INDRANI ACOSTA· WINSTON SALEM, NC
Physician group
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103
Procedures offered
953 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| MRI brain without contrast then with contrast CPT 70553 • Imaging | $62 | $140 | $218 |
| Chest X-ray single view CPT 71045 • Imaging | $14 | $16 | $16 |
| Chest X-ray 2 views CPT 71046 • Imaging | $14 | $27 | $39 |
| CT chest without contrast CPT 71250 • Imaging | $45 | $56 | $77 |
| CT chest with contrast CPT 71260 • Imaging | $97 | $118 | $139 |
| CT chest without then with contrast CPT 71270 • Imaging | $45 | $129 | $213 |
| CT angiography chest CPT 71275 • Imaging | $555 | $599 | $644 |
| CT cervical spine without contrast CPT 72125 • Imaging | $138 | $138 | $138 |
| CT thoracic spine without contrast CPT 72128 • Imaging | $156 | $156 | $156 |
| CT lumbar spine without contrast CPT 72131 • Imaging | $233 | $233 | $233 |
| MRI cervical spine without contrast CPT 72141 • Imaging | $45 | $249 | $493 |
| MRI thoracic spine without contrast CPT 72146 • Imaging | $142 | $196 | $250 |
| MRI lumbar spine without contrast CPT 72148 • Imaging | $399 | $446 | $494 |
| CT pelvis without contrast CPT 72192 • Imaging | $164 | $164 | $164 |
| CT pelvis with contrast CPT 72193 • Imaging | $45 | $61 | $77 |
| X-ray shoulder complete CPT 73030 • Imaging | $31 | $40 | $45 |
| MRI joint upper extremity without contrast CPT 73221 • Imaging | $62 | $136 | $210 |
| X-ray knee 1-2 views CPT 73560 • Imaging | $44 | $44 | $45 |
| X-ray ankle complete CPT 73610 • Imaging | $23 | $34 | $46 |
| MRI lower extremity without contrast CPT 73718 • Imaging | $250 | $318 | $386 |
| MRI joint lower extremity without contrast CPT 73721 • Imaging | $45 | $67 | $90 |
| CT abdomen without contrast CPT 74150 • Imaging | $117 | $234 | $351 |
| CT abdomen with contrast CPT 74160 • Imaging | $452 | $452 | $452 |
| CT abdomen without then with contrast CPT 74170 • Imaging | $418 | $418 | $418 |
| CT abdomen and pelvis without contrast CPT 74176 • Imaging | $115 | $292 | $468 |
| CT abdomen and pelvis with contrast CPT 74177 • Imaging | $171 | $520 | $790 |
| CT abdomen and pelvis without then with contrast CPT 74178 • Imaging | $156 | $404 | $884 |
| Ultrasound abdominal complete CPT 76700 • Imaging | $45 | $50 | $54 |
| Ultrasound retroperitoneal complete CPT 76770 • Imaging | $45 | $59 | $74 |
| Ultrasound transvaginal CPT 76830 • Imaging | $45 | $103 | $161 |
| Ultrasound pelvic complete CPT 76856 • Imaging | $70 | $107 | $144 |
| Diagnostic mammography unilateral CPT 77065 • Imaging | $41 | $103 | $176 |
| Diagnostic mammography bilateral CPT 77066 • Imaging | $66 | $117 | $168 |
| Screening mammography bilateral CPT 77067 • Imaging | $60 | $97 | $134 |
| DEXA bone density study axial skeleton CPT 77080 • Imaging | $53 | $53 | $53 |
| Nuclear myocardial perfusion study CPT 78452 • Imaging | $717 | $906 | $1,095 |
| Collection of venous blood by venipuncture CPT 36415 • Laboratory | $2 | $8 | $14 |
| Basic metabolic panel CPT 80048 • Laboratory | $5 | $10 | $14 |
| Comprehensive metabolic panel CPT 80053 • Laboratory | $11 | $14 | $18 |
| Lipid panel CPT 80061 • Laboratory | $12 | $16 | $22 |
| Hepatic function panel CPT 80076 • Laboratory | $5 | $5 | $5 |
| Urinalysis with microscopy CPT 81001 • Laboratory | $3 | $4 | $5 |
| Urinalysis nonautomated without microscopy CPT 81002 • Laboratory | $1 | $2 | $4 |
| Urinalysis automated without microscopy CPT 81003 • Laboratory | $1 | $3 | $4 |
| Fecal hemoglobin immunoassay CPT 82274 • Laboratory | $13 | $14 | $16 |
| Vitamin D 25-hydroxy CPT 82306 • Laboratory | $26 | $31 | $39 |
| Creatine kinase (CK) total CPT 82550 • Laboratory | $6 | $8 | $11 |
| Creatinine urine CPT 82570 • Laboratory | $5 | $7 | $9 |
| Ferritin CPT 82728 • Laboratory | $7 | $9 | $12 |
| IgA IgD IgG IgM each CPT 82784 • Laboratory | $9 | $11 | $12 |