Summary

8 facilities within 25 miles of High Point publish prices for MRI Shoulder without Contrast. Cash prices range from $914 to $2,033 — a 2.2x difference for an identical procedure. The North Carolina average is $2,512.

$914 lowest
$2,033 highest
Best Value

Novant Health Forsyth Medical Center

Winston-Salem, VA · Novant Health · 14.4 mi

$1,031 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 $1,031 is below the statewide average of $2,512.

All facilities ranked by price

1
Novant Health Clemmons Medical Center · 21.7 mi ·
$914
2
Novant Health Forsyth Medical Center 4★ · 14.4 mi · Nonprofit
$1,031
3
High Point Regional Health System 2★ · 0.0 mi · Nonprofit
$1,486
4
Lexington Memorial Hospital INC 3★ · 14.4 mi · Nonprofit
$1,497
5
Davie Medical Center · 23.3 mi ·
$1,497
6
Novant Health Thomasville Medical Center 3★ · 14.4 mi · Nonprofit
$2,033
Complete facility data
# Facility Cash Price Gross Charge Markup CMS Stars Patient Rating Ownership
1 Novant Health Clemmons Medical Center Novant Health Clemmons, NC · 21.7 mi $914 $1,524 1.67x
2 Novant Health Forsyth Medical Center Novant Health Winston-Salem, NC · 14.4 mi $1,031 $1,718 1.67x 4/5 68.0% Nonprofit
3 High Point Regional Health System UNC Health High Point, NC · 0.0 mi $1,486 $2,972 2.0x 2/5 64.0% Nonprofit
4 Lexington Memorial Hospital INC Atrium Health Wake Forest Baptist Lexington, NC · 14.4 mi $1,497 $2,993 2.0x 3/5 72.0% Nonprofit
5 Davie Medical Center Atrium Health Wake Forest Baptist Bermuda Run, NC · 23.3 mi $1,497 $2,993 2.0x
6 Novant Health Thomasville Medical Center Novant Health Thomasville, NC · 14.4 mi $2,033 $3,388 1.67x 3/5 69.0% Nonprofit
7 Novant Health Medical Park Hospital Novant Health Winston-Salem, NC · 14.4 mi 4/5 92.0% Nonprofit
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 MRI Shoulder without Contrast. Your actual out-of-pocket cost depends on your deductible status and copay structure.

Novant Health Clemmons Medical Center

Cash: $914
Insurance Plan Negotiated Rate vs Cash
Blue Cross Blue Shield Blue Medicare $231 -$683
Humana Medicare $231 -$683
Pace of the Southern Piedmont All Plans $231 -$683
UnitedHealthcare Medicare $231 -$683
Aetna Medicare $237 -$677
Cigna HealthSpring $238 -$676
Liberty Health Medicare HMO $243 -$671
Carolina Complete Medicaid $283 -$631
AmeriHealth Medicaid $289 -$626
Blue Cross Blue Shield Healthy Blue Medicaid $289 -$626
UnitedHealthcare Medicaid $289 -$626
Wellcare Medicaid $289 -$626
Blue Cross Blue Shield Advantage65 $411 -$503
Blue Cross Blue Shield BlueCare $411 -$503

39 additional plans not shown.

Novant Health Forsyth Medical Center

Cash: $1,031
Insurance Plan Negotiated Rate vs Cash
Blue Cross Blue Shield Blue Medicare $231 -$799
Humana Medicare $231 -$799
Pace of the Southern Piedmont All Plans $231 -$799
UnitedHealthcare Medicare $231 -$799
Aetna Medicare $237 -$794
Cigna HealthSpring $238 -$792
Liberty Health Medicare HMO $243 -$788
Carolina Complete Medicaid $319 -$712
AmeriHealth Medicaid $325 -$705
Blue Cross Blue Shield Healthy Blue Medicaid $325 -$705
UnitedHealthcare Medicaid $325 -$705
Wellcare Medicaid $325 -$705
Blue Cross Blue Shield Advantage65 $411 -$620
Blue Cross Blue Shield BlueCare $411 -$620

39 additional plans not shown.

High Point Regional Health System

Cash: $1,486
Insurance Plan Negotiated Rate vs Cash
Cigna $241 -$1,245
Medicare $241 -$1,245
Humana $246 -$1,240
Medicaid $463 -$1,023
UnitedHealthcare $467 -$1,019
MedCost $1,364 -$122
Aetna $1,427 -$59
Blue Cross Blue Shield $1,438 -$48
Direct Net $1,756 +$270
Coventry WellPath Carolinas $2,378 +$892
Coventry WellPath (National) $2,526 +$1,040
Coventry First Health $2,764 +$1,278
Beech Street $2,823 +$1,337

Lexington Memorial Hospital INC

Cash: $1,497
Insurance Plan Negotiated Rate vs Cash
Medicare $225 -$1,272
Cigna $225 -$1,272
HealthTeam Advantage $225 -$1,272
Humana $285 -$1,212
Medicaid $622 -$875
UnitedHealthcare $628 -$869
Blue Local Individual $853 -$644
Ambetter $1,012 -$485
Blue Local Group $1,143 -$354
Blue Cross Blue Shield $1,182 -$315
Blue Value $1,281 -$216
MedCost $1,314 -$183
DirectNet $1,769 +$272
Aetna $2,095 +$598
Healthgram Lexington Brands $2,155 +$658

6 additional plans not shown.

Davie Medical Center

Cash: $1,497
Insurance Plan Negotiated Rate vs Cash
Medicare $225 -$1,272
Cigna $225 -$1,272
Humana $227 -$1,270
Medicaid $573 -$924
UnitedHealthcare $579 -$918
Ambetter $895 -$602
Blue Local Individual $921 -$576
Aetna $1,104 -$393
MedCost $1,131 -$366
Blue Cross Blue Shield $1,230 -$267
Direct Net Managed Care $1,769 +$272
Healthgram Managed Care $2,095 +$598

Novant Health Thomasville Medical Center

Cash: $2,033
Insurance Plan Negotiated Rate vs Cash
Blue Cross Blue Shield Blue Medicare $231 -$1,801
Humana Medicare $231 -$1,801
Pace of the Southern Piedmont All Plans $231 -$1,801
UnitedHealthcare Medicare $231 -$1,801
Aetna Medicare $237 -$1,796
Cigna HealthSpring $238 -$1,794
Liberty Health Medicare HMO $243 -$1,790
Blue Cross Blue Shield Advantage65 $411 -$1,622
Blue Cross Blue Shield BlueCare $411 -$1,622
Blue Cross Blue Shield BlueMedicare HMO $411 -$1,622
Blue Cross Blue Shield BlueMedicare PPO $411 -$1,622
Blue Cross Blue Shield BlueSelect $411 -$1,622
Blue Cross Blue Shield HMO $411 -$1,622
Blue Cross Blue Shield BlueOptions $464 -$1,569

38 additional plans not shown.

Novant Health Medical Park Hospital

Cash: N/A
Insurance Plan Negotiated Rate
Blue Cross Blue Shield Blue Medicare $231
Humana Medicare $231
Pace of the Southern Piedmont All Plans $231
UnitedHealthcare Medicare $231
Aetna Medicare $237
Cigna HealthSpring $238
Liberty Health Medicare HMO $243
Blue Cross Blue Shield Advantage65 $411
Blue Cross Blue Shield BlueCare $411
Blue Cross Blue Shield BlueMedicare HMO $411
Blue Cross Blue Shield BlueMedicare PPO $411
Blue Cross Blue Shield BlueSelect $411
Blue Cross Blue Shield HMO $411
Blue Cross Blue Shield BlueOptions $464

9 additional plans not shown.

Novant Health Kernersville Medical Center

Cash: N/A
Insurance Plan Negotiated Rate
Blue Cross Blue Shield Blue Medicare $231
Humana Medicare $231
Pace of the Southern Piedmont All Plans $231
UnitedHealthcare Medicare $231
Aetna Medicare $237
Cigna HealthSpring $238
Liberty Health Medicare HMO $243
Blue Cross Blue Shield Advantage65 $411
Blue Cross Blue Shield BlueCare $411
Blue Cross Blue Shield BlueMedicare HMO $411
Blue Cross Blue Shield BlueMedicare PPO $411
Blue Cross Blue Shield BlueSelect $411
Blue Cross Blue Shield HMO $411
Blue Cross Blue Shield BlueOptions $464

9 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 MRI Shoulder without Contrast (CPT 73221). 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 Clemmons Medical Center N/A (for-profit)
Novant Health Forsyth 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
Davie Medical Center N/A (for-profit)
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 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.