NOVANT HEALTH FORSYTH MEDICAL CENTER· WINSTON-SALEM, NC

HospitalCMS 4/5

3333 SILAS CREEK PARKWAY, WINSTON-SALEM, NC 27103

Procedures offered

942 total

ProcedureMinAvgMax
Auto-added
CPT 99350 • General
$160$214$403
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CPT 99401 • General
$37$55$88
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CPT 99402 • General
$45$79$147
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CPT 99403 • General
$66$110$201
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CPT 99404 • General
$95$141$259
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CPT 99406 • General
$12$18$35
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CPT 99407 • General
$23$38$65
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CPT 99408 • General
$31$49$82
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CPT 99409 • General
$62$92$157
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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$110$217
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CPT 99461 • General
$57$113$209
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CPT 99462 • General
$31$53$96
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CPT 99463 • General
$78$131$250
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CPT 99464 • General
$72$104$170
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CPT 99465 • General
$142$196$332
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CPT 99468 • General
$904$1,229$2,088
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CPT 99469 • General
$387$508$905
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CPT 99495 • General
$158$261$468
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CPT 99496 • General
$177$340$632
Breast biopsy with stereotactic guidance
CPT 19081 • General Surgery
$222$607$1,062
Excision breast lesion
CPT 19120 • General Surgery
$420$689$1,073
Partial mastectomy
CPT 19301 • General Surgery
$381$767$1,358
Simple complete mastectomy
CPT 19303 • General Surgery
$165$1,105$1,968
Biopsy or excision lymph node open superficial
CPT 38500 • General Surgery
$298$467$825
Biopsy or excision lymph node open deep
CPT 38525 • General Surgery
$388$636$1,077
Laparoscopic lymphadenectomy pelvic
CPT 38571 • General Surgery
$99$955$1,613
Laparoscopic fundoplasty
CPT 43280 • General Surgery
$222$994$1,336
Laparoscopic gastric bypass (Roux-en-Y)
CPT 43644 • General Surgery
$1,602$2,021$2,558
Laparoscopic gastric band placement
CPT 43770 • General Surgery
$179$1,131$2,055
Laparoscopic sleeve gastrectomy
CPT 43775 • General Surgery
$1,088$1,320$1,547
Open appendectomy
CPT 44950 • General Surgery
$592$778$981
Laparoscopic appendectomy
CPT 44970 • General Surgery
$539$750$1,507
Hemorrhoidectomy internal by ligation
CPT 46221 • General Surgery
$178$338$687
Laparoscopic cholecystectomy
CPT 47562 • General Surgery
$669$954$1,649
Laparoscopic cholecystectomy with cholangiography
CPT 47563 • General Surgery
$170$886$1,798
Inguinal hernia repair initial
CPT 49505 • General Surgery
$79$509$717
Inguinal hernia repair incarcerated
CPT 49507 • General Surgery
$78$595$904
Laparoscopic inguinal hernia repair initial
CPT 49650 • General Surgery
$69$521$1,083
Thyroid lobectomy with or without isthmusectomy
CPT 60220 • General Surgery
$147$827$1,729
Thyroidectomy total or subtotal
CPT 60240 • General Surgery
$138$1,054$2,246
Parathyroidectomy
CPT 60500 • General Surgery
$135$1,179$2,372
MRI orbits face neck with and without contrast
CPT 70543 • Imaging
$326$642$1,049
MRI brain without contrast
CPT 70551 • Imaging
$70$435$944
MRI brain with contrast
CPT 70552 • Imaging
$100$370$696
MRI brain without contrast then with contrast
CPT 70553 • Imaging
$159$638$1,059
Chest X-ray single view
CPT 71045 • Imaging
$11$27$58
Chest X-ray 2 views
CPT 71046 • Imaging
$15$46$75