NOVANT HEALTH FORSYTH MEDICAL CENTER· WINSTON-SALEM, NC

HospitalCMS 4/5

3333 SILAS CREEK PARKWAY, WINSTON-SALEM, NC 27103

Procedures offered

959 total

ProcedureMinAvgMax
Trabeculoplasty laser surgery
CPT 65855 • Ophthalmology
$250$334$449
Trabeculectomy glaucoma filtering surgery
CPT 66170 • Ophthalmology
$171$1,162$1,886
Endoscopic cyclophotocoagulation
CPT 66711 • Ophthalmology
$539$636$869
Iridotomy laser surgery
CPT 66761 • Ophthalmology
$37$355$519
Cataract surgery complex with intraocular lens
CPT 66982 • Ophthalmology
$37$809$1,287
Cataract surgery with intraocular lens insertion
CPT 66984 • Ophthalmology
$603$733$939
Intravitreal injection therapeutic agent
CPT 67028 • Ophthalmology
$107$162$207
Retinal detachment repair with vitrectomy
CPT 67108 • Ophthalmology
$37$1,193$2,055
Retinal photocoagulation treatment
CPT 67210 • Ophthalmology
$462$634$892
Retinal treatment extensive photocoagulation
CPT 67228 • Ophthalmology
$346$632$1,097
Strabismus surgery one horizontal muscle
CPT 67311 • Ophthalmology
$508$621$832
Excision chalazion single
CPT 67800 • Ophthalmology
$68$144$223
Blepharoptosis repair levator resection
CPT 67901 • Ophthalmology
$37$821$1,389
Lacrimal punctum closure by plug
CPT 68761 • Ophthalmology
$111$164$257
Eye exam new patient intermediate
CPT 92002 • Ophthalmology
$34$87$136
Eye exam new patient comprehensive
CPT 92004 • Ophthalmology
$44$145$245
Eye exam established patient intermediate
CPT 92012 • Ophthalmology
$35$81$143
Eye exam established patient comprehensive
CPT 92014 • Ophthalmology
$34$114$205
Visual field examination
CPT 92083 • Ophthalmology
$24$65$97
Retinal imaging OCT posterior segment
CPT 92134 • Ophthalmology
$8$34$61
Ophthalmic biometry IOL power calculation
CPT 92136 • Ophthalmology
$14$64$136
Fundus photography
CPT 92250 • Ophthalmology
$11$44$75
Arthrocentesis aspiration small joint
CPT 20600 • Orthopedics
$43$67$129
Arthrocentesis aspiration intermediate joint
CPT 20605 • Orthopedics
$44$81$133
Arthrocentesis aspiration major joint
CPT 20610 • Orthopedics
$31$92$157
Cervical spine fusion anterior approach
CPT 22551 • Orthopedics
$1,809$3,138$5,459
Lumbar spine fusion posterior approach
CPT 22612 • Orthopedics
$1,526$2,630$5,100
Lumbar spine fusion combined approach
CPT 22633 • Orthopedics
$288$2,611$5,943
Total shoulder replacement
CPT 23472 • Orthopedics
$854$1,987$3,521
Reverse total shoulder replacement
CPT 23473 • Orthopedics
$1,786$2,540$3,924
Lateral epicondylitis open treatment
CPT 24357 • Orthopedics
$421$641$1,026
Closed treatment distal radial fracture
CPT 25600 • Orthopedics
$268$459$827
Tendon sheath incision trigger finger
CPT 26055 • Orthopedics
$278$791$1,449
Total hip replacement
CPT 27130 • Orthopedics
$304$1,738$3,124
Hip replacement conversion to total
CPT 27132 • Orthopedics
$1,646$2,442$4,062
Open treatment femoral fracture
CPT 27236 • Orthopedics
$1,144$1,817$2,904
Treatment intertrochanteric femoral fracture
CPT 27244 • Orthopedics
$254$1,661$2,987
Treatment intertrochanteric fracture with plate/screw
CPT 27245 • Orthopedics
$185$1,741$2,985
Partial knee replacement medial or lateral
CPT 27446 • Orthopedics
$1,101$1,663$2,808
Total knee replacement
CPT 27447 • Orthopedics
$1,428$2,026$3,121
Open treatment tibial shaft fracture
CPT 27756 • Orthopedics
$549$951$1,871
Closed treatment distal fibula fracture
CPT 27786 • Orthopedics
$280$394$770
Bunionectomy with osteotomy
CPT 28296 • Orthopedics
$89$1,165$2,153
Arthroscopy shoulder decompression
CPT 29826 • Orthopedics
$35$393$698
Arthroscopy shoulder rotator cuff repair
CPT 29827 • Orthopedics
$1,075$1,566$2,604
Arthroscopy knee with meniscectomy medial and lateral
CPT 29880 • Orthopedics
$337$837$1,370
Arthroscopy knee with meniscectomy
CPT 29881 • Orthopedics
$589$817$1,319
Arthroscopy knee with meniscus repair
CPT 29882 • Orthopedics
$667$987$1,679
Arthroscopy knee ACL repair
CPT 29888 • Orthopedics
$147$1,315$2,381
Discectomy lumbar single level
CPT 63030 • Orthopedics
$139$1,497$3,131