SHANNA STOTER· WINSTON SALEM, NC
Physician group
MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157
Procedures offered
952 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Tonsillectomy primary under age 12 CPT 42826 • ENT | $313 | $454 | $595 |
| Adenoidectomy primary under age 12 CPT 42830 • ENT | $129 | $310 | $491 |
| Removal impacted cerumen unilateral CPT 69210 • ENT | $74 | $93 | $112 |
| Tympanostomy tube insertion CPT 69436 • ENT | $370 | $370 | $370 |
| Tympanoplasty without mastoidectomy CPT 69631 • ENT | $2,066 | $2,066 | $2,066 |
| Tympanoplasty with mastoidectomy CPT 69633 • ENT | $2,441 | $2,441 | $2,441 |
| Comprehensive audiometry evaluation CPT 92557 • ENT | $12 | $37 | $61 |
| Incision and drainage abscess simple CPT 10060 • Emergency | $122 | $203 | $283 |
| Incision and drainage abscess complicated CPT 10061 • Emergency | $224 | $328 | $431 |
| Simple wound repair up to 2.5cm CPT 12001 • Emergency | $47 | $129 | $211 |
| Simple wound repair 2.6-7.5cm CPT 12002 • Emergency | $62 | $160 | $259 |
| Simple wound repair face 2.5cm or less CPT 12011 • Emergency | $58 | $158 | $258 |
| Intermediate wound repair 2.5cm or less CPT 12031 • Emergency | $190 | $275 | $360 |
| Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency | $107 | $254 | $402 |
| Initial treatment first degree burn CPT 16000 • Emergency | $172 | $172 | $172 |
| Emergency department visit self-limited problem CPT 99281 • Emergency | $27 | $34 | $42 |
| Emergency department visit low severity CPT 99282 • Emergency | $44 | $62 | $81 |
| Emergency department visit moderate severity CPT 99283 • Emergency | $66 | $94 | $121 |
| Emergency department visit high severity CPT 99284 • Emergency | $125 | $174 | $222 |
| Emergency department visit highest severity CPT 99285 • Emergency | $217 | $270 | $323 |
| Critical care first 30-74 minutes CPT 99291 • Emergency | $278 | $345 | $413 |
| Critical care each additional 30 minutes CPT 99292 • Emergency | $118 | $173 | $228 |
| Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology | $368 | $368 | $368 |
| Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology | $156 | $225 | $295 |
| Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology | $177 | $255 | $332 |
| Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology | $226 | $326 | $426 |
| Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology | $196 | $1,357 | $2,518 |
| Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology | $251 | $681 | $1,111 |
| Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology | $561 | $561 | $561 |
| Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology | $289 | $417 | $545 |
| ERCP diagnostic CPT 43260 • Gastroenterology | $778 | $778 | $778 |
| ERCP with sphincterotomy CPT 43262 • Gastroenterology | $861 | $861 | $861 |
| ERCP with removal of stones CPT 43264 • Gastroenterology | $233 | $555 | $877 |
| ERCP with stent placement CPT 43274 • Gastroenterology | $593 | $855 | $1,117 |
| Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology | $198 | $287 | $375 |
| Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology | $936 | $936 | $936 |
| Flexible sigmoidoscopy diagnostic CPT 45330 • Gastroenterology | $71 | $71 | $71 |
| Colonoscopy diagnostic CPT 45378 • Gastroenterology | $236 | $341 | $446 |
| Colonoscopy with biopsy CPT 45380 • Gastroenterology | $256 | $626 | $995 |
| Colonoscopy with submucosal injection CPT 45381 • Gastroenterology | $128 | $558 | $987 |
| Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology | $291 | $420 | $549 |
| Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology | $325 | $684 | $1,043 |
| Colonoscopy with balloon dilation CPT 45386 • Gastroenterology | $510 | $510 | $510 |
| Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology | $346 | $3,529 | $6,713 |
| Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology | $426 | $614 | $801 |
| Esophageal motility study CPT 91010 • Gastroenterology | $85 | $162 | $240 |
| Esophageal motility study with acid reflux CPT 91035 • Gastroenterology | $105 | $410 | $715 |
| Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology | $72 | $431 | $790 |
| Auto-added CPT 00102 • General | $50 | $50 | $50 |
| Auto-added CPT 00104 • General | $50 | $50 | $50 |