How many shoppable procedure prices are published for Novant Health Medical Park Hospital?

Novant Health Medical Park Hospital in Winston-Salem, NC currently has 116 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Novant Health Medical Park Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Novant Health Medical Park Hospital's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

What is Novant Health Medical Park Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Novant Health Medical Park Hospital an overall hospital quality rating of 5 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Other 22 Beds · urban Updated: 2026-03-30

Novant Health Medical Park Hospital

1950 S Hawthorne Rd, Winston-Salem, NC 27103 · 116 Priced Procedures · 89% Patient Recommendation

CMS Overall Rating 5 / 5 Stars

Above Fair Market · Negotiate

1.08×vs. Fair Market Price

Typical commercial prices here are +8% above the fair benchmark (1.08×) even after accounting for local nurse/doctor wages and patient complexity.

64/100 · Caution

64/100Self-Pay Cash Beats Insurance 65% of the Time

File Completeness61

Price Logic37

Peer Alignment67

Clean Billing67

Real Cash Discount100

High Quality · Fair Price

5-Star CMS clinical quality rating paired with 1.08× fair market pricing.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

Novant Health Medical Park Hospital maintains elevated commercial insurance contracts (1.08× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 65% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#37 of 69 in NC · 52nd State Percentile#1,623 of 3,385 in U.S. · 47th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.94× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 65% of shoppable procedures (99/100 Cash Honesty)
5-Star CMS clinical rating with 89% patient recommendation (83/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (60.9% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.9× markup over Medicare rates
Captive ER (2.2×) & laboratory (2.9×) services average 1.40× higher multiples than routine shoppable care (1.5×)
Upper-quartile procedures (Q75 1.37×) jump +22% above the median procedure ratio (Q50 1.12×)
Consolidated metro market (HHI 3,761) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.5× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.40× Divergence

2.1× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+22% Upper Tail

Q25 0.94× · Q50 1.12× · Q75 1.37×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.5× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.9× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

2.2× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

2.9× MedicareFair

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.7× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

65% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

5 CMS · 83/100Good

Procedure Prices at Novant Health Medical Park Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 116 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$50,472	$30,775	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$31,661	$19,432	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$30,559	$19,087	unverified
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$28,435	$17,936	unverified
Total hip replacement CPT Code: `27130`	—	$12,607	$13,413	0.9×
Total knee replacement CPT Code: `27447`	—	$12,607	$13,523	0.9×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$11,067	$8,223	1.3×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$5,937	$6,109	1.0×
Breast lump removal CPT Code: `19120`	—	$3,845	$3,875	1.0×
Inguinal hernia repair CPT Code: `49505`	—	$3,516	$3,629	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$3,213	$3,372	1.0×
Bunion correction surgery CPT Code: `28296`	—	$3,213	$3,446	0.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,840	$3,006	$1,021	unverified
Cataract surgery with lens implant CPT Code: `66984`	—	$2,266	$2,540	0.9×
Trauma team activation HCPCS Code: `G0390`	—	$1,309	$1,453	0.9×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,175	$1,256	0.9×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$913	$981	0.9×
Upper endoscopy with biopsy CPT Code: `43239`	—	$891	$987	0.9×
Injection procedure for pain management HCPCS Code: `G0260`	—	$693	$855	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	—	$628	$511	1.2×
Blood transfusion CPT Code: `36430`	$586	$563	$498	1.1×
MRI, brain (no contrast) CPT Code: `70551`	—	$435	$343	1.3×
MRI, lower back (no contrast) CPT Code: `72148`	—	$399	$338	1.2×
MRI, knee or other leg joint CPT Code: `73721`	—	$419	$369	1.1×
Psychological testing by technician CPT Code: `96138`	—	$439	$395	1.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	—	$337	$448	0.8×
X-ray, hip CPT Code: `73502`	$275	$291	$93	3.1×
X-ray, chest (two views) CPT Code: `71046`	$256	$271	$93	2.9×
CT scan, head (with and without contrast) CPT Code: `70470`	—	$263	$258	1.0×
Rabies immune globulin HCPCS Code: `90375`	—	$273	$322	0.8×
X-ray, chest (single view) CPT Code: `71045`	$217	$229	$92	2.5×
CT scan, sinuses CPT Code: `70486`	—	$219	$166	1.3×
CT scan, chest (no contrast) CPT Code: `71250`	—	$220	$167	1.3×
CT scan, lower back (lumbar spine) CPT Code: `72131`	—	$220	$168	1.3×
CT scan, neck (cervical spine) CPT Code: `72125`	—	$220	$169	1.3×
CT scan, pelvis CPT Code: `72192`	—	$208	$163	1.3×
Breathing treatment (nebulizer) CPT Code: `94640`	$241	$227	$201	1.1×
Neurobehavioral status check CPT Code: `96116`	—	$212	$231	0.9×
CT scan, head (with contrast) CPT Code: `70460`	—	$218	$242	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	—	$237	$272	0.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	—	$240	$583	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$166	$190	$86	2.2×
Office visit, established patient (20-29 min) CPT Code: `99213`	$168	$192	$87	2.2×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	—	$215	$303	0.7×
CT scan, head (no contrast) CPT Code: `70450`	—	$168	$160	1.1×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$174	$166	1.0×
Family therapy session CPT Code: `90847`	—	$174	$173	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$174	$181	1.0×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$174	$185	0.9×
X-ray, foot CPT Code: `73630`	$309	$125	$92	1.4×
X-ray, neck (cervical spine) CPT Code: `72040`	$309	$125	$93	1.3×
X-ray, hand CPT Code: `73130`	$309	$125	$93	1.3×
X-ray, ankle CPT Code: `73610`	$309	$125	$93	1.3×
X-ray, lower back CPT Code: `72110`	$328	$132	$112	1.2×
Psychological testing evaluation CPT Code: `96136`	—	$131	$128	1.0×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$131	$151	0.9×
Physical therapy (gait training) CPT Code: `97116`	$74	$85	$33	2.6×
Physical therapy (manual therapy) CPT Code: `97140`	$74	$85	$34	2.5×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$74	$85	$35	2.4×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$74	$85	$38	2.2×
Occupational therapy (self-care training) CPT Code: `97535`	$74	$85	$38	2.2×
Physical therapy (functional capacity test) CPT Code: `97750`	$74	$85	$38	2.2×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$74	$85	$40	2.1×
Prosthetic fitting and training CPT Code: `97761`	$74	$85	$45	1.9×
X-ray, shoulder CPT Code: `73030`	$256	$103	$92	1.1×
Group therapy session CPT Code: `90853`	—	$100	$100	1.0×
X-ray, pelvis CPT Code: `72170`	$256	$105	$110	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	—	$116	$134	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$162	$82	$86	1.0×
Ultrasound, pelvis CPT Code: `76856`	—	$105	$130	0.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	—	$101	$126	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	—	$105	$132	0.8×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$326	$203	1.6×
Typhoid vaccine HCPCS Code: `90675`	—	$306	$347	0.9×
Drug screening test HCPCS Code: `G0480`	$261	$261	$116	2.3×
Blood test, vitamin D CPT Code: `82306`	$277	$277	$31	unverified
Pneumococcal vaccine HCPCS Code: `90732`	—	$204	$140	1.5×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$173	$173	$20	unverified
Hepatitis C antibody test CPT Code: `86803`	$142	$142	$15	9.5×
Blood test, PSA (prostate screen) CPT Code: `84153`	$163	$163	$19	8.6×
Blood test, thyroid (TSH) CPT Code: `84443`	$144	$144	$18	8.0×
Blood antibody screen CPT Code: `86850`	$146	$154	$46	3.3×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$169	$111	1.5×
Blood test, ferritin (iron stores) CPT Code: `82728`	$122	$122	$14	8.7×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$120	$120	$14	8.6×
Blood test, vitamin B12 CPT Code: `82607`	$134	$134	$16	8.4×
Blood test, lipase CPT Code: `83690`	$142	$142	$7	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$103	$103	$8	12.9×
Blood test, clotting time (PTT) CPT Code: `85730`	$70	$70	$6	11.7×
Culture, bacterial CPT Code: `87070`	$90	$90	$9	10.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$94	$94	$11	8.5×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$87	$87	$10	unverified
Blood test, calcium CPT Code: `82310`	$52	$52	$5	10.4×
Blood test, creatinine (kidney) CPT Code: `82565`	$51	$51	$5	10.2×
Blood test, amylase CPT Code: `82150`	$64	$64	$7	9.1×
Blood test, basic metabolic panel CPT Code: `80048`	$76	$76	$9	8.4×
Culture, blood CPT Code: `87040`	$92	$92	$11	8.4×
Blood test, liver function panel CPT Code: `80076`	$73	$73	$9	8.1×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	—	$75	$56	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$39	$39	$4	9.8×
Blood test, magnesium CPT Code: `83735`	$59	$59	$7	8.4×
Blood test, potassium CPT Code: `84132`	$42	$42	$5	8.4×
Blood test, sodium CPT Code: `84295`	$41	$41	$5	8.2×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$34	$25	1.4×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$53	$39	1.4×
Hepatitis B vaccine HCPCS Code: `90744`	—	$49	$37	1.3×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$27	$27	1.0×
Flu vaccine injection HCPCS Code: `G0008`	—	$46	$48	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$46	$49	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	—	$46	$49	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$140	$60	$64	0.9×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$28	$28	$3	9.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$29	$29	$4	7.3×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$20	$25	0.8×
Blood test, hemoglobin CPT Code: `85018`	$26	$26	$3	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$47	$47	$5	unverified

Showing top 25 high-impact procedures of 116 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 60.9%

Audit a Bill or Quote at Novant Health Medical Park Hospital (Zero PHI Required)

CMS CCN: 340148

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $50,472

1. Amount on Your Bill or Quote ($) Pre-filled with Novant Health Medical Park Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $73,758 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $73,758

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (60.9% of gross = $73,758).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Novant Health Medical Park Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$90,358 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($121,133) is $90,358 above the denoised Fair BaseRate ($30,775) and 5.2× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (60.9% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall5/5 Stars (5/5)

Safety Composite83/100

Would Recommend89%

Rated 9 or 10 (HCAHPS)90%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Novant Health Medical Park Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-08-19·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (152 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Novant Health Medical Park Hospital.

Price Index: 0.79× regional baseline

Quality: 82/100 CMS composite

Median Household Income$65,541U.S. Census ACS

Local Uninsured Share10.5%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 64/100 · Caution CMS CCN 340148

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 340148) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-30

Validated Rate Rows2,497 (CMS v3.0.0)

File Integrity DigestVerified · CCN 340148

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy