SHANNA STOTER· WINSTON SALEM, NC
Physician group
MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157
Procedures offered
952 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Chest X-ray single view CPT 71045 • Imaging | $12 | $12 | $12 |
| Chest X-ray 2 views CPT 71046 • Imaging | $14 | $17 | $21 |
| CT chest without contrast CPT 71250 • Imaging | $74 | $74 | $74 |
| CT chest with contrast CPT 71260 • Imaging | $80 | $161 | $242 |
| CT chest without then with contrast CPT 71270 • Imaging | $87 | $87 | $87 |
| CT angiography chest CPT 71275 • Imaging | $115 | $116 | $117 |
| CT cervical spine without contrast CPT 72125 • Imaging | $68 | $68 | $68 |
| CT thoracic spine without contrast CPT 72128 • Imaging | $63 | $63 | $63 |
| CT lumbar spine without contrast CPT 72131 • Imaging | $133 | $133 | $133 |
| MRI cervical spine without contrast CPT 72141 • Imaging | $94 | $133 | $173 |
| MRI thoracic spine without contrast CPT 72146 • Imaging | $94 | $95 | $95 |
| MRI lumbar spine without contrast CPT 72148 • Imaging | $94 | $134 | $173 |
| CT pelvis without contrast CPT 72192 • Imaging | $69 | $69 | $69 |
| CT pelvis with contrast CPT 72193 • Imaging | $74 | $74 | $74 |
| X-ray shoulder complete CPT 73030 • Imaging | $28 | $30 | $31 |
| MRI joint upper extremity without contrast CPT 73221 • Imaging | $197 | $240 | $283 |
| X-ray knee 1-2 views CPT 73560 • Imaging | $39 | $40 | $41 |
| X-ray ankle complete CPT 73610 • Imaging | $25 | $28 | $31 |
| MRI lower extremity without contrast CPT 73718 • Imaging | $85 | $158 | $231 |
| MRI joint lower extremity without contrast CPT 73721 • Imaging | $197 | $240 | $282 |
| CT abdomen without contrast CPT 74150 • Imaging | $75 | $130 | $185 |
| CT abdomen with contrast CPT 74160 • Imaging | $80 | $80 | $80 |
| CT abdomen without then with contrast CPT 74170 • Imaging | $88 | $88 | $88 |
| CT abdomen and pelvis without contrast CPT 74176 • Imaging | $110 | $123 | $137 |
| CT abdomen and pelvis with contrast CPT 74177 • Imaging | $272 | $338 | $403 |
| CT abdomen and pelvis without then with contrast CPT 74178 • Imaging | $127 | $290 | $453 |
| Ultrasound abdominal complete CPT 76700 • Imaging | $97 | $98 | $100 |
| Ultrasound retroperitoneal complete CPT 76770 • Imaging | $77 | $109 | $140 |
| Ultrasound transvaginal CPT 76830 • Imaging | $126 | $139 | $152 |
| Ultrasound pelvic complete CPT 76856 • Imaging | $44 | $90 | $136 |
| Diagnostic mammography unilateral CPT 77065 • Imaging | $111 | $138 | $166 |
| Diagnostic mammography bilateral CPT 77066 • Imaging | $63 | $64 | $64 |
| Screening mammography bilateral CPT 77067 • Imaging | $118 | $119 | $120 |
| DEXA bone density study axial skeleton CPT 77080 • Imaging | $41 | $41 | $41 |
| Nuclear myocardial perfusion study CPT 78452 • Imaging | $100 | $292 | $483 |
| Collection of venous blood by venipuncture CPT 36415 • Laboratory | $2 | $3 | $4 |
| Basic metabolic panel CPT 80048 • Laboratory | $2 | $3 | $4 |
| Comprehensive metabolic panel CPT 80053 • Laboratory | $5 | $10 | $15 |
| Lipid panel CPT 80061 • Laboratory | $7 | $13 | $19 |
| Hepatic function panel CPT 80076 • Laboratory | $2 | $3 | $4 |
| Urinalysis with microscopy CPT 81001 • Laboratory | $2 | $3 | $4 |
| Urinalysis nonautomated without microscopy CPT 81002 • Laboratory | $2 | $3 | $4 |
| Urinalysis automated without microscopy CPT 81003 • Laboratory | $2 | $2 | $3 |
| Fecal hemoglobin immunoassay CPT 82274 • Laboratory | $11 | $15 | $19 |
| Vitamin D 25-hydroxy CPT 82306 • Laboratory | $15 | $28 | $42 |
| Creatine kinase (CK) total CPT 82550 • Laboratory | $3 | $6 | $9 |
| Creatinine urine CPT 82570 • Laboratory | $1 | $2 | $3 |
| Ferritin CPT 82728 • Laboratory | $7 | $13 | $19 |
| IgA IgD IgG IgM each CPT 82784 • Laboratory | $5 | $9 | $13 |
| Glucose quantitative blood CPT 82947 • Laboratory | $3 | $4 | $5 |