JORDAN GORANSON· WINSTON SALEM, NC

Physician group

MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157

Procedures offered

946 total

ProcedureMinAvgMax
Tonsillectomy primary under age 12
CPT 42826 • ENT
$371$451$531
Adenoidectomy primary under age 12
CPT 42830 • ENT
$307$367$437
Removal impacted cerumen unilateral
CPT 69210 • ENT
$46$66$85
Tympanostomy tube insertion
CPT 69436 • ENT
$237$316$376
Tympanoplasty without mastoidectomy
CPT 69631 • ENT
$1,302$1,415$1,510
Tympanoplasty with mastoidectomy
CPT 69633 • ENT
$1,533$2,054$2,448
Comprehensive audiometry evaluation
CPT 92557 • ENT
$52$66$79
Incision and drainage abscess simple
CPT 10060 • Emergency
$162$202$243
Incision and drainage abscess complicated
CPT 10061 • Emergency
$57$231$351
Simple wound repair up to 2.5cm
CPT 12001 • Emergency
$44$113$225
Simple wound repair 2.6-7.5cm
CPT 12002 • Emergency
$44$102$160
Simple wound repair face 2.5cm or less
CPT 12011 • Emergency
$161$203$246
Intermediate wound repair 2.5cm or less
CPT 12031 • Emergency
$338$459$550
Intermediate wound repair face 2.5cm or less
CPT 12051 • Emergency
$372$501$598
Initial treatment first degree burn
CPT 16000 • Emergency
$65$103$125
Emergency department visit self-limited problem
CPT 99281 • Emergency
$27$59$76
Emergency department visit low severity
CPT 99282 • Emergency
$53$75$98
Emergency department visit moderate severity
CPT 99283 • Emergency
$79$106$131
Emergency department visit high severity
CPT 99284 • Emergency
$151$198$279
Emergency department visit highest severity
CPT 99285 • Emergency
$222$296$366
Critical care first 30-74 minutes
CPT 99291 • Emergency
$287$444$574
Critical care each additional 30 minutes
CPT 99292 • Emergency
$144$233$290
Esophagoscopy rigid diagnostic
CPT 43191 • Gastroenterology
$177$258$328
Upper GI endoscopy diagnostic
CPT 43235 • Gastroenterology
$438$520$594
Upper GI endoscopy with biopsy
CPT 43239 • Gastroenterology
$249$511$706
Upper GI endoscopy with foreign body removal
CPT 43247 • Gastroenterology
$290$638$812
Upper GI endoscopy with balloon dilation
CPT 43249 • Gastroenterology
$252$1,164$2,076
Upper GI endoscopy with polypectomy by snare
CPT 43251 • Gastroenterology
$316$612$908
Upper GI endoscopy with stent placement
CPT 43257 • Gastroenterology
$464$464$464
Upper GI endoscopy with endoscopic ultrasound
CPT 43259 • Gastroenterology
$439$494$551
ERCP diagnostic
CPT 43260 • Gastroenterology
$501$691$786
ERCP with sphincterotomy
CPT 43262 • Gastroenterology
$618$677$776
ERCP with removal of stones
CPT 43264 • Gastroenterology
$736$789$888
ERCP with stent placement
CPT 43274 • Gastroenterology
$674$789$869
Colonoscopy through stoma diagnostic
CPT 44388 • Gastroenterology
$240$260$280
Colonoscopy through stoma with biopsy
CPT 44389 • Gastroenterology
$309$513$640
Flexible sigmoidoscopy diagnostic
CPT 45330 • Gastroenterology
$92$186$281
Colonoscopy diagnostic
CPT 45378 • Gastroenterology
$64$189$314
Colonoscopy with biopsy
CPT 45380 • Gastroenterology
$690$736$781
Colonoscopy with submucosal injection
CPT 45381 • Gastroenterology
$356$604$800
Colonoscopy with lesion removal by hot biopsy
CPT 45384 • Gastroenterology
$391$659$927
Colonoscopy with polypectomy by snare
CPT 45385 • Gastroenterology
$44$527$776
Colonoscopy with balloon dilation
CPT 45386 • Gastroenterology
$385$794$1,203
Colonoscopy with ablation of tumor or polyp
CPT 45388 • Gastroenterology
$658$2,282$5,359
Colonoscopy with endoscopic mucosal resection
CPT 45390 • Gastroenterology
$480$598$721
Esophageal motility study
CPT 91010 • Gastroenterology
$91$250$362
Esophageal motility study with acid reflux
CPT 91035 • Gastroenterology
$675$792$899
Esophageal pH monitoring 24 hours
CPT 91038 • Gastroenterology
$460$674$887
Auto-added
CPT 00102 • General
$56$432$630
Auto-added
CPT 00104 • General
$56$332$505