Summary

4 facilities within 25 miles of High Point publish prices for Diagnostic Mammography Bilateral. Cash prices range from $274 to $640 — a 2.3x difference for an identical procedure. The North Carolina average is $447.

Choosing the lowest-priced facility over the highest saves $365. The lowest-priced facility (Novant Health Forsyth Medical Center) has a 4-star CMS quality rating — lower price does not mean lower quality.

$274 lowest
$640 highest
Best Value

Novant Health Forsyth Medical Center

Winston-Salem, VA · Novant Health · 14.4 mi

$274 Cash price
4/5 CMS rating
68.0% Patient satisfaction

Lowest price among hospitals rated 4 stars or above. Patient satisfaction: 68%. Cash price of $274 is below the statewide average of $447.

All facilities ranked by price

1
Novant Health Forsyth Medical Center 4★ · 14.4 mi · Nonprofit
$274
2
Novant Health Thomasville Medical Center 3★ · 14.4 mi · Nonprofit
$274
3
High Point Regional Health System 2★ · 0.0 mi · Nonprofit
$491
4
Lexington Memorial Hospital INC 3★ · 14.4 mi · Nonprofit
$640
Complete facility data
# Facility Cash Price Gross Charge Markup CMS Stars Patient Rating Ownership
1 Novant Health Forsyth Medical Center Novant Health Winston-Salem, NC · 14.4 mi $274 $457 4/5 68.0% Nonprofit
2 Novant Health Thomasville Medical Center Novant Health Thomasville, NC · 14.4 mi $274 $457 3/5 69.0% Nonprofit
3 High Point Regional Health System High Point, NC · 0.0 mi $491 $982 2/5 64.0% Nonprofit
4 Lexington Memorial Hospital INC Lexington, NC · 14.4 mi $640 $1,279 3/5 72.0% Nonprofit

Insurance negotiated rates by facility

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

Novant Health Forsyth Medical Center

Cash: $274
Insurance Plan Negotiated Rate vs Cash
Carolina Complete Medicaid $85 -$189
AmeriHealth Medicaid $87 -$188
Anthem Healthy Blue Medicaid $87 -$188
UnitedHealthcare Medicaid $87 -$188
Wellcare Medicaid $87 -$188
Cigna ACA $177 -$97
Caresource North Carolina Qualified Health Plan $183 -$91
Aetna Medicare $228 -$46
Anthem Blue Home $239 -$36
Anthem Blue Value $247 -$27
Cigna Commercial $271 -$3
Plotkin Health All Plans $274 same
Aetna Commercial $282 +$7

32 additional plans not shown.

Novant Health Thomasville Medical Center

Cash: $274
Insurance Plan Negotiated Rate vs Cash
Carolina Complete Medicaid $83 -$191
AmeriHealth Medicaid $85 -$190
Anthem Healthy Blue Medicaid $85 -$190
UnitedHealthcare Medicaid $85 -$190
Wellcare Medicaid $85 -$190
Cigna ACA $181 -$93
Caresource North Carolina Qualified Health Plan $183 -$91
Aetna Medicare $228 -$46
Anthem Blue Home $239 -$36
Anthem Blue Value $247 -$27
Plotkin Health All Plans $274 same
Cigna Commercial $278 +$4
Anthem Advantage65 $283 +$9

31 additional plans not shown.

High Point Regional Health System

Cash: $491
Insurance Plan Negotiated Rate vs Cash
Cigna $108 -$383
Medicare $108 -$383
Medicaid $153 -$338
Anthem $319 -$172
Revenue Code $401 -$90
Medcost Ultra $451 -$40
Direct Net $580 +$89
Aetna $619 +$128
Medcost $673 +$182
UnitedHealthcare $740 +$249
Coventry WellPath Carolinas $786 +$295
Coventry WellPath (National) $835 +$344
Coventry First Health $913 +$422
Beech Street $933 +$442
Humana $933 +$442

1 additional plans not shown.

Lexington Memorial Hospital INC

Cash: $640
Insurance Plan Negotiated Rate vs Cash
Medicare $108 -$532
Cigna $108 -$532
HealthTeam Advantage $108 -$532
Medicaid $266 -$374
Blue Local Individual $379 -$261
Ambetter $432 -$208
Blue Local Group $508 -$132
Blue Value $553 -$87
Medcost Ultra $561 -$79
Anthem $627 -$13
UnitedHealthcare $638 -$2
DirectNet $756 +$116
Medcost $889 +$249
Healthgram Lexington Brands $921 +$281
Coventry Wellpath $957 +$317

7 additional plans not shown.

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 Diagnostic Mammography Bilateral (CPT 77066). 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
Novant Health Forsyth Medical Center Nonprofit Call billing, request Financial Assistance application
Novant Health Thomasville Medical Center Nonprofit Call billing, request Financial Assistance application
High Point Regional Health System Nonprofit Call billing, request Financial Assistance application
Lexington Memorial Hospital INC Nonprofit Call billing, request Financial Assistance application

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.