INGRID GONZALEZ· WINSTON SALEM, NC

Physician group

195 KIMEL PARK DR STE 200, WINSTON SALEM, NC 27103

Procedures offered

952 total

Procedure	Min	Avg	Max
Tonsillectomy primary under age 12 CPT 42826 • ENT	$693	$693	$693
Adenoidectomy primary under age 12 CPT 42830 • ENT	$575	$575	$575
Removal impacted cerumen unilateral CPT 69210 • ENT	$55	$55	$55
Tympanostomy tube insertion CPT 69436 • ENT	$185	$185	$185
Tympanoplasty without mastoidectomy CPT 69631 • ENT	$1,035	$1,035	$1,035
Tympanoplasty with mastoidectomy CPT 69633 • ENT	$1,222	$1,222	$1,222
Comprehensive audiometry evaluation CPT 92557 • ENT	$36	$36	$36
Incision and drainage abscess simple CPT 10060 • Emergency	$144	$144	$144
Incision and drainage abscess complicated CPT 10061 • Emergency	$245	$245	$245
Simple wound repair up to 2.5cm CPT 12001 • Emergency	$52	$52	$52
Simple wound repair 2.6-7.5cm CPT 12002 • Emergency	$131	$131	$131
Simple wound repair face 2.5cm or less CPT 12011 • Emergency	$63	$63	$63
Intermediate wound repair 2.5cm or less CPT 12031 • Emergency	$174	$174	$174
Intermediate wound repair face 2.5cm or less CPT 12051 • Emergency	$327	$327	$327
Initial treatment first degree burn CPT 16000 • Emergency	$90	$90	$90
Emergency department visit self-limited problem CPT 99281 • Emergency	$15	$25	$35
Emergency department visit low severity CPT 99282 • Emergency	$53	$60	$67
Emergency department visit moderate severity CPT 99283 • Emergency	$91	$102	$114
Emergency department visit high severity CPT 99284 • Emergency	$153	$184	$205
Emergency department visit highest severity CPT 99285 • Emergency	$222	$252	$282
Critical care first 30-74 minutes CPT 99291 • Emergency	$343	$343	$344
Critical care each additional 30 minutes CPT 99292 • Emergency	$150	$182	$204
Esophagoscopy rigid diagnostic CPT 43191 • Gastroenterology	$418	$418	$418
Upper GI endoscopy diagnostic CPT 43235 • Gastroenterology	$499	$590	$772
Upper GI endoscopy with biopsy CPT 43239 • Gastroenterology	$369	$550	$641
Upper GI endoscopy with foreign body removal CPT 43247 • Gastroenterology	$649	$776	$1,029
Upper GI endoscopy with balloon dilation CPT 43249 • Gastroenterology	$1,906	$2,397	$2,889
Upper GI endoscopy with polypectomy by snare CPT 43251 • Gastroenterology	$846	$1,087	$1,329
Upper GI endoscopy with stent placement CPT 43257 • Gastroenterology	$618	$618	$618
Upper GI endoscopy with endoscopic ultrasound CPT 43259 • Gastroenterology	$376	$451	$601
ERCP diagnostic CPT 43260 • Gastroenterology	$315	$570	$858
ERCP with sphincterotomy CPT 43262 • Gastroenterology	$595	$714	$951
ERCP with removal of stones CPT 43264 • Gastroenterology	$355	$662	$969
ERCP with stent placement CPT 43274 • Gastroenterology	$452	$842	$1,232
Colonoscopy through stoma diagnostic CPT 44388 • Gastroenterology	$846	$846	$846
Colonoscopy through stoma with biopsy CPT 44389 • Gastroenterology	$1,104	$1,104	$1,104
Flexible sigmoidoscopy diagnostic CPT 45330 • Gastroenterology	$496	$496	$496
Colonoscopy diagnostic CPT 45378 • Gastroenterology	$90	$501	$911
Colonoscopy with biopsy CPT 45380 • Gastroenterology	$335	$749	$1,164
Colonoscopy with submucosal injection CPT 45381 • Gastroenterology	$747	$894	$1,188
Colonoscopy with lesion removal by hot biopsy CPT 45384 • Gastroenterology	$1,310	$1,310	$1,310
Colonoscopy with polypectomy by snare CPT 45385 • Gastroenterology	$249	$734	$1,219
Colonoscopy with balloon dilation CPT 45386 • Gastroenterology	$564	$811	$1,059
Colonoscopy with ablation of tumor or polyp CPT 45388 • Gastroenterology	$722	$722	$722
Colonoscopy with endoscopic mucosal resection CPT 45390 • Gastroenterology	$886	$886	$886
Esophageal motility study CPT 91010 • Gastroenterology	$211	$287	$364
Esophageal motility study with acid reflux CPT 91035 • Gastroenterology	$78	$78	$78
Esophageal pH monitoring 24 hours CPT 91038 • Gastroenterology	$53	$205	$356
Auto-added CPT 00102 • General	$81	$81	$81
Auto-added CPT 00104 • General	$81	$81	$81