approach CPT 22551 • Orthopedics | $1,641 | $2,743 | $4,228 |
| Lumbar spine fusion posterior approach CPT 22612 • Orthopedics | $1,338 | $2,670 | $4,634 |
| Lumbar spine fusion combined approach CPT 22633 • Orthopedics | $279 | $2,569 | $4,551 |
| Total shoulder replacement CPT 23472 • Orthopedics | $170 | $1,502 | $2,597 |
| Reverse total shoulder replacement CPT 23473 • Orthopedics | $1,868 | $3,096 | $4,180 |
| Lateral epicondylitis open treatment CPT 24357 • Orthopedics | $356 | $586 | $1,103 |
| Closed treatment distal radial fracture CPT 25600 • Orthopedics | $293 | $438 | $611 |
| Tendon sheath incision trigger finger CPT 26055 • Orthopedics | $158 | $864 | $1,666 |
| Total hip replacement CPT 27130 • Orthopedics | $173 | $1,391 | $2,315 |
| Hip replacement conversion to total CPT 27132 • Orthopedics | $1,404 | $2,620 | $4,151 |
| Open treatment femoral fracture CPT 27236 • Orthopedics | $161 | $1,234 | $2,147 |
| Treatment intertrochanteric femoral fracture CPT 27244 • Orthopedics | $743 | $1,606 | $3,173 |
| Treatment intertrochanteric fracture with plate/screw CPT 27245 • Orthopedics | $145 | $1,217 | $2,207 |
| Partial knee replacement medial or lateral CPT 27446 • Orthopedics | $155 | $1,132 | $2,068 |
| Total knee replacement CPT 27447 • Orthopedics | $1,430 | $1,779 | $2,312 |
| Open treatment tibial shaft fracture CPT 27756 • Orthopedics | $79 | $758 | $1,429 |
| Closed treatment distal fibula fracture CPT 27786 • Orthopedics | $286 | $482 | $719 |
| Bunionectomy with osteotomy CPT 28296 • Orthopedics | $79 | $1,047 | $1,803 |
| Arthroscopy shoulder decompression CPT 29826 • Orthopedics | $23 | $179 | $310 |
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $648 | $1,732 | $3,133 |
| Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics | $344 | $652 | $1,011 |
| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $291 | $870 | $1,589 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $585 | $1,167 | $2,047 |