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 |
|---|---|---|---|
| Respiratory flow volume loop CPT 94375 • Pulmonology | $15 | $38 | $60 |
| Cardiopulmonary exercise test CPT 94621 • Pulmonology | $71 | $133 | $188 |
| Nebulizer inhalation treatment CPT 94640 • Pulmonology | $7 | $20 | $40 |
| Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology | $15 | $29 | $67 |
| Plethysmography lung volumes CPT 94726 • Pulmonology | $47 | $66 | $132 |
| Gas dilution lung volumes CPT 94727 • Pulmonology | $15 | $36 | $54 |
| Diffusing capacity (DLCO) CPT 94729 • Pulmonology | $11 | $55 | $142 |
| Pulse oximetry single measurement CPT 94760 • Pulmonology | $0 | $3 | $6 |
| Pulse oximetry continuous overnight CPT 94762 • Pulmonology | $24 | $30 | $38 |
| Radiation therapy planning simple CPT 77261 • Radiation Therapy | $72 | $82 | $99 |
| Radiation therapy planning intermediate CPT 77262 • Radiation Therapy | $101 | $129 | $209 |
| Radiation therapy planning complex CPT 77263 • Radiation Therapy | $165 | $224 | $369 |
| Radiation therapy simulation simple CPT 77280 • Radiation Therapy | $38 | $270 | $515 |
| Radiation therapy simulation complex CPT 77290 • Radiation Therapy | $108 | $512 | $1,032 |
| 3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy | $239 | $518 | $916 |
| Radiation therapy dose calculation CPT 77300 • Radiation Therapy | $34 | $66 | $124 |
| IMRT radiation therapy plan CPT 77301 • Radiation Therapy | $443 | $1,892 | $3,672 |
| Radiation treatment device design complex CPT 77334 • Radiation Therapy | $89 | $164 | $274 |
| Radiation physics consultation CPT 77336 • Radiation Therapy | $83 | $97 | $106 |
| Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy | $1,191 | $1,562 | $2,508 |
| Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy | $1,025 | $1,520 | $1,804 |
| IMRT delivery simple CPT 77385 • Radiation Therapy | $392 | $444 | $471 |
| IMRT delivery complex CPT 77386 • Radiation Therapy | $393 | $445 | $472 |
| Radiation treatment delivery superficial CPT 77407 • Radiation Therapy | $118 | $179 | $258 |
| Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy | $139 | $244 | $361 |
| Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy | $178 | $253 | $414 |
| Radiation therapy management complete course CPT 77431 • Radiation Therapy | $98 | $167 | $340 |
| Proton beam treatment simple CPT 77520 • Radiation Therapy | $100 | $769 | $1,956 |
| Proton beam treatment complex CPT 77523 • Radiation Therapy | $112 | $1,029 | $1,963 |
| Polysomnography under age 6 CPT 95782 • Sleep Medicine | $152 | $1,049 | $1,443 |
| Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine | $158 | $1,077 | $1,762 |
| Sleep study unattended CPT 95800 • Sleep Medicine | $63 | $167 | $387 |
| Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine | $52 | $81 | $136 |
| Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine | $52 | $497 | $1,012 |
| Polysomnography age 6 or older CPT 95810 • Sleep Medicine | $158 | $746 | $1,470 |
| Polysomnography with CPAP titration CPT 95811 • Sleep Medicine | $562 | $842 | $1,535 |
| CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine | $88 | $133 | $197 |
| Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine | $105 | $1,224 | $2,124 |
| CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine | $401 | $573 | $925 |
| Laparoscopic partial nephrectomy CPT 50543 • Urology | $221 | $2,131 | $3,841 |
| Laparoscopic radical nephrectomy CPT 50545 • Urology | $173 | $1,872 | $3,241 |
| Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology | $438 | $969 | $1,808 |
| Complex uroflowmetry CPT 51741 • Urology | $8 | $37 | $92 |
| Post-void residual urine measurement CPT 51798 • Urology | $7 | $20 | $33 |
| Cystourethroscopy diagnostic CPT 52000 • Urology | $87 | $305 | $612 |
| Cystourethroscopy with tumor fulguration small CPT 52234 • Urology | $226 | $366 | $594 |
| Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology | $297 | $450 | $695 |
| Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology | $129 | $300 | $509 |
| Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology | $164 | $562 | $1,025 |
| Cystourethroscopy with lithotripsy CPT 52353 • Urology | $424 | $614 | $946 |