Summary

5 facilities within 25 miles of High Point publish prices for Emergency Room Visit — High Acuity (Level 4). Cash prices range from $829 to $1,473 — a 1.8x difference for an identical procedure. The North Carolina average is $1,828.

$829 lowest
$1,473 highest
Best Value

Lexington Memorial Hospital INC

Lexington, VA · 14.4 mi

$829 Cash price
3/5 CMS rating
72.0% Patient satisfaction

Lowest published cash price in the area at $829.

All facilities ranked by price

1
Lexington Memorial Hospital INC 3★ · 14.4 mi · Nonprofit
$829
2
High Point Regional Health System 2★ · 0.0 mi · Nonprofit
$1,432
3
Novant Health Thomasville Medical Center 3★ · 14.4 mi · Nonprofit
$1,473
Complete facility data
# Facility Cash Price Gross Charge Markup CMS Stars Patient Rating Ownership
1 Lexington Memorial Hospital INC Lexington, NC · 14.4 mi $829 $1,658 2.0x 3/5 72.0% Nonprofit
2 High Point Regional Health System High Point, NC · 0.0 mi $1,432 $2,863 2.0x 2/5 64.0% Nonprofit
3 Novant Health Thomasville Medical Center Novant Health Thomasville, NC · 14.4 mi $1,473 $2,455 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 — High Acuity (Level 4). Your actual out-of-pocket cost depends on your deductible status and copay structure.

Lexington Memorial Hospital INC

Cash: $829
Insurance Plan Negotiated Rate vs Cash
Medicaid $345 -$484
Medicare $355 -$474
Cigna $355 -$474
HealthTeam Advantage $355 -$474
Blue Local Individual $380 -$449
Blue Local Group $509 -$320
Blue Value $555 -$274
Ambetter $560 -$269
Anthem $629 -$200
Medcost Ultra $728 -$101
UnitedHealthcare $827 -$2
DirectNet $980 +$151
Medcost $1,152 +$323
Healthgram Lexington Brands $1,194 +$365
Coventry Wellpath $1,240 +$411

7 additional plans not shown.

High Point Regional Health System

Cash: $1,432
Insurance Plan Negotiated Rate vs Cash
Cigna $381 -$1,051
Medicare $381 -$1,051
Medicaid $446 -$986
Revenue Code $450 -$982
Anthem $1,024 -$408
Medcost Ultra $1,314 -$118
Direct Net $1,692 +$260
Aetna $1,804 +$372
Medcost $1,961 +$529
Coventry WellPath Carolinas $2,290 +$858
Coventry WellPath (National) $2,434 +$1,002
Coventry First Health $2,663 +$1,231
Beech Street $2,720 +$1,288
Humana $2,720 +$1,288

1 additional plans not shown.

Novant Health Thomasville Medical Center

Cash: $1,473
Insurance Plan Negotiated Rate vs Cash
Anthem Blue Medicare $405 -$1,068
Humana Medicare $405 -$1,068
Pace of the Southern Piedmont All Plans $405 -$1,068
UnitedHealthcare Medicare $405 -$1,068
Aetna Medicare $415 -$1,058
Cigna HealthSpring $417 -$1,056
Liberty Health Medicare HMO $425 -$1,048
Carolina Complete Medicaid $446 -$1,027
AmeriHealth Medicaid $455 -$1,018
Anthem Healthy Blue Medicaid $455 -$1,018
UnitedHealthcare Medicaid $455 -$1,018
Wellcare Medicaid $455 -$1,018
Cigna ACA $972 -$501

38 additional plans not shown.

Novant Health Medical Park Hospital

Cash: N/A
Insurance Plan Negotiated Rate
Anthem Blue Medicare $405
Humana Medicare $405
Pace of the Southern Piedmont All Plans $405
UnitedHealthcare Medicare $405
Aetna Medicare $415
Cigna HealthSpring $417
Liberty Health Medicare HMO $425

Novant Health Forsyth Medical Center

Cash: N/A
Insurance Plan Negotiated Rate
Anthem Blue Medicare $405
Humana Medicare $405
Pace of the Southern Piedmont All Plans $405
UnitedHealthcare Medicare $405
Aetna Medicare $415
Cigna HealthSpring $417
Liberty Health Medicare HMO $425

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 — High Acuity (Level 4) (CPT 99284). 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.