NOVANT HEALTH FORSYTH MEDICAL CENTER· WINSTON-SALEM, NC

HospitalCMS 4/5

3333 SILAS CREEK PARKWAY, WINSTON-SALEM, NC 27103

Procedures offered

940 total

ProcedureMinAvgMax
Auto-added
CPT 99350 • General
$160$183$222
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CPT 99401 • General
$37$49$74
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CPT 99402 • General
$45$68$123
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CPT 99403 • General
$66$95$142
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CPT 99404 • General
$95$121$163
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CPT 99406 • General
$12$16$21
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CPT 99407 • General
$23$33$54
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CPT 99408 • General
$31$43$57
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CPT 99409 • General
$62$79$102
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CPT 99441 • General
$45$45$45
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CPT 99442 • General
$45$45$45
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CPT 99443 • General
$50$50$50
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CPT 99460 • General
$57$92$135
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CPT 99461 • General
$57$97$148
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CPT 99462 • General
$31$46$60
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CPT 99463 • General
$78$111$176
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CPT 99464 • General
$72$93$120
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CPT 99465 • General
$142$174$234
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CPT 99468 • General
$904$1,086$1,472
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CPT 99469 • General
$387$442$638
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CPT 99495 • General
$158$226$359
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CPT 99496 • General
$177$292$483
Breast biopsy with stereotactic guidance
CPT 19081 • General Surgery
$222$562$1,062
Excision breast lesion
CPT 19120 • General Surgery
$420$644$1,073
Partial mastectomy
CPT 19301 • General Surgery
$381$745$1,358
Simple complete mastectomy
CPT 19303 • General Surgery
$165$1,069$1,968
Biopsy or excision lymph node open superficial
CPT 38500 • General Surgery
$298$407$597
Biopsy or excision lymph node open deep
CPT 38525 • General Surgery
$388$563$981
Laparoscopic lymphadenectomy pelvic
CPT 38571 • General Surgery
$99$845$1,555
Laparoscopic fundoplasty
CPT 43280 • General Surgery
$222$994$1,336
Laparoscopic gastric bypass (Roux-en-Y)
CPT 43644 • General Surgery
$1,602$1,960$2,558
Laparoscopic gastric band placement
CPT 43770 • General Surgery
$179$1,131$2,055
Laparoscopic sleeve gastrectomy
CPT 43775 • General Surgery
$1,088$1,283$1,547
Open appendectomy
CPT 44950 • General Surgery
$592$778$981
Laparoscopic appendectomy
CPT 44970 • General Surgery
$539$624$749
Hemorrhoidectomy internal by ligation
CPT 46221 • General Surgery
$178$315$687
Laparoscopic cholecystectomy
CPT 47562 • General Surgery
$669$838$1,067
Laparoscopic cholecystectomy with cholangiography
CPT 47563 • General Surgery
$170$734$1,103
Inguinal hernia repair initial
CPT 49505 • General Surgery
$79$474$651
Inguinal hernia repair incarcerated
CPT 49507 • General Surgery
$78$595$904
Laparoscopic inguinal hernia repair initial
CPT 49650 • General Surgery
$69$427$668
Thyroid lobectomy with or without isthmusectomy
CPT 60220 • General Surgery
$147$677$881
Thyroidectomy total or subtotal
CPT 60240 • General Surgery
$138$865$1,142
Parathyroidectomy
CPT 60500 • General Surgery
$135$980$1,477
MRI orbits face neck with and without contrast
CPT 70543 • Imaging
$326$603$1,049
MRI brain without contrast
CPT 70551 • Imaging
$70$424$944
MRI brain with contrast
CPT 70552 • Imaging
$100$315$598
MRI brain without contrast then with contrast
CPT 70553 • Imaging
$159$607$1,059
Chest X-ray single view
CPT 71045 • Imaging
$11$26$58
Chest X-ray 2 views
CPT 71046 • Imaging
$15$42$75