Summary

4 facilities within 25 miles of Winston-Salem publish prices for Emergency Room Visit — High Acuity (Level 4). Cash prices range from $829 to $1,432 — a 1.7x difference for an identical procedure. The North Carolina average is $1,514.

Choosing the lowest-priced facility over the highest saves $603.

$829 lowest
$1,432 highest
Best Value

Davie Medical Center

Bermuda Run, VA · Atrium Health Wake Forest Baptist · 12.0 mi

$829 Cash price

Lowest published cash price in the area at $829.

All facilities ranked by price

1
Davie Medical Center · 12.0 mi ·
$829
2
Novant Health Clemmons Medical Center · 9.0 mi ·
$954
3
Novant Health Kernersville Medical Center · 9.6 mi ·
$954
4
High Point Regional Health System 2★ · 16.7 mi · Nonprofit
$1,432
Complete facility data
# Facility Cash Price Gross Charge Markup CMS Stars Patient Rating Ownership
1 Davie Medical Center Atrium Health Wake Forest Baptist Bermuda Run, NC · 12.0 mi $829 $1,658 2.0x
2 Novant Health Clemmons Medical Center Novant Health Clemmons, NC · 9.0 mi $954 $1,590 1.67x
3 Novant Health Kernersville Medical Center Novant Health Kernersville, NC · 9.6 mi $954 $1,590 1.67x
4 High Point Regional Health System UNC Health High Point, NC · 16.7 mi $1,432 $2,863 2.0x 2/5 64.0% 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.

Davie Medical Center

Cash: $829
Insurance Plan Negotiated Rate vs Cash
Medicaid $318 -$511
Blue Local Individual $345 -$484
Medicare $355 -$474
Cigna $355 -$474
UnitedHealthcare $355 -$474
Humana $359 -$470
Blue Cross Blue Shield $464 -$365
Ambetter $496 -$333
Aetna $612 -$217
MedCost $627 -$202
Direct Net Managed Care $980 +$151
Healthgram Managed Care $1,161 +$332

Novant Health Clemmons Medical Center

Cash: $954
Insurance Plan Negotiated Rate vs Cash
Carolina Complete Medicaid $295 -$659
AmeriHealth Medicaid $301 -$653
Blue Cross Blue Shield Healthy Blue Medicaid $301 -$653
UnitedHealthcare Medicaid $301 -$653
Wellcare Medicaid $301 -$653
Blue Cross Blue Shield Blue Medicare $405 -$549
Humana Medicare $405 -$549
Pace of the Southern Piedmont All Plans $405 -$549
UnitedHealthcare Medicare $405 -$549
Aetna Medicare $415 -$539
Cigna HealthSpring $417 -$537
Liberty Health Medicare HMO $425 -$529
Cigna ACA $615 -$339
Caresource North Carolina Qualified Health Plan $636 -$318

39 additional plans not shown.

Novant Health Kernersville Medical Center

Cash: $954
Insurance Plan Negotiated Rate vs Cash
Carolina Complete Medicaid $295 -$659
AmeriHealth Medicaid $301 -$653
Blue Cross Blue Shield Healthy Blue Medicaid $301 -$653
UnitedHealthcare Medicaid $301 -$653
Wellcare Medicaid $301 -$653
Blue Cross Blue Shield Blue Medicare $405 -$549
Humana Medicare $405 -$549
Pace of the Southern Piedmont All Plans $405 -$549
UnitedHealthcare Medicare $405 -$549
Aetna Medicare $415 -$539
Cigna HealthSpring $417 -$537
Liberty Health Medicare HMO $425 -$529
Cigna ACA $615 -$339
Caresource North Carolina Qualified Health Plan $636 -$318

39 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
Humana $389 -$1,043
Medicaid $446 -$986
UnitedHealthcare $450 -$982
Blue Cross Blue Shield $813 -$619
MedCost $1,314 -$118
Aetna $1,374 -$58
Direct Net $1,692 +$260
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

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
Davie Medical Center N/A (for-profit)
Novant Health Clemmons Medical Center N/A (for-profit)
Novant Health Kernersville Medical Center N/A (for-profit)
High Point Regional Health System 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.