DLP PERSON MEMORIAL HOSPITAL LLC· ROXBORO, NC
Hospital
615 RIDGE RD, ROXBORO, NC 27573
Procedures offered
980 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $272 | $3,236 | $6,954 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $241 | $3,639 | $7,945 |
| Tonsillectomy primary under age 12 CPT 42826 • ENT | $218 | $2,638 | $6,953 |
| Adenoidectomy primary under age 12 CPT 42830 • ENT | $182 | $3,195 | $6,954 |
| Removal impacted cerumen unilateral CPT 69210 • ENT | $59 | $2,372 | $6,953 |
| Tympanostomy tube insertion CPT 69436 • ENT | $135 | $3,155 | $6,954 |
| Tympanoplasty without mastoidectomy CPT 69631 • ENT | $841 | $4,129 | $7,945 |
| Tympanoplasty with mastoidectomy CPT 69633 • ENT | $842 | $4,310 | $7,945 |
| Comprehensive audiometry evaluation CPT 92557 • ENT | $31 | $63 | $92 |
| Incision and drainage abscess simple CPT 10060 • Emergency | $77 | $3,049 | $6,954 |
| Incision and drainage abscess complicated CPT 10061 • Emergency | $206 | $3,129 | $6,954 |
| Simple wound repair up to 2.5cm CPT 12001 • Emergency | $50 | $2,594 | $6,954 |
| Simple wound repair 2.6-7.5cm CPT 12002 • Emergency | $48 | $2,388 | $6,953 |
| Simple wound repair face 2.5cm or less CPT 12011 • Emergency | $79 | $2,423 | $6,953 |
| Intermediate wound repair 2.5cm or less CPT 12031 • Emergency | $126 | $2,712 | $6,954 |
| Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency | $150 | $3,233 | $6,954 |
| 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 | $3,107 | $6,954 |
| Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology | $173 | $3,193 | $6,954 |
| Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology | $110 | $3,210 | $6,954 |
| Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology | $233 | $3,367 | $6,954 |
| Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology | $202 | $3,450 | $6,953 |
| Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology | $254 | $2,686 | $6,953 |
| Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology | $139 | $3,204 | $6,954 |
| Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology | $117 | $3,162 | $6,954 |
| ERCP diagnostic CPT 43260 • Gastroenterology | $303 | $3,343 | $6,954 |
| ERCP with sphincterotomy CPT 43262 • Gastroenterology | $334 | $3,280 | $6,954 |
| ERCP with removal of stones CPT 43264 • Gastroenterology | $189 | $3,098 | $6,954 |
| ERCP with stent placement CPT 43274 • Gastroenterology | $381 | $3,298 | $6,954 |
| Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology | $194 | $2,722 | $6,953 |
| Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology | $213 | $3,226 | $6,954 |
| Flexible sigmoidoscopy diagnostic CPT 45330 • Gastroenterology | $6,954 | $6,954 | $6,954 |
| Colonoscopy diagnostic CPT 45378 • Gastroenterology | $96 | $2,325 | $6,953 |
| Colonoscopy with biopsy CPT 45380 • Gastroenterology | $283 | $2,831 | $6,953 |
| Colonoscopy with submucosal injection CPT 45381 • Gastroenterology | $248 | $3,409 | $6,954 |
| Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology | $119 | $2,663 | $6,953 |
| Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology | $132 | $3,469 | $6,954 |
| Colonoscopy with balloon dilation CPT 45386 • Gastroenterology | $262 | $3,090 | $6,953 |
| Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology | $223 | $4,515 | $8,902 |
| Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology | $264 | $3,266 | $6,954 |
| Esophageal motility study CPT 91010 • Gastroenterology | $61 | $3,143 | $6,954 |
| Esophageal motility study with acid reflux CPT 91035 • Gastroenterology | $382 | $3,478 | $6,954 |
| Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology | $68 | $2,630 | $6,953 |