THOMAS WILSON· WINSTON SALEM, NC

Physician group

ONE MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157

Procedures offered

946 total

Procedure	Min	Avg	Max
Radiation therapy planning intermediate CPT 77262 • Radiation Therapy	$167	$167	$167
Radiation therapy planning complex CPT 77263 • Radiation Therapy	$208	$228	$248
Radiation therapy simulation simple CPT 77280 • Radiation Therapy	$46	$194	$308
Radiation therapy simulation complex CPT 77290 • Radiation Therapy	$101	$483	$866
3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy	$906	$1,339	$1,771
Radiation therapy dose calculation CPT 77300 • Radiation Therapy	$71	$92	$112
IMRT radiation therapy plan CPT 77301 • Radiation Therapy	$619	$1,134	$1,542
Radiation treatment device design complex CPT 77334 • Radiation Therapy	$96	$134	$172
Radiation physics consultation CPT 77336 • Radiation Therapy	$86	$86	$86
Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy	$1,950	$1,950	$1,950
Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy	$2,623	$2,623	$2,623
Radiation treatment delivery superficial CPT 77407 • Radiation Therapy	$421	$421	$421
Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy	$384	$384	$384
Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy	$209	$244	$278
Radiation therapy management complete course CPT 77431 • Radiation Therapy	$121	$137	$153
Proton beam treatment simple CPT 77520 • Radiation Therapy	$1,303	$1,303	$1,303
Proton beam treatment complex CPT 77523 • Radiation Therapy	$1,219	$1,219	$1,219
Polysomnography under age 6 CPT 95782 • Sleep Medicine	$1,705	$1,705	$1,705
Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine	$1,605	$1,605	$1,605
Sleep study unattended CPT 95800 • Sleep Medicine	$90	$137	$184
Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine	$75	$75	$75
Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine	$96	$96	$96
Polysomnography age 6 or older CPT 95810 • Sleep Medicine	$639	$818	$937
Polysomnography with CPAP titration CPT 95811 • Sleep Medicine	$850	$934	$1,018
CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine	$282	$282	$282
Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine	$2,075	$2,075	$2,075
CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine	$903	$903	$903
Laparoscopic partial nephrectomy CPT 50543 • Urology	$2,373	$2,373	$2,373
Laparoscopic radical nephrectomy CPT 50545 • Urology	$2,138	$2,138	$2,138
Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology	$1,399	$1,399	$1,399
Complex uroflowmetry CPT 51741 • Urology	$44	$44	$44
Post-void residual urine measurement CPT 51798 • Urology	$32	$32	$32
Cystourethroscopy diagnostic CPT 52000 • Urology	$339	$339	$339
Cystourethroscopy with tumor fulguration small CPT 52234 • Urology	$393	$393	$393
Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology	$461	$461	$461
Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology	$335	$335	$335
Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology	$811	$811	$811
Cystourethroscopy with lithotripsy CPT 52353 • Urology	$676	$676	$676
TURP transurethral resection of prostate CPT 52601 • Urology	$1,331	$1,331	$1,331
Laser vaporization of prostate CPT 52648 • Urology	$1,101	$1,101	$1,101
Circumcision CPT 54150 • Urology	$155	$155	$155
Orchiectomy simple CPT 54520 • Urology	$522	$522	$522
Orchiectomy radical inguinal CPT 54530 • Urology	$811	$811	$811
Vasectomy CPT 55250 • Urology	$688	$688	$688
Radical prostatectomy retropubic CPT 55840 • Urology	$2,133	$2,133	$2,133
Laparoscopic radical prostatectomy CPT 55866 • Urology	$2,761	$2,761	$2,761