THOMAS WILSON· WINSTON SALEM, NC
Physician group
ONE MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157
Procedures offered
946 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Prostate specific antigen (PSA) CPT 84153 • Laboratory | $18 | $28 | $39 |
| Free thyroxine (T4) CPT 84439 • Laboratory | $9 | $14 | $19 |
| Thyroid stimulating hormone (TSH) CPT 84443 • Laboratory | $16 | $22 | $35 |
| Complete blood count with differential CPT 85025 • Laboratory | $7 | $12 | $16 |
| Complete blood count automated CPT 85027 • Laboratory | $6 | $10 | $14 |
| Prothrombin time (PT) CPT 85610 • Laboratory | $4 | $6 | $8 |
| Sedimentation rate (ESR) automated CPT 85652 • Laboratory | $6 | $6 | $6 |
| Partial thromboplastin time (PTT) CPT 85730 • Laboratory | $13 | $13 | $13 |
| Cyclic citrullinated peptide antibody CPT 86200 • Laboratory | $27 | $27 | $27 |
| Nuclear antigen antibody CPT 86235 • Laboratory | $38 | $38 | $38 |
| Heterophile antibodies screen CPT 86308 • Laboratory | $5 | $8 | $11 |
| TB skin test intradermal CPT 86580 • Laboratory | $12 | $13 | $13 |
| Blood typing ABO CPT 86900 • Laboratory | $6 | $6 | $6 |
| Blood typing Rh CPT 86901 • Laboratory | $6 | $6 | $6 |
| Urine culture bacterial colony count CPT 87086 • Laboratory | $17 | $17 | $17 |
| Chlamydia nucleic acid amplification CPT 87491 • Laboratory | $55 | $55 | $55 |
| Gonorrhea nucleic acid amplification CPT 87591 • Laboratory | $55 | $55 | $55 |
| SARS-CoV-2 COVID-19 amplified probe CPT 87635 • Laboratory | $51 | $64 | $77 |
| Influenza virus assay with direct optical CPT 87804 • Laboratory | $11 | $18 | $24 |
| Strep A assay with optic observation CPT 87880 • Laboratory | $11 | $15 | $24 |
| Amniocentesis diagnostic CPT 59000 • Maternity | $200 | $200 | $200 |
| Cordocentesis fetal blood sampling CPT 59012 • Maternity | $311 | $311 | $311 |
| Chorionic villus sampling CPT 59015 • Maternity | $241 | $241 | $241 |
| Fetal non-stress test CPT 59025 • Maternity | $40 | $41 | $45 |
| Insertion cervical dilator CPT 59200 • Maternity | $55 | $85 | $115 |
| Vaginal delivery including prenatal and postpartum care CPT 59400 • Maternity | $1,910 | $2,393 | $2,876 |
| Vaginal delivery only CPT 59409 • Maternity | $1,002 | $1,059 | $1,116 |
| Vaginal delivery including postpartum care CPT 59410 • Maternity | $1,117 | $1,217 | $1,416 |
| External cephalic version CPT 59412 • Maternity | $145 | $148 | $151 |
| Antepartum care 7 or more visits CPT 59426 • Maternity | $1,158 | $1,158 | $1,158 |
| Postpartum care only CPT 59430 • Maternity | $240 | $240 | $240 |
| Cesarean delivery including prenatal and postpartum care CPT 59510 • Maternity | $33 | $1,617 | $3,201 |
| Cesarean delivery only CPT 59514 • Maternity | $1,181 | $1,224 | $1,266 |
| Cesarean delivery including postpartum care CPT 59515 • Maternity | $1,717 | $1,717 | $1,717 |
| Vaginal delivery after prior cesarean (VBAC) including prenatal CPT 59610 • Maternity | $33 | $1,688 | $3,026 |
| Obstetric ultrasound first trimester CPT 76801 • Maternity | $38 | $124 | $211 |
| Obstetric ultrasound complete CPT 76805 • Maternity | $76 | $126 | $175 |
| Obstetric ultrasound detailed fetal anatomy CPT 76811 • Maternity | $73 | $191 | $310 |
| Obstetric ultrasound limited CPT 76815 • Maternity | $99 | $108 | $118 |
| Ultrasound transvaginal obstetric CPT 76817 • Maternity | $48 | $61 | $77 |
| Interactive complexity add-on CPT 90785 • Mental Health | $7 | $7 | $7 |
| Psychiatric diagnostic evaluation CPT 90791 • Mental Health | $234 | $234 | $234 |
| Psychiatric diagnostic evaluation with medical services CPT 90792 • Mental Health | $189 | $211 | $222 |
| Psychotherapy 30 minutes CPT 90832 • Mental Health | $97 | $97 | $97 |
| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $63 | $63 | $63 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $111 | $111 | $111 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $103 | $103 | $103 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $168 | $168 | $168 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $165 | $165 | $165 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $266 | $266 | $266 |