Summary

5 facilities within 25 miles of High Point publish prices for Emergency Room Visit — Moderate (Level 3). Cash prices range from $523 to $1,036 — a 2.0x difference for an identical procedure. The North Carolina average is $1,170.

$523 lowest
$1,036 highest
Best Value

Lexington Memorial Hospital INC

Lexington, VA · 14.4 mi

$523 Cash price
3/5 CMS rating
72.0% Patient satisfaction

Lowest published cash price in the area at $523.

All facilities ranked by price

1
Lexington Memorial Hospital INC 3★ · 14.4 mi · Nonprofit
$523
2
High Point Regional Health System 2★ · 0.0 mi · Nonprofit
$802
3
Novant Health Thomasville Medical Center 3★ · 14.4 mi · Nonprofit
$1,036
Complete facility data
# Facility Cash Price Gross Charge Markup CMS Stars Patient Rating Ownership
1 Lexington Memorial Hospital INC Lexington, NC · 14.4 mi $523 $1,045 2.0x 3/5 72.0% Nonprofit
2 High Point Regional Health System High Point, NC · 0.0 mi $802 $1,603 2.0x 2/5 64.0% Nonprofit
3 Novant Health Thomasville Medical Center Novant Health Thomasville, NC · 14.4 mi $1,036 $1,726 1.67x 3/5 69.0% Nonprofit
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

Insurance negotiated rates by facility

The rates below are what each insurer has contractually agreed to pay this hospital for Emergency Room Visit — Moderate (Level 3). Your actual out-of-pocket cost depends on your deductible status and copay structure.

Lexington Memorial Hospital INC

Cash: $523
Insurance Plan Negotiated Rate vs Cash
Medicaid $217 -$306
Medicare $226 -$297
Cigna $226 -$297
HealthTeam Advantage $226 -$297
Blue Local Individual $239 -$284
Blue Local Group $321 -$202
Blue Value $350 -$173
Ambetter $353 -$170
Anthem $396 -$127
Medcost Ultra $459 -$64
UnitedHealthcare $521 -$2
DirectNet $618 +$95
Medcost $726 +$203
Healthgram Lexington Brands $752 +$229
Coventry Wellpath $782 +$259

7 additional plans not shown.

High Point Regional Health System

Cash: $802
Insurance Plan Negotiated Rate vs Cash
Cigna $243 -$559
Medicare $243 -$559
Medicaid $250 -$552
Revenue Code $450 -$352
Anthem $573 -$229
Medcost Ultra $736 -$66
Direct Net $947 +$145
Aetna $1,010 +$208
Medcost $1,098 +$296
Coventry WellPath Carolinas $1,282 +$480
Coventry WellPath (National) $1,363 +$561
Coventry First Health $1,491 +$689
Beech Street $1,523 +$721
Humana $1,523 +$721

1 additional plans not shown.

Novant Health Thomasville Medical Center

Cash: $1,036
Insurance Plan Negotiated Rate vs Cash
Anthem Blue Medicare $265 -$771
Humana Medicare $265 -$771
Pace of the Southern Piedmont All Plans $265 -$771
UnitedHealthcare Medicare $265 -$771
Aetna Medicare $271 -$764
Cigna HealthSpring $273 -$763
Liberty Health Medicare HMO $278 -$758
Carolina Complete Medicaid $314 -$722
AmeriHealth Medicaid $320 -$716
Anthem Healthy Blue Medicaid $320 -$716
UnitedHealthcare Medicaid $320 -$716
Wellcare Medicaid $320 -$716
Cigna ACA $683 -$352

38 additional plans not shown.

Novant Health Medical Park Hospital

Cash: N/A
Insurance Plan Negotiated Rate
Anthem Blue Medicare $265
Humana Medicare $265
Pace of the Southern Piedmont All Plans $265
UnitedHealthcare Medicare $265
Aetna Medicare $271
Cigna HealthSpring $273
Liberty Health Medicare HMO $278

Novant Health Forsyth Medical Center

Cash: N/A
Insurance Plan Negotiated Rate
Anthem Blue Medicare $265
Humana Medicare $265
Pace of the Southern Piedmont All Plans $265
UnitedHealthcare Medicare $265
Aetna Medicare $271
Cigna HealthSpring $273
Liberty Health Medicare HMO $278

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 Emergency Room Visit — Moderate (Level 3) (CPT 99283). 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
Novant Health Thomasville Medical Center Nonprofit Call billing, request Financial Assistance application
Novant Health Medical Park Hospital Nonprofit Call billing, request Financial Assistance application
Novant Health Forsyth Medical Center 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.