CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Novant Health Forsyth Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$21,339
about 1.5× the $14,044 Medicare rate · typically $16,980–$27,142
modeled estimate · not a bill or quote
What this hospital charges insurers
$20,083
About the fair price
about $1,256 under the fair price · 1.4× Medicare
Medicare pays $14,044 Fair price $21,339 This hospital $20,083

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

Highest price of the 9 NC hospitals we have prices for — worth calling around.

Cheapest $12,504 Priciest $20,083

Black dot = this hospital, among the 9 NC hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $21,339 (about 1.5× the $14,044 Medicare rate). Novant Health Forsyth Medical Center charges insurers about $20,083 — about the fair price. Located in Winston-Salem, NC.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $17,213 - $51,634 123%
Blue Cross Blue Shieldmajor $17,213 - $41,707 123%
Aetnamajor $17,643 126%
Cignamajor $17,729 - $21,642 126%
Humanamajor $17,213 123%
AmeriHealth $20,083 143%
CareSource $21,218 151%
WellCare $20,083 143%
+ 4 smaller / regional plans $17,213 - $34,426

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Facility Profile & Credentials

  • Address: 3333 Silas Creek Parkway, Winston-Salem, NC 27103
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals