NOVANT HEALTH FORSYTH MEDICAL CENTER· WINSTON-SALEM, NC
HospitalCMS 4/5
3333 SILAS CREEK PARKWAY, WINSTON-SALEM, NC 27103
Procedures offered
940 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy | $1,191 | $1,619 | $2,508 |
| Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy | $1,025 | $1,472 | $1,804 |
| IMRT delivery simple CPT 77385 • Radiation Therapy | $392 | $431 | $471 |
| IMRT delivery complex CPT 77386 • Radiation Therapy | $393 | $432 | $472 |
| Radiation treatment delivery superficial CPT 77407 • Radiation Therapy | $118 | $181 | $258 |
| Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy | $139 | $256 | $361 |
| Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy | $178 | $248 | $414 |
| Radiation therapy management complete course CPT 77431 • Radiation Therapy | $98 | $178 | $340 |
| Proton beam treatment simple CPT 77520 • Radiation Therapy | $100 | $903 | $1,956 |
| Proton beam treatment complex CPT 77523 • Radiation Therapy | $112 | $1,212 | $1,963 |
| Polysomnography under age 6 CPT 95782 • Sleep Medicine | $893 | $1,145 | $1,443 |
| Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine | $158 | $1,044 | $1,762 |
| Sleep study unattended CPT 95800 • Sleep Medicine | $63 | $167 | $387 |
| Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine | $56 | $86 | $136 |
| Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine | $52 | $464 | $1,012 |
| Polysomnography age 6 or older CPT 95810 • Sleep Medicine | $536 | $814 | $1,470 |
| Polysomnography with CPAP titration CPT 95811 • Sleep Medicine | $562 | $865 | $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 | $1,211 | $2,124 |
| CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine | $401 | $612 | $925 |
| Laparoscopic partial nephrectomy CPT 50543 • Urology | $221 | $1,677 | $3,520 |
| Laparoscopic radical nephrectomy CPT 50545 • Urology | $173 | $1,477 | $2,382 |
| Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology | $438 | $803 | $1,107 |
| Complex uroflowmetry CPT 51741 • Urology | $8 | $31 | $81 |
| Post-void residual urine measurement CPT 51798 • Urology | $7 | $18 | $33 |
| Cystourethroscopy diagnostic CPT 52000 • Urology | $87 | $234 | $603 |
| Cystourethroscopy with tumor fulguration small CPT 52234 • Urology | $226 | $304 | $438 |
| Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology | $297 | $388 | $514 |
| Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology | $129 | $249 | $375 |
| Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology | $164 | $423 | $563 |
| Cystourethroscopy with lithotripsy CPT 52353 • Urology | $424 | $525 | $697 |
| TURP transurethral resection of prostate CPT 52601 • Urology | $427 | $871 | $1,502 |
| Laser vaporization of prostate CPT 52648 • Urology | $740 | $1,697 | $3,235 |
| Circumcision CPT 54150 • Urology | $56 | $151 | $213 |
| Orchiectomy simple CPT 54520 • Urology | $222 | $370 | $599 |
| Orchiectomy radical inguinal CPT 54530 • Urology | $301 | $621 | $926 |
| Vasectomy CPT 55250 • Urology | $136 | $468 | $704 |
| Prostate biopsy needle or punch CPT 55700 • Urology | $148 | $276 | $450 |
| Radical prostatectomy retropubic CPT 55840 • Urology | $1,087 | $1,428 | $2,147 |
| Laparoscopic radical prostatectomy CPT 55866 • Urology | $698 | $1,953 | $4,778 |