CAROLINE VILLAGOMEZ· WINSTON SALEM, NC

Physician group

1903 S HAWTHORNE RD, WINSTON SALEM, NC 27103

Procedures offered

953 total

Procedure	Min	Avg	Max
Diffusing capacity (DLCO) CPT 94729 • Pulmonology	$22	$39	$55
Pulse oximetry single measurement CPT 94760 • Pulmonology	$6	$6	$6
Pulse oximetry continuous overnight CPT 94762 • Pulmonology	$13	$32	$60
Radiation therapy planning simple CPT 77261 • Radiation Therapy	$69	$103	$136
Radiation therapy planning intermediate CPT 77262 • Radiation Therapy	$105	$156	$206
Radiation therapy planning complex CPT 77263 • Radiation Therapy	$164	$243	$322
Radiation therapy simulation simple CPT 77280 • Radiation Therapy	$72	$164	$257
Radiation therapy simulation complex CPT 77290 • Radiation Therapy	$752	$752	$752
3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy	$432	$432	$432
Radiation therapy dose calculation CPT 77300 • Radiation Therapy	$61	$61	$61
IMRT radiation therapy plan CPT 77301 • Radiation Therapy	$805	$1,433	$1,747
Radiation treatment device design complex CPT 77334 • Radiation Therapy	$60	$148	$237
Radiation physics consultation CPT 77336 • Radiation Therapy	$78	$111	$144
Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy	$1,058	$2,197	$4,476
Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy	$964	$1,575	$2,186
IMRT delivery simple CPT 77385 • Radiation Therapy	$655	$655	$655
IMRT delivery complex CPT 77386 • Radiation Therapy	$657	$657	$657
Radiation treatment delivery superficial CPT 77407 • Radiation Therapy	$350	$350	$350
Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy	$30	$250	$469
Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy	$362	$362	$362
Radiation therapy management complete course CPT 77431 • Radiation Therapy	$104	$153	$201
Proton beam treatment simple CPT 77520 • Radiation Therapy	$831	$1,175	$1,519
Proton beam treatment complex CPT 77523 • Radiation Therapy	$1,633	$1,633	$1,633
Polysomnography under age 6 CPT 95782 • Sleep Medicine	$2,079	$2,079	$2,079
Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine	$332	$332	$332
Sleep study unattended CPT 95800 • Sleep Medicine	$96	$98	$100
Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine	$40	$70	$100
Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine	$143	$217	$339
Polysomnography age 6 or older CPT 95810 • Sleep Medicine	$495	$952	$1,408
Polysomnography with CPAP titration CPT 95811 • Sleep Medicine	$1,471	$1,471	$1,471
CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine	$87	$120	$153
Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine	$87	$653	$1,219
CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine	$397	$464	$499
Laparoscopic partial nephrectomy CPT 50543 • Urology	$3,674	$3,674	$3,674
Laparoscopic radical nephrectomy CPT 50545 • Urology	$30	$1,667	$3,304
Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology	$1,792	$1,792	$1,792
Complex uroflowmetry CPT 51741 • Urology	$8	$15	$21
Post-void residual urine measurement CPT 51798 • Urology	$24	$24	$24
Cystourethroscopy diagnostic CPT 52000 • Urology	$78	$139	$199
Cystourethroscopy with tumor fulguration small CPT 52234 • Urology	$238	$422	$605
Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology	$30	$370	$711
Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology	$30	$275	$519
Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology	$1,082	$1,082	$1,082
Cystourethroscopy with lithotripsy CPT 52353 • Urology	$30	$499	$968
TURP transurethral resection of prostate CPT 52601 • Urology	$30	$914	$1,798
Laser vaporization of prostate CPT 52648 • Urology	$4,005	$4,005	$4,005
Circumcision CPT 54150 • Urology	$371	$371	$371
Orchiectomy simple CPT 54520 • Urology	$800	$800	$800
Orchiectomy radical inguinal CPT 54530 • Urology	$30	$638	$1,246
Vasectomy CPT 55250 • Urology	$328	$442	$556