DLP PERSON MEMORIAL HOSPITAL LLC· ROXBORO, NC
Hospital
615 RIDGE RD, ROXBORO, NC 27573
Procedures offered
964 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $272 | $448 | $754 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $241 | $411 | $787 |
| Tonsillectomy primary under age 12 CPT 42826 • ENT | $218 | $481 | $749 |
| Adenoidectomy primary under age 12 CPT 42830 • ENT | $182 | $376 | $547 |
| Removal impacted cerumen unilateral CPT 69210 • ENT | $59 | $82 | $128 |
| Tympanostomy tube insertion CPT 69436 • ENT | $135 | $306 | $477 |
| Tympanoplasty without mastoidectomy CPT 69631 • ENT | $841 | $1,268 | $2,332 |
| Tympanoplasty with mastoidectomy CPT 69633 • ENT | $842 | $1,585 | $2,748 |
| Comprehensive audiometry evaluation CPT 92557 • ENT | $31 | $63 | $92 |
| Incision and drainage abscess simple CPT 10060 • Emergency | $77 | $120 | $154 |
| Incision and drainage abscess complicated CPT 10061 • Emergency | $206 | $261 | $369 |
| Simple wound repair up to 2.5cm CPT 12001 • Emergency | $50 | $146 | $264 |
| Simple wound repair 2.6-7.5cm CPT 12002 • Emergency | $48 | $106 | $197 |
| Simple wound repair face 2.5cm or less CPT 12011 • Emergency | $79 | $158 | $289 |
| Intermediate wound repair 2.5cm or less CPT 12031 • Emergency | $126 | $352 | $632 |
| Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency | $150 | $444 | $685 |
| Initial treatment first degree burn CPT 16000 • Emergency | $67 | $109 | $180 |
| Emergency department visit self-limited problem CPT 99281 • Emergency | $18 | $36 | $54 |
| Emergency department visit low severity CPT 99282 • Emergency | $40 | $62 | $98 |
| Emergency department visit moderate severity CPT 99283 • Emergency | $67 | $90 | $145 |
| Emergency department visit high severity CPT 99284 • Emergency | $113 | $179 | $326 |
| Emergency department visit highest severity CPT 99285 • Emergency | $145 | $258 | $479 |
| Critical care first 30-74 minutes CPT 99291 • Emergency | $228 | $272 | $322 |
| Critical care each additional 30 minutes CPT 99292 • Emergency | $113 | $173 | $294 |
| Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology | $145 | $223 | $401 |
| Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology | $173 | $372 | $685 |
| Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology | $110 | $402 | $923 |
| Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology | $233 | $677 | $1,220 |
| Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology | $202 | $1,698 | $3,224 |
| Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology | $254 | $552 | $1,180 |
| Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology | $139 | $393 | $697 |
| Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology | $117 | $319 | $594 |
| ERCP diagnostic CPT 43260 • Gastroenterology | $303 | $636 | $991 |
| ERCP with sphincterotomy CPT 43262 • Gastroenterology | $334 | $526 | $937 |
| ERCP with removal of stones CPT 43264 • Gastroenterology | $189 | $714 | $1,118 |
| ERCP with stent placement CPT 43274 • Gastroenterology | $381 | $892 | $1,400 |
| Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology | $194 | $606 | $1,051 |
| Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology | $213 | $430 | $563 |
| Colonoscopy diagnostic CPT 45378 • Gastroenterology | $96 | $519 | $981 |
| Colonoscopy with biopsy CPT 45380 • Gastroenterology | $283 | $770 | $1,168 |
| Colonoscopy with submucosal injection CPT 45381 • Gastroenterology | $248 | $751 | $1,176 |
| Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology | $119 | $518 | $1,193 |
| Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology | $132 | $855 | $1,546 |
| Colonoscopy with balloon dilation CPT 45386 • Gastroenterology | $262 | $1,158 | $2,001 |
| Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology | $223 | $3,195 | $8,902 |
| Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology | $264 | $500 | $870 |
| Esophageal motility study CPT 91010 • Gastroenterology | $61 | $285 | $527 |
| Esophageal motility study with acid reflux CPT 91035 • Gastroenterology | $382 | $872 | $1,467 |
| Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology | $68 | $468 | $1,085 |
| Auto-added CPT 00102 • General | $64 | $407 | $713 |