Procedures & surgery prices at Novant Health Forsyth Medical Center

Winston-Salem, NC · every code in this section with a posted price and a Medicare benchmark.

136 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $1,698 $2,830 1.9×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,226.40 $2,044 1.4×
Allogeneic lymphocyte infusions (38242)
range across 2 matching MRF lines
$1,753.20–$2,779.80 $2,922–$4,633 varies
Amniocentesis diagnostic (59000) $717 $1,195 0.8×
Amniocentesis therapeutic (59001)
range across 2 matching MRF lines
$958.80–$1,029.60 $1,598–$1,716 varies
Apheresis Platelets (36513)
range across 2 matching MRF lines
$833.40–$2,762.40 $1,389–$4,604 varies
Application finger splint static (29130) $201 $335 1.6×
Application of rigid total contact leg cast (29445) $254.40 $424 0.9×
Application short arm splint forearm-hand static (29125) $201 $335 1.6×
Apply Multlay Comprs Lwr Leg (29581)
range across 4 matching MRF lines
$285–$388.20 $475–$647 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $381.60 $636 1.3×
Aspirate pleura w/ imaging (32555) $1,337.40 $2,229 2.2×
Aspirate Pleura W/O Imaging (32554) $999.60 $1,666 1.6×
Biopsy muscle percutaneous needle (20206) $2,946 $4,910 1.8×
Biopsy Oropharynx (42800) $2,801.40 $4,669 1.9×
Biopsy Tongue Anterior Two-Thirds (41100) $907.80 $1,513 1.7×
Biopsy Vaginal Mucosa Extensive (57105) $3,792 $6,320 1.2×
Biopsy Vaginal Mucosa Simple (57100) $1,022.40 $1,704 1.1×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $1,022.40 $1,704 1.1×
Biopsy, vestibule of mouth (40808) $676.20 $1,127 1.3×
Bladder instillation anticarcinogenic agent (51720) $419.40 $699 0.6×
Bladder Irrigation (51700) $451.20 $752 1.9×
Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206)
range across 2 matching MRF lines
$2,779.20–$4,135.20 $4,632–$6,892 varies
Blood Transfusion Service (36430)
range across 4 matching MRF lines
$293.40–$1,316.40 $489–$2,194 varies
Blood/Lymph System Procedure (38999) $26,728.20 $44,547 62.5×
Bone Marrow Biopsy (38221)
range across 3 matching MRF lines
$1,478.40–$3,007.20 $2,464–$5,012 varies
Bone Marrow; Aspiration Only (38220)
range across 2 matching MRF lines
$1,478.40–$3,007.20 $2,464–$5,012 varies
Bx Cervix (57500) $1,022.40 $1,704 1.1×
Car-t admn autologous (38228) $3,510.60 $5,851 11.0×
Chemical Cautery Tissue (17250) $371.40 $619 1.9×
Chemodenerv Musc Migraine (64615) $800.56 $1,334.26 2.7×
Chest tube placement (32551) $1,891.20 $3,152 1.2×
Collect Blood From Catheter Venous Nos (36592) $128.40 $214 1.0×
Collection of venous blood by venipuncture (36415)
range across 3 matching MRF lines
$18–$8,125.80 $30–$13,543 varies
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $474 $790 1.6×
Colposcopy Cervix Endocervical Curettage (57456) $460.80 $768 1.6×
Colposcopy cervix upper/adjacent vagina (57452) $274.80 $458 1.4×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $501.60 $836 1.7×
Colposcopy cervix vag eltrd conization cervix (57461) $2,976 $4,960 0.9×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $2,628 $4,380 0.8×
Colposcopy entire vagina w/cervix if present (57420) $474 $790 1.6×
Colposcopy Vulva W/Biopsy (56821) $474 $790 1.6×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $1,022.40 $1,704 1.1×
Cordocentesis (59012) $836.40 $1,394 2.8×
Cysto w/complex removal stone & stent (52315) $3,195.60 $5,326 1.6×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $1,107 $1,845 0.7×
Debridement subcutaneous tissue 20 sq cm/< (11042) $490.20 $817 1.2×
Declot vascular device (36593)
range across 2 matching MRF lines
$371.40–$382.80 $619–$638 varies
Destruction Lesions Vulva Simple (56501) $1,245.60 $2,076 0.6×
Dilation & curettage dx&/ther nonobstetric (58120) $4,960.20 $8,267 1.6×
Drain Cerebro Spinal Fluid (62272) $843 $1,405 1.2×
Draw Blood Off Venous Device (36591)
range across 3 matching MRF lines
$84–$97.20 $140–$162 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $388.20 $647 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $388.20 $647 2.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $388.20 $647 2.0×
Dx Bone Marrow Bx & Aspir (38222) $2,083.20 $3,472 0.7×
Dx Bronchoscope/Wash (31622) $2,099.40 $3,499 1.2×
Dx Laryngoscopy Excl Nb (31525) $2,192.40 $3,654 1.3×
Dx lmbr spi pnxr w/fluor/CT (62328) $1,262.40 $2,104 1.8×
Egd place gastrostomy tube (43246) $2,309.40 $3,849 1.2×
Endocervical curettage (57505) $832.80 $1,388 0.9×
Endometrial Biopsy (58100) $474 $790 2.4×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $2,669.40 $4,449 1.3×
Epidural Blood Patch (62273) $1,450.20 $2,417 2.1×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $1,042.80 $1,738 1.5×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $3,033 $5,055 1.9×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $925.80 $1,543 1.3×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $2,043.60 $3,406 1.3×
Exc Skin Malig >4 Cm Remaindr Body (11626) $5,102.40 $8,504 1.8×
Exchange Transfusion (36455) $2,681.40 $4,469 6.3×
Excis Mouth Mucosa/Sub,No Repair (40810) $4,976.90 $8,294.84 1.5×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $925.80 $1,543 1.3×
Excision of vaginal cyst or tumor (57135)
range across 2 matching MRF lines
$4,960.20–$5,952.60 $8,267–$9,921 varies
External cephalic version (59412)
range across 2 matching MRF lines
$3,244.80–$3,717.60 $5,408–$6,196 varies
Fetal Contraction Stress Test (59020)
range across 2 matching MRF lines
$341.40–$355.20 $569–$592 varies
Fetal non-stress test (59025)
range across 3 matching MRF lines
$301.80–$407.40 $503–$679 varies
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines
$247.80–$739.80 $413–$1,233 varies
Hysteroscopy Biopsy (58558) $3,634.80 $6,058 1.2×
I&d abscess simple (10060)
range across 2 matching MRF lines
$243.60–$288 $406–$480 varies
Incision and drainage of vulva or perineal abscess (56405) $717.60 $1,196 2.4×
Inject Intravitreal Pharmcologic (67028) $141.60 $236 0.4×
Injection single tendon origin/insertion (20551) $791.40 $1,319 2.7×
Injection, intralesional; up to and including 7 lesions (11900) $310.20 $517 1.6×
Insert cath pleura w/ image (32557) $1,891.20 $3,152 1.2×
Insert cath pleura w/o image (32556) $2,309.40 $3,849 1.2×
Insert cervical dilator (59200) $243 $405 0.8×
Insert non-tunnel cv cath (36556) $3,831.60 $6,386 1.3×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines
$85.20–$100.20 $142–$167 varies
Insert,Non-Indwelling Bladder Catheter (51701) $245.40 $409 1.9×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $3,831.60 $6,386 1.3×
Instlj ther agent renal pelvis&/ureter via tub (50391) $531 $885 2.2×
Intro cath dialysis circuit (36901) $1,891.20 $3,152 1.2×
Intubation endotracheal emergency procedure (31500) $420.60 $701 1.8×
Mastectomy partial (19301) $5,973.60 $9,956 1.6×
Nasal/Orogastric W/Tube Plmt (43752) $727.80 $1,213 1.7×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $3,074.40 $5,124 1.8×
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) $399.60 $666 1.6×
Needle insertion w/o injection 1 or 2 muscles (20560)
range across 2 matching MRF lines
$23.45–$28.67 $39.09–$47.78 varies
Needle insertion w/o injection 3 or more muscles (20561)
range across 2 matching MRF lines
$43.09–$52.67 $71.82–$87.78 varies
Open biopsy/excision inguinofemoral nodes (38531) $5,973.60 $9,956 1.6×
Photopheresis extracorporeal (36522)
range across 2 matching MRF lines
$8,503.80–$8,828.96 $14,173–$14,714.94 varies
Pseudoaneurysm Injection Trt (36002)
range across 2 matching MRF lines
$1,257.60–$1,285.80 $2,096–$2,143 varies
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines
$261–$623.40 $435–$1,039 varies
Puncture shunt tube/reservoir aspiration/inj px (61070) $867.60 $1,446 1.3×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $114 $190 2.0×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $267 $445 1.4×
Remove Intrauterine Device (58301) $415.20 $692 1.4×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $849 $1,415 2.2×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $872.40 $1,454 2.2×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $872.40 $1,454 2.2×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,387.80 $2,313 0.9×
Skin sub graft face/nk/hf/g (15275) $2,757.60 $4,596 3.8×
Skin sub graft trnk/arm/leg (15271) $2,757.60 $4,596 3.8×
Skin sub grft t/arm/lg child (15273) $2,757.60 $4,596 1.4×
Skn sub grft f/n/hf/g child (15277) $2,757.60 $4,596 1.4×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines
$468–$843 $780–$1,405 varies
Strapping Unna Boot (29580) $115.80 $193 0.7×
T-cell depletion of harvest (38210)
range across 2 matching MRF lines
$790.20–$833.40 $1,317–$1,389 varies
Thaw preserved stem cells (38208)
range across 4 matching MRF lines
$580.20–$833.40 $967–$1,389 varies
Ther Apheresis W/Extracorporeal Immunoadsorption (36516) $8,503.80 $14,173 2.0×
Ther Apheresis,Red Blood Cells (36512)
range across 2 matching MRF lines
$2,762.40–$2,779.80 $4,604–$4,633 varies
Ther Spi Pnxr Csf Fluor/Ct (62329) $1,262.40 $2,104 1.8×
Therapeutic Apheresis White Blood Cells (36511)
range across 2 matching MRF lines
$2,111.40–$2,779.80 $3,519–$4,633 varies
Therapeutic plasma exchange (36514)
range across 3 matching MRF lines
$2,779.80–$3,511.20 $4,633–$5,852 varies
Tracheostomy planned (31600) $7,708.80 $12,848 2.4×
Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) $884.40 $1,474 3.0×
Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207)
range across 4 matching MRF lines
$2,128.20–$10,221 $3,547–$17,035 varies
Trnspl Prepj Hematop Progen Concentration Plsm (38215)
range across 2 matching MRF lines
$790.20–$833.40 $1,317–$1,389 varies
Trnspl Prepj Hematop Progen Plsm Vol Deplj (38214)
range across 4 matching MRF lines
$580.20–$833.40 $967–$1,389 varies
Trnspl Prepj Hematop Progen Pltlt Deplj (38213)
range across 2 matching MRF lines
$790.20–$833.40 $1,317–$1,389 varies
Trnspl Prepj Hematop Progen Red Bld Cell Rmvl (38212)
range across 2 matching MRF lines
$790.20–$833.40 $1,317–$1,389 varies
Trnspl prepj hematop progen tum cell deplj (38211)
range across 2 matching MRF lines
$790.20–$833.40 $1,317–$1,389 varies
Trnsplj allogeneic hematopoietic cells per donor (38240) $165,692.40 $276,154 2.7×
Trnsplj autologous hematopoietic cells per donor (38241)
range across 2 matching MRF lines
$1,947.60–$2,779.80 $3,246–$4,633 varies
Vulvectomy simple partial (56620) $3,685.80 $6,143 1.2×
Wash harvest stem cells (38209)
range across 2 matching MRF lines
$790.20–$833.40 $1,317–$1,389 varies

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.