JORDAN GORANSON· WINSTON SALEM, NC

Physician group

MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157

Procedures offered

946 total

Procedure	Min	Avg	Max
HPV vaccine 9-valent CPT 90651 • Preventive Care	$256	$292	$329
Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care	$258	$337	$414
Rotavirus vaccine pentavalent CPT 90680 • Preventive Care	$94	$98	$102
Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care	$22	$32	$41
MMR vaccine CPT 90707 • Preventive Care	$65	$76	$97
Tdap vaccine age 7 years or older CPT 90715 • Preventive Care	$50	$59	$68
Varicella vaccine CPT 90716 • Preventive Care	$114	$141	$192
Pneumococcal vaccine adult CPT 90732 • Preventive Care	$117	$150	$174
Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care	$179	$201	$216
Preventive visit new patient infant CPT 99381 • Preventive Care	$143	$210	$258
Preventive visit new patient age 1-4 CPT 99382 • Preventive Care	$150	$196	$240
Preventive visit new patient age 5-11 CPT 99383 • Preventive Care	$155	$204	$251
Preventive visit new patient age 12-17 CPT 99384 • Preventive Care	$130	$221	$317
Preventive visit new patient age 18-39 CPT 99385 • Preventive Care	$170	$222	$273
Preventive visit new patient age 40-64 CPT 99386 • Preventive Care	$172	$210	$261
Preventive visit new patient age 65+ CPT 99387 • Preventive Care	$165	$255	$345
Preventive visit established patient infant CPT 99391 • Preventive Care	$89	$161	$232
Preventive visit established patient age 1-4 CPT 99392 • Preventive Care	$137	$188	$247
Preventive visit established patient age 5-11 CPT 99393 • Preventive Care	$136	$188	$247
Preventive visit established patient age 12-17 CPT 99394 • Preventive Care	$88	$132	$198
Preventive visit established patient age 18-39 CPT 99395 • Preventive Care	$114	$151	$189
Preventive visit established patient age 40-64 CPT 99396 • Preventive Care	$124	$201	$263
Preventive visit established patient age 65+ CPT 99397 • Preventive Care	$127	$206	$318
Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care	$50	$65	$80
Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care	$206	$206	$206
Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care	$208	$384	$578
Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care	$68	$323	$578
Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care	$164	$301	$391
Annual wellness visit initial HCPCS G0438 • Preventive Care	$221	$305	$402
Annual wellness visit subsequent HCPCS G0439 • Preventive Care	$127	$158	$198
Bronchoscopy diagnostic CPT 31622 • Pulmonology	$458	$507	$563
Bronchoscopy with brushing CPT 31623 • Pulmonology	$210	$421	$632
Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology	$44	$325	$474
Bronchoscopy with biopsy CPT 31625 • Pulmonology	$244	$404	$564
Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology	$426	$530	$600
Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology	$1,262	$1,453	$1,702
Ventilation assist and management initiation CPT 94002 • Pulmonology	$121	$121	$121
Spirometry CPT 94010 • Pulmonology	$38	$57	$73
Spirometry before and after bronchodilator CPT 94060 • Pulmonology	$65	$97	$125
Bronchospasm provocation evaluation CPT 94070 • Pulmonology	$81	$103	$125
Respiratory flow volume loop CPT 94375 • Pulmonology	$19	$21	$23
Cardiopulmonary exercise test CPT 94621 • Pulmonology	$219	$277	$336
Nebulizer inhalation treatment CPT 94640 • Pulmonology	$9	$16	$24
Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology	$23	$41	$55
Plethysmography lung volumes CPT 94726 • Pulmonology	$56	$95	$121
Gas dilution lung volumes CPT 94727 • Pulmonology	$16	$70	$97
Diffusing capacity (DLCO) CPT 94729 • Pulmonology	$72	$73	$75
Pulse oximetry single measurement CPT 94760 • Pulmonology	$3	$4	$4
Pulse oximetry continuous overnight CPT 94762 • Pulmonology	$21	$21	$21
Radiation therapy planning simple CPT 77261 • Radiation Therapy	$80	$80	$80