NOVANT HEALTH FORSYTH MEDICAL CENTER· WINSTON-SALEM, NC
HospitalCMS 4/5
3333 SILAS CREEK PARKWAY, WINSTON-SALEM, NC 27103
Procedures offered
959 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Vitamin D 25-hydroxy CPT 82306 • Laboratory | $17 | $37 | $70 |
| Creatine kinase (CK) total CPT 82550 • Laboratory | $5 | $8 | $15 |
| Creatinine urine CPT 82570 • Laboratory | $4 | $6 | $9 |
| Ferritin CPT 82728 • Laboratory | $7 | $21 | $50 |
| IgA IgD IgG IgM each CPT 82784 • Laboratory | $5 | $12 | $30 |
| Glucose quantitative blood CPT 82947 • Laboratory | $2 | $5 | $7 |
| Hemoglobin A1c CPT 83036 • Laboratory | $6 | $13 | $20 |
| Iron serum CPT 83540 • Laboratory | $3 | $7 | $10 |
| Iron binding capacity CPT 83550 • Laboratory | $4 | $10 | $21 |
| Prostate specific antigen (PSA) CPT 84153 • Laboratory | $9 | $21 | $30 |
| Free thyroxine (T4) CPT 84439 • Laboratory | $6 | $9 | $14 |
| Thyroid stimulating hormone (TSH) CPT 84443 • Laboratory | $10 | $23 | $40 |
| Complete blood count with differential CPT 85025 • Laboratory | $5 | $9 | $12 |
| Complete blood count automated CPT 85027 • Laboratory | $4 | $6 | $10 |
| Prothrombin time (PT) CPT 85610 • Laboratory | $3 | $6 | $8 |
| Sedimentation rate (ESR) automated CPT 85652 • Laboratory | $2 | $3 | $5 |
| Partial thromboplastin time (PTT) CPT 85730 • Laboratory | $3 | $7 | $14 |
| Cyclic citrullinated peptide antibody CPT 86200 • Laboratory | $6 | $13 | $20 |
| Nuclear antigen antibody CPT 86235 • Laboratory | $9 | $20 | $30 |
| Heterophile antibodies screen CPT 86308 • Laboratory | $3 | $6 | $9 |
| TB skin test intradermal CPT 86580 • Laboratory | $3 | $11 | $22 |
| Blood typing ABO CPT 86900 • Laboratory | $1 | $4 | $7 |
| Blood typing Rh CPT 86901 • Laboratory | $2 | $4 | $6 |
| Urine culture bacterial colony count CPT 87086 • Laboratory | $4 | $9 | $12 |
| Chlamydia nucleic acid amplification CPT 87491 • Laboratory | $17 | $34 | $53 |
| Gonorrhea nucleic acid amplification CPT 87591 • Laboratory | $17 | $35 | $60 |
| SARS-CoV-2 COVID-19 amplified probe CPT 87635 • Laboratory | $36 | $57 | $77 |
| Influenza virus assay with direct optical CPT 87804 • Laboratory | $12 | $21 | $31 |
| Strep A assay with optic observation CPT 87880 • Laboratory | $11 | $21 | $27 |
| Amniocentesis diagnostic CPT 59000 • Maternity | $87 | $166 | $281 |
| Cordocentesis fetal blood sampling CPT 59012 • Maternity | $189 | $235 | $384 |
| Chorionic villus sampling CPT 59015 • Maternity | $143 | $210 | $379 |
| Fetal non-stress test CPT 59025 • Maternity | $16 | $53 | $117 |
| Insertion cervical dilator CPT 59200 • Maternity | $26 | $102 | $202 |
| Vaginal delivery including prenatal and postpartum care CPT 59400 • Maternity | $1,727 | $2,963 | $5,822 |
| Vaginal delivery only CPT 59409 • Maternity | $749 | $1,203 | $1,952 |
| Vaginal delivery including postpartum care CPT 59410 • Maternity | $891 | $1,450 | $2,578 |
| External cephalic version CPT 59412 • Maternity | $104 | $159 | $248 |
| Antepartum care 7 or more visits CPT 59426 • Maternity | $633 | $1,465 | $2,482 |
| Postpartum care only CPT 59430 • Maternity | $135 | $324 | $645 |
| Cesarean delivery including prenatal and postpartum care CPT 59510 • Maternity | $1,684 | $3,491 | $6,420 |
| Cesarean delivery only CPT 59514 • Maternity | $850 | $1,308 | $2,203 |
| Cesarean delivery including postpartum care CPT 59515 • Maternity | $1,074 | $2,085 | $3,169 |
| Vaginal delivery after prior cesarean (VBAC) including prenatal CPT 59610 • Maternity | $1,806 | $3,467 | $6,079 |
| Obstetric ultrasound first trimester CPT 76801 • Maternity | $43 | $139 | $263 |
| Obstetric ultrasound complete CPT 76805 • Maternity | $48 | $151 | $303 |
| Obstetric ultrasound detailed fetal anatomy CPT 76811 • Maternity | $83 | $197 | $245 |
| Obstetric ultrasound limited CPT 76815 • Maternity | $31 | $98 | $182 |
| Ultrasound transvaginal obstetric CPT 76817 • Maternity | $41 | $113 | $208 |
| Interactive complexity add-on CPT 90785 • Mental Health | $6 | $15 | $21 |