NOVANT HEALTH FORSYTH MEDICAL CENTER· WINSTON-SALEM, NC
HospitalCMS 4/5
3333 SILAS CREEK PARKWAY, WINSTON-SALEM, NC 27103
Procedures offered
942 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Eye exam established patient comprehensive CPT 92014 • Ophthalmology | $34 | $126 | $205 |
| Visual field examination CPT 92083 • Ophthalmology | $24 | $73 | $97 |
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $15 | $35 | $61 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $32 | $70 | $136 |
| Fundus photography CPT 92250 • Ophthalmology | $11 | $49 | $75 |
| Arthrocentesis aspiration small joint CPT 20600 • Orthopedics | $43 | $63 | $129 |
| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $44 | $77 | $133 |
| Arthrocentesis aspiration major joint CPT 20610 • Orthopedics | $31 | $90 | $157 |
| Cervical spine fusion anterior approach CPT 22551 • Orthopedics | $1,809 | $2,948 | $5,459 |
| Lumbar spine fusion posterior approach CPT 22612 • Orthopedics | $1,526 | $2,420 | $5,100 |
| Lumbar spine fusion combined approach CPT 22633 • Orthopedics | $288 | $2,701 | $5,943 |
| Total shoulder replacement CPT 23472 • Orthopedics | $854 | $1,830 | $3,521 |
| Reverse total shoulder replacement CPT 23473 • Orthopedics | $1,786 | $2,410 | $3,924 |
| Lateral epicondylitis open treatment CPT 24357 • Orthopedics | $421 | $613 | $1,026 |
| Closed treatment distal radial fracture CPT 25600 • Orthopedics | $268 | $452 | $827 |
| Tendon sheath incision trigger finger CPT 26055 • Orthopedics | $278 | $772 | $1,449 |
| Total hip replacement CPT 27130 • Orthopedics | $304 | $1,574 | $3,124 |
| Hip replacement conversion to total CPT 27132 • Orthopedics | $1,646 | $2,309 | $4,062 |
| Open treatment femoral fracture CPT 27236 • Orthopedics | $1,144 | $1,746 | $2,904 |
| Treatment intertrochanteric femoral fracture CPT 27244 • Orthopedics | $254 | $1,536 | $2,987 |
| Treatment intertrochanteric fracture with plate/screw CPT 27245 • Orthopedics | $185 | $1,601 | $2,985 |
| Partial knee replacement medial or lateral CPT 27446 • Orthopedics | $1,101 | $1,571 | $2,808 |
| Total knee replacement CPT 27447 • Orthopedics | $1,428 | $1,947 | $3,121 |
| Open treatment tibial shaft fracture CPT 27756 • Orthopedics | $549 | $937 | $1,871 |
| Closed treatment distal fibula fracture CPT 27786 • Orthopedics | $280 | $407 | $770 |
| Bunionectomy with osteotomy CPT 28296 • Orthopedics | $89 | $1,065 | $2,153 |
| Arthroscopy shoulder decompression CPT 29826 • Orthopedics | $35 | $351 | $698 |
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $1,075 | $1,479 | $2,604 |
| Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics | $337 | $780 | $1,370 |
| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $589 | $778 | $1,319 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $667 | $948 | $1,679 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $147 | $1,234 | $2,381 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $139 | $1,338 | $3,131 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $1,032 | $1,667 | $3,549 |
| Carpal tunnel release CPT 64721 • Orthopedics | $403 | $672 | $1,153 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $72 | $190 | $396 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $100 | $399 | $853 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $86 | $195 | $452 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $92 | $360 | $840 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $384 | $2,600 | $7,550 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $61 | $88 | $114 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $33 | $73 | $125 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $75 | $356 | $748 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $55 | $229 | $722 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $89 | $249 | $449 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $51 | $105 | $226 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $132 | $219 | $378 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $179 | $585 | $1,087 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $64 | $196 | $318 |
| Cytopathology concentration technique CPT 88108 • Pathology | $20 | $54 | $81 |