STEPHANIE WHALEN· WINSTON SALEM, NC

Physician group

MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157

Procedures offered

952 total

Procedure	Min	Avg	Max
Tonsillectomy primary under age 12 CPT 42826 • ENT	$313	$443	$593
Adenoidectomy primary under age 12 CPT 42830 • ENT	$129	$324	$492
Removal impacted cerumen unilateral CPT 69210 • ENT	$50	$56	$61
Tympanostomy tube insertion CPT 69436 • ENT	$269	$336	$370
Tympanoplasty without mastoidectomy CPT 69631 • ENT	$61	$788	$1,514
Tympanoplasty with mastoidectomy CPT 69633 • ENT	$1,785	$1,785	$1,785
Comprehensive audiometry evaluation CPT 92557 • ENT	$12	$42	$89
Incision and drainage abscess simple CPT 10060 • Emergency	$122	$187	$288
Incision and drainage abscess complicated CPT 10061 • Emergency	$224	$287	$323
Simple wound repair up to 2.5cm CPT 12001 • Emergency	$47	$65	$81
Simple wound repair 2.6-7.5cm CPT 12002 • Emergency	$61	$97	$166
Simple wound repair face 2.5cm or less CPT 12011 • Emergency	$69	$166	$263
Intermediate wound repair 2.5cm or less CPT 12031 • Emergency	$132	$383	$605
Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency	$144	$443	$650
Initial treatment first degree burn CPT 16000 • Emergency	$46	$46	$46
Emergency department visit self-limited problem CPT 99281 • Emergency	$27	$33	$41
Emergency department visit low severity CPT 99282 • Emergency	$44	$61	$79
Emergency department visit moderate severity CPT 99283 • Emergency	$66	$91	$118
Emergency department visit high severity CPT 99284 • Emergency	$140	$167	$217
Emergency department visit highest severity CPT 99285 • Emergency	$113	$215	$315
Critical care first 30-74 minutes CPT 99291 • Emergency	$206	$334	$518
Critical care each additional 30 minutes CPT 99292 • Emergency	$139	$200	$283
Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology	$72	$216	$361
Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology	$156	$420	$674
Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology	$88	$634	$902
Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology	$226	$559	$890
Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology	$196	$1,171	$2,677
Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology	$251	$564	$1,149
Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology	$390	$390	$390
Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology	$289	$432	$530
ERCP diagnostic CPT 43260 • Gastroenterology	$61	$452	$756
ERCP with sphincterotomy CPT 43262 • Gastroenterology	$596	$756	$836
ERCP with removal of stones CPT 43264 • Gastroenterology	$167	$395	$786
ERCP with stent placement CPT 43274 • Gastroenterology	$211	$596	$985
Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology	$74	$213	$366
Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology	$246	$311	$375
Flexible sigmoidoscopy diagnostic CPT 45330 • Gastroenterology	$35	$76	$116
Colonoscopy diagnostic CPT 45378 • Gastroenterology	$118	$274	$395
Colonoscopy with biopsy CPT 45380 • Gastroenterology	$256	$490	$956
Colonoscopy with submucosal injection CPT 45381 • Gastroenterology	$128	$605	$1,014
Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology	$290	$290	$291
Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology	$325	$559	$755
Colonoscopy with balloon dilation CPT 45386 • Gastroenterology	$1,054	$1,267	$1,479
Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology	$346	$2,655	$7,167
Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology	$153	$629	$969
Esophageal motility study CPT 91010 • Gastroenterology	$85	$232	$485
Esophageal motility study with acid reflux CPT 91035 • Gastroenterology	$105	$480	$1,179
Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology	$72	$475	$878
Auto-added CPT 00102 • General	$78	$78	$78
Auto-added CPT 00104 • General	$78	$78	$78