Summary

8 facilities within 25 miles of High Point publish prices for Colonoscopy with Biopsy. Cash prices range from $1,489 to $2,003 — a 1.3x difference for an identical procedure. The North Carolina average is $3,175.

$1,489 lowest
$2,003 highest
Best Value

Lexington Memorial Hospital INC

Lexington, VA · Atrium Health Wake Forest Baptist · 14.4 mi

$1,489 Cash price
3/5 CMS rating
72.0% Patient satisfaction

Lowest published cash price in the area at $1,489.

All facilities ranked by price

1
Lexington Memorial Hospital INC 3★ · 14.4 mi · Nonprofit
$1,489
2
High Point Regional Health System 2★ · 0.0 mi · Nonprofit
$1,653
3
Davie Medical Center · 23.3 mi ·
$2,003
Complete facility data
# Facility Cash Price Gross Charge Markup CMS Stars Patient Rating Ownership
1 Lexington Memorial Hospital INC Atrium Health Wake Forest Baptist Lexington, NC · 14.4 mi $1,489 $2,977 2.0x 3/5 72.0% Nonprofit
2 High Point Regional Health System UNC Health High Point, NC · 0.0 mi $1,653 $3,306 2.0x 2/5 64.0% Nonprofit
3 Davie Medical Center Atrium Health Wake Forest Baptist Bermuda Run, NC · 23.3 mi $2,003 $4,005 2.0x
4 Novant Health Medical Park Hospital Novant Health Winston-Salem, NC · 14.4 mi 4/5 92.0% Nonprofit
5 Novant Health Forsyth Medical Center Novant Health Winston-Salem, NC · 14.4 mi 4/5 68.0% Nonprofit
6 Novant Health Thomasville Medical Center Novant Health Thomasville, NC · 14.4 mi 3/5 69.0% Nonprofit
7 Novant Health Clemmons Medical Center Novant Health Clemmons, NC · 21.7 mi
8 Novant Health Kernersville Medical Center Novant Health Kernersville, NC · 12.0 mi

Insurance negotiated rates by facility

The rates below are what each insurer has contractually agreed to pay this hospital for Colonoscopy with Biopsy. Your actual out-of-pocket cost depends on your deductible status and copay structure.

Lexington Memorial Hospital INC

Cash: $1,489
Insurance Plan Negotiated Rate vs Cash
Medicaid $625 -$864
Blue Local Individual $789 -$700
Ambetter $1,006 -$483
Medicare $1,013 -$476
Cigna $1,013 -$476
HealthTeam Advantage $1,013 -$476
UnitedHealthcare $1,013 -$476
Blue Local Group $1,057 -$432
Blue Value $1,152 -$337
Humana $1,286 -$203
Blue Cross Blue Shield $1,303 -$186
DirectNet $1,759 +$270
MedCost $1,773 +$284
Aetna $2,084 +$595
Healthgram Lexington Brands $2,143 +$654

6 additional plans not shown.

High Point Regional Health System

Cash: $1,653
Insurance Plan Negotiated Rate vs Cash
Medicaid $520 -$1,133
Cigna $1,087 -$566
Medicare $1,087 -$566
UnitedHealthcare $1,098 -$555
Humana $1,109 -$544
Aetna $1,587 -$66
MedCost $1,618 -$35
Blue Cross Blue Shield $1,736 +$83
Direct Net $1,954 +$301
Coventry WellPath Carolinas $2,645 +$992
Coventry WellPath (National) $2,810 +$1,157
Coventry First Health $3,075 +$1,422
Beech Street $3,141 +$1,488

Davie Medical Center

Cash: $2,003
Insurance Plan Negotiated Rate vs Cash
Medicaid $767 -$1,236
Blue Local Individual $885 -$1,118
Medicare $1,013 -$990
Aetna $1,013 -$990
Cigna $1,013 -$990
UnitedHealthcare $1,013 -$990
Humana $1,023 -$980
Blue Cross Blue Shield $1,185 -$818
Ambetter $1,197 -$806
MedCost $1,514 -$489
Direct Net Managed Care $2,367 +$364
Healthgram Managed Care $2,804 +$801

Novant Health Medical Park Hospital

Cash: N/A
Insurance Plan Negotiated Rate
Blue Cross Blue Shield Blue Medicare $1,161
Humana Medicare $1,161
Pace of the Southern Piedmont All Plans $1,161
UnitedHealthcare Medicare $1,161
Aetna Medicare $1,190
Cigna HealthSpring $1,195
Liberty Health Medicare HMO $1,219

Novant Health Forsyth Medical Center

Cash: N/A
Insurance Plan Negotiated Rate
Blue Cross Blue Shield Blue Medicare $1,161
Humana Medicare $1,161
Pace of the Southern Piedmont All Plans $1,161
UnitedHealthcare Medicare $1,161
Aetna Medicare $1,190
Cigna HealthSpring $1,195
Liberty Health Medicare HMO $1,219

Novant Health Thomasville Medical Center

Cash: N/A
Insurance Plan Negotiated Rate
Blue Cross Blue Shield Blue Medicare $1,161
Humana Medicare $1,161
Pace of the Southern Piedmont All Plans $1,161
UnitedHealthcare Medicare $1,161
Aetna Medicare $1,190
Cigna HealthSpring $1,195
Liberty Health Medicare HMO $1,219

Novant Health Clemmons Medical Center

Cash: N/A
Insurance Plan Negotiated Rate
Blue Cross Blue Shield Blue Medicare $1,161
Humana Medicare $1,161
Pace of the Southern Piedmont All Plans $1,161
UnitedHealthcare Medicare $1,161
Aetna Medicare $1,190
Cigna HealthSpring $1,195
Liberty Health Medicare HMO $1,219

Novant Health Kernersville Medical Center

Cash: N/A
Insurance Plan Negotiated Rate
Blue Cross Blue Shield Blue Medicare $1,161
Humana Medicare $1,161
Pace of the Southern Piedmont All Plans $1,161
UnitedHealthcare Medicare $1,161
Aetna Medicare $1,190
Cigna HealthSpring $1,195
Liberty Health Medicare HMO $1,219

Before you call

The data in this report is from each hospital's publicly filed prices. Here's how to use it.

Confirm the price

Call the hospital's billing department and ask for a price estimate or Good Faith Estimate for Colonoscopy with Biopsy (CPT 45380). Under federal law, they must provide this. Compare it to the published price in this report.

Ask about cash pay

If you haven't met your deductible, ask for the cash/self-pay rate. At many hospitals, the cash price is lower than the insurance-negotiated rate. You can see this in the insurance table above — some negotiated rates exceed the cash price.

Compare before you schedule

You are not required to use the facility your doctor referred you to. You can request a referral to any in-network facility. The same procedure, same quality — sometimes at a fraction of the price.

Ask about financial help

Most nonprofit hospitals in Virginia offer financial assistance to patients based on household income. This is separate from insurance — even insured patients can qualify. Ask billing for their Financial Assistance Policy.

Financial assistance by facility

Nonprofit hospitals are legally required to have financial assistance programs. Below is what we know about each facility's charitable care.

Facility Status Charity Care Provided How to Apply
Lexington Memorial Hospital INC Nonprofit Call billing, request Financial Assistance application
High Point Regional Health System Nonprofit Call billing, request Financial Assistance application
Davie Medical Center N/A (for-profit)
Novant Health Medical Park Hospital Nonprofit Call billing, request Financial Assistance application
Novant Health Forsyth Medical Center Nonprofit Call billing, request Financial Assistance application
Novant Health Thomasville Medical Center Nonprofit Call billing, request Financial Assistance application
Novant Health Clemmons Medical Center N/A (for-profit)
Novant Health Kernersville Medical Center N/A (for-profit)

What to do next

  1. Identify your top 2-3 facilities based on price, quality rating, and distance. The data in this report shows that lower price does not mean lower quality — check the star ratings.
  2. Call billing before you schedule. Confirm the published price. Ask for a Good Faith Estimate. Ask whether there's a prompt-pay or cash-pay discount beyond the listed rate.
  3. Check your deductible status. If you haven't met your deductible, compare the cash rate to what you'd owe through insurance. In some cases, paying cash is cheaper than using your plan.
  4. Apply for financial assistance if your household income is under $60,000-$125,000 (thresholds vary). Most eligible patients never apply because they don't know the program exists.
  5. Get everything in writing. Before your procedure, get a written price estimate. After, review the bill line by line. Roughly 80% of hospital bills contain errors (Becker's Hospital Review).

Data sources

Hospital prices
Published machine-readable files, required under CMS Hospital Price Transparency Rule (45 CFR Part 180)
Quality ratings
CMS Hospital Compare, updated quarterly
Patient satisfaction
HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems)
Financial data
CMS Cost Reports (charity care, revenue) and IRS 990 filings (officer compensation)

This report is for informational purposes only. It is not medical advice. Every price shown is a price a hospital published — not an estimate. Actual out-of-pocket costs depend on your insurance plan, deductible status, and clinical circumstances. Consult your healthcare provider and insurer before making decisions.