Visits & medical services prices at Novant Health Forsyth Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Aep Neurodiagnostic I&R (92653) $1,246.20 $2,077 6.0×
Aep threshold estimation mlt frequencies i&r (92652) $1,282.80 $2,138 6.1×
Analyze Neurostim Complex (95972) $183 $305 2.0×
Appl on-body injector for timed subq injection (96377) $87 $145 1.9×
Application of heat wave therapy (97024) $48.60 $81 6.6×
Assessment of aphasia (96105) $179.70 $299.50 1.8×
Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $71.40 $119 1.9×
Behavioral and qualitative analysis of voice and resonance (92524) $210.90 $351.50 1.9×
Biofeedback training any modality (90901) $113.70 $189.50 2.8×
Bis extracellular fluid alys lymphedema assmnt (93702) $192.60 $321 1.5×
C motor evoked uppr limbs (95928) $1,506 $2,510 1.8×
C motor evoked upr&lwr limbs (95939) $1,543.80 $2,573 1.9×
Canalith Repositioning (95992) $105.30 $175.50 2.6×
Cardiac Stress Tst,Tracing Only (93017) $386.40 $644 1.8×
Cardioversion (92960) $1,196.40 $1,994 1.9×
Caregiver training 1st 30 min (97550) $124.80 $208 2.4×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $62.40 $104 2.4×
Chemo Admin Peritoneal Cavity (96446) $799.50 $1,332.50 2.5×
Chemo Hormon Antineopl Sq/Im (96402) $129 $215 1.8×
Chemo inj subarach/intravent (96542) $409.20 $682 1.3×
Chemo IV push addl drug (96411) $180.60 $301 2.6×
Chemo Iv Push Sngl Drug (96409) $306.60 $511 1.0×
Chemo prolong 8+ hrs infuse w/pump (96416) $249 $415 0.8×
Chemother, IV infusion, 1 hr (96413) $287.70 $479.50 0.9×
Chemother, IV infusion, ea add hr (96415) $178.80 $298 2.6×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $188.70 $314.50 2.7×
Chemotx Admn Cns Req Spinal Puncture (96450) $746.70 $1,244.50 2.3×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $180.60 $301 2.6×
Color/duplex Doppler, complete (93975) $498 $830 2.2×
Color/duplex Doppler, limited (93976) $385.20 $642 3.8×
Cortical mapping 1st hr (95961) $693 $1,155 0.8×
Ctr motor ep std transcrnl motor stimj lwr limbs (95929) $911.40 $1,519 2.5×
Debridement Open Wound 20 Sq Cm< (97597) $202.50 $337.50 1.0×
Developmental tst admin phys/qhp 1st hour (96112) $232.20 $387 1.9×
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $1,607.70 $2,679.50 4.0×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $391.20 $652 1.7×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $353.40 $589 3.5×
Dup-scan artl infl&ven o/f pen vsl f-up/lmtd std (93981) $490.80 $818 4.8×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $513.60 $856 2.2×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $331.20 $552 3.3×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $543 $905 2.3×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $321.60 $536 3.2×
Dup-scan xtr veins unilateral/limited study (93971) $349.80 $583 3.5×
Duplex hemodialysis access (93990) $339.60 $566 3.3×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $542.40 $904 2.3×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $542.40 $904 5.3×
Duplex scan extracranial art compl bi study (93880) $604.20 $1,007 2.6×
Echo Heart Xthoracic,Limited (93308) $482.70 $804.50 2.1×
Echo transesophageal (93312) $1,626 $2,710 3.1×
Echo Transthoracic - Congenital Tte Complete (93303) $1,755.60 $2,926 3.3×
Echo Transthoracic - Congenital Tte Limited (93304) $1,068.60 $1,781 2.0×
EEG awake asleep (95819) $822.60 $1,371 3.9×
EEG awake drowsy (95816) $822.60 $1,371 3.9×
EEG cerebral death evaluation (95824) $846.60 $1,411 2.3×
EEG coma or sleep only (95822) $846.60 $1,411 4.0×
EEG cont rec w/video by tech min 8 channels (95700) $1,258.20 $2,097 6.0×
Eeg Extended Monitoring 61-119 Minutes (95813) $825.60 $1,376 3.9×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $2,080.20 $3,467 9.9×
EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) $4,041 $6,735 11.2×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $4,041 $6,735 11.2×
EEG w/o vid tech ea incr 12-26 hr cont r-t mntr (95710) $4,161 $6,935 11.5×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $2,080.20 $3,467 9.9×
EEG w/o video by tech 2-12hr continuous r-t mntr (95707) $2,080.20 $3,467 9.9×
EKG (93005) $128.70 $214.50 2.2×
EKG rhythm strip (93041) $109.80 $183 1.9×
Ekg Signal Averaging (93278) $71.10 $118.50 1.2×
Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) $187.80 $313 2.0×
Electroconvulsive Therapy (90870) $804 $1,340 1.0×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $749.40 $1,249 3.6×
EMG cranial nerve bilat (95868) $221.40 $369 1.1×
EMG cranial nerve unilat (95867) $307.80 $513 1.5×
EMG four extremities (95864) $673.20 $1,122 5.4×
EMG one extremity (95860) $306.30 $510.50 2.4×
EMG three extremities (95863) $517.50 $862.50 4.1×
EMG two extremities (95861) $398.40 $664 3.1×
Ep Analyze Pacer Sys (93724) $214.80 $358 0.7×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $193.20 $322 2.7×
Evaluation of speech fluency (92521) $210.90 $351.50 1.6×
Evaluation of speech sound production (92522) $210.90 $351.50 1.9×
Evaluation of swallowing function (92610) $184.50 $307.50 2.2×
Evaluation with prescription of speech-generating alternative (92607) $209.70 $349.50 1.7×
External ECG rec>48hr<7d recording (93242) $539.40 $899 14.9×
External ECG rec>7d<15d recording (93246) $1,012.80 $1,688 28.0×
External Ecg Scanning Analysis Report (93226) $232.80 $388 4.1×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $305.40 $509 1.5×
Group Therapeutic Procedures (97150) $60.60 $101 3.4×
Hemodialysis (90935) $735.60 $1,226 1.1×
Holter Monitor Recording (93225) $250.20 $417 1.9×
Immunization Admin (90471) $57 $95 0.8×
Ins swan ganz bedside (93503) $1,891.20 $3,152 1.2×
Intralesional Chemo Admin,8+ Lesn (96406) $438 $730 2.1×
Intralesional Chemo Admin,<8 Lesn (96405) $97.80 $163 1.4×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $141.60 $236 2.5×
IV infusion hydration each additional hour (96361) $139.20 $232 3.1×
IV infusion hydration initial 31 min-1 hour (96360) $271.80 $453 1.3×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $157.20 $262 2.3×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $277.50 $462.50 1.3×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $139.20 $232 3.1×
IV push initial (96374) $204.60 $341 1.0×
Liver elastography w/o imag w/i&r (91200) $262.20 $437 2.1×
Manual therapy 15 min (97140) $72.60 $121 2.6×
Massage 15 min (97124) $71.40 $119 2.4×
Mechanical traction (97012) $55.50 $92.50 3.9×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $33 $55 1.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $33 $55 0.9×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $229.20 $382 2.5×
Multiple Family Group Psychotherapy (90849) $115.20 $192 0.7×
Needle electromyography larynx (95865) $216 $360 1.7×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $1,154.10 $1,923.50 8.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $375.60 $626 1.9×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $623.40 $1,039 1.6×
Nerve conduction studies 13/> studies (95913) $3,097.80 $5,163 8.6×
Nerve Conduction Studies 3-4 Studies (95908) $934.80 $1,558 4.5×
Nerve Conduction Studies 9-10 Studies (95911) $2,452.20 $4,087 6.8×
Nerve conduction studies; 1-2 studies (95907) $467.40 $779 2.2×
Nerve conduction studies; 11-12 studies (95912) $2,941.80 $4,903 8.1×
Nerve conduction studies; 5-6 studies (95909) $1,471.20 $2,452 7.0×
Nerve conduction studies; 7-8 studies (95910) $1,961.40 $3,269 5.4×
Neuromuscular junction test (95937) $861.30 $1,435.50 6.9×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $251.10 $418.50 1.9×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $239.40 $399 1.1×
Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98972) $118.80 $198 3.5×
Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98970) $118.80 $198 9.6×
Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98971) $118.80 $198 5.2×
Nonphysician Telephone Assessment 11-20 Min (98967) $39.30 $65.50 1.6×
Nonphysician Telephone Assessment 21-30 Min (98968) $56.70 $94.50 1.6×
Nonphysician Telephone Assessment 5-10 Min (98966) $24.60 $41 1.8×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $93 $155 1.6×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $72.60 $121 1.6×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $71.40 $119 2.2×
Ot Contrast Bath Ea 15 Min (97034) $69.30 $115.50 4.9×
Ot eval high complex 60 min (97167) $196.50 $327.50 2.0×
Ot eval low complex 30 min (97165) $196.50 $327.50 2.0×
Ot eval mod complex 45 min (97166) $196.50 $327.50 2.0×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $72.60 $121 1.4×
Ot Prosthetic Training, Each 15 Min (97761) $71.70 $119.50 1.8×
Ot Range Motion Measure,Each Extrem (95851) $87.30 $145.50 3.4×
Ot re-eval est plan care (97168) $164.10 $273.50 2.4×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $174.60 $291 1.4×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $109.80 $183 0.9×
Paraffin bath (97018) $51 $85 8.5×
Peripheral arterial disease rehab per session (93668) $92.40 $154 1.6×
Phy/qhp op pulm rhb w/mntr (94626) $147.60 $246 2.6×
Phy/qhp op pulm rhb w/o mntr (94625) $145.20 $242 2.5×
Pm device eval in person (93288) $69.60 $116 1.9×
Psychiatric diagnostic evaluation (90791) $241.20 $402 1.4×
Pt Aquatic Therapy/Exercises (97113) $72.60 $121 2.0×
Pt Electric Current Therapy (97033) $71.70 $119.50 3.8×
Pt Electrical Stimulation (97032) $72.60 $121 4.9×
Pt eval high complex 45 min (97163) $196.50 $327.50 2.0×
Pt eval low complex 20 min (97161) $196.50 $327.50 2.0×
Pt Gait Training Therapy (97116) $72.60 $121 2.5×
Pt group caregiver training (97552) $56.40 $94 2.6×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $72.60 $121 2.2×
Pt Physical Performance Test (97750) $72.60 $121 2.2×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $196.50 $327.50 2.0×
Pt re-evaluation (97164) $164.10 $273.50 2.4×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $73.80 $123 2.3×
Pt Ultrasound Therapy (97035) $72.60 $121 5.1×
Pt Whirlpool Therapy (97022) $108.60 $181 6.9×
Refill/maint, portable pump (96521) $272.40 $454 1.3×
Rem ther mntr dev sply w/rec muscskel sys ea 30d (98977) $77.40 $129 2.1×
Rem ther mntr dev supply w/rec respir sys ea 30d (98976) $115.80 $193 3.2×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $115.80 $193 0.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $349.80 $583 1.8×
Rom meas&reprt hand w/wo comparison normal sid (95852) $114.60 $191 5.4×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $102.90 $171.50 2.2×
Sensory Integration Ea 15 Min (97533) $73.80 $123 1.2×
Short-latency somatosens ep std lwr limbs (95926) $780.60 $1,301 3.7×
Short-latency somatosens ep std upr limbs (95925) $780.60 $1,301 3.7×
Sleep study unattended (95806) $487.20 $812 2.3×
Smoking cessation > 10 min (99407) $43.80 $73 1.2×
Somatosensory testing (95938) $1,507.20 $2,512 1.8×
Speech group therapy (92508) $96.30 $160.50 4.0×
Speech sound lang comprehen (92523) $267.60 $446 1.2×
Standardized Cognitive Performance Testing (96125) $275.10 $458.50 2.7×
Stress echo (93350) $1,594.80 $2,658 3.0×
Stress Tte Complete (93351) $1,690.80 $2,818 3.2×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $90 $150 2.0×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $309 $515 1.5×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $151.80 $253 6.8×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $232.20 $387 11.0×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $187.50 $312.50 1.8×
Ther/Proph/Diag Inj Sc/Im (96372) $91.80 $153 1.3×
Therapeutic Activities (97530) $72.60 $121 2.1×
Therapeutic phlebotomy (99195) $192.90 $321.50 1.5×
Tilt Table Eval (93660) $1,561.20 $2,602 4.3×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $19.80 $33 0.5×
Trans Care Mgmt 14 Day Disch (99495) $157.80 $263 1.2×
Trans Care Mgmt 7 Day Disch (99496) $157.80 $263 1.2×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $593.40 $989 2.6×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,212.60 $2,021 2.3×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $876.30 $1,460.50 3.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $160.50 $267.50 2.1×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $126.90 $211.50 1.5×
Tx/Pro/Dx Inj New Drug Addon (96375) $145.20 $242 3.2×
Ultrasound of heart with probe in esophagus to assess heart pump function (93318) $2,023.80 $3,373 3.8×
Unlisted Cardiovascular Service/Procedure (93799) $107.40 $179 0.9×
Unlisted noninvasive vascular diagnostic study (93998) $132.70 $221.16 4.7×
Vasc Duplex Extrem Venous,Bilat (93970) $505.80 $843 2.2×
Vasc Duplex Scan Extracranial,Limited (93882) $354 $590 3.5×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $627.60 $1,046 3.0×
Vasopneumatic device (97016) $92.40 $154 7.7×
Veeg by tech 2-12 hours unmonitored (95711) $2,080.20 $3,467 9.9×
Veeg by tech 2-12 hr continuous r-t monitoring (95713) $2,080.20 $3,467 5.7×
Veeg by tech 2-12 hr intermittent monitoring (95712) $2,020.80 $3,368 5.6×
Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) $4,041 $6,735 4.9×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $4,041 $6,735 11.2×
Veeg Ea 12-26 Hr Unmntr (95714) $4,161 $6,935 11.5×
Wheelchair Mgmt Ea 15 Min (97542) $71.40 $119 2.3×
Xtrnl mobile cv telemetry w/technical support (93229) $555.60 $926 1.5×