Price Comparison Report
Emergency Room Visit — Critical (Level 5)
Winston-Salem, NC · 4 facilities · CPT 99285 · September 06, 2026
Summary
4 facilities within 25 miles of Winston-Salem publish prices for Emergency Room Visit — Critical (Level 5). Cash prices range from $1,055 to $2,033 — a 1.9x difference for an identical procedure. The North Carolina average is $2,066.
Choosing the lowest-priced facility over the highest saves $978.
Davie Medical Center
Bermuda Run, VA · Atrium Health Wake Forest Baptist · 12.0 mi
Lowest published cash price in the area at $1,055.
All facilities ranked by price
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 | $1,055 | $2,110 | 2.0x | — | — | |
| 2 | Novant Health Clemmons Medical Center Novant Health Clemmons, NC · 9.0 mi | $1,305 | $2,175 | 1.67x | — | — | |
| 3 | Novant Health Kernersville Medical Center Novant Health Kernersville, NC · 9.6 mi | $1,305 | $2,175 | 1.67x | — | — | |
| 4 | High Point Regional Health System UNC Health High Point, NC · 16.7 mi | $2,033 | $4,065 | 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 — Critical (Level 5). Your actual out-of-pocket cost depends on your deductible status and copay structure.
Davie Medical Center
Cash: $1,055| Insurance | Plan | Negotiated Rate | vs Cash |
|---|---|---|---|
| Medicaid | — | $404 | -$651 |
| Blue Local Individual | — | $439 | -$616 |
| Medicare | — | $510 | -$545 |
| Cigna | — | $510 | -$545 |
| UnitedHealthcare | — | $510 | -$545 |
| Humana | — | $515 | -$540 |
| Blue Cross Blue Shield | — | $591 | -$464 |
| Ambetter | — | $631 | -$424 |
| Aetna | — | $779 | -$276 |
| MedCost | — | $798 | -$257 |
| Direct Net Managed Care | — | $1,247 | +$192 |
| Healthgram Managed Care | — | $1,477 | +$422 |
Novant Health Clemmons Medical Center
Cash: $1,305| Insurance | Plan | Negotiated Rate | vs Cash |
|---|---|---|---|
| Carolina Complete | Medicaid | $404 | -$901 |
| AmeriHealth | Medicaid | $412 | -$893 |
| Blue Cross Blue Shield | Healthy Blue Medicaid | $412 | -$893 |
| UnitedHealthcare | Medicaid | $412 | -$893 |
| Wellcare | Medicaid | $412 | -$893 |
| Blue Cross Blue Shield | Blue Medicare | $578 | -$727 |
| Humana | Medicare | $578 | -$727 |
| Pace of the Southern Piedmont | All Plans | $578 | -$727 |
| UnitedHealthcare | Medicare | $578 | -$727 |
| Aetna | Medicare | $592 | -$713 |
| Cigna | HealthSpring | $595 | -$710 |
| Liberty Health | Medicare HMO | $606 | -$699 |
| Cigna | ACA | $842 | -$463 |
| Caresource North Carolina | Qualified Health Plan | $870 | -$435 |
39 additional plans not shown.
Novant Health Kernersville Medical Center
Cash: $1,305| Insurance | Plan | Negotiated Rate | vs Cash |
|---|---|---|---|
| Carolina Complete | Medicaid | $404 | -$901 |
| AmeriHealth | Medicaid | $412 | -$893 |
| Blue Cross Blue Shield | Healthy Blue Medicaid | $412 | -$893 |
| UnitedHealthcare | Medicaid | $412 | -$893 |
| Wellcare | Medicaid | $412 | -$893 |
| Blue Cross Blue Shield | Blue Medicare | $578 | -$727 |
| Humana | Medicare | $578 | -$727 |
| Pace of the Southern Piedmont | All Plans | $578 | -$727 |
| UnitedHealthcare | Medicare | $578 | -$727 |
| Aetna | Medicare | $592 | -$713 |
| Cigna | HealthSpring | $595 | -$710 |
| Liberty Health | Medicare HMO | $606 | -$699 |
| Cigna | ACA | $842 | -$463 |
| Caresource North Carolina | Qualified Health Plan | $870 | -$435 |
39 additional plans not shown.
High Point Regional Health System
Cash: $2,033| Insurance | Plan | Negotiated Rate | vs Cash |
|---|---|---|---|
| Cigna | — | $547 | -$1,486 |
| Medicare | — | $547 | -$1,486 |
| Humana | — | $558 | -$1,475 |
| Medicaid | — | $633 | -$1,400 |
| UnitedHealthcare | — | $639 | -$1,394 |
| Blue Cross Blue Shield | — | $1,154 | -$879 |
| MedCost | — | $1,866 | -$167 |
| Aetna | — | $1,951 | -$82 |
| Direct Net | — | $2,402 | +$369 |
| Coventry WellPath Carolinas | — | $3,252 | +$1,219 |
| Coventry WellPath (National) | — | $3,455 | +$1,422 |
| Coventry First Health | — | $3,780 | +$1,747 |
| Beech Street | — | $3,862 | +$1,829 |
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 — Critical (Level 5) (CPT 99285). 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
Data sources
Published machine-readable files, required under CMS Hospital Price Transparency Rule (45 CFR Part 180)
CMS Hospital Compare, updated quarterly
HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems)
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.