Summary

8 facilities within 25 miles of High Point publish prices for PET Scan Whole Body. Cash prices range from $2,478 to $2,748 — a 1.1x difference for an identical procedure. The North Carolina average is $5,218.

$2,478 lowest
$2,748 highest
Best Value

Lexington Memorial Hospital INC

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

$2,478 Cash price
3/5 CMS rating
72.0% Patient satisfaction

Lowest published cash price in the area at $2,478.

All facilities ranked by price

1
Lexington Memorial Hospital INC 3★ · 14.4 mi · Nonprofit
$2,478
2
Davie Medical Center · 23.3 mi ·
$2,478
3
High Point Regional Health System 2★ · 0.0 mi · Nonprofit
$2,748
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 $2,478 $4,955 2.0x 3/5 72.0% Nonprofit
2 Davie Medical Center Atrium Health Wake Forest Baptist Bermuda Run, NC · 23.3 mi $2,478 $4,955 2.0x
3 High Point Regional Health System UNC Health High Point, NC · 0.0 mi $2,748 $5,495 2.0x 2/5 64.0% 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
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 PET Scan Whole Body. Your actual out-of-pocket cost depends on your deductible status and copay structure.

Lexington Memorial Hospital INC

Cash: $2,478
Insurance Plan Negotiated Rate vs Cash
Medicaid $1,030 -$1,448
Medicare $1,446 -$1,032
Cigna $1,446 -$1,032
HealthTeam Advantage $1,446 -$1,032
UnitedHealthcare $1,446 -$1,032
Blue Local Individual $1,467 -$1,011
Ambetter $1,675 -$803
Humana $1,836 -$642
Blue Local Group $1,967 -$511
Blue Cross Blue Shield $2,037 -$441
Blue Value $2,141 -$337
MedCost $2,175 -$303
DirectNet $2,928 +$450
Aetna $3,469 +$991
Healthgram Lexington Brands $3,568 +$1,090

6 additional plans not shown.

Davie Medical Center

Cash: $2,478
Insurance Plan Negotiated Rate vs Cash
Medicaid $949 -$1,529
Blue Local Individual $1,293 -$1,185
Medicare $1,446 -$1,032
Cigna $1,446 -$1,032
UnitedHealthcare $1,446 -$1,032
Humana $1,460 -$1,018
Ambetter $1,482 -$996
Blue Cross Blue Shield $1,729 -$749
Aetna $1,828 -$650
MedCost $1,873 -$605
Direct Net Managed Care $2,928 +$450
Healthgram Managed Care $3,469 +$991

High Point Regional Health System

Cash: $2,748
Insurance Plan Negotiated Rate vs Cash
Medicaid $856 -$1,892
Cigna $1,552 -$1,196
Medicare $1,552 -$1,196
UnitedHealthcare $1,567 -$1,181
Humana $1,583 -$1,165
Blue Cross Blue Shield $1,717 -$1,031
MedCost $2,522 -$226
Aetna $2,638 -$110
Direct Net $3,248 +$500
Coventry WellPath Carolinas $4,396 +$1,648
Coventry WellPath (National) $4,671 +$1,923
Coventry First Health $5,110 +$2,362
Beech Street $5,220 +$2,472

Novant Health Medical Park Hospital

Cash: N/A
Insurance Plan Negotiated Rate
Blue Cross Blue Shield Advantage65 $1,151
Blue Cross Blue Shield BlueCare $1,151
Blue Cross Blue Shield BlueMedicare HMO $1,151
Blue Cross Blue Shield BlueMedicare PPO $1,151
Blue Cross Blue Shield BlueSelect $1,151
Blue Cross Blue Shield HMO $1,151
Blue Cross Blue Shield BlueOptions $1,300
Blue Cross Blue Shield CoverFL $1,300
Blue Cross Blue Shield GoBlue $1,300
Blue Cross Blue Shield NetworkBlue $1,300
Blue Cross Blue Shield BlueChoice $1,337
Blue Cross Blue Shield Essential Network $1,337
Blue Cross Blue Shield FEP $1,337
Blue Cross Blue Shield PPC $1,337
Blue Cross Blue Shield PPO $1,337

9 additional plans not shown.

Novant Health Forsyth Medical Center

Cash: N/A
Insurance Plan Negotiated Rate
Blue Cross Blue Shield Advantage65 $1,151
Blue Cross Blue Shield BlueCare $1,151
Blue Cross Blue Shield BlueMedicare HMO $1,151
Blue Cross Blue Shield BlueMedicare PPO $1,151
Blue Cross Blue Shield BlueSelect $1,151
Blue Cross Blue Shield HMO $1,151
Blue Cross Blue Shield BlueOptions $1,300
Blue Cross Blue Shield CoverFL $1,300
Blue Cross Blue Shield GoBlue $1,300
Blue Cross Blue Shield NetworkBlue $1,300
Blue Cross Blue Shield BlueChoice $1,337
Blue Cross Blue Shield Essential Network $1,337
Blue Cross Blue Shield FEP $1,337
Blue Cross Blue Shield PPC $1,337
Blue Cross Blue Shield PPO $1,337

9 additional plans not shown.

Novant Health Thomasville Medical Center

Cash: N/A
Insurance Plan Negotiated Rate
Blue Cross Blue Shield Advantage65 $1,151
Blue Cross Blue Shield BlueCare $1,151
Blue Cross Blue Shield BlueMedicare HMO $1,151
Blue Cross Blue Shield BlueMedicare PPO $1,151
Blue Cross Blue Shield BlueSelect $1,151
Blue Cross Blue Shield HMO $1,151
Blue Cross Blue Shield BlueOptions $1,300
Blue Cross Blue Shield CoverFL $1,300
Blue Cross Blue Shield GoBlue $1,300
Blue Cross Blue Shield NetworkBlue $1,300
Blue Cross Blue Shield BlueChoice $1,337
Blue Cross Blue Shield Essential Network $1,337
Blue Cross Blue Shield FEP $1,337
Blue Cross Blue Shield PPC $1,337
Blue Cross Blue Shield PPO $1,337

9 additional plans not shown.

Novant Health Clemmons Medical Center

Cash: N/A
Insurance Plan Negotiated Rate
Blue Cross Blue Shield Advantage65 $1,151
Blue Cross Blue Shield BlueCare $1,151
Blue Cross Blue Shield BlueMedicare HMO $1,151
Blue Cross Blue Shield BlueMedicare PPO $1,151
Blue Cross Blue Shield BlueSelect $1,151
Blue Cross Blue Shield HMO $1,151
Blue Cross Blue Shield BlueOptions $1,300
Blue Cross Blue Shield CoverFL $1,300
Blue Cross Blue Shield GoBlue $1,300
Blue Cross Blue Shield NetworkBlue $1,300
Blue Cross Blue Shield BlueChoice $1,337
Blue Cross Blue Shield Essential Network $1,337
Blue Cross Blue Shield FEP $1,337
Blue Cross Blue Shield PPC $1,337
Blue Cross Blue Shield PPO $1,337

9 additional plans not shown.

Novant Health Kernersville Medical Center

Cash: N/A
Insurance Plan Negotiated Rate
Blue Cross Blue Shield Advantage65 $1,151
Blue Cross Blue Shield BlueCare $1,151
Blue Cross Blue Shield BlueMedicare HMO $1,151
Blue Cross Blue Shield BlueMedicare PPO $1,151
Blue Cross Blue Shield BlueSelect $1,151
Blue Cross Blue Shield HMO $1,151
Blue Cross Blue Shield BlueOptions $1,300
Blue Cross Blue Shield CoverFL $1,300
Blue Cross Blue Shield GoBlue $1,300
Blue Cross Blue Shield NetworkBlue $1,300
Blue Cross Blue Shield BlueChoice $1,337
Blue Cross Blue Shield Essential Network $1,337
Blue Cross Blue Shield FEP $1,337
Blue Cross Blue Shield PPC $1,337
Blue Cross Blue Shield PPO $1,337

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 PET Scan Whole Body (CPT 78816). 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
Davie Medical Center N/A (for-profit)
High Point Regional Health System 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
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.