SHANNA STOTER· WINSTON SALEM, NC

Physician group

MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157

Procedures offered

952 total

Procedure	Min	Avg	Max
Pulse oximetry single measurement CPT 94760 • Pulmonology	$4	$4	$4
Pulse oximetry continuous overnight CPT 94762 • Pulmonology	$47	$47	$47
Radiation therapy planning simple CPT 77261 • Radiation Therapy	$92	$92	$92
Radiation therapy planning intermediate CPT 77262 • Radiation Therapy	$139	$139	$139
Radiation therapy planning complex CPT 77263 • Radiation Therapy	$211	$214	$217
Radiation therapy simulation simple CPT 77280 • Radiation Therapy	$47	$48	$48
Radiation therapy simulation complex CPT 77290 • Radiation Therapy	$103	$105	$107
3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy	$284	$301	$318
Radiation therapy dose calculation CPT 77300 • Radiation Therapy	$41	$42	$42
IMRT radiation therapy plan CPT 77301 • Radiation Therapy	$529	$536	$542
Radiation treatment device design complex CPT 77334 • Radiation Therapy	$76	$77	$79
Radiation physics consultation CPT 77336 • Radiation Therapy	$97	$97	$97
Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy	$3,016	$3,016	$3,016
Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy	$1,473	$1,473	$1,473
IMRT delivery simple CPT 77385 • Radiation Therapy	$441	$441	$441
IMRT delivery complex CPT 77386 • Radiation Therapy	$443	$443	$443
Radiation treatment delivery superficial CPT 77407 • Radiation Therapy	$236	$236	$236
Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy	$316	$316	$316
Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy	$237	$241	$244
Radiation therapy management complete course CPT 77431 • Radiation Therapy	$130	$133	$135
Proton beam treatment simple CPT 77520 • Radiation Therapy	$1,023	$1,023	$1,023
Proton beam treatment complex CPT 77523 • Radiation Therapy	$1,101	$1,101	$1,101
Polysomnography under age 6 CPT 95782 • Sleep Medicine	$1,379	$1,379	$1,379
Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine	$258	$258	$258
Sleep study unattended CPT 95800 • Sleep Medicine	$153	$187	$221
Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine	$163	$163	$163
Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine	$111	$111	$111
Polysomnography age 6 or older CPT 95810 • Sleep Medicine	$154	$624	$1,095
Polysomnography with CPAP titration CPT 95811 • Sleep Medicine	$160	$198	$237
CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine	$87	$87	$87
Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine	$900	$900	$900
CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine	$397	$397	$397
Laparoscopic partial nephrectomy CPT 50543 • Urology	$1,889	$2,740	$3,591
Laparoscopic radical nephrectomy CPT 50545 • Urology	$3,229	$3,229	$3,229
Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology	$1,751	$1,751	$1,751
Complex uroflowmetry CPT 51741 • Urology	$15	$18	$21
Post-void residual urine measurement CPT 51798 • Urology	$13	$18	$23
Cystourethroscopy diagnostic CPT 52000 • Urology	$233	$361	$490
Cystourethroscopy with tumor fulguration small CPT 52234 • Urology	$592	$592	$592
Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology	$695	$695	$695
Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology	$507	$507	$507
Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology	$296	$677	$1,058
Cystourethroscopy with lithotripsy CPT 52353 • Urology	$946	$946	$946
TURP transurethral resection of prostate CPT 52601 • Urology	$1,757	$1,757	$1,757
Laser vaporization of prostate CPT 52648 • Urology	$3,914	$3,914	$3,914
Circumcision CPT 54150 • Urology	$192	$277	$363
Orchiectomy simple CPT 54520 • Urology	$781	$781	$781
Orchiectomy radical inguinal CPT 54530 • Urology	$1,217	$1,217	$1,217
Vasectomy CPT 55250 • Urology	$461	$654	$848
Prostate biopsy needle or punch CPT 55700 • Urology	$583	$583	$583