THOMAS WILSON· WINSTON SALEM, NC

Physician group

ONE MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157

Procedures offered

946 total

Procedure	Min	Avg	Max
Tonsillectomy primary under age 12 CPT 42826 • ENT	$346	$373	$400
Adenoidectomy primary under age 12 CPT 42830 • ENT	$330	$330	$330
Removal impacted cerumen unilateral CPT 69210 • ENT	$33	$41	$50
Tympanostomy tube insertion CPT 69436 • ENT	$196	$216	$257
Tympanoplasty without mastoidectomy CPT 69631 • ENT	$952	$1,177	$1,402
Tympanoplasty with mastoidectomy CPT 69633 • ENT	$1,651	$1,651	$1,651
Comprehensive audiometry evaluation CPT 92557 • ENT	$63	$64	$64
Incision and drainage abscess simple CPT 10060 • Emergency	$110	$141	$172
Incision and drainage abscess complicated CPT 10061 • Emergency	$33	$158	$283
Simple wound repair up to 2.5cm CPT 12001 • Emergency	$33	$59	$85
Simple wound repair 2.6-7.5cm CPT 12002 • Emergency	$108	$119	$131
Simple wound repair face 2.5cm or less CPT 12011 • Emergency	$181	$182	$183
Intermediate wound repair 2.5cm or less CPT 12031 • Emergency	$33	$209	$380
Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency	$244	$302	$419
Initial treatment first degree burn CPT 16000 • Emergency	$105	$105	$105
Emergency department visit self-limited problem CPT 99281 • Emergency	$32	$32	$32
Emergency department visit low severity CPT 99282 • Emergency	$36	$49	$62
Emergency department visit moderate severity CPT 99283 • Emergency	$76	$84	$93
Emergency department visit high severity CPT 99284 • Emergency	$118	$137	$175
Emergency department visit highest severity CPT 99285 • Emergency	$184	$220	$257
Critical care first 30-74 minutes CPT 99291 • Emergency	$260	$335	$410
Critical care each additional 30 minutes CPT 99292 • Emergency	$33	$110	$167
Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology	$191	$191	$191
Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology	$336	$382	$475
Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology	$360	$423	$549
Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology	$263	$280	$313
Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology	$227	$250	$272
Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology	$341	$341	$341
Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology	$498	$498	$498
Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology	$476	$476	$476
ERCP diagnostic CPT 43260 • Gastroenterology	$543	$543	$543
ERCP with sphincterotomy CPT 43262 • Gastroenterology	$560	$597	$670
ERCP with removal of stones CPT 43264 • Gastroenterology	$33	$418	$804
ERCP with stent placement CPT 43274 • Gastroenterology	$721	$721	$721
Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology	$555	$555	$555
Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology	$288	$288	$288
Flexible sigmoidoscopy diagnostic CPT 45330 • Gastroenterology	$220	$220	$220
Colonoscopy diagnostic CPT 45378 • Gastroenterology	$64	$345	$626
Colonoscopy with biopsy CPT 45380 • Gastroenterology	$33	$219	$405
Colonoscopy with submucosal injection CPT 45381 • Gastroenterology	$475	$560	$730
Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology	$739	$739	$739
Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology	$409	$445	$480
Colonoscopy with balloon dilation CPT 45386 • Gastroenterology	$1,058	$1,058	$1,058
Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology	$895	$895	$895
Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology	$473	$493	$513
Esophageal motility study CPT 91010 • Gastroenterology	$196	$196	$196
Esophageal motility study with acid reflux CPT 91035 • Gastroenterology	$132	$132	$132
Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology	$395	$395	$395
Auto-added CPT 00102 • General	$75	$75	$75
Auto-added CPT 00104 • General	$75	$75	$75