SHANNA STOTER· WINSTON SALEM, NC
Physician group
MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157
Procedures offered
952 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Hemoglobin A1c CPT 83036 • Laboratory | $5 | $9 | $14 |
| Iron serum CPT 83540 • Laboratory | $3 | $6 | $9 |
| Iron binding capacity CPT 83550 • Laboratory | $2 | $3 | $4 |
| Prostate specific antigen (PSA) CPT 84153 • Laboratory | $9 | $18 | $26 |
| Free thyroxine (T4) CPT 84439 • Laboratory | $2 | $3 | $5 |
| Thyroid stimulating hormone (TSH) CPT 84443 • Laboratory | $8 | $16 | $24 |
| Complete blood count with differential CPT 85025 • Laboratory | $4 | $7 | $11 |
| Complete blood count automated CPT 85027 • Laboratory | $2 | $3 | $3 |
| Prothrombin time (PT) CPT 85610 • Laboratory | $3 | $4 | $5 |
| Sedimentation rate (ESR) automated CPT 85652 • Laboratory | $1 | $3 | $4 |
| Partial thromboplastin time (PTT) CPT 85730 • Laboratory | $3 | $6 | $8 |
| Cyclic citrullinated peptide antibody CPT 86200 • Laboratory | $4 | $5 | $6 |
| Nuclear antigen antibody CPT 86235 • Laboratory | $9 | $17 | $25 |
| Heterophile antibodies screen CPT 86308 • Laboratory | $4 | $5 | $6 |
| TB skin test intradermal CPT 86580 • Laboratory | $6 | $8 | $10 |
| Blood typing ABO CPT 86900 • Laboratory | $2 | $3 | $4 |
| Blood typing Rh CPT 86901 • Laboratory | $2 | $3 | $4 |
| Urine culture bacterial colony count CPT 87086 • Laboratory | $4 | $8 | $11 |
| Chlamydia nucleic acid amplification CPT 87491 • Laboratory | $18 | $34 | $50 |
| Gonorrhea nucleic acid amplification CPT 87591 • Laboratory | $18 | $34 | $50 |
| SARS-CoV-2 COVID-19 amplified probe CPT 87635 • Laboratory | $36 | $68 | $99 |
| Influenza virus assay with direct optical CPT 87804 • Laboratory | $14 | $18 | $21 |
| Strep A assay with optic observation CPT 87880 • Laboratory | $12 | $16 | $21 |
| Amniocentesis diagnostic CPT 59000 • Maternity | $191 | $191 | $191 |
| Cordocentesis fetal blood sampling CPT 59012 • Maternity | $481 | $481 | $481 |
| Chorionic villus sampling CPT 59015 • Maternity | $313 | $313 | $313 |
| Fetal non-stress test CPT 59025 • Maternity | $29 | $71 | $112 |
| Insertion cervical dilator CPT 59200 • Maternity | $55 | $81 | $107 |
| Vaginal delivery including prenatal and postpartum care CPT 59400 • Maternity | $2,594 | $3,266 | $3,938 |
| Vaginal delivery only CPT 59409 • Maternity | $1,004 | $1,257 | $1,510 |
| Vaginal delivery including postpartum care CPT 59410 • Maternity | $1,029 | $1,486 | $1,943 |
| External cephalic version CPT 59412 • Maternity | $245 | $245 | $245 |
| Antepartum care 7 or more visits CPT 59426 • Maternity | $859 | $1,414 | $1,969 |
| Postpartum care only CPT 59430 • Maternity | $239 | $363 | $487 |
| Cesarean delivery including prenatal and postpartum care CPT 59510 • Maternity | $2,869 | $3,614 | $4,359 |
| Cesarean delivery only CPT 59514 • Maternity | $1,130 | $1,416 | $1,703 |
| Cesarean delivery including postpartum care CPT 59515 • Maternity | $1,560 | $1,960 | $2,360 |
| Vaginal delivery after prior cesarean (VBAC) including prenatal CPT 59610 • Maternity | $4,134 | $4,134 | $4,134 |
| Obstetric ultrasound first trimester CPT 76801 • Maternity | $63 | $63 | $64 |
| Obstetric ultrasound complete CPT 76805 • Maternity | $63 | $118 | $174 |
| Obstetric ultrasound detailed fetal anatomy CPT 76811 • Maternity | $122 | $172 | $222 |
| Obstetric ultrasound limited CPT 76815 • Maternity | $41 | $73 | $104 |
| Ultrasound transvaginal obstetric CPT 76817 • Maternity | $48 | $83 | $118 |
| Interactive complexity add-on CPT 90785 • Mental Health | $19 | $22 | $26 |
| Psychiatric diagnostic evaluation CPT 90791 • Mental Health | $159 | $213 | $267 |
| Psychiatric diagnostic evaluation with medical services CPT 90792 • Mental Health | $146 | $205 | $264 |
| Psychotherapy 30 minutes CPT 90832 • Mental Health | $85 | $102 | $118 |
| Psychotherapy 30 min add-on to E/M CPT 90833 • Mental Health | $70 | $96 | $122 |
| Psychotherapy 45 minutes CPT 90834 • Mental Health | $113 | $144 | $174 |
| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $89 | $129 | $170 |