JORDAN GORANSON· WINSTON SALEM, NC
Physician group
MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157
Procedures offered
946 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Prostate specific antigen (PSA) CPT 84153 • Laboratory | $11 | $17 | $22 |
| Free thyroxine (T4) CPT 84439 • Laboratory | $5 | $6 | $7 |
| Thyroid stimulating hormone (TSH) CPT 84443 • Laboratory | $10 | $35 | $48 |
| Complete blood count with differential CPT 85025 • Laboratory | $5 | $15 | $23 |
| Complete blood count automated CPT 85027 • Laboratory | $4 | $13 | $19 |
| Prothrombin time (PT) CPT 85610 • Laboratory | $3 | $8 | $12 |
| Sedimentation rate (ESR) automated CPT 85652 • Laboratory | $2 | $2 | $3 |
| Partial thromboplastin time (PTT) CPT 85730 • Laboratory | $3 | $4 | $4 |
| Cyclic citrullinated peptide antibody CPT 86200 • Laboratory | $8 | $8 | $8 |
| Nuclear antigen antibody CPT 86235 • Laboratory | $7 | $7 | $7 |
| Heterophile antibodies screen CPT 86308 • Laboratory | $4 | $10 | $15 |
| TB skin test intradermal CPT 86580 • Laboratory | $5 | $13 | $18 |
| Blood typing ABO CPT 86900 • Laboratory | $2 | $2 | $2 |
| Blood typing Rh CPT 86901 • Laboratory | $2 | $2 | $2 |
| Urine culture bacterial colony count CPT 87086 • Laboratory | $5 | $5 | $6 |
| Chlamydia nucleic acid amplification CPT 87491 • Laboratory | $18 | $22 | $26 |
| Gonorrhea nucleic acid amplification CPT 87591 • Laboratory | $18 | $30 | $42 |
| SARS-CoV-2 COVID-19 amplified probe CPT 87635 • Laboratory | $31 | $54 | $67 |
| Influenza virus assay with direct optical CPT 87804 • Laboratory | $14 | $24 | $34 |
| Strep A assay with optic observation CPT 87880 • Laboratory | $10 | $21 | $38 |
| Amniocentesis diagnostic CPT 59000 • Maternity | $185 | $223 | $260 |
| Cordocentesis fetal blood sampling CPT 59012 • Maternity | $64 | $236 | $350 |
| Chorionic villus sampling CPT 59015 • Maternity | $44 | $135 | $227 |
| Fetal non-stress test CPT 59025 • Maternity | $43 | $70 | $112 |
| Insertion cervical dilator CPT 59200 • Maternity | $44 | $91 | $122 |
| Vaginal delivery including prenatal and postpartum care CPT 59400 • Maternity | $64 | $1,232 | $2,400 |
| Vaginal delivery only CPT 59409 • Maternity | $1,098 | $1,407 | $1,716 |
| Vaginal delivery including postpartum care CPT 59410 • Maternity | $1,396 | $1,811 | $2,458 |
| External cephalic version CPT 59412 • Maternity | $151 | $184 | $217 |
| Antepartum care 7 or more visits CPT 59426 • Maternity | $1,183 | $1,442 | $1,700 |
| Postpartum care only CPT 59430 • Maternity | $203 | $294 | $385 |
| Cesarean delivery including prenatal and postpartum care CPT 59510 • Maternity | $2,400 | $3,924 | $5,447 |
| Cesarean delivery only CPT 59514 • Maternity | $1,240 | $1,586 | $1,932 |
| Cesarean delivery including postpartum care CPT 59515 • Maternity | $39 | $1,302 | $2,176 |
| Vaginal delivery after prior cesarean (VBAC) including prenatal CPT 59610 • Maternity | $2,400 | $4,243 | $5,164 |
| Obstetric ultrasound first trimester CPT 76801 • Maternity | $149 | $203 | $257 |
| Obstetric ultrasound complete CPT 76805 • Maternity | $119 | $207 | $295 |
| Obstetric ultrasound detailed fetal anatomy CPT 76811 • Maternity | $145 | $226 | $314 |
| Obstetric ultrasound limited CPT 76815 • Maternity | $64 | $93 | $144 |
| Ultrasound transvaginal obstetric CPT 76817 • Maternity | $41 | $59 | $80 |
| Interactive complexity add-on CPT 90785 • Mental Health | $6 | $20 | $30 |
| Psychiatric diagnostic evaluation CPT 90791 • Mental Health | $154 | $189 | $228 |
| Psychiatric diagnostic evaluation with medical services CPT 90792 • Mental Health | $164 | $275 | $350 |
| Psychotherapy 30 minutes CPT 90832 • Mental Health | $65 | $104 | $136 |
| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $54 | $103 | $140 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $97 | $141 | $179 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $89 | $115 | $145 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $146 | $151 | $156 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $143 | $189 | $234 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $230 | $230 | $230 |